International Pharmaceutical Order Form

Transcription

1 Description International Pharmaceutical Order Form Quantity Unit Charge B.I. Code Page 1 Exp. Date ALL PAGES OF THE ORDER FORM HAVE TO BE FAXED SPECIAL NOTICES Notice: Please check the "ship to" address to make sure it is correct. We are having a lot of incorrect addresses that we are having to go back to UPS to change. This cost will be passed on to the Ministry as of this notice. The cost is $11 per box. That is what UPS charges us. Important Documentation Notification: Recently mission teams to Nicaraqua and El Salvador have told us of increased government requirements to bring in medicines. Blessings encourages you to research the requirements for drug importation prior to your departure to any country. If you want Blessings to provide additional documentation, we will be glad to do that. We need to charge $2.00 for each document (Proforma Certificate of Analysis, Gift Certificate, Certificate of Authenticity) to cover our cost. Documents cannot be sent until an order is ready to ship. PRO -- Proforma (signed, stamped and sealed) COQ --Certificate of Quality and Authenticity GC -- Gift Certificate COA--Certificate of Analysis issued by manufacturer (only available on For Export Only products) To order the above Documents check the last page; they are the last items on the order form. Documents cannot be sent until an order is ready to ship. NEW CONTAINER DUE 1 ST WEEK OF NOVEMBER Donation B.I. will donate to you any of the following items that we have in our stock donation inventory. If you need any of these, just mark how many you want on this page and next page, then fax in with order. Please note that we have limited stock on items so they will be donated on first come, first serve basis. Meclizine Hydrochloride 25mg chewable tab per box EXPIRED 05/2013 Acetaminophen 500mg in bulk (box) of 25,000 tabs EXPIRED 9/2013 Continue on next page.

2 International Pharmaceutical Order Form Page 2 PART # Stock Description UOM Row Bin 3100H Chlorpheniramine maleate 4mg tabs 1M EXP 9/ Sodium fluoride 0.5mg chewable tabs 1M EXP 12/ Aminophylline 100mg tabs 1M EXP 01/ F I.V. 5% Dextrose 500ml: bag [D5W] 1 EXP 04/ Lidocaine 2% w/ epinephrine 10mg/ml:30ml (MDV) 1 EXP 04/ F I.V. 5% Dextrose bag/1000ml [D5W] 1 EXP 07/ U Loperamide HCl 2mg caps 500 EXP 11/ Lidocaine 2% w/ epinephrine 10mg/ml:30ml (MDV) 1 EXP 02/ Acetaminophen 250mg, aspirin (NSAID) 250mg, caffeine 65mg 2001H 15gm/Bacitracin zinc 400 units neomycin sulfate 5mg, 5406 I.V. 5% Dextrose 500ml: bag [D5W] 0619U 0611U 0612U 0613U Simvastatin 40mg tabs Simvastatin 10mg tabs Simvastatin 10mg tabs(scored) Simvastatin 20mg tabs 4548 Trazodone HCI 150mg tabs 1474U Acetaminophen 500mg tabs EXP 03/2013 EXP 04/2013 EXP 04/2013 EXP 05/2013 EXP 06/2013 EXP 06/2013 EXP 06/2013 EXP 08/2013 EXP 09/2013 Like us on facebook! Look for us in your newsfeed regarding product availability updates, surveys, and feedback from other medical mission teams.

3 Description International Pharmaceutical Order Form Quantity Unit Charge B.I. Code Page 3 Exp. Date 10/11/2013 Unit Legend 1M = 1,000 EA= Each IFE=FOR EXPORT ONLY OUT OF STOCK=NOT AVAIABLE FOR THIS TRIP BACKORDER WITH DATE IN BLANK=IS THE DATE BI EXPECTS IT DUE IN (STOCK) IF IT IS STAMP NOT IN DATE RANGE=MEANS NOT IN DATE RANGE YOU ASK FOR. Examples: 15M = 15,000 25M = 25,000 Blessings International 1650 North Indianwood Avenue Broken Arrow, OK USA Telephone Fax info@blessing.org Website: Surely blessing I will bless thee.. HEB 6:14 OCTOBER 2013 These medicines are to be used solely for the ill, needy, or infants. Medicines are not for sale or resale. The handling charge may be changed at any time. Please note all handling changes are subject to change due to market price fluctuations and availability. We make every attempt to secure the absolute lowest handling charge. 000 TABLETS AND CAPSULES ANTACIDS AND ANTIFLATULENTS 4607 Calcium carbonate 500mg chewable tabs, asst flavors x 500 $ /30/ U Omeprazole 20mg caps, delayed-release [LIKE PRILOSEC] x 100 $ /30/ Omeprazole 20mg caps, D. R.-FOR EXPORT ONLY[LIKE PRILOSEC] x 1M $ /31/ Ranitidine 15mg/mL 16oz (75mg/5mL) x 1 $ /31/ Ranitidine 150mg tabs FOR EXPORT ONLY x 1M $ /31/2014 ANALGESICS 2644 Acetaminophen 325mg tabs x 1M $ /30/ Acetaminophen 500mg tabs x 1M $ /31/ Acetaminophen 80mg children's chewable fruit flavored tabs x 1M $ /31/ Acetaminophen suppositories 120mg (pediatric) x 12 $ /31/ Aspirin 325mg enteric coated tabs x 1M $ /30/ Aspirin 81mg enteric coated, adult, DR tabs: not chewable x 1M $ /30/ Ibuprofen 200mg, tabs-- FOR EXPORT ONLY x 1M $ /31/ Naproxen sodium 220mg tabs x 100 $ /28/2014 ANTIBIOTICS, ANTIBACTERIALS, ANTIFUNGAL, ANTIVIRAL 3946U Amoxicillin 250mg (chewable) tabs x 100 $ /31/ Amoxicillin 250mg (chewable) tabs FOR EXPORT ONLY _out x 1M $ /31/ U Amoxicillin 250mg (chewable) tabs x 500 $ /14/ C Amoxicillin 500mg caps FOR EXPORT ONLY x 1M $ /31/ U Amoxicillin 500mg caps x 500 $ /31/ Amoxicillin 500mg,clavulanate potassium 125mg, tabs IFE x 50 $ /31/ Azithromycin 250mg tab FOR EXPORT ONLY x 500 $ /31/ Azithromycin 250mg tab FOR EXPORT ONLY x 250 $ /31/ U Cephalexin 250mg caps x 100 $ /31/ U Cephalexin 250mg caps x 500 $ /31/ U Cephalexin 500mg caps [LIKE KEFLEX] x 100 $ /31/ U Cephalexin 500mg caps [LIKE KEFLEX] x 500 $ /31/ M Cephalexin 500mg caps FOR EXPORT ONLY [LIKE KEFLEX] out x 1M $ /31/ Ciprofloxacin 500mg tabs - FOREXPORT ONLY [CIPROX] x 500 $ /31/ Clindamycin 150mg caps x 100 $ /31/ Cloxacillin 500mg FOR EXPORT ONLY x 1M $ /31/ Doxycycline hyclate 100mg tabs FOR EXPORT ONLY x 1M $ /31/ Erythromycin stearate BP 250mgtabs FOR EXPORT ONLY _out _ x 500 $ /30/ Dicloxacillin sodium 250mg cap x 100 $ /30/ U Fluconazole 150mg, tab [LIKE DIFLUCAN] out x 12 $ /31/ Fluconazole 150mg, tab FOR EXPORT ONLY [LIKE DIFLUCAN] _out_ x 100 $ /31/ D Fluconazole 150mg, tab FOR EXPORT ONLY [LIKE DIFLUCAN] out x 500 $ /31/ C Fluconazole 200mg tabs FOR EXPORT ONLY [LIKE DIFLUCAN] x 100 $ /31/ Griseofulvin 125mg tabs FOR EXPORT ONLY x 1M $ /30/ D Griseofulvin 500mg tabs FOR EXPORT ONLY x 500 $ /30/ Ketoconazole 200mg tabs x 100 $ /31/ Nystatin 500,00 unit tabs (oral) FOR EXPORT ONLY x 100 $ /30/ Minocycline HCl 100mg caps x 50 $ /31/ Phenoxymethyl Penicillin 250mg(Pen VK) tabs,for EXPORT ONLY x 1M $ /31/ C Levofloxacin 500mg tabs FOR EXPORT ONLY x 100 $ /31/ Sulfamethoxazole 400mg,trimethoprim 80mg tabs FOR EXPORT ONLY x 1M $ /30/2015 [LIKE BACTRIM OR SEPTRA] 4396 Sulfamethoxazole 800mg, trimethoprin 160mg DS tabs IFE x 500 $ /30/2015 [LIKE BACTRIM SEPTRA] ANTIAMEBICS 4651 Metronidazole 250mg tabs - FOR EXPORT ONLY [LIKE FLAGYL] x 1M $ /31/ Tinidazole 500mg tabs FOR EXPORT ONLY x 500 $ /31/2015 ANTIVIRALS 0230 Aciclovir 200mg TABS FOR EXPORT ONLY[LIKE ZOVIRAX] x 500 $ /30/2014

4 International Pharmaceutical Order Form Page U Acyclovir 200mg tabs [LIKE ZOVIRAZ] x 100 $ /30/2014 ANTHELMENTICS 2325 Ivermectin 6mg tabs, scabies treatment 2 tabs per/ adult FOR EXPORT ONLY x 100 $ /31/ Ivermectin 6mg tabs, scabies treatment 2 tabs per/ adult FOR EXPORT ONLY x 500 $ /31/ Mebendazole 100mg chewable tab FOR EXPORT ONLY [LIKE VERMOX] x 1M $ /31/ D Albendazole 400mg -- FOR EXPORT ONLY x 500 $ /31/2016 ANTIMALARIALS 0321A Artemether 20mg + Lumefantrine 120mg FOR EXPORT ONLY [Like Coartem] x 24 $ /31/ P Artemether 20mg + Lumefantrine 120mg [Like Coartem] x 18 $ /31/2014 Youth child wt from 25kg to 35kg FOR EXPORT ONLY 0321S Artemether 20mg + Lumefantrine 120mg [Like Coratem} x 12 $ /31/2014 small child wt from 15kg to 25kg FOR EXPORT ONLY 4115 Hydroxychloroquine sulfate 200mg tabs (equal to chloroquine phosphate x 500 $ /31/ mg) 3907 Hydroxychloroquine sulfate 200mg tabs (equal to chloroquine phosphate x 100 $ /30/ mg) 0328 Mefloquine HCl 250mg base tabs(blister pack) FOR EXPORT ONLY x 30 $ /30/2015 ANTIDIARRHEALS & ANTISPASMOTIC 3430 Bismuth subsaliclate 262mg chewable tabs [LIKE PEPTOBISMAL TABS] x 30 $ /31/ Loperamide HCl 2mg caps FOR EXPORT ONLY [LIKE IMMODIUM] x 500 $ /31/ Loperamide HCl 2mg caps FOR EXPORT ONLY [LIKE IMMODIUM] x 100 $ /31/2014 ANTIHISTAMINE, DECONGESTANTS, 3100 Chlorpheniramine maleate 4mg tabs x 1M $ /31/ Cough drops cherry flavored x 720 $ /31/ Cough drops honey lemon flavor x 720 $ /31/ Cough drops Methol flavor x 720 $ /30/ Diphenhydramine 50mg, caps [LIKE BENADRYL] x 1M $ /31/ Diphenhydramine HCl 25mg caps [LIKE BENADRYL] x 1M $ /30/ D Guaifenesin 400mg, tabs USP x 500 $ /30/ U Loratadine 10mg tabs [LIKE CLARITIN] x 100 $ /18/ Loratidine 10mg tabs, FOR EXPORT ONLY x 500 $ /31/ Cetirizine HCI 10mg tab FOR EXPORT ONLY x 500 $ /31/ U Cetirizine HCl 10mg tabs ZYRTEC x 100 $ /30/ Meclizine HCl 25mg tabs [LIKE ANTIVERT] x 1M $ /30/ Promethazine 25gm suppositorie PHENERGAN x 12 $ /31/ Promethazine HCl 25mg tabs [LIKE PHENERNAN] x 100 $ /31/2014 MISCELLANEOUS 0602 Estradiol 1mg tabs x 100 $ /31/ Estradiol 1mg tabs x 500 $ /30/ U Simvastatin 10mg tabs x 90 $ /30/ U Simvastatin 10mg tabs x 500 $ /30/ U Simvastatin 20mg tabs x 90 $ /31/ U Simvastatin 20mg tabs x 1M $ /31/ U Simvastatin 20mg tabs x 500 $ /30/ U Simvastatin 40mg tabs x 30 $ /30/2014 ANTIHYPERTENSIVES AND DIURETIC 4573U Atenolol 50mg tabs x 100 $ /30/ Atenolol 50mg tab x 1M $ /31/ Captopril 25mg tabs FOR EXPORT ONLY x 1M $ /31/ Enalapril 10mg tabs x 100 $ /31/ Enalapril 10mg tabs FOR EXPORT ONLY x 1M $ /31/ Furosemide 40mg tabs FOR EXPORT ONLY x 1M $ /31/ Hydrochlorothiazide 25mg tabs FOR EXPORT ONLY x 1M $ /31/ M Lisinopril 10 mg tab, FOR EXPORT ONLY x 1M $ /31/ D Losartan potassium 50mg FOR EXPORT ONLY x 500 $ /31/ U Losartan potassium 50mg tabs x 90 $ /31/ Metoprolol 50mg tabs BID [LIKE LOPRESSOR] x 1M $ /31/ Metoprolol 50mg tabs BID [LIKE LOPRESSOR] x 100 $ /31/2014 ANTIINFLAMMATORY AND ANTIGOUT 3495U Ibuprofen 400mg, tabs x 500 $17.00 USA /31/ Ibuprofen 400mg, tabs FOR EXPORT ONLY x 1M $ /31/ Ibuprofen 600mg film coated tabs--for EXPORT ONLY x 1M $ /31/ U Ibuprofen 600mg film coated tabs x 500 $ /30/ U Ibuprofen 800mg tabs x 500 $ /30/ U Meloxicam 7.5mg tabs x 100 $ /31/ U Meloxicam 7.5 mg tabs x 1M $ /30/ U Meloxicam 15mg tabs x 100 $ /31/ U Meloxicam 15 mg tabs x 1M $ /30/ Naproxen sodium 550mg tabs x 100 $ /31/ Naproxen Sodium 550mg tabs x 500 $ /28/ M Prednisone 10mg tabs FOR EXPORT ONLY x 1M $ /28/ Prednisone 20mg tabs x 500 $ /30/ Prednisone 20mg tabs x 100 $ /31/ Prednisone tabs 5mg x 100 $ /30/2014 ANTIPSYCHOTICS, ANTIDEPRESSANTS, 1503 Amitriptyline 10mg tabs x 1M $ /30/ Fluoxetine 20mg caps PROZAC x 500 $ /30/ Sertraline HCL 25mg [LIKE ZOLOFT] x 30 $ /31/ Sertraline HCL 25mg [LIKE ZOLOFT] x 90 $ /31/2014

5 Description International Pharmaceutical Order Form Quantity Unit Charge B.I. Code Page 5 Exp. Date 0903 Sertraline HCL 25mg x 500 $ /31/ U Sertraline HCL 100mg [LIKE ZOLOFT] x 30 $ /31/ U Sertraline HCL 100mg [LIKE ZOLOFT] x 500 $ /31/ Trazodone HCl 150mg tabs [LIKE DESYREL] x 100 $ /31/ Trazodone HCI 150mg tabs x 500 $ /31/2014 ANTIEPILEPTIC & ANTIPARKINSON 3286 Carbamazepine 100mg chewable tabs x 100 $ /31/ Carbamazepine 200mg tabs FOR EXPORT ONLY [LIKE TEGRETOL] x 1M $ /31/ U Gabapentin 100mg caps x 100 $ /31/ U Gabapentin 300mg caps x 100 $ /31/ U Gabapentin 300mg caps x 500 $ /31/ Levetiracetam 250mg tabs [LIKE KEPPRA] x 120 $ /30/ Phenytoin sodium 100mg caps PROMPT x 100 $ /31/2014 ANTISPASMODIC, ANTICHOLENERGIC 4565 Dicyclomine HCl 10mg caps [LIKE BENTYL] x 100 $ /30/ Metoclopramide 5mg tabs [LIKE REGLAN] x 500 $ /30/ Promethazine HCl 25mg tabs [LIKE PHENERNAN] x 100 $ /31/2014 BRONCHIAL DILATORS 4656D Albuterol 2mg tabs/ Salbutamol2mg FOR EXPORT ONLY x 500 $ /31/ D Albuterol 4mg tabs/ Salbutamol(scored) FOR EXPORT ONLY OUT_ x 500 $ /31/ M Albuterol 4mg tabs/ Salbutamol4mg FOR EXPORT ONLY OUT_ x 1M $ /31/ Albuterol sulfate 0.083% 2.5mg/3mL inhalation solution x 25 $ /31/ Beclomethasone.05mg/dose oral inhaler FOR EXPORT ONLY x 1 $ /30/ Salbutamol (Albuterol) inhalation aerosol 0.1mg; 200 doses FOR EXPORT ONLY x 1 $ /28/2015 CARDIAC GLYCOSIDES, ANTIARRHYMICS, 1250M AmLodipine 5mg tabs [LIKE NORVASC] x 1M $ /30/ Clopidogrel 75mg tabs [LIKE PLAVIX] x 30 $ /30/ Clopidogrel 75mg tabs [LIKE PLAVIX] x 90 $ /31/ Isosorbide dinitrate 20mg oral tabs x 1M $ /31/ Verapamil HCl 80mg tabs x 100 $ /31/ Verapamil HCl 80mg tabs x 1M $ /31/ Warfarin sodium 5mg tabs [LIKE COUMADIN] x 100 $ /31/2014 DIABETES, HYPOGLYCEMICS 1330 Glibenclamide 5mg tabs (Glyburide) FOR EXPORT ONLY x 1M $ /31/ U Glipizide 10mg tabs [LIKE GLUCOTROL] x 500 $ /30/ Glipizide 10mg tabs (scored) FOR EXPORT ONLY [LIKE GLUCOTROL] x 1M $ /31/ U Glipizide 5mg tabs [LIKE GLUCOTROL] x 500 $ /30/ U Glipizide 5mg tabs [LIKE GLUCOTROL] x 1M $ /31/ M Metformin 1000mg tabs [LIKE GLUCOPHAGE] FOR EXPORT ONLY x 1M $ /31/ Metformin 850mg tabs [LIKE GLUCOPHAGE] x 500 $ /30/ U Metformin HCl 850mg tabs [LIKE GLUCOPHAGE] x 100 $ /30/ Metformin HCI 500mg tabs FOR EXPORT ONLY [LIKE GLUCOPHAGE] x 1M $ /31/ U Metformin HCI 500mg tabs [LIKE GLUCOPHAGE] x 100 $ /30/2014 LAXATIVES 3609 Bisacodyl 5mg delayed-release,tabs x 1M $ /30/ Docusate sodium 100mg softgels x 1M $ /31/ Docusate sodium 100mg softgels x 100 $ /30/2014 MUSCLE RELAXANT, MINOR TRANQUILIZERS 3926 Chlorzoxazone 500mg tabs [LIKE PARAFON FORTE] x 500 $ /31/ U Cyclobenzaprine HCl 10mg tabs [LIKE FLEXERIL] x 1M $ /30/ Methocarbamol 500mg tabs x 500 $ /31/2014 VITAMINS, MINERALS 2187 Vitamin A 200,000 IU caps FOR EXPORT ONLY _OUT x 1M $ /1/ Calcium carbonate 500mg chewable tabs, asst flavors x 500 $ /31/ Ferrous sulfate 325mg tabs x 1M $ /30/ Folic acid 800mcg tab x 1M $ /30/ Multivit: Children chewable without iron Vit-A 2500IU;Vit-D3 400IU; x 1M $19.60 Vit-B1 1.05mg; Vit-B2 1.2mg; Vit-B6 1.05mg; Vit-B12 4.5mcg; Vit-C 60mg; Vit-E 15IU;Niacin 13.5mg 2196Z Multivit: Child chew w/iron,zn: Vit-A 2500IU;Vit-D 400IU; Vit-B1 1.05mg; Vit-B2 1.2mg; x 20M $ /8/2016 Vit-B6:1.05mg; Vit-B124.5mcg; Vit-C 60mg; Vit-E 15IU; Niacin 13.5mg; Iron(as ferrous fumarate) 15mg.ZINC 2195 Multivit: Children chew w/iron: (Same content as ) x 1M $ /28/ Multivit: Children chew w/iron: Vit-A 2500IU;Vit-D 400IU; Vit-B1 1.05mg; x 28M $ /30/2016 Vit-B2 1.2mg; Vit-B6 1.05mg; Vit-B124.5mcg; Vit-C 60mg; Vit-E 15IU; Niacin 13.5mg; Iron(as ferrous fumarate) 15mg Multivitamins w/fe & I: VitA w/beta carotene 5000IU; VitD 400IU; VitC x 25M $ /16/ mg; VitB1 1.5mg; VitB2 1.7mg; VitB6 2.0mg; niacinamide 20mg; Ca pantothenate 10mg; folic acid0.4mg;vit-b12 6mcg;Iron as fumarate 18mg;IODI18mg;IODINE 0.225mg RDA VITAMINS W/IRON & IODINE 3250 Multivitamins w/fe &I: (Same content as ) RDA x 1M $ /30/2015 VITAMINS/IRON/IODINE 1900B Multivitamins:VitA 5000IU;VitC60mg;VitD-3 400IU;VitB-1VitB- 2 x 25M $ /31/ mg;Niacin 20mg; VitB-6 2mg;VitB-12 6mcg;VitE30IU;Foliate 400mcg;Pantothenic Acid 1mg; 1900 Multivitamins:VitA 5000IU;VitC60mg;VitD-3 400IU;VitB-1VitB- 2 x 1M $ /31/ mg;Niacin 20mg; VitB-6 2mg;VitB-12 6mcg;VitE30IU;Foliate 400mcg;Pantothenic Acid 1mg; 3199 Prenatal vitamins: (Same content as ) x 500 $ /30/2014

6 International Pharmaceutical Order Form Page Prenatal vitamins: Vit-A 4,000IU; Vit-D 400 IU; Vit-E11 IU; Vit-C 100mg; x 14M $ /31/2015 Vit-B1 1.84mg; f olic acid 0.8mg;VitB2 1.7mg; niacinamide 18mg; Vit-B6 2.6mg; Vit-B12 4mcg;Ca 200mg; Fe 60m g (as fumerate); Zn 25mg (as o25mg (as oxide) 1731 Zinc sulfate monohydrate 20mg FOR EXPORT ONLY x 100 $ /1/ TOPICALS GENERAL TOPICALS 1077 Betamethazone 0.1% cream 15gr (1/2 oz) FOR EXPORT ONLY OUT x 1 $ /31/ Hemorrhoidal rectal suppositories [LIKE PREPARATION H] x 12 $ /28/ Hydrocortisone 1% 15mg tube FOR EXPORT ONLY x 10 $ /30/ Hydrocortisone 1% cream 1oz (30gm) tube x 6 $ /31/ Hydrocortisone cream 1% foil packet x 144 $ /28/ Aspirin-free pain relief cream analgesic rub 3oz-w/aloe trolamine salicylate 10% x EA $ /30/2014 [ARTHRICREAM] 4600 Menthol 10%,Methyl salicytate 15%:1oz (90g) [LIKE BEN-GAY] x 6 $ /30/ Vitamin A & D ointment foilpacks 5g x 144 $ /28/ White Petrolatum foilpacks 5g x 144 $ /31/2014 ANTIBIOTICS AND ANTISEPTICS 9000 Empty-1/2oz round hinded lid plastic container-can be used to divide up x 30 $7.50 NONE creams/oinments 4392 Bacitracin 500 units ointment 1.0gm foilpackets x 144 $ /31/ Bacitracin zinc, neomycin sulfate, polymyxin B sulfateointment 0.9gm x 144 $ /31/2014 foilpackets [TRIPLE ANTIBIOTIC] 4355U Clotrimazole 1% antifungal cream 1/2oz (15gm) [LIKE LOTRIMIN] x 6 $ /30/ Miconazole nitrate 2% cream 1oz (30gm) tube [LIKE MICOTIN] x 6 $ /30/ Povidone iodine 10% topical solution 128oz (3784mL)gallon x 1 $ /31/ Povidone iodine 10% topical solution 16oz (473 ml) pint x 1 $ /30/ Silver sulfadiazine 1% cream 50gm tubes [LIKE SILVADENE 1%] x 1 $ /31/ Tolnaftate 1% cream 1/2oz (15gm) tube x 6 $ /31/2014 ANTILICE - PEDICULICIDES 2325 Ivermectin 6mg tabs, scabies treatment 2 tabs per/ adult FOR EXPORT ONLY x 100 $ /31/ Ivermectin 6mg tabs, scabies treatment 2 tabs per/ adult FOR EXPORT ONLY x 500 $ /31/ Lice Shampoo - non-toxic enzyme concentrate 16oz;32 treatments per x 1 $ LICE-16 01/31/2025 bottle. Includes instructions BLESSINGS LICE SHAMPOO 4108 Permethrin 5% cream; 60gm tube - FOR EXPORT ONLY OUT x 1 $ /30/ Permethrin Lotion 1% 60mL cream rinse-w/lice combs x 2 $ /30/ Permethrin Lotion 1% 100mL cream rinse FOR EXPORT ONLY x EA $ /31/ Scabies Solution - non-toxic enzyme concentrate 32 oz; 16 treatments x 1 $ /31/2025 per bottle.instructions included. ITCH B GONE OPHTHALMICS & OTICS 2291 Carbamide peroxide 6.5% ear drops 1/2oz(14.79mL) x EA $ /28/ Ciprofloxacin 0.3% sterile ophthalmic solution 10mL x 1 $ /30/ U Gentamicin sulfate 0.3% ophthalmic solution; 5mL x 1 $ /28/ Gentamicin sulfate 0.3%-- ophthalmic solution; 5mL FOR EXPORT ONLY x 10 $ /31/ Lubricant eye drops 8 pks of 4 sterile 0.02 fl oz x 32 $ /28/ Lubricant eye drops polyvinyl alcohol 1.4% 14mg1/2oz (15mL) [like x 12 $ /31/2014 LIQUITEARS] 4665 Ofloxacin 0.3% Otic Solution; 10mL x 1 $ /31/ Prednisolone acetate 1% opthalmic drops 5mL x EA $ /31/ Tetrahydrozoline HCl Ophthalmic drops 0.05% 1/2oz (15mL) OPTI-CLEAR x 12 $ /31/ Timolol Maleate Ophthalmic solution 0.5%: 10mL x 1 $ /31/2014 VAGINALS 0700 Fluconazole 150mg, tab FOR EXPORT ONLY [LIKE DIFLUCAN] _out_ x 100 $ /31/ D Fluconazole 150mg, tab FOR EXPORT ONLY [LIKE DIFLUCAN] out x 500 $ /31/ Clotrimazole 500mg vaginal tabw/applicator FOR EXPORT ONLY x 1 $ /31/ U Clotrimazole vaginal cm USP 1%antifungal 45gm (1.5 oz) w/app x 1 $ /31/ Lubricating jelly sterile 2oz x EA $ /31/ S Vaginal specula (small) ready to use - disposable x 10 $ /31/ M Vaginal specula (medium) ready to use - disposable x 10 $ /31/ L Vaginal specula (large) ready to use-disposable x 10 $ /31/ Obsterical Kit:1 pr str gloves1 drape sheet,2 umbilical clamps str,2 O.B. x 1 $ /31/2025 towelettes 1-O.B.Pad str, 1plastic bag for placenta,6 gauze sponges 1 bulb syringe,4 disposable towels 2 nylon tie-offs,scalpel twist ties, rec-ing blanket 2 alcohol preps medium, 400 LIQUIDS tsp child medicine spoon x 10 $ /31/ oz empty plastic cough syrup bottles x 10 $ /31/ tsp oral medicine syringe 5mL x 10 $ /31/2025 ANTACIDS AND ELECTROLYTES 4120 Magnesium hydroxide 400mg;12oz (Milk of Magnesia) Mint x 1 $ /30/ Ranitidine 15mg/mL 16oz (75mg/5mL) x 1 $ /31/ Oral rehydration salts- NaCl 3.5g, KCl 1.5g, trisodiumna 2.9g, glucose x 100 $ /10/ g, sachet for 1 liter soln. FOR EXPORT ONLY ANALGESIC LIQUIDS, SYRUPS 2437 Acetaminophen drops 80mg 0.8mL; 15mL x 1 $ /31/ Acetaminophen drops 80mg/0.8mL 30mL x 1 $ /30/ Acetaminophen elixir 160mg/5mL;4 fl.oz. (118mL) x 1 $ /30/ Acetaminophen elixir 160mg/5mL; 16oz x 1 $ /31/2014

7 International Pharmaceutical Order Form Page Ibuprofen o/s 100mg/5mL; 4oz [LIKE MOTRIN] x 1 $ /28/2014 ANTIBIOTICS, LIQUID OR FOR SUSPENSIONS 4205U Amoxicillin 600mg, clavulanate potassium 42.9mg:5mL/125mL foro/s x EA $ /28/ U Amoxicillin 600mg, clavulanate potassium 42.9mg:5mL/200mL for o/s x EA $ /30/ C Amoxicillin for o/s 125mg/5mL;pwd-100mL FOR EXPORT ONLY x 40 $ /31/2014 THESE ARE IN PLASTIC BOTTLES - WT. 6 lbs PER CASE. 0655C Amoxicillin for o/s 250mg/5mL;100mL FOR EXPORT ONLY x 40 $ /31/2014 THESE ARE IN PLASTIC BOTTLES - WT. 6lbs PER CASE. 0655G Amoxicillin for o/s 250mg/5mL;100mL FOR EXPORT ONLY x 10 $ /31/2014 THESE ARE IN GLASS BOTTLES - WT. 6lbs PER CASE. 3677U Amoxicillin for o/s 125mg/5mL;100mL x 12 $ /31/ Amoxicillin for o/s 400mg/5mL;50mL BID x 6 $ /31/ Azithromycin for o/s 200mg/5mL;pwd- 15mL FOR EXPORT ONLY out x 10 $ /31/ Cephalexin for o/s 125mg/5mL; 100mL x 6 $ /31/ Cephalexin for o/s 250mg/5mL; 100mL x 12 $ /31/ Nystatin 100,000 units/ml oral solution; 30mL FOR EXPORT ONLY x 1 $ /31/ Sulfamethoxazole 200mg, trimethoprim 40mg/5mL;100mL pediatric susp: x 12 $ /31/2015 FOR EXPORT ONLY [LIKE BACTRIM OR SEPTRA] ANTIHISTAMINE, DECONGESTANTS, COUGH & 3807 Diphenhydramine HCl elixir 12.5mg/5mL; 16oz [LIKE BENADRYL] x 1 $ /31/ Diphenhydramine HCL 12.5mg/5mL 4oz x 1 $ /31/ Guaifenesin 100mg dextromethorphan 10mg/5mL expectorant x 12 $ /28/2014 suppressant 4oz [like ROBITUSSIN DM] 3434 Guaifenesin syrup 100mg/5mL; 16oz [LIKE ROBITUSSIN] x 1 $ /30/ Guaifenesin 100mg/5mL 4 fl.oz. x EA $ /30/2014 ANTIHISTAMINE, NASAL SPRAYS AND ASTHMA 2268 Albuterol sulfate syrup 2mg 5m : 1 pint (473mL) [LIKE VENTOLIN] x 1 $ /31/ Nasal saline decongestant spray 15mL x 1 $ /28/ Nasal saline spray PLAIN (ocean spray)15ml x 1 $ /31/2014 VITAMINS - LIQUID, POWDER AND NUTRITIONAL 3082 Ferrous sulfate elixir 220mg/5mL; 16oz (473mL) x 1 $ /31/ Infant Multivitamin drops w/iron: A-1500 IU, D-400 IU,E-5 IU, C-35mg, x 6 $ /30/2014 B1-0.5mg, B2-0.6mg, Niacin 8mg,B6-0.4mg, Iron 10mg/1mL (50mL) 1 2/3oz dropper bottle [LIKE POLY-VI-SOL W/IRON] MISCELLANEOUS 500 INJECTABLES ANESTHETICS 4572 Epinephrine 1:1000(1mg/mL) 30 ml x EA $ /31/ Lidocaine 1% w/epinephrine 10mg/mL;20mL x 1 $ /31/ Lidocaine HCl 1% inj. 10mg/mL;50mL m.d.v. x EA $ /31/ X Lidocaine HCl 1% inj. 10mg/mL;20mL m.d.v FOR EXPORT ONLY x 10 $ /30/ Lidocaine HCl 2% inj. 20mg/mL;50mL m.d.v. x EA $ /31/ X Lidocaine HCl 2% inj. 10mg/mL;20mL m.d.v. FOR EXPORT ONLY x 10 $ /31/2015 ANTIBIOTICS 4129 Cefazolin inj. 1gm pwd IM or IV s.d.v. x 25 $ /31/ Ceftriaxone sodium 1gm str pdrfor IM or IV, 6mL s.d.v. [LIKE ROCEPHIN] x EA $ /30/ Ceftriaxone sodium 1gm str pdrfor IM or IV, 6mL s.d.v. IFE [LIKE ROCEPHIN] x 10 $ /01/ Ceftriaxone sodium 250mg str pdr for IM or IV, 6mL s.d.v. [LIKE ROCEPHIN] x EA $ /31/ Ceftriaxone sodium 500mg pwd for IM or IV, 6mL s.d.v. [LIKE ROCEPHIN] x EA $ /30/2014 MISCELLANEOUS, VITAMINS 2946 Bacteriostatic water for inj. USP (not for newborns)sterile 30mL m.d.v. x EA $ /31/ Dexamethasone inj. 5mg/mL; 1mL s.d.v. ampoule x 10 $ /31/ Dexamethasone inj. 4mg/mL; 30mL m.d.v. x EA $ /31/ Diphenhydramine HCl inj. 50mg/mL 1mL m.d.v. [LIKE BENADRYL] x EA $ /30/ Furosemide 10mg/mL; 10mL s.d.v. x EA $ /31/ Furosemide 10mg/mL 2mL inj IM/IV:ampoule x 10 $ /31/ I.V. 5% Dextrose 500mL: bag [D5W] x 1 $ /30/ Promethazine HCL 50mg/mL 1mL (s.d.v.) [LIKE PHENERGAN] x EA $ /31/ Phenytoin sodium 50mg/mL 5mL (SDV) x 1 $ /30/ Sodium chloride 0.9% inj. 10mL s.d.v. x EA $ /30/ Cyanocobalamin 1mg/mL for inj mdv, 1mL FOR EXPORT ONLY x 10 $ /31/ PERSONAL PROTECTION BOOKS 4252 A Comprehensive Guide To Missions / Karen Bean, RN. book, written by x 1 $ /31/2025 a missionary vast experience, is designed to be a practical manual for anyone involved in foreign missions Handbook of Medicine in Developing Countries by: Plamer, DO & Wolf x 1 $ /31/2025 MD, vast experience, is designed to be a practical manual for anyone involved in foreign missions. Third Edition 6010 Health Information for NT'L Travel 2010 understand diagnose, x 1 $ /31/2025 treatand prevent infectious and tropical diseases Infectious and Tropical Disease: a hand book for primary care a practical x 1 $ /31/2025 reference to better understand diagnose, treatand prevent infectious and tropical diseases. PERSONAL PROTECTION PRODUCTS

8 International Pharmaceutical Order Form Page Water purfication tabs (Potable Aqua) 2 tabs = 1qt. / 1 bottle = 6 gals x 50 $ /31/ OutBack bucket purification replacement cartridge x 1 $ IF30 01/31/ Water purifier Outback bucket system, 5-gallon pour through, gravity- x 1 $ Bucket 01/31/2025 feed unit. No water pressure required Purifies 1,500gallons at 8 gal/hr Water sediment filter (prefilter) 30 micron replacement for OutBack x 1 $18.00 RF30 01/31/ BANDAGES & SURGICAL SYRINGES, TAPE, GAUZE, MISC Adhesive bandage 1" x 3" sterile non-stick [LIKE BAND-AIDS] x 100 $ /31/ Adhesive flexible fabric bandage 3/4"x3" sterilenon-stick [LIKE BAND- x 100 $ /31/ Alcohol prep pads 200/box x 200 $ /31/ Butterfly wound closures (M) 3/8x1 7/8 (medium) x 100 $ /31/ Butterfly wound closures (LG)1/2x2 3/4 (large) x 100 $ /31/ Cap Nurse's blue x 100 $ /31/ Catheter foley, silicone coated, retention 5cc, 12 Fr x 10 $ /31/ Catheter foley, silicone coated, retention 5cc, 14 Fr x 10 $ /31/ Catheter foley, silicone coated, retention 5cc, 16 Fr x 10 $ /31/ Catheter foley, silicone coated, retention 5cc, 18 Fr x 10 $ /31/ Cotton tip applicators 6" non-sterile x 100 $ /31/ Elastic bandage 2" x 5 yds. x 10 $ /31/ Elastic bandage 3" x 4.5 yds. x 10 $ /31/ Elastic bandage 4" x 4.5 yds. x 10 $ /31/ Face mask ear loop x 50 $ /31/ Gauze-sterile 2x2x8ply (2 sponges/env)sterile x 50 $ /31/ Gauze sponge 2x2x8 ply in ready to sterilize bag x 200 $ /31/ Gauze sponge 4x4x8 ply in read to sterilize bag x 200 $ /31/ Gauze sponge 4x4x8 ply sterile bag(2 sponges/env) x 50 $ /31/ Gauze sponge 4x4x8 ply sterilize bag(2 sponges/env) x 25 $ /31/ Gauze sterile 4.5" x 147" 6 ply roll krinkled x 1 $ /31/ Gloves latex powder free small x 100 $6.60 SPFL /31/ Gloves light powder latex (L) large x 100 $ /31/ Gloves light powder latex (M) medium x 100 $7.50 SPL /31/ Gloves light powder latex (S) small x 100 $ /31/ Gloves powder free Nitrile (L) large x 100 $ /31/ Gloves powder free Nitrile (M) medium x 100 $ /31/ Gloves latex surgical sterile (pairs) size 6 1/2 x 50 $27.65 G /31/ Gloves latex surgical sterile (pairs) size 7 x 50 $25.22 G /31/ Gloves latex surgical sterile (pairs) size 7 1/2 x 50 $ /31/ Gloves latex surgical sterile (pairs) size 8 x 50 $ /31/ Gloves latex surgical sterile (pairs) size 8 1/2 x 50 $ /31/ Medicine cups 1oz disposable: 100 cups / bag x 100 $ /31/ IV Start Kit:1/tourniquet- 2/gauze sponge(2x2-8ply)-1/id label-1/transpearent dress x 1 $ /31/2025 1/tape (3/4x18)-1/PVP pad- 1/alcohol pad 7140 Needle ONLY 25G x 1" x 100 $ /31/ Needle ONLY 18G x 1.5" x 100 $ /31/ Needle ONLY 21G x 1.5" x 100 $ /31/ Needle only 25G x 5/8" x 100 $ /31/ Obsterical Kit:1 pr str gloves1 drape sheet,2 umbilical clamps str,2 O.B. x 1 $ /31/2025 towelettes 1-O.B.Pad str, 1plastic bag for placenta,6 gauze sponges 1 bulb syringe,4 disposable towels 2 nylon tie-offs,scalpel twist ties, rec-ing blanket 2 alcohol preps medium, 4468 Povidone Iodine prep pads x 100 $ /31/ Povidone iodine 10% topical solution 128oz (3784mL)gallon x 1 $ /31/ Povidone iodine 10% topical solution 16oz (473 ml) pint x 1 $ /30/ Sterilization Pouch 7.5x13 self-sealing (if you need more deals please call office) x 200 $ /31/ Scalpel #10 blade sterile x 100 $ /31/ Scalpel #10 blade sterile with attached to handle x 10 $ /31/ Scalpel #11 blade sterile x 100 $ /30/ Scalpel #11 blade sterile attached to handle x 10 $ /31/ Scalpel #15 blade sterile x 100 $ /31/ Scalpel #15 blade sterile attached to handle x 10 $ /31/ Syringe 10cc 20Gx1 1/2" L/L x 100 $ /31/ Syringe 10cc without needle x 100 $ /31/ Syringe 1cc 25Gx5/8" L/L x 100 $ /31/ Syringe 1cc 27G x 1/2" x 100 $ /31/ Syringe 1cc without needle x 100 $ /31/ Syringe 3cc 21G x 1 1/2" L/L x 100 $ /31/ Syringe 3cc 22Gx1 1/2" L/L x 100 $ /31/ Syringe 3cc 23G x 1" L/L x 100 $ /31/ Syringe 3cc 23Gx 1 1/2" L/L x 100 $ /31/ Syringe 3cc 25g x 1" x 100 $ /31/ Syringe 3cc without needle x 100 $ /31/ Syringe 5cc 21G x 1 " L/L x 100 $ /31/ Syringe 5cc 22G x 1 1/2" L/L x 100 $ /31/ Syringe 5cc without needle x 100 $ /31/ Tape, adhesive surgical paper 1"x10 yards hypo allergenic x 12 $ /31/ Tongue depressor blades adult 6" x 3/4" x 500 $ /31/ Tongue depressor blades junior x 500 $ /31/ Towel Drape disposable, sterile x 50 $ /31/2025

9 International Pharmaceutical Order Form Page Unna Boot Bandage x 1 $ /31/ PICTURE DOSING LABELS ONLY/same design thats on 3x4 baggies- x 10 $0.55 LABELP1 01/31/ labels to unit 4257 Zip lock bags 3"x4"x2mil; with picture dosing & white block for writing x 100 $ /31/2025 FDA approved materials 4542 Zip lock bags 3"x5"x2mil; plain (20 units of 50 = 1 cs)double bagged will x 100 $ /31/2025 hold up 120mL liquid SUTURES & SUTURE NEEDLES 7215 Suture synth absorbable 3/0 2x70cm FOR EXPORT ONLY x 36 $ /30/ Suture silk 3/0 45cm 3/8crc needle 18.5mm FOR EXPORT ONLY x 36 $ /31/ Suture silk 3/0 45cm 3/8ct needle 30mm FOR EXPORT ONLY x 36 $ /28/ Suture silk 4/0 45cm 3/8 ct needle 18.5mm FOR EXPORT ONLY x 36 $ /1/ Suture synth abs. 3/0 45cm 3/8ct needle 18.5mm FOR EXPORT ONLY x 36 $ /31/ EQUIPMENT & MISCELLANEOUS EQUIPMENT & MISCELLANEOUS tsp oral medicine syringe 5mL x 10 $ /31/ tsp child medicine spoon x 10 $ /31/ oz empty plastic cough syrup bottles x 10 $ /31/ Empty-1/2oz round hinded lid plastic container-can be used to divide up x 30 $7.50 NONE creams/oinments 4300 PICTURE DOSING LABELS ONLY/same design thats on 3x4 baggies- x 10 $0.55 LABELP1 01/31/ labels to unit 9006 Asthma Mentor-peak flow meter adult or pediatric x 1 $ /31/ Blood glucose monitor; include monitor,manual,battery,carringcase, 10 x 1 $ /31/2025 lancets,free w/purchlancing device, and log book [MONITOR IS A TRUE TRACK] 9002 Blood glucose test strips; fortruetrack x 50 $ /31/ Lancets; for use with either all monitors requiring 28g x 100 $ /31/ Cauterie disposable fine tip, high temperature,4 year shelf life x 1 $ /30/ Ear Syringe 1oz x 1 $ /31/ HIV 1 & 2 Test Kits for 1 and 2:results in 20 mins-for EXPORT ONLY out x 25 $ /30/ N Malaria RDT for plasmodia falciparuma :results in 15 mins; x 25 $ /30/2014 includes 25 individually sealed test, lancets, alcohol swab, sample applicator, pipette s, developing buffer store at 6 to 45 degree C 9095 Mosquito Nets:CAN BE TREATED x 1 $ NET-01 01/31/2025 Comes with tab to treat yourself w/ deltamethrin-130x180x150 (rectangular) 3664 Nebulizer handheld AC adapter included x 1 $ /31/ Nebulizer handheld AC adapter Pediatric-Margo-Moo portable red barn x 1 $ /31/2025 carring case 3666D Nebulizer handheld AC adapterpediatric-digger Dog w/dog House carring bag-5ml x 1 $ /31/2025 Medicine cup,angled mouthpiece, 7" air tubing, child mask, and instructions in spanish 2301R Otoscope economy x 1 $ A Otoscope Disposable Ear specula Adult x 100 $ /31/ C Otoscope Disposable Eat specula Child x 100 $ Ophthalmoscope/Otoscope w/eurolight (E10) requires 2 " C" batteries x 1 $ /31/2025 [KaWe] 2330 Pregancy test, one step, simple to read x EA $ /30/ Pregnancy HCG test; quick stick one step FOR EXPORT ONLY x 25 $ /31/ Pill Crush, crash tablets into powder x 1 $ Sharps- container red large 10qt (biohazard waste) x 1 $ /31/ Sphygmomanometer adult precision aneroid nylon cuff x 1 $ /31/ Sphygmomanometer child (precision aneroid) w/ blue nylon cuff x 1 $ /31/ Sphygmomanometer infant (precision aneroid) w/ blue nylon cuff x 1 $ /31/ Sphygmomanometer XL adult precision aneroid nylon cuff x 1 $ /31/ Stethoscope fetal 29" black vinyl Y-tubing x 1 $ /31/ Stethoscope spectrum dual head x 1 $ /31/ Stethoscope spectrum nurse, black x 1 $ /31/ Tablet cutter x 1 $ /31/ Tablet/Pill, tray counter w/spa x 1 $ /31/ Thermometer DIGISCAN multi-function ear &forehead scan-talking x 1 $ /31/2025 in,english & spanish(no probe covers with this one) -(probe covers # 4332) 3711 Thermometer DIGITAL w/beeper, memory, and fever alarm, 5 probe x 1 $ /31/2025 covers, storage case, battery included.(probe covers #3153) 4332 Thermometer probe covers DIGITAL EAR disposable TENDER TEMP x 40 $ /31/2025 PROBE COVERS 3153 Thermometer probe covers DIGITAL oral disposable x 50 $ /31/ Lubricating jelly sterile 2oz x EA $ /31/ S Vaginal specula (small) ready to use - disposable x 10 $ /31/ M Vaginal specula (medium) ready to use - disposable x 10 $ /31/ L Vaginal specula (large) ready to use-disposable x 10 $ /31/ Urine dip test strips: 10 PARAMETERS-glucose, protein, nitrite,ph, blood, and x 100 $ /30/2014 leukocytes;uroblinogen Specific Gravity:Ketone: Bilirubin: visual testing PRO Proforma (signed, stamped and sealed) x 1 $2.00 COQ Certificate of Quality and Authenticity x 1 $2.00 GC Gift Certificate x 1 $2.00 COA Certificate of Analysis issued by manufacturer on IFE only -per item x each $2.00 (only available on For Export Only products and ndc's)

10 International Pharmaceutical Order Form Page 10 PLEASE IF YOU DO NOT RECEIVE AN ORDER ACKNOWLEDGEMENT IN 3 BUSNIESS DAYS CALL OUR OFFICE. We have not received your order if you have not received an from us. Due to the increased volume of orders and our turnaround time from our suppliers you will see BK(back orders) on some of your orders. Please mark in the blank below the latest date you can receive a BK (back order) item or NO if you wish not to have back orders shipped to you. Date: Blessings cannot guarantee that you will get your BK but with this date we will do everything we can. If a date is written in the blank on the packing list of your original order that is the day that we expect to ship it to you. PLEASE FAX ALL PAGES OF THE ORDER FORM TO INSURE WE HAVE THE COMPLETE ORDER. IFE=FOR EXPORT ONLY OUT OF STOCK=NOT AVAIABLE FOR THIS TRIP BACKORDER WITH DATE IN BLANK=IS THE DATE BI EXPECTS IT DUE BACK IN STOCK. IF IT IS STAMP NOT IN DATE RANGE=THIS MEANS NOT IN DATE RANGE YOU ASKED FOR. If you have any question you may your Ministry Rep: Ministries A thru M, please kcrawford@blessing.org Ministries N thru Z and Global Brigades please kbeam@blessing.org