Injecting Equipment Provision – Order Form

Contractor name: ______

Address: ______

______

______

Number/SKU / Name / Qty per Unit / Number Units Required
019015 / Single pack containing 1 x 1ml filter syringe (011202); 1 x prep spoon with filter (015005); 1 x sachet of cit (019001); 1 x pre-inj swab (019003) / 1
019027 / Single pack containing 1 x 23g 1 1/4" needle (011705); 1 x 2ml syringe (011061) 1 x prep spoon with filter (015005); 1 x sachet of cit (019001); 1 x pre-inj swab (019003) / 1
019028 / Single pack containing 1 x 25g 1" needle (011708); 1 x 2ml syringe (011061) 1 x prep spoon with filter (015005); 1 x sachet of cit (019001); 1 x pre-inj swab (019003) / 1
X187C / Pack D - Packs of 5 containing 5 x 019015 (1ml 1 hit kit) and a 0.2ltr bin 41721215 / 50
X479C / Pack E - Packs of 5 containing 5 x 019027 (2ml Blue 1 hit kit) and a 0.2ltr bin 41721215 / 50
X480C / Pack F - Packs of 5 containing 5 x 019028 (2ml Orange 1 hit kit) and a 0.2ltr bin 41721215 / 50
X481C / Pack G - Packs of 20 containing 20 x 019015 (1ml 1 hit kit) and a 0.45ltr bin 41711215 / 40
X482C / Pack H - Packs of 20 containing 20 x 019027 (2ml Blue 1 hit kit) and a 0.45ltr bin 41711215 / 40
X483C / Pack I - Packs of 20 containing 20 x 019028 (2ml Orange 1 hit kit) and a 0.45ltr bin 41711215 / 40
019018 / 5 ml Plastic Amps - Sterile / 600
X210C / Sports Pack 1 Contains - Sharps Bin, 20 x 1ml 29g fixed needle and syringe & Pre-injection Swabs / 25
X206C / Sports Pack 2 Contains - Sharps Bin, 20 x 2 ml Barrels, 20 x 21g 1 ½” (Green),20 x 23g 1 ¼”( Blue) & Pre-Injection Swabs / 25
019011 / Foil – 50 pack / 50
019019 / Foil – 20 pack / 20
Additional Items for Addaction. Community Pharmacies must discuss with Lead Pharmacist – Community Pharmacy Development before ordering any items below.
011020 / 1 ml Filter Syringe / 200
011600 / 1 ml Frontier LDS Syringe / 100
011801 / 1 ml Frontier 29g Syringe / 100
011601 / 2 ml Frontier LDS Syringe / 100
011706 / Frontier Blue 23g x 1" Needle / 100
011705 / Frontier Blue 23g x 1 1/4" Needle / 100
011709 / Frontier Orange 25g x 5/8" Needle / 100
011708 / Frontier Orange 25g x 1" Needle / 100
011702 / Frontier Green 21g x 1 1/2" Needle / 100
015005 / Frontier Spoon with Filter / 1000
019001 / Citric Acid / 1000
019002 / Vitamin Vitamin C / 1000
019003 / Pre-Injection Swabs / 200
019007 / Filters / 2400
41501210 / Sharpsafe 0.6 Litre / 100
41711215 / Sharpsafe 0.45 Litre / 100
41721215 / Sharpsafe 0.2 Litre / 100
41761210 / Sharpsafe 0.3 Litre / 100
On request / Citric Acid leaflet / 200

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