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Do you have an Albuterol Inhaler?
Yes
No
Which do you have?
Selected
Albuterol Sulfate (200 doses)
Selected
Albuterol Sulfate (60 doses)
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Do you have an Adult Epinephrine Auto Injector?
Yes
No
Which do you have?
Selected
Epinephrine Auto-Injector Adult 0.3mg
Selected
Auvi-Q Epinephrine Auto-Injector Adult 0.3mg
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Do you have an Pediatric Epinephrine Auto Injector?
Yes
No
Which do you have?
Selected
Auvi-Q Epinephrine Auto-Injector Pediatric .15mg
Selected
Epinephrine Auto-Inject Pediatric .15mg
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Do you have Glucose?
Yes
No
Which do you have?
Selected
Dex4 Glucose Gel
Selected
Glucose 4GM Fast Acting Tabs
Selected
Insta-Glucose
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Do you have Naloxone?
Yes
No
Which do you have?
Selected
Naloxone HCL 0.4 mg/mL
Selected
Narcan Nasal Spray 4MG
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Do you have Nitroglycerin?
Yes
No
Which do you have?
Selected
Nitroglycerin Sublingual Tablets 0.4 mg
Selected
Nitroglycerin Spray 0.4mg/spray 60 doses
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Do you have Other Medications?
Yes
No
Which do you have?
Selected
Diphenhydramine 50mg/1mL, 1mL
Selected
Epinephrine ampules
Selected
Flumazenil 0.5 mg / 5 ml vial
Selected
Amoxicillin 500mg 100 ct (Sold exclusively to Licensed Physicians)
Selected
Ibuprofen 800mg 100 ct
Selected
Aspirin (3 / 2-packs)
Selected
Adrenaline 1 mg/mL
Selected
Dexamethasone 4mg/mL 30mL MDV
Selected
Diphenhydramine (6 tablets)
Selected
Verapamil 2.5mg/mL 2mL SDV
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Do you have Other Supplies?
Yes
No
Which do you have?
Selected
Ammonia Towelette
Selected
Syringe BD 1ml TB - 25G X 5/8
Selected
Syringe 3ml Luer-Lok Tip 25G x 1
Selected
CPR Face Mask
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Do you have other items not listed above?
Yes
No
Which do you have?
If you don't see a medication. Click to Add
Add Medication
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Do you see older patients at your practice? If "Yes", then we recommend the spray form of nitroglycerin.
Yes
No
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Do you ever see pediatric patients at your practice? If "Yes", then we recommend both adult and pediatric epinephrine auto-injectors.
Yes
No
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Submission Summary
Practice Information
US
Sign Up for Auto Replenishment - Free enrollment, pay for meds as they ship, receive disposal bag for expired meds, receive notifications pre-shipment, opt out at any time.
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How many
do you have in your kit?
0
1
2
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4
Do all of your
s have the same expiration date and lot number?
No
Yes
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Medication Name
How many do you have in your kit?
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