1-888-586-4650

Medical Services and Equipment (DME) Reordering

Reorders for existing customers.
Please contact PMN at 888-586-4650 for new orders.

Items in red are required

Contact Information:
Name:	Required: Please enter your name.	Address:
Daytime Phone:	-- Required: Please enter your phone number with area code.	City:	State:
Email:		Zip Code:

TENS Items:
Electrodes: 010 020 030 6030 DC350 DF681 DS200 DS350 D2140 D6225	Batteries: Rechargeable 9 volts Rechargeable AA Rechargeable AAA Battery Chargers: 9 Volts AA AAA	Lead Wires: 36 in. 42 in. Other TENS Items: Pretac Clean Cote Alcohol Wipes Remover

Ostomy:

Antibacterial Cleaners
Bedside Bags
Catheters
Gloves
Leg Bags
Ostozyme Spray
Skin Prep
Tape
Underpants

Lotions:

Aloe Vera 4 oz.
Vitamin E Lotion 12 oz.
Sween Cream 12 oz.
Aloe Vera Gel 4 oz.
Cocoa Butter Cream 9 oz.

Topical Pain Relievers:

Biofreeze Tube 4 oz.
Biofreeze Roll-on 3 oz.
Statogesic Pads
CorProfen 2 oz.

Hearing Aid Batteries:

5
10
13
312
675

Cane Items:

Crutch Tips

Other Items:

ThermaCare Heat Wraps
Paraffin Refills

Other:

Notes: