ORDER NOW - EXISTING HEALTHCARE PROVIDER REORDER
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To receive case orders of ez2go products, complete the form below.  Please note individual components are listed first, followed by kit combinations you normally purchase.  If you have questions or need additional information regarding our products or the ordering process,  please contact us at 1-800-403-9832.  We appreciate your trust and look forward to serving you again.

QUANTITY
ITEM
ITEM DESCRIPTION
Case of PEG BOTTLE
PEG 3350 238gm bottle (36 Bottles per case)
PEG 17gram POUCH
PEG 3350 17gm pouch
MAG CIT POUCH
Magnesium Citrate 16gm pouch
BIS-4 POUCH
Bisacodyl 5mg - 4 tablet pouch
SIMETHICONE POUCH
Simethicone 80mg chewable tablet pouch

CUSTOM KIT COMBINATIONS
We ship 20 kits per case unless otherwise noted
Please check your order for accuracy

PB4
PEG bottle, 4 Bisacodyl tablets,
PB4-M
PEG bottle, 4 Bisacodyl tablets, Mag. citrate powder
PB4-S
PEG bottle, 4 Bisacodyl tablets, Simethicone (HI-30)
PB4-M-S
Peg bottle, 4 Bisacodyl tablets, Mag. Citrate powder, Simethicone
PB4-M2-S
PEG bottle, 4 Bisacodyl tablets, 2 Mag. Citrate powder pouches, Simethicone
PB4(-2-)M-S
PEG bottle, 2 - 4 Bisacodyl tablet pouches, Mag. Citrate powder, Simethicone
PB4-M-S2
PEG bottle, 4 Bisacodyl tablets, Mag. Citrate powder, 2 Simethicone pouches
PB4-S-P17-3
PEG bottle, 4 Bisacodyl tablets, Simethicone, plus 3 17gm pouches of PEG 3350
PB8
PEG bottle, 2- 4 Bisacodyl tablet pouches
PB4-S2
PEG bottle, 4 Bisacodyl tablets, 2 Simethicone (HI-30)
COMPLETE
4 PEG 17gm pouches, 2 Mag. Citrate powder pouches, Simethicone (30 kits per case)
M2-B4-S2
2 Mag. Citrate pouches, 4 Bisacodyl tablets, 2 Simethicone pouches (HI-30)

If you would like to leave us a comment or do not see the custom combination that will work best for you, please leave us a note.

Once we have received your order, we'll send you a confirmation email.

Thanks for submitting!

INDIVIDUAL COMPONENT ORDERS ONLY