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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 238 g PEG Bottles
PEG 3350 238gm bottle (36 Bottles per case)
Case of 119 g PEG Bottles
PEG 3350 119 gm bottle (48 Bottles per case)
MAG CIT POUCH
Magnesium Citrate 16gm pouch
CASE of LIQUID MAG CIT
Magnesium Citrate 10oz fluid - lemon flavor (36 Bottles per case)
BIS-4 POUCH
Bisacodyl 5mg - 4 tablet pouch
SIMETHICONE POUCH
Simethicone 80mg chewable tablet pouch
GATORADE 2.12 OZ POUCHES
Pouches of Lemon-Lime Gatorade Powder - makes 32 oz.

CUSTOM KIT COMBINATIONS
We ship 20 kits per case unless otherwise noted

When ordering, indicate the number of cases you'd like to receive
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-S-LM
PEG bottle, 4 Bisacodyl tablets, Simethicone, 10oz bottle of Liquid Mag. Citrate
PEG bottle, 4 Bisacodyl tablets, Mag. Citrate powder, Simethicone, 10 oz bottle of Liquid Mag. Citrate
PB4-M-S-LM
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
PB8-S-P17-2
PEG bottle, 8 Bisacodyl tablets, Simethicone, plus 2 17gm pouches of PEG 3350
PB4-P17-4
PEG bottle, 4 Bisacodyl tablets, plus 4 17gm pouches of PEG 3350
PB8
PEG bottle, 2- 4 Bisacodyl tablet pouches
PB8-M
PEG bottle, 2- 4 Bisacodyl tablet pouches, Mag. Citrate powder
PB4-S2
PEG bottle, 4 Bisacodyl tablets, 2 Simethicone (HI-30)
PB4MS-6
Peg 3350 bottle, Bisacodyl 4 tablets, Mag. Citrate powder and 6 80mg Simethicone
PB4MS-6+119g
Peg 3350 bottle, Bisacodyl 4 tablets, Mag. Citrate powder and 6 80mg Simethicone, 119g PEG Bottle
PB-4-LM
PEG Bottle Bisacodyl 4 Tablet Pouch 10 oz Bottle Liquid Mag Citrate
P2B4-2P17-4
2 Peg bottles, 2 - 4 Bisacodyl tablet pouches, 4 - 17gram Peg pouches (2 day prep)
M2-B4-S2
2 Mag. Citrate pouches, 4 Bisacodyl tablets, 2 Simethicone pouches (HI-30)
B4-LM3-SE8
4 Bisacodyl, 3 bottles of Liquid Magnesium Citrate, 8 Senna Tablets

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.

Your order will be processed within 24 hours, Monday through Friday. A confirmation email will be sent to you when the order has been shipped.   

Thanks for submitting!

INDIVIDUAL COMPONENT ORDERS ONLY

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