Pharmacy Order Form - Alta Medical Specialties

Look through our catalog of pharmacy products, select the items you would like to order, then enter your quantity. After entering your information on the next page, please submit the form and we will work on fulfilling your order.

Please enable JavaScript in your browser to complete this form.

Peridox, PREempt, TB1

Contec®- Sterile/Nonsterile Peridox RTU
Contec®- PREempt Plus Disinfectant
Contec®- Sterile/Nonsterile TB1-3300 Disinfectant

Choose sterility *

Sterile
Non-sterile

PREempt Plus Size *

32 oz. (2B101) [12 each/case]
1 gallon (2B105) [4 each/case]

Choose sterility *

Sterile
Non-sterile

Sterile Peridox RTU Size *

32 oz. (HC85335IR) [6 each/case]
1 gallon (HC85336IR) [4 each/case]

PREempt Plus Quantity *

Cases- not individual items

Sterile TB1-3300 Size *

32 oz. (HCTB3300IR) [12 each/case]
1 gallon (HCTB3305IR) [4 each/case]

Sterile Peridox RTU Quantity *

Cases- not individual items

Sterile TB1-3300 Quantity *

Cases- not individual items

Non-sterile Peridox RTU Size *

32 oz. (HC85335) [6 each/case]
1 gallon (HC85336) [4 each/case]

Non-sterile TB1-3300 Size *

32 oz. (HCTB3300) [12 each/case]
1 gallon (HCTB3305) [4 each/case]

Non-sterile Peridox RTU Quantity *

Cases- not individual items

Non-sterile TB1-3300 Quantity *

Cases- not individual items

70%, Gloves, Cleanroom Frocks

Contec® Sterile 70% Isopropanol
Contec® CritiGear™ Sterile Nitrile Gloves
Contec® CritiGear ™ Cleanroom Frocks

Sterile 70% Isopropanol *

16 oz. (SB167030IR) [12 each/case] Trigger Sprayer
32 oz. (SB327030IR) [12 each/case] Trigger Sprayer
1 gal. (SB1287030IR) [4 each/case]
16 oz. (HCFT7030IR) [12 each/case] Flip-top cap
32 oz. (HCFT7030IR-32) [12 each/case] Flip-top cap

CritiGear™ Sterile Nitrile Gloves Size *

X-Small (HCGS0002) [1 pair/pack, 200 pair/case]
Small (HCGS0012) [1 pair/pack, 200 pair/case]
Medium (HCGS0022) [1 pair/pack, 200 pair/case]
Large (HCGS0032) [1 pair/pack, 200 pair/case]
X-Large (HCGS0042) [1 pair/pack, 200 pair/case]
2X-Large (HCGS0052) [1 pair/pack, 200 pair/case]

Contec® CritiGear ™ Cleanroom Frocks Size *

X-Small (HCGA0002) [10 each/bag, 3 bags/case, 30 each/case]
Small (HCGA0012) [10 each/bag, 3 bags/case, 30 each/case]
Medium (HCGA0022) [10 each/bag, 3 bags/case, 30 each/case]
Large (HCGA0032) [10 each/bag, 3 bags/case, 30 each/case]
X-Large (HCGA0042) [10 each/bag, 3 bags/case, 30 each/case]
2X-Large (HCGA0052) [10 each/bag, 3 bags/case, 30 each/case]
3X-Large (HCGA0062) [10 each/bag, 3 bags/case, 30 each/case]
4X-Large (HCGA0072) [10 each/bag, 3 bags/case, 30 each/case]
5X-Large (HCGA0082) [10 each/bag, 3 bags/case, 30 each/case]

16 oz. (SB167030IR) Quantity *

Cases- not individual items

CritiGear™ Sterile Nitrile Gloves Quantity- X-SMALL *

Cases- not individual items

Contec® CritiGear ™ Cleanroom Frocks Quantity- X-SMALL *

Cases- not individual items

32 oz. (SB327030IR) Quantity *

Cases- not individual items

CritiGear™ Sterile Nitrile Gloves Quantity- SMALL *

Cases- not individual items

Contec® CritiGear ™ Cleanroom Frocks Quantity- SMALL *

Cases- not individual items

1 gal. (SB1287030IR) Quantity *

Cases- not individual items

CritiGear™ Sterile Nitrile Gloves Quantity- MEDIUM *

Cases- not individual items

Contec® CritiGear ™ Cleanroom Frocks Quantity- MEDIUM *

Cases- not individual items

16 oz. (HCFT7030IR) Quantity *

Cases- not individual items

CritiGear™ Sterile Nitrile Gloves Quantity- LARGE *

Cases- not individual items

Contec® CritiGear ™ Cleanroom Frocks Quantity- LARGE *

Cases- not individual items

32 oz. (HCFT7030IR-32) Quantity *

Cases- not individual items

CritiGear™ Sterile Nitrile Gloves Quantity- X-LARGE *

Cases- not individual items

Contec® CritiGear ™ Cleanroom Frocks Quantity- X-LARGE *

Cases- not individual items

CritiGear™ Sterile Nitrile Gloves Quantity- 2X-LARGE *

Cases- not individual items

Contec® CritiGear ™ Cleanroom Frocks Quantity- 2X-LARGE *

Cases- not individual items

Contec® CritiGear ™ Cleanroom Frocks Quantity- 3X-LARGE *

Cases- not individual items

Contec® CritiGear ™ Cleanroom Frocks Quantity- 4X-LARGE *

Cases- not individual items

Contec® CritiGear ™ Cleanroom Frocks Quantity- 5X-LARGE *

Cases- not individual items

Chemo HD Gowns, SCR645, SCPL

Contec® CritiGear™ Chemo HD Gowns
SCR645 Series Shoe Covers
SCPL Series Compressed Polyethylene Shoe Covers

Contec CritiGear Chemo Gown Haz drug gown w/ thumb loop Size *

Small/Medium (HCGA0800-S/M) [10 each/bag, 3 bags/case, 30 each/case]
Large/X-Large (HCGA0800-L/XL) [10 each/bag, 3 bags/case, 30 each/case]
2X-Large/3X-Large (HCGA0800-2XL/3XL) [10 each/bag, 3 bags/case, 30 each/case]
4X-Large/5X-Large (HCGA0800-4XL/5XL) [10 each/bag, 3 bags/case, 30 each/case]
6X-Large/7X-Large (HCGA0800-6XL/7XL) [10 each/bag, 3 bags/case, 30 each/case]

Hazardous Drug Compounding Frock

SCR645 Series Shoe Covers Size *

Universal (SCR645L-150) [50 each/bag, 6 bags/case, 300 each/case]
X-Large (SCR645XL-150) [50 each/bag, 6 bags/case, 300 each/case]
2X-Large (SCR645XXL-150) [50 each/bag, 6 bags/case, 300 each/case]

Disposable non-skid blue shoe covers

SCPL Series Compressed Polyethylene Shoe Covers White *

Universal (SCPL500) [ 100 each/bag, 10 bags/case, 1,000 each/case]

Disposable liquid impervious white shoe covers

Contec® CritiGear™ Chemo HD Gowns Quantity- SMALL/MEDIUM *

Cases- not individual items

SCR645 Series Shoe Covers Size Quantity- UNIVERSAL *

Cases- not individual items

SCPL Series Compressed Polyethylene Shoe Covers White Quantity *

Cases- not individual items

Contec® CritiGear™ Chemo HD Gowns Quantity- LARGE/X-LARGE *

Cases- not individual items

SCR645 Series Shoe Covers Size Quantity- X-Large *

Cases- not individual items

Contec® CritiGear™ Chemo HD Gowns Quantity- 2X-LARGE/3X-LARGE *

Cases- not individual items

SCR645 Series Shoe Covers Size Quantity- 2X-Large *

Cases- not individual items

Contec® CritiGear™ Chemo HD Gowns Quantity- 4X-LARGE/5X-LARGE *

Cases- not individual items

Contec® CritiGear™ Chemo HD Gowns Quantity- 6X-LARGE/7X-LARGE *

Cases- not individual items

Mops and Drying

Contec® MicroCinch™ Mop
Klean Max™ Wall Washing System
Contec Hand Drying System and Wipes

Contec® MicroCinch™ Mop *

(HCPM5001) **Microfiber mop cover with pockets Standard weight** 5 x 15.5'' (13x39cm) [8 each/bag, 15 bags/case, 120 each/case]
(HCPM5051) **Microfiber mop cover with pockets Standard weight** 5 x 15.5'' (13x39cm) [ 2 each/bag, 7 bags/outer bag, 5 outer bags/case;]
(2740) ** MicroCinch flat hinged mop frame Blue polypropylene** 16 x 4.25'' (40x11cm) [1 each/case]
(HCPH8007) **MicroCinch flat hinged mop frame Stainless steel** 16 x 4.25'' (40x11cm) [1 each/case]
(2906) ** QuickTask™ Stainless Steel Magnetic Mop Frame** 15.5'' x 3.75'' (40x10cm) [1 each/case]
(2725E) ** QuickConnect™ handle Stainless steel** 60'' (152cm) [1 each/case]

Mopping system with disposable microfiber covers for cleaning and disinfecting cleanroom floors

Klean Max™ Wall Washing System *

(HCKM3001) **Klean Max mop head, small** 8 x 4 x 1'' (20x10x3cm) [4 each/bag, 12 bags/case, 48 each/case]
(2651SS) **QuickConnect™ mop frame, small For Klean Max small mop head** 7.5" (19cm) [ 1 each/case]
(HCKM3002) **Klean Max mop head, medium** 13 x 4 x 1'' (33x10x3cm) [4 each/bag, 7 bags/case, 28 each/case]
(2652LF) ** QuickConnect™ mop frame, layflat, medium For Klean Max medium and large mop heads** 11.5'' (29cm) [1 each/case]
(HCKM3003) ** Klean Max mop head, large** 15 x 4 x 1'' (38x10x3cm) [4 each/bag, 6 bags/case, 24 each/case]
(HCKM3004) ** Klean Max mop head, medium, Sealed edge** 15 x 5 x 0.375'' (38x13x1cm) [4 each/bag, 6 bags/case, 16 each/case]
(2725E) ** QuickConnect™ handle Stainless steel** 60'' (152cm) [1 each/case]
(HCKM3005) ** Klean Max mop head, small Sealed edge** 9.5 x 5 x 0.375” (24x13x1cm) [4 each/bag, 10 bags/case, 40 each/case]
(HCKM3051) ** Klean Max mop head, small Sterile** 8 x 4 x 1'' (20x10x3cm) [1 each/bag, 48 bags/case, 48 each/case]
(HCKM3052) ** Klean Max mop head, medium Sterile** 13 x 4 x 1'' (33x10x3cm) [1 each/bag, 28 bags/case, 28 each/case]
(HCKM3053) ** Klean Max mop head, large Sterile** 15 x 4 x 1'' (38x10x3cm) [ 1 each/bag, 24 bags/case, 24 each/case]
(2644) ** QuickConnect™ handle Stainless steel** 9.5 x 5 x 0.375” 16-30'' (41-76.2cm) [1 each/case]
(HCKM3054) ** Klean Max mop head, medium Sealed edge, sterile** 15 x 5 x 0.375'' (38x13x1cm) [1 each/bag, 24 bags/case, 24 each/case]
(HCKM3055) ** Klean Max mop head, small Sealed edge, sterile** 9.5 x 5 x 0.375” (24x13x1cm) [ 1 each/bag, 40 bags/case, 40 each/case]
(2645) ** QuickConnect™ handle Stainless steel** 50-92'' (130-230cm) [1 each/case

Disposable polyester mop head with ridges for cleaning and disinfecting.

Contec Hand Drying System and Wipes *

(HCC20001) **Absorbent, Disposable, Low-linting Hand Drying Wipes** 17x9'' (43x23cm) [100 wipes/bag, 9 bags/case, 900 wipes/case]
(9451) **Wall Mounted Stainless Steel Dispenser** 10 L x 4.75 W x 9 H (25.4 L x 12.07 W x 22.9 H cm) [1 dispenser/case]
(9451DW) **Wall or stand mountable stainless steel wipe dispenser** 11.5” x 6.5” x 11” (29.2 x 16.5 x 27.9 cm) [1/case]
(9451DWS) **Stand for stainless steel wipe dispenser 9451DW** 12” x 6” x 11” (20.5 x 15.2 x 27.9 cm) [1/case]

Absorbent cellulose/polyester nonwoven wipes and stainless steel wall-mounted dispenser

HCMP5001 Quantity *

Cases- not individual items

HCKM3001 Quantity *

Cases- not individual items

HCC20001 Quantity *

Cases- not individual items

HCMP5051 Quantity *

Cases- not individual items

2651SS Quantity *

Cases- not individual items

9451 Quantity *

Cases- not individual items

2740 Quantity *

Cases- not individual items

HCKM3002 Quantity *

Cases- not individual items

9451DW Quantity *

Cases- not individual items

HCPH8007 Quantity *

Cases- not individual items

2652LF Quantity *

Cases- not individual items

9451DWS Quantity *

Cases- not individual items

2906 Quantity *

Cases- not individual items

HCKM3003 Quantity *

Cases- not individual items

2725E Quantity *

Cases- not individual items

HCKM3004 Quantity *

Cases- not individual items

2725E Quantity *

Cases- not individual items

HCKM3005 Quantity *

Cases- not individual items

HCKM3051 Quantity *

Cases- not individual items

HCKM3052 Quantity *

Cases- not individual items

HCKM3053 Quantity *

Cases- not individual items

2644 Quantity *

Cases- not individual items

HCKM3054 Quantity *

Cases- not individual items

HCKM3055 Quantity *

Cases- not individual items

2645 Quantity *

Cases- not individual items

ReFIBE, Sterile Wipes, Prosat wipes

Contec® ReFIBE™ Wipes
Contec® Critical Site® Sterile Wipes
PROSAT® Sterile™ Meltblown Polypropylene Wipes (PS-911EB)

Contec® ReFIBE™ Wipes *

(RFHS-99IR) **Contec Sterile ReFIBE StandardWeight Heatseal Wipes Flat Stacked** 9'' x 9'' (23x23cm) [25/bag; 48 bags/case]
(RFHS-1212IR) **Contec Sterile ReFIBE StandardWeight Heatseal Wipes Flat Stacked** 12'' x 12'' (30x30cm) [ 25/bag; 40 bags/case]
(RFHS-99) ** Contec ReFIBE StandardWeight Heatseal Wipes Flat Stacked** Flat Stacked 9'' x 9'' (23x23cm) [75/bag; 24 bags/case]
(RFHS-1212) **Contec ReFIBE StandardWeight Heatseal Wipes Flat Stacked** 12'' x 12'' (30x30cm) [75/bag; 10 bags/case]

100% polyester wipes made from post-consumer recycled plastic bottles

Contec® Critical Site® Sterile Wipes *

(HCPS6044) **Contec® Critical Site® Sterile Wipes** 4 x 4'' (10x10cm) [60 wipes/pouch, 4 pouches/inner bag, 2 inner]

100% polyester wipes

PROSAT® Meltblown Polypropylene Wipes *

(PS-840IR) **PROSAT® Sterile™ Meltblown Polypropylene Wipes Presaturated with 70% IPA and 30% DI water** 8'' x 8'' (20x20cm) [40/pouch; 24 pouches/case]
(PSPP0039) **PROSAT® Sterile™ Meltblown Polypropylene Wipes Presaturated with 70% IPA and 30% DI Water** 9'' x 11'' (23x28cm) [50/pouch; 24 pouches/case]
(PS-911EB) ** PROSAT® Sterile™ Meltblown Polypropylene Wipes Presaturated with 70% IPA and 30% DI water** 9'' x 11'' (23x28cm) [30/pouch; 48 pouches/case]

Absorbent cellulose/polyester nonwoven wipes and stainless steel wall-mounted dispenser

RFHS-99IR Quantity *

Cases- not individual items

HCPS6044 Quantity *

Cases- not individual items

PS-840IR Quantity *

Cases- not individual items

RFHS-1212IR Quantity *

Cases- not individual items

PSPP0039 Quantity *

Cases- not individual items

RFHS-99 Quantity *

Cases- not individual items

PS-911EB Quantity *

Cases- not individual items

RFHS-1212 Quantity *

Cases- not individual items

SterileSorb, Amplitude

Contec® SterileSorb™ Wipes
Contec® Amplitude™ EcoCloth™ Wipes
PROSAT® Sterile™ HCPS2328IR Wipes

Contec® SterileSorb™ Wipes *

(C2-99IR/10) **SterileSorb™ Wipes Flat stacked** 9'' x 9'' (23x23cm) [10 wipes/bag, 150 bags/case, 1500 wipes/case]
(C2-99IR/25) **SterileSorb™ Wipes Flat stacked** 9'' x 9'' (23x23cm) [ 25 wipes/bag, 60 bags/case, 1,500 wipes/case]
(C2-1212IR) **SterileSorb™ Wipes Flat stacked** Flat Stacked 12'' x 12'' (30x30cm) [25 wipes/bag, 42 bags/case, 1,050 wipes/case]

Sterile hydroentangled cellulose/polyester nonwoven wipes

Contec® Amplitude™ EcoCloth™ Wipes *

(AMEC0001) **Amplitude™ EcoCloth™ Wipes Flat stacked** 4 x 4'' (10x10cm) [1200/bag; 12 bags/case]
(AMEC0002) **Amplitude™ EcoCloth™ Wipes Flat stacked** 6" x 6'' (15x15cm) [300/bag; 20 bags/case]
(AMEC0003) **Amplitude™ EcoCloth™ Wipes Flat stacked** 9" x 9'' (23x23cm) [300/bag; 12 bags/case]
(AMEC0004) **Amplitude™ EcoCloth™ Wipes Flat stacked** 12" x 12'' (30x30cm) [150/bag; 14 bags/case]
(AMEC0005) **Amplitude™ EcoCloth™ Wipes Flat stacked** 18" x 18'' (46x46cm) [75/bag; 10 bags/case]

Cellulose/polyester nonwoven wipes with additional loft

PROSAT® Sterile™ HCPS2328IR Wipes *

(HCPS2328IR) **Sterile presaturated wipes with 70% IPA/30% DI water** 9 x 11'' (23x28cm) [30 wipes/pouch, 1 pouch/inner bag, 9 inner]

Sterile presaturated MBPP wipes with 70% IPA/30% WFI water

C2-99IR/10 Quantity *

Cases- not individual items

AMEC0001 Quantity *

Cases- not individual items

HCPS2328IR Quantity *

Cases- not individual items

C2-99IR/25 Quantity *

Cases- not individual items

AMEC0002 Quantity *

Cases- not individual items

C2-1212IR Quantity *

Cases- not individual items

AMEC0003 Quantity *

Cases- not individual items

AMEC0004 Quantity *

Cases- not individual items

AMEC0005 Quantity *

Cases- not individual items

Qi Medical

GroMed™ – GM7020
GroMed™ – GM7030
EnviroTest™ – ET1000

GroMed™ – GM7020

Personal Aseptic Technique Test (PATT) kit.

Easy to use personal technique kit for testing up to 5 individuals.

20ml vials of TSB media
100ml partially filled minibags for added complexity
Log sheet included
Gummed labels included
Product conforms to United States Pharmacopeia standards

GroMed™ – GM7030

Personal Aseptic Technique Test (PATT2) kit.

Ideal for facilities manipulating training ampules.

Easy to use aseptic technique test kit for testing up to 5 individuals.

20ml vials of TSB media
100ml partially filled minibags for added complexity
3ml ampules of colored TSB media
Log sheet included
Gummed labels included
Product conforms to United States Pharmacopeia standards

EnviroTest™ – ET1000

TSA contact plates ideal for use in critical surface and gloved fingertip sampling to meet USP <797> requirements.

Double sided Tryptic Soy Agar media plates for surface and gloved fingertip sampling.

These Tryptic Soy Agar plates are formulated with Lecithin and Polysorbate 80 to inactivate many antimicrobial compounds.

Promotes rapid growth of common bacteria, yeast, and mold
Neutralizes many residual biocides and cleaning agents
Stores at room temperature
Long shelf life without refrigeration
Unique pedestal cap and hinged paddle
Gummed labels included

GroMed™ – GM7020 Quantity (5 units / case) *

Cases- not individual items

GroMed™ – GM7030 Quantity (5 units / case) *

Cases- not individual items

EnviroTest™ – ET1000 Quantity (10 units / case) *

Cases- not individual items

American Analytics

AMERICAN ANALYTICS’ SafeCHEMO™ USP 800 Surface Wipe Sampling
EcoFLX Empy Mixing Containers- DMP Multilayer Polyolefin Container
EcoFLX EVA IV Mixing Container

AMERICAN ANALYTICS’ SafeCHEMO™

USP 800 WIPE ANALYSIS

Comprehensive Quantitative Results in 10 Days

EcoFLX Empy Mixing Containers- DMP Multilayer Polyolefin Container

DMP0050- 50mL Empty Mixing Container [180 units/case]
DMP0100- 100mL Empty Mixing Container [180 units/case]
DMP0150- 150mL Empty Mixing Container [120 units/case]
DMP0250- 250mL Empty Mixing Container [120 units/case]
DMP0500- 500mL Empty Mixing Container [120 units/case]
DMP1000- 1000mL Empty Mixing Container [80 units/case]
DMP2000- 2000mL Empty Mixing Container [60 units/case]
DMP3000- 3000mL Empty Mixing Container [60 units/case]
DMP5000- 5000mL Empty Mixing Container [50 units/case]
DPN0150- 150mL Empty Mixing Container Needle-Free Valve [120 units/case]

Polyolefin IV Mixing Containers

EcoFLX EVA IV Mixing Container

DME0100- 100mL EVA Empty Mixing Container [70 units/case]
DME0250- 250mL EVA Empty Mixing Container [60 units/case]
DME0500- 500mL EVA Empty Mixing Container [60 units/case]
DME1000- 1000mL EVA Empty Mixing Container [60 units/case]
DME2000- 2000mL EVA Empty Mixing Container [40 units/case]
DME3000- 3000mL EVA Empty Mixing Container [40 units/case]
DME5008- 5000mL EVA Empty Mixing Container (Single Pack) [30 units/case]
DEN3008- 3000mL EVA Empty Mixing Container with Needle-Free Valve [30 units/case]

Polyolefin IV Mixing Containers

AMERICAN ANALYTICS’ SafeCHEMO™ USP 800 WIPE ANALYSIS Quantity *

DMP0050 Quantity *

Cases- not individual items

DME0100 Quantity *

Cases- not individual items

AMERICAN ANALYTICS’ SafeCHEMO™ USP 800 WIPE ANALYSIS Quantity (copy) *

DMP0100 Quantity *

Cases- not individual items

DME0250 Quantity *

Cases- not individual items

DMP0150 Quantity *

Cases- not individual items

DME0500 Quantity *

Cases- not individual items

DMP0250 Quantity *

Cases- not individual items

DME1000 Quantity *

Cases- not individual items

DMP0500 Quantity *

Cases- not individual items

DME2000 Quantity *

Cases- not individual items

DMP1000 Quantity *

Cases- not individual items

DME3000 Quantity *

Cases- not individual items

DMP2000 Quantity *

Cases- not individual items

DME5008 Quantity *

Cases- not individual items

DMP3000 Quantity *

Cases- not individual items

DEN3008 Quantity *

Cases- not individual items

DMP5000 Quantity *

Cases- not individual items

DPN0150 Quantity *

Cases- not individual items

Add additional items we aren't currently displaying

Use the + and - buttons on the side to add as many rows as you need to place your order. In the future, as you submit items here, we will get them uploaded like the rest of the items we have displayed on this page.

Product

Quantity

Name

First

Last

Phone

Fax

PO Number

Hospital/Facility Name

Account Number