MAP CUSTOM ORDER

product listing
as of
April 18, 2011

Service
Qty Sub-
Generic # Item # Description & Unit Size UM Exp Date Fee In
Ordered Totals
U.S. $
PHARMACEUTIALS
40051 00037-00692-10D Tussi-12 D 100tab BT 1/31/2012 2.25 0.00
81250 00069-00950-50D Doxycycline Hyclate 100mg. Vibramycin Hyclate 50cap BT 4/1/2012 3.45 0.00
81303 68180-00723-20D Cefdinir 250mg/5ml, powder for reconstitution, Oral Suspension 60ml BT 12/31/2011 1.30 0.00
81353 00093-07148-23D Azithromycin Suspension 100mg/5ml 15ml BT 12/31/2011 0.55 0.00
240525 68180-00566-01D Trandolapril 1mg 100tab BT 12/31/2011 1.38 0.00
240603 68180-00469-07D Lovastatin 40mg 60tab BT 2/29/2012 1.10 0.00
240604 68180-00468-03D Lovastatin 20mg 1,000 tab BT 1/31/2012 10.50 0.00
240605 68180-00467-01D Lovastatin 10mg 100tab BT 2/29/2012 1.40 0.00
240619 68180-00480-01D Simvastatin 40mg 30tab BT 9/30/2011 0.95 0.00
240840 00378-01117-77R Quinapril 5mg 90tab BT 3/31/2012 2.20 0.00
243202 68180-00591-01D Ramipril 10mg 100cap BT 12/31/2011 2.25 0.00
243204 68180-00589-01D Ramipril 2.5mg 100cap BT 2/29/2012 1.26 0.00
281204 68180-00114-02D Levetiracetam 750mg 500tab BT 1/31/2012 8.00 0.00
281204 68180-00114-09D Levetiracetam 750mg 90tab BT 12/31/2011 1.45 0.00
281204 68180-00114-16D Levetiracetam 750mg 120tab BT 9/30/2011 1.25 0.00
281220 68180-00266-02D Divalproex Sodium 250mg, Delayed-Release 500tab BX 1/31/2012 1.50 0.00
281231 68180-00113-02D Levetiracetam 500mg 500tab BT 10/31/2011 4.05 0.00
281644 68180-00315-06D Imipramine Pamoate 100mg 30cap BT 11/30/2011 1.15 0.00
281645 68180-00316-06D Imipramine Pamoate 75mg 30cap BT 11/30/2011 1.00 0.00
281648 68180-00317-06D Imipramine Pamoate 150mg 30cap BT 11/30/2011 1.25 0.00
402010 00264-01102-55D Dextrose 5% Injection 12 x 150ml BT 7/31/2011 0.90 0.00
402837 00091-03720-01D Hydrochlorothiazide 12.5mg/Moexipril HCI 15mg, Uniretic 100tab BT 12/31/2011 1.18 0.00
520210 74300-49341-00D Visine Total Eye Soothing/Cleaning Eye Wipes 30pads JR N/A 0.16 0.00
561207 81421-02103-00D Bisacodyl 10mg , Laxative Suppositories 16ea BX 10/31/2011 0.35 0.00
680404 00591-05442-01D Prednisone 10mg 100tab BT 9/30/2011 0.35 0.00
680434 59630-00700-48D Prednisolone Sodium Phosphate 10mg, Orapred ODT 8 x 6 tab BX 10/31/2011 0.40 0.00
P40002 00093-31070-05P Amoxicillin 250mg 500cap BT 2/29/2012 51.39 0.00
P40003 00093-41500-79P Amoxicillin for Oral Suspension 125mg per 5ml, 80ml BT 2/28/2012 2.44 0.00
P40003 00093-41500-79P Amoxicillin for Oral Suspension 125mg per 5ml, 80ml BT 9/30/2011 1.88 0.00
P40041 53746-00140-10P Ibuprofen 200mg 1,000tab BT 1/31/2012 15.60 0.00
P40060 00093-07157-06P Clarithromycin 250mg 60tab BT 10/31/2011 46.54 0.00
P40063 00093-03145-01P Cephalexin 250mg 100cap BT 4/30/2012 14.81 0.00
P40064 00093-07149-31P Azithromycin Suspension 200mg/5ml 30ml BT 12/31/2011 13.65 0.00
P40068 00093-00311-01P Loperamide Hydrochloride 2mg 100cap BT 6/30/2012 6.38 0.00
P40077 65862-00177-60P Cefdinir 300mg 60cap BT 3/31/2012 89.87 0.00
P40086 29300-00128-10P Hydrochlorothiazide 25mg 1,000tab BT 7/31/2012 11.93 0.00
P40099 51672-01298-10P Ketoconazole Cream 2% 15gm TB 8/31/2012 6.71 0.00
VITAMINS 0.00
P40018 57896-50410-00P Multi-Vitamins, Adult, One-Daily, Gericare 1,000tab BT 9/30/2012 11.58 0.00
P40034 00536-03546-10P Daily Vitamin & Mineral Supplement w/ Iron & Beta-Carotene 1,000tab BT 8/31/2012 15.89 0.00
882803 59630-00419-30D Vitamins, Prenate DHA, Prenatal 30softgel BX 9/30/2011 0.25 0.00
SUPPLIES 0.00
930021 08137-00051-95D Band-Aid Bandages, Assorted Sizes, Sterile 20ea BX N/A 0.22 0.00
930021 08137-00058-50D Band-Aid Bandages 2 1/8" x 2 3/4", Ultra Strips, Sterile 8ea BX N/A 0.09 0.00
930022 08137-05819-00D Band-Aids, X-tra Large, 1 3/4"x 4" 10ea BX N/A 0.11 0.00
930025 08137-04644-00D Band-Aid Sheer Strips, 1" wide regular, all one size 100ea BX N/A 0.75 0.00
930025 51131-00977-36D Bandage, Nexcare Comfort Fabric, Latex Free, Assorted Size 36ea PK N/A 0.35 0.00
930033 08225-03040-00D Elastic Wrap 4", Futuro Self Adhering 1roll BX N/A 0.21 0.00
930033 08225-04040-00D Elastic Wrap 4", Futuro w/Clip 1roll BX N/A 0.21 0.00
930048 51131-99571-00D Nexcare Blister Pads, Assorted Sizes 4 x 5ea PK N/A 0.22 0.00
930049 08137-04720-00D First-Aid Non-Stick Pads 1 1/2"x 2" 100% cotton center 10ea BX N/A 0.15 0.00
934031 00061-07210-01D Dressing 2"x2.125", Wound Secure Non-Adhesive Foam w/Barrier 10ea BX N/A 0.30 0.00
936014 08137-00088-09D Rolled Gauze, J & J First Aid, 4" x 90" 1roll BX N/A 0.30 0.00
940016 08137-05104-00D Tape, 1" x 10yds non-sterile, Zonas Porous Adhesive Tape 12rl BX N/A 1.88 0.00
940073 08137-04996-00D Tape, Activ-Flex Lightweight Cohesive, Latex-Free, 2" x 3.1 yd 24ea CS N/A 3.75 0.00
940073 08137-04997-00D Tape, Activ-Flex Lightweight Cohesive, Latex-Free, 3" x 3.1 yd 16ea CS N/A 2.55 0.00
960031 31280-03284-31D Syringe Insulin, 3/10cc 30g x 1/2" , Sterile 100ea BX N/A 1.75 0.00
960035 31280-03095-77D Syringe 3cc 21g x 1 1/2", Luer Lok, Precision Glide 100ea BX N/A 1.75 0.00
960115 81131-00311-66D Syringe 3/10cc, Reli On Insulin 29g x 1/2", sterile 100ea BX N/A 1.75 0.00

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 Service
Qty Sub-
Generic # Item # Description & Unit Size UM Exp Date Fee In
Ordered Totals
U.S. $
960116 31280-03284-11D Syringe Insulin 1cc, 30g x 1/2, Sterile 100ea BX N/A 1.75 0.00
960170 31280-03059-50D Allergy Tray, Syringe 1ml syringe 27g x 1/2" 25ea TR 5/31/2015 0.47 0.00
960170 31280-03059-50D Allergy Tray, Syringe 1ml syringe 27g x 1/2" 25ea TR 10/31/2014 0.47 0.00
960171 31280-03055-41D Allergy Tray, Syringe 1cc 27g x 3/8" Intradermal Bevel 25ea TR N/A 0.47 0.00
960172 31280-03055-40D Allergy Tray, Syringe 1cc 27g x 1/2" Regular Bevel Needle 25ea TR N/A 0.19 0.00
960173 31280-03055-37D Allergy Tray, Syringe 1cc 26g x 1/2" Regular Bevel Needle 25ea TR N/A 0.19 0.00
960208 31280-03051-80D Needle 18g x 1 1/2", Blunt Fill, Sterile 100ea BX 10/31/2015 0.84 0.00
960208 31280-03051-85D Needle 18g x 1 1/2" Thin Wall, Regular Bevel, single use 100ea BX N/A 0.84 0.00
960208 31280-03051-96D Needle 18g x 1 1/2", precision glide 100ea BX N/A 0.84 0.00
960229 31280-03051-95D Needle 18g x 1", Regular Bevel 100ea BX N/A 0.84 0.00
960235 31280-03051-22D Needle 25g x 5/8" Regular Bevel, 100ea BX N/A 0.84 0.00
960262 31280-03201-19D Pen Needles, 31g x 3/16", B-D Ultra Fine III 100ea BX N/A 0.77 0.00
960298 31280-03057-65D Needle, Eclipse 21g x 1", Sterile 100ea BX 9/30/2015 0.84 0.00
960310 31280-03033-45D Blunt Plastic Cannula, sterile 100ea BX 10/31/2015 0.77 0.00
960315 31280-03033-90D Cannula Blunt Plastic Syringe filling device, Sterile 100ea BX 12/31/2015 0.77 0.00
961003 31280-03093-30D Syringe 1/2cc 27g x 1/2", Insulin U-100 200ea BX N/A 3.50 0.00
961009 81131-00311-62D Syringe 1cc 29g x 1/2", Reli On Insulin Syringe 100ea BX N/A 1.75 0.00
961055 31280-30580-19D Syringe Tip Cap, Sterile 200ea BX N/A 1.54 0.00
964002 51131-64115-00D Face Mask, Nexcare Earloop Lightweight, Breathable 20ea BX N/A 1.49 0.00
964020 00950-01870-00D Particulate Respirator and Surgical Mask 20ea BX N/A 1.49 0.00
964030 00065-00699-81D Control Cover Gown,Universal Size, Blue, Elastic Cuff 10ea PK N/A 4.90 0.00
974003 08881-03738-35D BD Beaver X-star Implant Knife 3.5mm, 45 degree Bevil up 1ea PK 5/31/2014 2.00 0.00
976040 08881-13956-00D Rongeur, Bone #4A, Stainless Steel Satin 6 1/2" 1ea PK N/A 2.00 0.00
979010 08881-26602-00D Ragnell Retractor D/E Stainless Steel Satin, 6" 1ea PK N/A 2.00 0.00
978007 00950-05241-01D Thermometer Digital, Flexible, Underarm or Rectal, Farenheit/Celsius 1 EA N/A 1.15 0.00
978094 14801-40050-00D Solar Powered Thermometer w/Wall Mount 1ea PK N/A 1.15 0.00
980017 51131-92180-00D Knee Brace, Nexcare Breathable Slip-on, Medium 1ea PK N/A 0.50 0.00
980017 51131-92198-00D Knee Brace, Nexcare Breathable Slip-on, Large 1ea PK N/A 0.50 0.00
980017 51131-92225-00D Knee Brace, Breathable, Adjustable, Metal hinge, Padded Patella 1ea PK N/A 0.50 0.00
980027 51131-18579-00D Ankle Brace, Nexcare, Latex-Free, For Women, Adjustable 1ea BX N/A 0.50 0.00
980027 51131-92183-00D Ankle Brace, Nexcare, Elastic, Slip-on, Medium, Light Support 1ea PK N/A 0.50 0.00
980027 51131-92186-00D Ankle Brace, Nexcare, Adjustable, Moderate Support, Breathable 1ea PK N/A 0.50 0.00
980035 51131-84599-00D Elbow Brace, Nexcare, Breathable, Adjustable 1ea PK N/A 0.50 0.00
980035 51131-92185-00D Elbow Brace w/Pad, Nexcare, Breathable, Adjustable 1ea PK N/A 0.50 0.00
980043 51131-92202-00D Wrist Brace, Nexcare Light Support, Adjustable, Breatheoprene 1ea EA N/A 0.50 0.00
980044 08290-02072-63D Wrist Brace with Splint Support, Right Wrist, Small 1ea BX N/A 0.50 0.00
980044 08290-02072-64D Wrist Brace with Splint Support, Neoprene, Right Wrist, Medium 1ea BX N/A 0.50 0.00
980044 51131-18576-00D Wrist Brace, Nexcare For Women, Latex-Free, Adjustable 1 ea PK N/A 0.50 0.00
980044 51131-92204-00D Wrist Brace, Nexcare. Adjustable, Breathable, Left or Right Hand 1 ea PK N/A 0.50 0.00
980081 51131-92190-00D Back Brace, Nexcare w/ Pocket for Hot/Cold Pack, Breathable 1ea PK N/A 0.50 0.00
985068 00950-48534-00D Hot/Cold Pack, Futuro Reusable 1ea BX N/A 0.25 0.00
980122 51131-93893-00D Foot Brace, Plantar Faciitis, Moderate Support, Adjustable 1ea PK N/A 0.50 0.00
980123 08881-12061-00D Heel & Elbo Protector, Heelbo, White, large 1pr BG N/A 0.50 0.00
982057 00074-CTRAY-00D Counting Tray 1ea BG N/A 0.03 0.00
982057 11523-09328-03D Pill Counter 1ea BG N/A 0.03 0.00
985002 17271-00505-01D E-Z Scrub Chlorhexidine Gluconate 4% Solution, Antiseptic 946ml BT 11/30/2012 1.99 0.00
988001 00030-CIG22-00D Toothbrush, Adult 1 EA N/A 0.25 0.00
988006 53100-00597-00D Toothpaste, Aquafresh Flouride 23gm TB 7/31/2012 0.15 0.00
988006 53100-33899-00D Toothpaste, Aquafresh Extreme Clean 198.45gm TB 5/31/2012 0.50 0.00
P10001 00001-09380-00P Sphygmomanometer, Aneroid Adult with Nylon Cuff 1 EA N/A 22.88 0.00
P10002 00001-10426-00P Stethoscope, Dual Head, assorted colors 1 EA N/A 11.39 0.00
P10002 00001-92630-11P Stethoscope, Sprague Rappaport-Type, Black 1 EA N/A 16.48 0.00
P10005 00001-20850-00P Otoscope w/case & 3 Reusable Speculas 1 EA N/A 167.83 0.00
P10025 00001-80010-00P Latex Examination Gloves, Powdered, Non-Sterile, Size Medium 100ea BX N/A 5.03 0.00
P10025 00001-80015-00P Latex Examination Gloves, Powdered, Non-Sterile, Size Large 100ea BX N/A 5.03 0.00
P10025 74865-80010-00P Latex Exam Gloves, Powdered, N-Sterile, Ambidextrous Medium 100ea BX N/A 3.91 0.00
P30008 00001-35917-02P Water Purifier Cups 1 EA N/A 6.40 0.00
P30010 00001-AQ305-00P Potable Aqua Tetraglycine Hydroperiodine Water Purification 50tab BT N/A 3.12 0.00
P40001 00001-40024-00P Oral Rehydration Salts 125 scht CS N/A 53.75 0.00
BOOKS 0.00
998008 00001-03566-00D Lets Build Our Lives 1 BK N/A 1.00 0.00
P20004 09844-42348-00P Bringing It Home, A Post-Trip Devotional Guide for International & Domestic Short-Term BK N/A 6.95 0.00
P20062 00001-03566-01P Mission Teams Nuestras
Construyamos 1 Vidas (Spanish of Let's Build Our Lives) 1 BK N/A 2.50 0.00
Grand Total $0.00

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 Service
Qty Sub-
Generic # Item # Description & Unit Size UM Exp Date Fee In
Ordered Totals
U.S. $
After entering the quantities you need, please print and fax your order to 912-280-6638, along with the additional application forms and order
form found by clicking on the following weblink, or copying and pasting it into your browser:
www.map.org/tp-forms
Or, email all of the required forms as attachments to:
custsrvc@map.org
MAP's Customer Service team can also be reached by phone at 912-280-6627; Monday thru Friday - 8am to 5pm (Eastern Time)

Thank you for your order!

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