• Prescription Upload

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancel of
  • prev next ( X )
    iTEAR100 Refill Purchase an iTEAR100 refill
    $ 30.00
       
    iTEAR100 For first iTEAR100 device purchase
    $ 150.00
       
    Total
    $ 0.00

    Credit Card

  • Should be Empty: