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Clearance Items Item Request Form Browse Tool Mailing List Shipping Rates/Processing Store Policies Customer Privacy Returns & Exchanges Product Warranty Site is Tested Daily to Pass SANS/FBI Top 20 Critical Tests. Home : Contact Lenses : Bausch & Lomb : B&L Purevision Toric, 6Pk Bausch & Lomb B&L Purevision Toric, 6Pk Retail Price: $65.00 Our Price: $47.95 per Box Lens Type: Disposable Lenses per Box: 6 Contact Lens Prescription: Please Enter your Contact Lens Prescription exactly as seen on your Doctors Prescription (Non-Astigmatic Prescription) Example: -2.75 8.7 14.0 *Note: Fill Out Fields that Apply Eye: Power: BaseCurve: Diameter: Right (OD): Left (OS): RX Doctors Information: in order to process this prescription, we will need you to fill out the following doctor information so we could verify your prescription. *Note: Prevent Additional Delays by Faxing a Copy of your Prescription to us Toll-Free: (888) 579-1155 You can also ask your Eye Doctors Office to Fax this Information to us for you. Patients Date of Birth is used to Ensure Confirmation Accuracy with your Eye Doctors Office Patients Name: Date of Prescription: Month January February March April May June July August September October November December Year 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Doctors Full Name: Patients D.O.B.: *Optional Doctors Office Phone: Quantity Desired: Eye: Quantity Per Eye: Right (OD): Left (OS): WARNING: IF YOU ARE HAVING ANY UNEXPLAINED EYE DISCOMFORT, WATERING, VISION CHANGE, OR REDNESS, REMOVE YOUR LENSES IMMEDIATELY AND CONSULT YOUR EYE CARE PRACTITIONER BEFORE WEARING YOUR LENSES AGAIN.

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