BGMS Order Form

Facility Name

Attention

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

340B ID

Email *

GLUCOCARD Shine^® Blood Glucose Meters
4 Meters, 1 Strip

Includes: Meter, logbook and carrying case

Shine XL Meter

P/N 542110

Shine Meter

P/N 540001

Shine Full Meter Kit

P/N 541100

Includes: Meter, carrying case, logbook, lancing device, lancets, 10 test strips

Express Meter

P/N 544110

Connex Meter*

P/N 543110

*Connex orders must be cleared first by calling 800-848-0614 or emailing [email protected]

Includes: Meter, logbook and carrying case

Meter Only

P/N 570001

Includes: Meter, logbook and carrying case

Expression Full Meter Kit

P/N 571100

Includes: Meter, carrying case, logbook, lancing device, lancets, 10 test strips

This site is protected by reCAPTCHA Enterprise and the Google Privacy Policy and Terms of Service apply.

AK-1910-v1 Rev. 06/22