Underground Supply Order Form

BAC Water

Hospira BAC water 30mLBacteriostatic 0.9% benzyl alcohol (exp: October 31 2026)

$5.25 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

Hospira Sterile Water 10mL SDVHospira sterile water 10mL single-dose vial. No bacteriostatic agent added!! Exp: 8-31-2027

$3.00 Quantity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Item subtotal:$0.00

  

Hospira BAC water Sodium Chloride 30mLBacteriostatic 0.9% Sodium Chloride (exp: June 30 2026)

$4.00 Quantity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Item subtotal:$0.00

  

Sodium Bicarbonate, USP, 8.4% 50 mL SDVSodium Bicarbonate, USP, 8.4% 1mEq/mL - 50 mL SDV (exp: 9/2026)

$16.50 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

Lidocaine 2% 20 mg/mL 20mL MDVLidocaine 2% 20 mg/mL 20mL. Multi dose vial. (exp: 11/2027)

$8.00 Quantity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Item subtotal:$0.00

  

GA - Glycerin Acetic Acid BAC 10mL MDV3% glycerin + 1% acetic acid + 0.9% benzyl alcohol. pH = 3. Quantity: 10mL MDV. Commonly used with AOD (aka "AOD water")

$8.99 Quantity 1 2 3 4 5 6 7 8 9 10

  

Starter Kits

Starter Kit 2025Everything you need to get started reconstituting with plenty of BAC. Order this if you do not plan on filtering. Contains: 3x Hospira BAC water 5x Syringe 3mL 23g or 25g 1" Luer Lock 10x Alcohol prep pads.

$18.25 Quantity 1 2 3
Item subtotal:$0.00

  

Starter Filtering Kit 13mm 2.0Everything you need to get started filtering with BAC, PES filters, and all the trimmings. Contents: 3x Hospira BAC water + 5x 13mm 0.22um PES filter, 5x 3mL empty sterile vial, 5x 3mL syringe barrel, 5 x 25g 1.5" needle, 5x 25G 5/8" needle, and then for venting also included 5x 30G 1/2" needle and 5x 13mm 0.22um PES filters - both yellow in color for easy identification). Version 2.0 (updated kit). Order this kit if you wish to filter. Only one starter kit is needed.

$38.25 Quantity 1 2 3
Item subtotal:$0.00

  

Starter Filtering Kit 4mm 2.0Everything you need to get started filtering with BAC, PES filters, and all the trimmings. Contents: 3x Hospira BAC water + 5x 4mm 0.22um PES filter, 5x 3mL empty sterile vial, 5x 3mL syringe barrel, 5x 25g 1.5" needle, 5x 25G 5/8" needle and then for venting also included 5x 30G 1/2" needle and 5x 13mm 0.22um PES filters - both yellow in color for easy identification). Version 2.0 (updated kit). Order this kit if you wish to filter. Only one starter kit is needed.

$40.25 Quantity 1 2 3
Item subtotal:$0.00

  

Pen Starter KitPen starter kit: 3x BAC water, 5x cartridges, 5x 25g 5/8" syringe, 5x vent needles, 20x31g 8mm pen needle, and 5x31g pen needles for purging. NOTE: Needle brand may vary. Pen not included.

$26.75 Quantity 1 2 3
Item subtotal:$0.00

  

Pen Starter Kit + Filtering 13mm 2.0Starter kit for those who want to filter, but are also using an injection pen! Everything you need to get started filtering with BAC, PES filters, pen cartridges, pen needles etc etc. [Pen not included!!] Contents: 3x Hospira BAC water + 5x 25g 5/8" 3mL syringe for recon + 5x PES filter 13mm 0.22um + 5x pen cartridge + 5x 3mL syringe barrel + 5x 25g 1.5" needle + 5x 25g 5/8" needle + 5x 30g 1/2" vent needle + 5x 13mm 0.22um PES filter for filtering the vent needle + 20x pen needles 31g 8mm + 5x pen needles 31g for purging. Version 2.0 (updated kit)

$38.90 Quantity 1 2 3
Item subtotal:$0.00

  

Pen Starter Kit + Filtering 4mm 2.0Starter kit for those who want to filter, but are also using an injection pen! Everything you need to get started filtering with BAC, PES filters, pen cartridges, pen needles etc etc. [Pen not included!!] Contents: 3x Hospira BAC water + 5x 25g 5/8" 3mL syringe for recon + 5x PES filter 4mm 0.22um + 5x pen cartridge + 5x 3mL syringe barrel + 5x 25g 1.5" needle + 5x 25g 5/8" needle + 5x 30g 1/2" vent needle + 5x 13mm 0.22um PES filter for filtering the vent needle + 20x pen needles 31g 8mm + 5x pen needles 31g for purging. Version 2.0 (updated kit)

$40.90 Quantity 1 2 3
Item subtotal:$0.00

  

Pen accessories

Pen V1 80UInjector Pen V1 version - 80U thin.

$17.99

Color	Quantity
Blue	1 2 3 4 5
Green	1 2 3 4 5
Raspberry	1 2 3 4 5
Champagne	1 2 3 4 5
Dark Blue	1 2 3 4 5

Item subtotal:$0.00

  

M4 rubber washers 8-pack (for V1 pen) 8-packs of M4 rubber washers used with V1 pens to get the stopper all the way up and dispense that last shot properly. Other pens do not require this. ***SPECIALTY ITEM*** - if purchasing only this item and nothing else, ignore the form total and pay only $2.95 which includes shipping. If other items are being purchased at same time, follow the total amount shown on the form (normal shipping).

$2.19 Quantity 1 2 3

  

Pen V2Injector Pen V2 version - limited stock offered for convenience. NOTE: Vegas Gold is the darker one than the Champagne Gold.

$16.99

Color	Quantity
Blue	1 2 3 4 5
Champagne Gold	1 2 3 4 5
Pink	1 2 3 4 5
Turquoise	1 2 3 4 5
Red	1 2 3 4 5
Gray	1 2 3 4 5
Silver	1 2 3 4 5
Vegas Gold	1 2 3 4 5
Purple	1 2 3 4 5
Black	1 2 3 4 5
Light Blue	1 2 3 4 5

Item subtotal:$0.00

  

Pen cartridges 3mL 10ctPack of 10 - Pen cartridges 3mL. Individually wrapped.

$6.50 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

Pen Needle Sampler 10ctPen Needle Sampler - try before you commit to a big box. A set of 10 needles contains 2x EasyTouch 31g 8mm, 2x BD PentaPoint 31g 8mm, 2x TRUEPlus 5-bevel 31g 8mm, 2x MedtFine 31g 8mm, and 2x Gluco-Care 32g 6mm

$2.99

  

Pen Needles 31g 5/16" 8mm BD Micro-Fine Plus PentaPoint 100ctBox of 100 - 31g 5/16" (8mm) BD Micro-fine PentaPoint pen needles - BD brand (Premium).

$23.99 Quantity 1 2
Item subtotal:$0.00

  

Pen Needles 31g 5/16" 8mm TRUEPlus 5-bevel 100ctBox of 100 - 31g 5/16" (8mm) TRUEplus 5-bevel pen needles. These feature a unique needle design to help reduce the frequency of painful injections and increase patient acceptance.

$17.49 Quantity 1 2
Item subtotal:$0.00

  

Pen Needles 31g 5/16" 8mm EasyTouch 100ctBox of 100 - 31g 5/16" (8mm) pen needles - Easy Touch brand (Premium). NOTE: These are *not* syringes!!

$17.99 Quantity 1 2
Item subtotal:$0.00

  

Pen Needles 31g 8mm 100ctPen Needles 31g 8 mm - Medt brand 100ct box

$12.99 Quantity 1 2 3 4 5
Item subtotal:$0.00

  

Pen Needles 29g 1/2" 12.7mm EasyTouch 10 ctPack of 10 - 29g 1/2" (12.7mm) pen needles - Easy Touch brand (Premium).

$2.25 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

EasyTouch Luer Lock needle 30g 1/2" 10ctPack of 10 - EasyTouch Luer Locks needle 30g 1/2". Individually wrapped. Typically used for venting.

$2.25 Quantity 1 2
Item subtotal:$0.00

  

EasyTouch Luer Lock needle 27g 1/2" 10ctPack of 10 - EasyTouch Luer Locks needle 27g 1/2". Individually wrapped. Typically used for venting.

$2.25 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

Alcohol Prep Pads, Thick Alcohol Swabs 100ctAlcohol Prep Pads, Thick Alcohol Swabs 100ct box

$2.99 Quantity 1 2 3 4 5 6 7 8
Item subtotal:$0.00

  

Filtering

Filter kit 13mm 0.22um 5-packPack of 5 - sufficient to filter five vials. Contents: 5x 13mm 0.22um PES filter, 5x 3mL empty sterile vial, 5x 3mL syringe barrel, 5 x 25g 1.5" needle, and 5x 25G 5/8" needle, and then for venting also included 5x 30G 1/2" needle and 5x 13mm 0.22um PES filters - both yellow in color for easy identification. NOTE: This is the core of the Starter filter kit minus the BAC.

$23.75 Quantity 1 2 3 4 5
Item subtotal:$0.00

  

Filter kit 4mm 0.22um 5-packPack of 5 - sufficient to filter five vials. Contents: 5x 4mm 0.22um PES filter, 5x 3mL empty sterile vial, 5x 3mL syringe barrel, 5x 25g 1.5" needle, 5x 25g 5/8" needle, and then for venting also included 5x 30G 1/2" needle and 5x 13mm 0.22um PES filters - both yellow in color for easy identification.

$25.75 Quantity 1 2 3 4
Item subtotal:$0.00

  

PES Syringe Filter, 0.22 um, 13mm, Luer-Lok/Luer Slip, Sterile PES Syringe Filter, 0.22 um, 13mm, Luer-Lok/Luer Slip, Sterile. Individually wrapped.

$1.29 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

PES Syringe Filter, 0.22 um, 4mm, Luer-Lok/Luer Slip, Sterile PES Syringe Filter, 0.22 um, 4mm, Luer-Lok/Luer Slip, Sterile. Individually wrapped.

$1.49 Quantity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Item subtotal:$0.00

  

EasyTouch Luer-Lock Syringe Barrel 3mL 5ctPack of 5 - EasyTouch Luer-Lock Syringe Barrel 3mL . Needle sold separately.

$2.25 Quantity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Item subtotal:$0.00

  

BD Luer-Lock Syringe Barrel 3mL 5ctPack of 5 - BD Luer-Lock Syringe Barrel 3mL . Needle sold separately.

$2.25 Quantity 1 2 3 4
Item subtotal:$0.00

  

EasyTouch Luer-Lock Hypodermic Needle 25g 1.5" 10ctPack of 10 - EasyTouch Luer Lock Hypodermic Needle 25g 1.5" Individually wrapped.

$2.25 Quantity 1 2 3 4 5
Item subtotal:$0.00

  

Dynarex Luer-Lock Hypodermic Needle 25g 1.5" 10ctPack of 10 - Dynarex Luer Lock Hypodermic Needle 25g 1.5" Individually wrapped.

$1.75 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

EasyTouch Luer-Lock Hypodermic Needle 25g 1" 10ctPack of 10 - EasyTouch Luer Lock Hypodermic Needle 25g 1" Individually wrapped.

$2.25 Quantity 1 2 3 4 5
Item subtotal:$0.00

  

EasyTouch Luer-Lock Hypodermic Needle 25g 5/8" 10ctPack of 10 - EasyTouch Luer Lock Hypodermic Needle 25g 5/8" Individually wrapped.

$2.25 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

Dynarex Luer-Lock Hypodermic Needle 25g 5/8" 10ctPack of 10 - Dynarex Luer Lock Hypodermic Needle 25g 5/8" Individually wrapped.

$1.75 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

BD Syringe 3mL 25g 1" Luer Lock 5ctPack of 5 - Syringe 3mL 25g 1" needle Luer Lock Individually sealed packed. Brand BD

$2.09 Quantity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Item subtotal:$0.00

  

Sterile Empty Vial 3mLSterile Empty Vial 3mL. Individually wrapped.

$1.75 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

Sterile Empty Vial 5mLSterile Empty Vial 5mL. Individually wrapped.

$1.75 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

Sterile Empty Vial 10mlSterile Empty Vial 10mL. Individually wrapped.

$1.89 Quantity 1 2 3 4 5 6 7 8 9 10

  

Vial Spike "Adapter" (with shroud)Vial Spike Adapter with shroud

$2.64 Quantity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Item subtotal:$0.00

  

Vial Spike CLAVEVial Spike CLAVE (no shroud)

$2.34 Quantity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Item subtotal:$0.00

  

pH Test Strips, 80 Strips Full Range 1-14 Universal pH test Paper Litmus PaperpH Test Strips, 80 Strips Full Range 1-14 Universal pH test Paper Litmus Paper

$2.25 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

Vial OpenerMini vial opener

$1.75 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

Syringes

EasyTouch Insulin Syringe 31G 1mL 1cc 5/16" (8mm) 10ctSALE!!! Pack of 10 - EasyTouch U-100 Insulin Syringe with Needle, 31G 1cc 1mL 5/16-Inch (8mm)

$2.25 Quantity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Item subtotal:$0.00

  

EasyTouch Insulin Syringe 30G 1mL 1cc 5/16" (8mm) 10ctSALE!!! Pack of 10 - EasyTouch Insulin Syringe 30G 1mL 1cc 5/16" (8mm)

$2.25 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

EasyTouch Insulin Syringe 29G 1mL 1cc 1/2" (12.7mm)SALE!!! Pack of 10 - EasyTouch Insulin Syringe 29G 1mL 1cc 1/2" (12.7mm)

$2.25 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

EasyTouch Insulin Syringe 31G 0.5mL 0.5cc 5/16" (8mm) 10ctSALE!!! Pack of 10 - EasyTouch U-100 Insulin Syringe with Needle, 31G 0.5cc 0.5mL 5/16-Inch (8mm)

$2.25 Quantity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Item subtotal:$0.00

  

EasyTouch U-100 Luer-Lock Syringe Barrel 1mL (5ct)Pack of 5 - EasyTouch U-100 Insulin Luer-Lock Syringe Barrel 1mL. Individually wrapped. Needle sold separately.

$2.19 Quantity 1 2 3 4 5 6 7 8
Item subtotal:$0.00

  

BD Luer-Lock Syringe Barrel 3mL 5ctPack of 5 - BD Luer-Lock Syringe Barrel 3mL . Needle sold separately.

$2.25 Quantity 1 2 3 4
Item subtotal:$0.00

  

EasyTouch Luer-Lock Syringe Barrel 3mL 5ctPack of 5 - EasyTouch Luer-Lock Syringe Barrel 3mL . Needle sold separately.

$2.25 Quantity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Item subtotal:$0.00

  

EasyTouch Luer-Lock Syringe Barrel 5mL 5ctPack of 5 - EasyTouch Luer-Lock Syringe Barrel 5mL . Needle sold separately.

$3.09 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

BD Syringe 3mL 25g 1" Luer Lock 5ctPack of 5 - Syringe 3mL 25g 1" needle Luer Lock Individually sealed packed. Brand BD

$2.09 Quantity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Item subtotal:$0.00

  

BD Syringe 3mL 23g 1" Luer Lock 5ctPack of 5 - Syringe 3mL 23g 1" needle Luer Lock Individually sealed packed. Brand BD

$2.09 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

EasyTouch Luer-Lock Hypodermic Needle 25g 1" 10ctPack of 10 - EasyTouch Luer Lock Hypodermic Needle 25g 1" Individually wrapped.

$2.25 Quantity 1 2 3 4 5
Item subtotal:$0.00

  

EasyTouch Luer-Lock Hypodermic Needle 25g 5/8" 10ctPack of 10 - EasyTouch Luer Lock Hypodermic Needle 25g 5/8" Individually wrapped.

$2.25 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

EasyTouch Luer Lock needle 27g 1/2" 10ctPack of 10 - EasyTouch Luer Locks needle 27g 1/2". Individually wrapped. Typically used for venting.

$2.25 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

Luer Lock needle 29g 1/2" 10ct Pack of 10 - Luer Lock needle 29g 1/2". Individually wrapped.

$1.50 Quantity 1 2 3 4 5 6 7 8
Item subtotal:$0.00

  

EasyTouch Luer Lock needle 30g 1/2" 10ctPack of 10 - EasyTouch Luer Locks needle 30g 1/2". Individually wrapped. Typically used for venting.

$2.25 Quantity 1 2
Item subtotal:$0.00

  

Luer Lock needle 30g 5/16" (8mm) 10ctPack of 10 - Luer Lock needle 30g 5/16" (8mm). Individually wrapped. Typically used for venting or administering.

$2.00 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

BD Blunt fill needle with 5 micron filter 18g 1.5" 5ctPack of 5 - BD Blunt fill needle with 5 micron filter. 18g 1.5"

$4.79 Quantity 1 2 3 4 5 6

  

*SHORT DATE* BD Syringe 3mL 23g 1" Luer Lock 5ct***SHORT DATED - EXP: 9/30/2025*** Pack of 5 - Syringe 3mL 23g 1" needle Luer Lock Individually sealed packed. Brand BD

$1.39 Quantity 1 2 3 4 5 6 7 8 9 10
Item subtotal:$0.00

  

Shipping

ShippingSelect the shipping method - US ONLY!!! DO NOT USE FORM FOR INTL ORDERS!!!

$6.95 Economy (USPS GA) UPS Ground ($10.95) USPS Priority ($10.95)