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STI Medication Order Form

Please complete all required fields to place your order for the STI Med Program.  Select the medications needed, and click submit. Once the medication is submitted you will be able to select the required amount.

Azithromycin 250 mg

Doxycycline 100 mg

Ceftriaxone 250 mg with 1% Lidocaine 0.9 ml

Cefixime 400 mg

Bicillin 2.4 million u IM in divided syringes

Bicillin is to be ordered on demand only; it needs to be refrigerated at all times to maintain its cold chain (2 to 8°C). Cooler and ice packs are required for pick-up. 


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