disclaimer - Florida Podiatric Medical Association

InIn-Office Dispensing to
Enhance Patient Care
SAM
Saturday,
Saturday, January 23, 2010
Orlando, Florida
z Hal
Ornstein, DPM, FASPS
z AAPPM Chairman
z Private Practice for 20 years
z Howell, New Jersey
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DISCLAIMER
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Foot Care Solutions – office of John Guiliana, DPM, MS
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Foot Health Products
z Emollients/Moisturizers
z Drying
Agents
arch supports
z Palliative supplies
z Post surgical/Injury care items
z Topical and oral prescription medications
z Prefabricated
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Items Dispensed
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Amerigel
Creams for dry skin
Creams for heel fissures
Pads
Topical antifungal for
onychomycosis
Pumice stone
OTC insoles
Cast Guards
Digital alignment splints
Crocs shoes
Foot rollers
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Topical analgesic
Topical wart treatment
Antifungal cream
Antifungal shoe spray
Spray and topicals for
hyperhidrosis
Shoe powder for bromohidrosis
Topical scar medication
Compressive stockings
Digital splints
Nail restoration
Thera-Band
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SKIN
CARE
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Gold Standard for Dry Skin
Gormel Crè
Crème – 4 oz (20% Urea)
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Heel Fissures
Calicylic Crè
Crème
5% Salicylic Acid and 10% Urea
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Venous Stasis Discoloration
(purpura)
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What is in Amerigel Care Lotion?
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Dimethicone
Urea (moisturizes)
micronized Zinc Oxide (protects the skin)
Oakin (antimicrobial/antifungal, exfoliant and
keratolytic agent)
How does Amerigel Lotion work?
It is believed that the Oakin in combination with
micronized zinc (most creams have larger zinc
molecules), helps accelerate the break-up of the
iron deposits (hemosiderin), allowing body to
reabsorb the minute iron fragments
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Amerigel Care Lotion
•
particularly effective for dryness in the
ankle and lower extremity for patients with
venous stasis and associated discolorization
(purpura).
• This is also an anti-fungal, anti-microbial,
and anti-inflammatory.
• This is one of the few lotions that is
dimethicone-based and can be put in web
spaces without worry of maceration.
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Use of Biofreeze
z Heel
z Plantar
Pain
Fasciitis
z Capsulitis/bursitis
z Post-op
z Neuroma
z Neuropathy
z Tendonitis
z Severe’s
z Ankle
z Post-fracture
synovitis
z Bunion pain
Disease
z Gout
*** tell patients to wash hands after use
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Which type of
Biofreeze to use in
different clinical scenarios
1. On boney prominences use Biofreeze
gel or spray.
2. On soft tissue use Biofreeze roll on.
3. If patient can not reach their feet use
Biofreeze spray and for neuropathy.
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BioFreeze
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Diabetic Peripheral Neuropathy
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Caution
Be sure to have
patients wash their hands
after each use of the
Biofreeze gel
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Foot Exercises Utilizing Thera-Band® Bands
Thera-Band Ankle Eversion
Sit in chair. Loop the middle of the
band around foot to be exercised.
Stabilize the band under your other
foot and grasp the ends of the band.
Push your foot outward against the
resistance of the band. Slowly return.
Tip: Don't rotate your knee to complete
the motion.
Thera-Band Toe Flexion
Place band over sole of foot with one end under
the heel and the other over the toes and take up
the slack. Crunch the toes downward into band.
Hold and slowly return.
Thera-Band Ankle
Plantarflexion
Thera-Band Ankle
Dorsiflexion (Foot Raises)
Sit in a chair. Wrap the
middle of the band around
your foot. Grasp the ends
of the band at your waist,
taking up the slack. Push
your foot down into the
band. Hold and slowly
return.
Sit in a chair. Wrap the middle of
the band around the foot of the
ankle you are exercising. Place
the ends of the band under the
opposite foot to stabilize the
band. Grasp the ends of the
band at your opposite knee. Lift
your foot upward against the
band. Hold and slowly return.
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TheraThera-Band® Foot Roller
A better stretching and massaging alternative!
Research has shown that stretching is beneficial as a treatment for plantar fasciitis.
The new Thera-Band Foot Roller offers a more professional and functional tool over homemade options such
as frozen water bottles or golf balls.
Packaged for resale and complete with usage instructions, the Foot Roller is easy for patients to use and
simple for practitioners to dispense.
Stretching -- stretch the plantar fascia and toes to increase flexibility
Massaging – massage for therapeutic relief from sore, tired feet
Cooling – chill or freeze to help reduce inflammation and pain
Foot Massage
Toe Stretch
• Ridged design delivers foot massage
• Hollow core helps match any foot
• Slip resistant, won’t scratch floors
• Biofreeze® Pain Relieving Gel sample included
• Packaged for resale
• Can be chilled or frozen for greater relief
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Amerigel PostPost-op Surgical Kit
z Amerigel
Wound Dressing
z Amerigel Wound Wash
z 2 x 2 gauze
z 1” x 3” bandaids
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Amerigel will make nail surgery instruction
sheets personalized for your office
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Is Amerigel Covered
for Matrixectomies
through DEMRC?
No. And have patient
sign an Advanced
Beneficiary Notice.
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Treatment for Onychomycosis
z Gordochom
Solution
(Undecylenic Acid 25%)
z Keralac Nail Stik
Apply in combination
with Keralac used first
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Undecylenic Acid 25%
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Uramaxin Gel
(www.medimetricks.com)
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z 45% Urea in a vehicle containing Menthol, Camphor and Eucalyptus Oil
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z 45% Urea Nail Gel – Debrides damaged nails – Penetrates the intercellular matrix – Decreases nail thickness and softens damaged nails
z Unique vehicle contains natural ingredients Menthol, Camphor and Eucalyptus Oil
– Masks odor caused by fungal and bacterial infections – Eases patient concerns
For more information, visit www.medimetriks.com.
z Provided in a large 28 ml bottle
To request a visit by a Medimetriks Sales Representative,
www.aappm.com
please call (973) 882-7512.
Keryflex Nail Restoration
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About Keryflex™
The KeryFlex™ System is a product offering of Wilde Corporation of
Germany which was founded in 1914 to develop and produce highquality synthetic resin systems initially for dental applications. Today,
Wilde is renowned for self-hardening and light-cured materials for
dental and orthoplastic techniques as well as nail restoration. Wilde
produces materials that are compatible with bone, skin, and nails,
durable, natural looking and easy to apply.
Composite patented resin gel
Insoluble to water
Seals prepared nail bed
Available in three colors: pastel, clear and natural
Responsive to a specific wavelength of ultraviolet light
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Keryflex Nail Restoration
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About Keryflex™
The KeryFlex™ System is a product offering of Wilde Corporation of
Germany which was founded in 1914 to develop and produce highquality synthetic resin systems initially for dental applications. Today,
Wilde is renowned for self-hardening and light-cured materials for
dental and orthoplastic techniques as well as nail restoration. Wilde
produces materials that are compatible with bone, skin, and nails,
durable, natural looking and easy to apply.
Composite patented resin gel
Insoluble to water
Seals prepared nail bed
Available in three colors: pastel, clear and natural
Responsive to a specific wavelength of ultraviolet light
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Keryflex Nail Restoration
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Works by
Creating a flexible, nonporous artificial nail, allowing remaining natural nail to re-grow
Possible improvement of nail infection via non-permeable resin nail barrier
Providing optimal cosmesis during oral antifungal therapy
Providing optimal cosmesis for non-treatable dystrophic nail disorders
Looking and feeling completely natural
Delivering a variety of hues to match natural nail bed
Unaffected by acetone, nail polish, detergents
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Dr.’
Dr.’s Remedy’
Remedy’s
Antifungal Nail Polish
¾
¾
¾
¾
Antifungal nail polish available in 11 colors and clear
Uniquely enriched with ingredients, such as tea tree oil and
garlic bulb extract, which are naturally occurring anti-fungal,
antibacterial, and healthier for the nail
Free from formaldehyde, toluene and DBP
On-line media kit provided
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Dr.’
Dr.’s Remedy’
Remedy’s
Antifungal Nail Polish
Directions for use
z Apply
2 coats to affected nails twice a week
old polish with any nail polish
remover before reapplication
z If used as a preventive measure or in
conjunction with oral medication, it is only
necessary to remove and reapply once a
week.
z Remove
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®
APPEAREX®
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Oral therapy for weak, brittle, soft and/or splitting nails
Formulated with 2.5mg biotin
– Clinically proven to stimulate nail keratinization2,4†
– Clinically proven to strengthen nails and improve
nail quality2,3,5-6
Once-daily dosing and small, easy-to-swallow tablet size
to facilitate compliance
#1 Dermatologist- and #1 Pharmacist-recommended
product for strengthening nails*
*NDC Health. Brand Management Performance Report. Dec 2005.
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APPEAREX®: Efficacy
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APPEAREX®:
Product Information
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Course of Therapy
- Biotin is a member of the B complex family of
vitamins
– One small, easy-to-swallow tablet daily
– 3 to 6 months’ time to improvement
– APPEAREX® is a continuous therapy; if
discontinued, nails may become unhealthy again
Product Specifics
– One box of APPEAREX® contains 28 tablets (4
weeks supply) or 84 tablets (12 weeks supply)
Physician Pricing
– Four Week Supply $8.39
– Twelve Week Supply $14.39
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Antifungal Spray for shoes
Mycomist
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Mycomist
Fungicidal, Sanitizing Deodorant
Spray for Shoes and Boots
Chlorophyll, Formaldehyde Solution,
Benzalkonium Chloride in an aqueous base
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ProTech Classic Plus
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ProTech 3/4
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ProTech CustomPost
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ProTech Guidelines
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Indications for use of
OverOver-thethe-Counter Arch Supports
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while waiting for custom orthotic devices
for mild conditions
second pair for orthotic wearers for
infrequently worn shoes (continuous therapy)
all diabetics not in need of custom orthotic
devices
affordable option for those who refuse orthotics
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When do we
recommend Crocs?
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Navy
Fuchsia
Chocolate
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Black
Khaki
Sea Blue
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CrocsRx Silver Cloud II •
•
•
•
•
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•
•
•
diabetic feet, impaired circulation, impaired
sensation.
APMA approved and carries the United States ergonomics endorsement.
Anti-bacterial, anti-fungal and odor resistant.
Now available in whole sizes.
Roomy forefoot, no pressure points.
Specifically designed to protect the heel.
Soft sole relieves pressure on feet.
Toe cap protects against stubbing and bruising.
Made from Croslite Ag+.
Available in sizes M2-M13.
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CrocsRx Silver Relief •
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arthritis, plantar fasciitis, heel spurs, feet, bunions
swollen/achy
APMA approved and carries the United States ergonomics endorsement.
Relief from chronic foot odor, athletes’ foot and plantar warts.
Improved foot bed – distributes pressure evenly across your foot.
Anti-bacterial, anti-fungal and odor resistant.
Shock absorbing sole relieves stress on feet, knees, hips and lower back
Roomy forefoot allows comfortable fit with no pressure points, providing relief from bunions
and other foot irregularities.
Ultra soft toe box provides natural forefoot break.
Anatomically designed sole provides natural forefoot break.
Side air portals keep feet cool and dry.
Superior grip and non-marking soles.
Made from Croslite Ag+ material.
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CrocsRx Silver Soft Insoles•
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ultra-sensitive feet, plantar warts, athlete’s foot,
heel pain, arthritis and extra cushion for sports.
APMA approved
Anti-bacterial, anti-fungal and odor resistant.
Soft, shock-absorbing foot bed relieves stress on feet, knees, hips and lower back.
Orthotic heel cup.
Ideal for athletic recovery.
All day comfort.
Fits: Sneakers, Casual Shoes, Dress Shoes, and Work Boots.
Helps you stay on your feet longer.
Trim to fit; won’t crowd toes.
Increase walking comfort.
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CrocsRx Referral Program
Whether you dispense CrocsRx™ products from your office or not, you
can now generate additional revenue for your clinic with the CrocsRx™
Doctor Referral Program.
How it works:
¾ When you sign up as a Referral Partner of CrocsRx™ products, you
are given an account number (physician’s code) and a CrocsRx™
Referral Pad.
¾ When you see that a patient will benefit from one of the CrocsRx™
products:
¾ You tear off a referral slip
¾ Mark the appropriate product
¾ Write your physician’s code in the appropriate box
¾ Direct them to www.crocsrx.com
¾ Your patient will order the product on-line, enter your account number
(physician’s code) and receive free shipping.
¾ You will receive a $7 credit for each pair ordered under your account
number.
¾ Checks are issued 30 days after the end of the month.
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CrocsRx Referral Program
What if I already dispense CrocsRx™ products?
¾ Great! You are maximizing your profitability from CrocsRx™ shoes
by dispensing product from your office, rather than referring
patients to the CrocsRx™ website.
¾ You may opt to do both and use the Referral Program to supplement
your current dispensing program.
Everybody Wins
¾ Your Patients win because they save $9.95 on their CrocsRx™
shoe order by receiving free shipping.
¾ The Referral Doctor wins by getting the right product on their
patients’ feet and receiving a referral fee without carrying any
inventory.
¾ The Dispensing Doctor continues to maximize profitability by
selling product from their office, and has a back-up,
profitable option when inventory is low by sending patients to
www.crocsrx.com
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CrocsRx Referral Program
Get signed up today
¾ Fill out the CrocsRx Physician Referral Program Agreement.
¾ Fax it to 303-848-7025 or email it to [email protected] .
¾ CrocsRx will process your request and mail you a CrocsRx™
Referral Program Welcome kit that will include:
¾ Information on the program
¾ Instructions for your patients to follow to purchase
product on-line.
¾ A referral pad with your account number (physician’s
code).
¾ For more information, contact CrocsRx:
[email protected] or call 303-848-7399
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Hyperhidrosis is
one of the most
under-treated conditions
we see as podiatrists
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t
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Hyperhidrosis (780.8)
Bromohidrosis (705.89)
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Formadon
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Forma-Ray
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Formadon (10 % formaldehyde)
for initial treatment of mild hyperhidrosis
Forma-Ray (20 % formaldehyde)
for initial treatment of moderate to severe
hyperhidrosis
*** do not use Formadon or Formaray on
children for treatment of hyperhidrosis
ONOX
to control hyperhidrosis
On Your Toes
for use in shoes to control odor
(previous slide from right to left)
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Wart treatment
17 % Salicylic Acid with herbal extracts
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Wart Protocol
1. Three to four days after destruction of
wart begin use of Plantarstat twice-a-day.
2. Apply Formadon to area over and just
around the wart every other day (let dry
before applying the Plantarstat).
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Silipos Pad
Dr. Jills Pads
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Toe Separators
Toe Crest
Universal Gel Strap
Toe Separators
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BunionCare Gel Sleeve
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All Gel Bunion and
Tailor Bunion Cushion
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All Gel Tubing - Small
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Suggest Small (lesser digits)
and Medium (hallux)
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Post-op Bunion
•reduces scaring
•provides compression & cushion
•does not provide alignment
•increased comfort & satisfaction
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Neuropathy?
Think Neuremedy!!
Therapy of First Choice for Neuropathic Patients
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The active ingredient in Neuremedy
has been proven to be safe and
effective…
effective…..for
..for over forty years!
Neuremedy is a specialized benfotiamine
formulation manufactured to
pharmaceutical grade standards
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Neuremedy Dosage
One capsule p.o. BID
With or without meals
Safe to take with medicines and supplements
Contact Realm Laboratories 1-866-MEGAPILL
www.neuremedy.com
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Darco Toe Alignment Splint
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MPJ Capsulitis,
PostPost-op MPJ Release
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Use of Budin Splint
for MPJ Capsulitis
and Overlapping Digits
Single Toe Budin Splint
Double Toe Budin Splint
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Increase Collagenase
Pressure
Silicone
Cortisone
+
Pressure wraps fail. No one wants to walk around looking like Boris Karloff as The Mummy!
+
Neosporin Scar Solution®
Curad Scar Therapy®
Off‐the‐market. Same reason… ugly.
Directly stimulates collagenase
but slow and painful.
Vitamin E
+
=
Down regulates collagenesis
slowing FUTURE scar tissue. Drug‐store capsules are the wrong Vitamin E
Optimal Scar Treatment IF you could get someone to use them!
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Scarguard®
Silicone – Cortisone - Vitamin E
Paint-on liquid dries to a nearly invisible flexible Film
#1 Product dispensed by Plastic Surgeons since 2001
Many papers show it works
Helps prevent scar tissue formation post surgery or
injury
Shrinks old scars if raised
Order Scarguard at 917-589-4073
or email [email protected]
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Dry Pro™ Pro Pump Cast
Protectors
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Vacuum Cast Protector
(ask for at Moore Medical)
*** not the exact product shown below
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Contact Information
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Merz (Mederma) 800-334-0514 ***
McCoy Enterprises (Happy Feet Buffing Pad) 800-8437864 ***
www.mccoyfootcare.com
On Your Toes (bromidrosis)
800-726-5790 *** www.footodor.com
Onyx (hyperhidrosis)
1-800-533-6669 *** www.onox-inc.com
Dr. Jills Footpads 866866-366366-8723 ***
www.DrJillsFootPads.com (order direct)
(*** must order directly from company)
(+++ can order directly or through distributor)
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Contact Information (cont.)
z Gordon
Laboratories
800-356-7870 www.gordonlabs.com
z Amerx Health Care (Amerigel)
800-448-9599 +++ www.amergel.com
z Stable Step (Powerstep)
888-237-3668 +++ www.powersteps.com
z Performance Health (Biofreeze)
800-246-3733 www.biofreeze.com
www.aappm.com
Contact Information (cont.)
z Moore
Medical Corporation
888-224-8290 www.mooremedical.com
z Universal Footcare Products, Inc.
847-564-1000
www.universalfootcare.com
z Realm Laboratories
866-MEGAPILL *** www.neuremedy.com
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Contact Information (cont.)
z CROCS
303-567-7821 *** www.crocsrx.com
z Aetrex (direct and through shoe
distributors)
201-833-2700 www.aetrex.com
z Scarguard
917-589-4073 *** www.scarguard.com
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Contact Information (cont.)
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Toe Loops 888-378-7763 (check website on where to
order)
www.3pointproducts.com
Dr.'s REMEDY® Enriched Nail Polish (AdWill Labs,
Inc.) 877-323-NAIL ***
www.remedynails.com
K & J Distributing (Ice Packs)
800-234-8325 ***
Keryflex Nail Restoration
888-763-2382 *** www.keryflex.com
www.aappm.com
www.aappm.com
[email protected]
732732-905905-1110
www.aappm.org
Thank you!!!
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