Pharmacy/Clinc Name: Purchase Order # (if necessary): Phone #: Fax #: HOW WOULD YOU LIKE YOUR ORDER TO BE SHIPPED? Ground Standard 4 Days or Less Will Call HOW WOULD YOU LIKE YOUR FAX ORDER TO BE CONFIRMED? Phone Fax or E-mail E-mail Address: Phone in your order to 281-602-3492 Fax this sheet to 832-827-2125. E-mail to Orders@cinapharma.com TERMS & PAYMENT METHODS: Cash on delivery (COD), Credit Card (VISA, MasterCard, American Express and Discover). No Returns will be accepted at this time 10001 5-HTP / Standardized Griffonia Extract 100 mg 30 $17.50 10342 5-MTHF 1 mg 60 $26.50 10003 Acetyl-L-Carnitine / 500 mg 30 $22.50 10271 Active Life Nutrient Capsules 60 $35.00 10244 AdreBoost-NG 60 $28.00 10337 Adrenal Health, Glandular 60 $24.00 10291 Aller Calm Complex 90 $46.20 10006 Alpha Lipoic Acid / 100 mg 60 $20.30 10322 Alpha Lipoic Acid / 300 mg 60 $34.00 10010 AntiOxidant Essentials / with Vitamins C & E 90 $32.90 10346 Balanced Meal Complete Chocolate 1.1 lb $47.50 10345 Balanced Meal Complete Vanilla 1 lb $47.50 10281 Berberine Support 60 $40.50 10012 Beta-Carotene / 25,000 IU / Natural Mixed Carotenoids 60 $17.80 10014 Bilberry Plus / 60 mg Standardized Extract with Bioflavonoids 60 $25.90 10317 BioDIM I-3-C Complex 60 $68.00 10015 Black Cohosh Plus / 40 mg Standardized Extract with Dong Quai 120 $19.40 10016 Bone Health Support / with Ipriflavone, Soy & Calcium 120 $26.95 Eff. 01/13/17 Page 1 of 5
10198 Brain Calm 60 $33.90 10019 Brain Health Support / with Ginkgo Biloba & Phosphatidyl Serine 60 $31.90 10283 Branch Chain Amino Acids (BCAA) 330 gm $53.50 10021 Bromelain / 400 mg / Proteolytic Enzyme 60 $23.90 10328 Buffered Vitamin C 1000 mg 100 $22.00 10023 Buffered Vitamin C Powder 246 gm $35.20 10327 Calcium & Magnesium Citrates 100 $21.00 10024 Calcium & Magnesium Plus / with Boron & Vitamin D 250 $25.00 10029 Cardio Health Support / with Hawthorn & CoQ10 60 $36.00 10227 Children's Acidophilus / Grape Flavor 60 $19.00 10323 Children s Chewable Vitamin with Acidophilus 120 $29.50 10036 Chromium Picolinate / 200 mcg 90 $11.90 10037 Citrus Bioflavonoids Complex / 1000 mg 100 $15.40 10245 CoEnzyme-B 50 $22.00 10039 CoEnzyme Q10 / 50 mg 30 $16.10 10038 CoEnzyme Q10 / 100 mg 30 $27.70 10352 CollaSkin Plus NEW 180 gm $59.75 10042 Cranberry Concentrate / 400 mg with Vitamin C 60 $21.60 10344 Crave Control 180 $44.00 10251 Curcumin Complex 60 $29.50 10045 DHEA 25 mg / Dehydroepiandrosterone 90 $16.00 10046 DHEA 50 mg / Dehydroepiandrosterone 100 $40.50 10275 DHEA Spray / 5 mg Liposomal Delivery System 1 oz $24.50 10305 Diabetes Balance (RF) 60 Caps 60 $33.00 10307 Diabetes Balance (RF) 120 Caps 120 $56.00 10300 Diet Support with Garcinia Cambogia 90 $32.00 10315 Digestive Enzymes with Betaine 90 $23.75 10292 Digestive Enzymes (Vegetarian) 60 $24.95 10049 Echinacea & Goldenseal Formula 100 $28.00 10052 Essential Minerals / with Trace Elements 100 $19.95 10054 Essentials / MultiVitamin & Mineral / No Iron 60 $34.00 10055 Essentials Performance / MultiVitamin & Mineral 90 $44.00 10331 Essentials Plus with Iron 90 $49.00 10058 Evening Primrose Oil / 1300 mg 60 $23.75 10224 Extra Strength Probiotic / 35 Billion 30 $42.90 10274 Eye Health 90 $56.90 10060 Fiber Blend / Natural Mix of Soluble Fibers 120 $27.90 Eff. 01/13/17 Page 2 of 5
10062 Flax Seed Oil / 1000 mg / 100% Organic / Lignan Rich Virgin Oil 90 $18.50 10063 Folic Acid / 800 mcg with Vitamin B-12 200 $12.50 10246 FOS Powder 4 oz $30.40 10351 Fruits & Greens Energy Drink 10.75 oz $49.50 10358 GABA Calm NEW 60 $27.00 10065 Ginkgo Biloba / 120 mg 50 $25.50 10070 Glucosamine & Chondroitin Plus / with Vitamin C & Bromelain 60 $27.60 10071 Glucosamine & Chondroitin Plus / with Vitamin C & Bromelain 180 $69.50 10333 Glucosamine & MSM (RF) 120 $39.00 10074 Glucosamine Sulfate / 750 mg 60 $27.50 10324 Gluten Digestive Enzymes 60 $30.50 10077 Grape Seed / Standardized Extract 100 mg with Red Grape Skin 30 $23.30 10079 Green Tea / Standardized Extract 300 mg 60 $25.00 10320 Green Tea-70 High Concentration EGCg 60 $49.00 10312 Hair, Skin and Nails 90 $25.00 10082 Hawthorn Berry Extract / 100 mg 120 $18.80 10357 Herbal Intestinal Cleanse / Orange NEW 11.77 oz $44.00 10350 High Performance Drink 15.2 oz $65.00 10084 Horsechestnut / Standardized Extract 300 mg 90 $21.00 10309 Hyaluronic Acid 60 $42.70 10086 Immune Health Support / with Echinacea & Astragalus 60 $30.80 10319 Immuno-DMG Chewable 120 $66.00 10318 InflamMove 90 $34.50 10256 Inositol Powder 4 oz $31.50 10090 Iron / 25 mg as Amino Acid Chelate & Gluconate 100 $9.90 10091 Joint Health Support / with Glucosamine & MSM 90 $29.50 10093 Kelp / Supplies 225 mcg Iodine 500 $19.50 10284 L-Arginine 500 mg 100 $21.60 10095 L-Carnitine / 500 mg with Vitamin B-6 30 $23.75 10096 L-Glutamine / 500 mg 100 $18.70 10097 L-Glutamine / Powder 300 gm $39.00 10099 L-Lysine / 500 mg 100 $12.39 10226 L-Theanine 60 $26.90 10287 Libido Health 90 $39.90 10325 Liposomal Glutathione 250 mg 60 $84.00 10348 Liver Detox Phase I & II 120 $42.00 10100 Lutein Plus / 20 mg 30 $22.50 Eff. 01/13/17 Page 3 of 5
10303 Magnesium Chelate 400 mg 90 $25.75 10343 Magnesium Glycinate / 1000 mg 100 gm $16.95 10349 Magnesium & Potassium Aspartate 299 mg 90 $28.75 10253 Male Virility Support 60 $30.00 10306 Marine Fish Oil 1000 mg 100 $20.00 10106 Melatonin / 3 mg Long Acting 60 $20.00 10107 Melatonin / 3 mg with Vitamin B-6 60 $10.00 10316 Melatonin Liposomal Spray 1 oz $22.00 10270 Memory Plus 60 $56.00 10108 Menopause Support / with Isoflavones and Black Cohosh 60 $29.95 10353 Metal-Elim 270 $48.95 10302 Methyl B-12 Lozenges 3,000 mcg 50 $25.50 10304 Methylcobalamin B-12 Spray 1 oz $35.90 10290 Migraine Clear 120 $48.50 10110 Milk Thistle Plus / 175 mg Standardized Extract with Artichoke 60 $20.00 10111 Mood Health Support / with St. John's Wort 60 $21.00 10112 MSM / Methylsulfonylmethane 1000 mg 60 $15.90 10228 NAC / 600 mg 60 $21.90 10336 Neo40 Pro 30 $60.95 10113 Niacin / Vitamin B-3 / 100 mg 100 $9.95 10354 Niacin Sustained Release / 500 mg 100 $23.90 10340 Nitric Oxide Indicator Strips (25-Count) 25 strips $39.95 10313 Omega-3 Fish Oil, Enteric Coated, High Potency 60 Ct 60 $22.00 10314 Omega-3 Fish Oil, Enteric Coated, High Potency 120 Ct 120 $37.00 10355 Omega-3 Liquid Lemon 150 ml $28.90 10118 Omega Max / Complete Essential Fatty Acid Formula 60 $21.00 10119 Pantothenic Acid / 500 mg 100 $17.90 10250 Perfect E 30 $33.50 10282 Perfect Protein Powder 510 gm $39.90 10120 Phosphatidyl Serine Complex / 500 mg 30 $31.00 10122 Potassium / 99 mg as Amino Acid Chelate 250 $19.75 10297 Prenatal Plus 120 $30.00 10295 Probiotic Extra Strength DF / 52 Billion CFU 60 $71.00 10296 Probiotic Mega Blend DF 120 $45.00 10310 Probiotic Daily Support 60 Capsules 60 $22.70 10311 Probiotic Daily Support 120 Capsules 120 $41.00 10126 Prostate Health Support / with Saw Palmetto & Nettle 60 $30.95 Eff. 01/13/17 Page 4 of 5
10308 Pyridoxal-5-Phosphate 60 $18.50 10128 Quercetin Plus / 500 mg with Vitamin C & Turmeric 50 $28.75 10249 Red Yeast Rice Plus 60 $33.50 10273 Relaxation Formula / Natural Relaxing Formula 60 $23.50 10329 Relora 250 mg 60 $29.00 10301 Resveratrol Plus 200 mg 60 $41.50 10347 Ribose D 300 gm $47.90 10356 Saccharomyces Boulardii 60 $27.95 10130 SAM-e / 200 mg / Enteric Coated 30 $38.50 10335 Saw Palmetto / 320 mg Standardized 90 $29.00 10132 Selenium / 200 mcg as L-Selenomethionine 60 $11.50 10338 Sleep Perfect Formula 60 $39.95 10254 Sleep Support 60 $29.90 10137 Soy Isoflavones / Standardized Extract 1000 mg 60 $19.40 10141 St. John's Wort Plus / 300 mg Stand. Extract with Ginseng & Ginkgo 60 $14.60 10235 Strontium Citrate / 200 mg 90 $35.90 10143 Super Stress Support / with B-Complex, Vitamin C & Valerian 60 $27.90 10257 Thyroid Support with Zinc 60 $21.00 10223 Ubiquinol / CoQH 50 mg 60 $49.90 10247 Ubiquinol / CoQH 100 mg 30 $38.50 10288 Ultimate Joint Complex 90 $60.50 10144 Valerian Root / Standardized Extract 125 mg 100 $11.95 10148 Vitamin A & D / 10,000 IU & 400 IU 100 $9.90 10341 Vitamin A, D3 & K2 60 $38.50 10152 Vitamin B-6 / Pyridoxine 100 mg 100 $11.90 10150 Vitamin B-12 / Cyanocobolamin 500 mcg 100 $11.70 10153 Vitamin B-Complex / 100 mg / Long Acting Formula 100 $31.90 10156 Vitamin C 500 mg / Orange Chewable 90 $19.95 10334 Vitamin C 500 mg / with Rose Hips 100 $15.90 10154 Vitamin C 1000 mg / with Bioflavonoid Complex 100 $21.90 10332 Vitamin C Esterified 500 mg 60 $23.40 10252 Vitamin D / 5000 IU 100 $18.00 10330 Vitamin D3 / 1000 IU 100 $10.50 10326 Vitamin D3 Drops / 2000 IU 1 oz $30.95 10225 Vitamin K2 / All Natural Source 60 $20.95 10164 Zinc / 20 mg as Monomethionine 100 $12.50 10165 Zinc Lozenges / 15 mg with Vitamin C & Slippery Elm 60 $10.50 Eff. 01/13/17 Page 5 of 5