LDSO Formulary - 2020/2021 - 139

PREVENTIVES
IN-OFFICE FLUORIDE, continued

(712-5796)	 Go-Betweens Cleaners Tapered Angle	

Sunstar	

36/Bx

(712-9123)	 Gum 2 In 1 Tongue Cleaner Assorted	

Sunstar	

6/Bx

(712-0258)	 Gum Go Betweens Proxabrush Extra Wide	

Sunstar	

36/Bx

(712-0257)	 Gum Go Betweens Proxabrush Micro Tight	

Sunstar	

36/Bx

(712-0155)	 GUM Go-Betweens Proxabrush Moderate	

Sunstar	

36/Bx

(290-0105)	 Kolorz ClearShield Varnish Caramel	

DMG	

35/Bx

(201-0184)	 Kolorz ClearShield Varnish Watermelon	

DMG	

200/Bx

(201-4705)	 Kolorz Clearshield Varnish Watermelon	

DMG	

35/Bx

(325-6925)	 Minute-Foam Bubblegum	

Oral-b	

5.8oz/Bt

(325-0151)	 Minute-Foam Mellow Mint	

Oral-b	

5.8oz/Bt

(325-7857)	 Minute-Foam Orang-A-Tang	

Oral-b	

5.8oz/Bt

(325-9969)	 Minute-Foam Strawberry	

Oral-b	

5.8oz/Bt

(312-0134)	 DuraShield CV Clear 5% Varnish Strawberry	

Sultan	

50/Bx

(312-0133)	 DuraShield CV Clear 5% Varnish Watermelon	

Sultan	

50/Bx

(312-9554)	 Topex Dual Arch Tray Large/Blue	

Sultan	

50/Pk

(312-7855)	 Topex Dual Arch Tray Medium/White	

Sultan	

50/Pk

(312-1578)	 Topex Dual Arch Tray Pedo	

Sultan	

50/Pk

(312-1572)	 Topex Dual Arch Tray Small/Yellow	

Sultan	

50/Pk

(999-1366)	 Profluorid Varnish 0.4 mL Assorted	

Voco	

48/Bx

(999-2293)	 Profluorid Varnish 0.4 mL BubbleGum	

Voco	

200/Bx

(999-2292)	 Profluorid Varnish 0.4 mL BubbleGum	

Voco	

50/Bx

(999-1367)	 Profluorid Varnish 0.4 mL Caramel	

Voco	

200/Bx

ORAL RINSES

(999-1362)	 Profluorid Varnish 0.4 mL Caramel	

Voco	

50/Bx

(999-1369)	 Profluorid Varnish 0.4 mL Cherry	

Voco	

200/Bx

(999-1363)	 Profluorid Varnish 0.4 mL Cherry	

Voco	

50/Bx

(999-1370)	 Profluorid Varnish 0.4 mL Melon	

Voco	

200/Bx

(999-1368)	 Profluorid Varnish 0.4 mL Mint	

Voco	

200/Bx

(999-1364)	 Profluorid Varnish 0.4 mL Mint	

Voco	

50/Bx

(840-9285)	 Profluorid Varnish Single Dose 0.4mL Melon	

Voco	

50/Bx

(712-0008)	 GUM Canker-X Sachets 	

Sunstar	

36/Bx

(900-1004)	 Natural Elegance Pit & Fissure Sealant Kit	

Henry Schein	

4/Pk

(712-7284)	 Rincinol PRN Oral Rinse Sachets	

Sunstar	

36/Bx

(777-0760)	 Clinpro Sealant Dispenser Tips Black	

3M	

10/Bx

(777-0371)	 Clinpro Sealant Refill Syringe 1.2mL Pkg	

3M	

Ea

(333-4763)	 Fuji Triage Capsules Pink	

GC America	

50/Bx

(333-7681)	 Fuji Triage Capsules White	

GC America	

50/Bx

(384-0695)	 Embrace Pit & Fissure OffWhite 3ml Syringe	

Pulpdent	

Ea

(384-0767)	 Embrace Pit & Fissure Sealant 3ml Syringe	

Pulpdent	

Ea

(384-0132)	 Embrace Pit & Fissure Sealant Low Fill	

Pulpdent	

1/Kt

(384-2864)	 Embrace Pit & Fissure Sealant Natural	

Pulpdent	

Kit

(384-3758)	 Embrace Pit & Fissure Sealant Off White	

Pulpdent	

1/Kt

(384-0338)	 Seal-Rite Pit & Fissure Sealant	

Pulpdent	

4/Pk

(840-9276)	 Grandio Seal Refill 	

Voco	

2/Pk

(840-9273)	 Grandio Seal Kit 	

Voco	

5/Pk

MEDICAMENTS

Sunstar	

36/Bx

Sunstar	

36/Bx

(712-0158)	 GUM Go-Betweens Proxabrush Variety	

Sunstar	

36/Bx

(712-0157)	 GUM Go-Betweens Proxabrush Wide	

Sunstar	

36/Bx

(712-3571)	 Proxabrush Handle Double Ended	

Sunstar	

12/Pk

(712-4196)	 Proxabrush Handle Single Ended	

Sunstar	

12/Pk

(712-0093)	 Proxabrush Refills Moderate 2/Pk	

Sunstar	

18x2/Bx

(712-0063)	 Proxabrush Refills Tight 2/Pk	

Sunstar	

18x2/Bx

(712-0066)	 Proxabrush Refills Ultra Wide 2/Pk	

Sunstar	

18x2/Bx

(712-0065)	 Proxabrush Refills Wide 2/Pk	

Sunstar	

18x2/Bx

(712-6137)	 Proxabrush Traveler Cylindrical	

Sunstar	

36/Bx

(712-7587)	 Proxabrush Traveler Tapered	

Sunstar	

36/Bx

(712-9285)	 Stimulator Handle w/Tip 	

Sunstar	

12/Bx

(900-4010)	 Acclean Chlorhexidine Rinse Mint	

Henry Schein	

16oz/Bt

(112-6720)	 Acclean Chlorhexidine Rinse Mint	

Henry Schein	

4oz/Bt

(737-0003)	 Peridex 0.12%	

3M	

16oz/Bt

(737-0005)	 Peridex 0.12%	

3M	

4oz/Bt

(737-0004)	 Peridex 0.12%	

3M	

64oz/Bt

(712-5504)	 GUM Paroex CHX Rinse Al-Free 0.12%	

Sunstar	

16Oz/Bt

(712-0127)	 Gum PerioShield Rinse 	

Sunstar	

10oz/Bt

PIT & FISSURE SEALANTS

MOUTHWASH & FRESHENERS
(321-8651)	 Listerine Cool Mint 1.5 Ltr	

J&J	

6/Ca

(321-9898)	 Listerine Cool Mint 3.2oz	

J&J	

24/Ca

(321-8444)	 Listerine Freshburst 1.5 Ltr	

J&J	

6/Ca

(321-7803)	 Listerine Mouthwash Original 1.5 Ltr	

J&J	

6/Ca

(321-7031)	 Listerine Total Care Frsh Mint 3.2oz	

J&J	

24/Ca

Rowpar 	

16oz/Bt

(107-1836)	 CloSYS Oral Rinse 	

(712-0154)	 GUM Go-Betweens Proxabrush Tight	
(712-0164)	 GUM Go-Betweens Proxabrush Ultra Tight	

ORAL CLEANING AIDS
(102-6327)	 Interdental Travel Brush Med Cylindrical	

Henry Schein	

36/Bx

(102-8793)	 Interdental Travel Brush Med Tapered	

Henry Schein	

36/Bx

(102-6325)	 Interdental Travel Brush Ultra Fine Cylindr	

Henry Schein	

36/Bx

(102-6324)	 Interdental Travel Brush Ultra Fine Tapered	

Henry Schein	

36/Bx

ORAL CLEANING AIDS, continued
www.henryscheindental.com

139


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LDSO Formulary - 2020/2021

Table of Contents for the Digital Edition of LDSO Formulary - 2020/2021

Contents
LDSO Formulary - 2020/2021 - 1
LDSO Formulary - 2020/2021 - 2
LDSO Formulary - 2020/2021 - Contents
LDSO Formulary - 2020/2021 - 4
LDSO Formulary - 2020/2021 - 5
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