veterinary allergy products and services

Veterinary Allergy Products and ServicesEffective April 2014

2

Contents 3 Ordering Information

4 Pollen

11 Fungi and Smuts

13 Epithelia, Miscellaneous Inhalants, and Insects

16 Foods

16 Made-to-Order Items

16 Premium Allergens

17 Sterile Diluents

19 Sterile Empty Vials

20 Plastic Colored Caps

20 Dropper Vials

20 Amber Vials and Metered Pumps

21 Syringes and Syringe Trays

22 Ancillary Products

24 Vial Racks

25 GREER® Pharmacy

26 GREER® Service Team

26 GREER® Customer Resource Center®

27 Package Inserts

2

3

For information on custom mixtures, please contact a GREER® Customer Care Specialist at 877.777.1080.

To set up a new account with GREER®, please contact a Customer Care Specialist. 877.777.1080 or 828.754.5327

OrderingFor the best possible service, specify account number, item number, product name, vial size, and dilution as shown in the catalog.

Certain extracts and mixtures cannot be supplied in the 1:10 w/v strength due to excessive precipitation. These will be supplied at the strongest possible w/v strength. Glycerinated extracts can be supplied in 1:20 w/v or weaker dilutions. Extracts ordered in protein nitrogen units (PNU) are available in aqueous formulations only.

Veterinary medical license must be on file. Proper identification will be required from institutions.

Minimum OrderA minimum order of $25.00 is required. Please combine orders to achieve minimum.

Made-to-Order ItemsSpecific non-stocked products have been identified as made-to-order items based on low utilization. Delivery will be a minimum of 4 to 6 weeks. Please consult your Customer Care Specialist for more information.

Premium AllergensSpecific products have been designated as premium allergens due to low utilization, decreased availability of raw materials, increased costs associated with the collection/extraction process, and/or market conditions. These items carry a surcharge. Please consult your Customer Care Specialist for more information.

ShippingAll extracts are shipped overnight for next-day delivery. All other products ship via UPS 3 Day Select® or Ground unless otherwise specified. Shipments with ice packs are available upon customer request, with an additional charge.

TermsNet 30 days from date of invoice. FOB Lenoir, NC. Shipping and insurance charges are prepaid and added to the invoice. All prices are in US dollars. All prices are subject to change without notice. We accept payment via MasterCard®, Visa®, and American Express®.

ReturnsPlease contact a GREER® Customer Care Specialist at 877.777.1080 for prior approval of all product returns. Any shipping error must be reported within 7 days of receipt of the order. A Return Goods Authorization Number must accompany all product returns to GREER within 10 days of the return notification.

Allergenic extracts and sterile products cannot be returned unless due to a GREER error. Ancillary supplies must be returned in unopened, undamaged cases. Credit is not issued for duplications resulting from customer errors in ordering.

WarrantyWe warrant only that solutions in unopened and undamaged vials are sterile and correctly labeled. Once shipment is delivered, we have no control over storage conditions, methods of usage or dosage administered.

Telephone and Fax OrdersTo order by telephone, call our Customer Care Specialists: 877.777.1080

To order by fax, dial: 877.777.1090 or 828.754.5320

For customers outside the United States, call: 828.754.5327

To email, write to: [email protected]

Our Customer Care Specialists are available Monday through Thursday 8 AM to 7 PM and Friday 8 AM to 5 PM Eastern Time.

Ordering Information

4

Visit our website for updates at www.greerlabs.com Phone: 877.777.1080 • Fax: 877.777.1090

Pollen

172 Acacia*

Acacia spp. • •217 Alder, Red

Alnus rubra • •69 Alder, Hazel

Alnus serrulata • •438 Alder, White

Alnus rhombifolia • •204 Ash, Arizona*

Fraxinus velutina • •73 Ash, Oregon

Fraxinus latifolia • •72 Ash, Red/Green

Fraxinus pennsylvanica • •74 Ash, White

Fraxinus americana • •75 Aspen*

Populus tremuloides • •173 Bayberry/Wax Myrtle*

Morella cerifera • •76 Beech, American*

Fagus grandifolia • •207 Beefwood/Australian Pine*

Casuarina equisetifolia • •81 Birch, Black/Sweet

Betula lenta • •79 Birch, River

Betula nigra • •426 Birch, Spring

Betula occidentalis • •80 Birch, White

Betula populifolia • •82 Box Elder

Acer negundo • •83 Cedar, Mountain

Juniperus ashei • •84 Cedar, Red

Juniperus virginiana • •242 Cedar, Salt/Tamarisk*

Tamarix gallica • •444 Cottonwood, Black

Populus balsamifera ssp. trichocarpa • •87 Cottonwood, Eastern

Populus deltoides • •255 Cottonwood, Fremont*

Populus fremontii • •88 Cottonwood, Western*

Populus deltoides ssp. monilifera • •244 Cypress, Arizona

Cupressus arizonica • •193 Cypress, Bald*

Taxodium distichum • •92 Elm, American

Ulmus americana • •179 Elm, Cedar/Fall Blooming*

Ulmus crassifolia • •93 Elm, Siberian*

Ulmus pumila • •

Trees and Shrubs

Item # Product NameTesting

ID5 mL

Treatment

GREER® Extracts™ are USDA Approved for Sublingual Administration

For full prescribing information,

see accompanying package inserts

in the pocket inside the back cover

or go to www.greerlabs.com.

5

196 Eucalyptus*

Eucalyptus globulus • •98 Hackberry*

Celtis occidentalis • •99 Hazelnut, American*

Corylus americana • •103 Hickory, Shagbark*

Carya ovata • •102 Hickory, Shellbark*

Carya laciniosa • •104 Hickory, White

Carya alba • •243 Juniper, Oneseed

Juniperus monosperma • •275 Juniper, Pinchot

Juniperus pinchotii • •280 Juniper, Rocky Mountain

Juniperus scopulorum • •233 Juniper, Utah

Juniperus osteosperma •254 Juniper, Western

Juniperus occidentalis • •169 Locust Blossom, Black*

Robinia pseudoacacia • •257 Mango Blossom*

Mangifera indica • •108 Maple, Red

Acer rubrum • •109 Maple, Soft/Silver

Acer saccharinum • •110 Maple, Sugar/Hard*

Acer saccharum • •221 Melaleuca*

Melaleuca quinquenervia • •111 Mesquite*

Prosopis velutina • •113 Mulberry, Paper*

Broussonetia papyrifera • •112 Mulberry, Red

Morus rubra • •194 Mulberry, White

Morus alba • •256 Oak, Arizona/Gambel*

Quercus gambelii • •114 Oak, Black

Quercus velutina • •115 Oak, Bur

Quercus macrocarpa • •284 Oak, California Black

Quercus kelloggii • •195 Oak, California Live

Quercus agrifolia • •455 Oak, California White

Quercus lobata • •119 Oak, Post

Quercus stellata •120 Oak, Red

Quercus rubra • •

Trees and Shrubs Continued

• — Item is offered in one or more vial sizes/dilutions unless noted

• — Offered in w/v only

(Blank space) — Not offered

* — Premium offering


ID5 mL

Treatment

6

Pollen

Trees and Shrubs Continued

116 Oak, Virginia LiveQuercus virginiana • •

198 Oak, WaterQuercus nigra • •

285 Oak, Western WhiteQuercus garryana • •

122 Oak, WhiteQuercus alba • •

123 OliveOlea europaea • •

479 Olive, Russian*

Elaeagnus angustifolia • •247 Orange Pollen*

Citrus sinensis • •216 Palm, Queen

Arecastrum romanzoffianum • •127 Pecan

Carya illinoensis • •258 Pepper Tree*

Schinus spp. • •132 Pine, Loblolly

Pinus taeda • •129 Pine, Longleaf

Pinus palustris • •478 Pine, Ponderosa

Pinus ponderosa • •171 Pine, Virginia Scrub

Pinus virginiana • •130 Pine, White/Eastern

Pinus strobus • •480 Pine, White/Western

Pinus monticola • •131 Pine, Yellow

Pinus echinata • •177 Poplar, Lombardy

Populus nigra • •134 Poplar, White

Populus alba • •135 Privet, Common*

Ligustrum vulgare • •137 Sweet Gum

Liquidambar styraciflua • •138 Sycamore, American/Eastern

Platanus occidentalis • •228 Sycamore, Western*

Platanus racemosa • •140 Walnut, Black

Juglans nigra • •222 Walnut, California Black

Juglans californica • •210 Walnut, English

Juglans regia • •483 Willow, Arroyo*

Salix lasiolepis • •142 Willow, Black*

Salix nigra • •


ID5 mL

Treatment











Tree Mixes

7

P30 Ash Mix72 Red/Green, 74 White • •

P31 Birch Mix81 Black/Sweet, 79 Red/River, 80 White • •

P32 Elm Mix92 American, 93 Siberian • •

P33 Hickory Mix101 Pignut, 103 Shagbark, 102 Shellbark, 104 White • •

P34 Hickory-Pecan Mix127 Pecan, 103 Shagbark Hickory • •

P35 2 Maple Mix108 Red, 110 Sugar/Hard • •

P53 3 Maple Mix108 Red, 109 Soft/Silver, 110 Sugar/Hard • •

P36 Maple-Box Elder Mix82 Box Elder, 110 Sugar/Hard Maple • •

P37 Pine Mix132 Loblolly, 130 White/Eastern, 131 Yellow • •

P38 Eastern Oak Mix114 Black, 120 Red, 122 White • •

P46

Eastern 6 Tree Mix76 American Beech, 87 Eastern Cottonwood, 120 Red Oak, 79 Red/River Birch, 103 Shagbark Hickory, 74 White Ash

• •

P47 Eastern 7 Tree Mix92 American Elm, P46 Eastern 6 Tree Mix • •

P48Eastern 8 Tree Mix92 American Elm, P46 Eastern 6 Tree Mix, 110 Maple Sugar/Hard • •

P50

Eastern 10 Tree Mix138 American/Eastern Sycamore, 92 American Elm, P46 Eastern 6 Tree Mix, 110 Sugar/Hard Maple, 137 Sweet Gum

• •

P41Western Oak Mix284 California Black, 195 California Live, 285 Western White • •

P39

Western 10 Tree Mix172 Acacia, 82 Box Elder, 255 Fremont Cottonwood, 123 Olive, 93 Siberian Elm, 426 Spring Birch, 254 Western Juniper, 228 Western Sycamore, 285 Western White Oak, 194 White Mulberry

• •

P51 Western Walnut Mix222 California Black, 210 English • •

PO714

11 Tree Mix76 American Beech, 138 American/Eastern Sycamore, 92 American Elm, 140 Black Walnut, 142 Black Willow, 87 Eastern Cottonwood, 120 Red Oak, 79 Red/River Birch, 103 Shagbark Hickory, 110 Sugar/Hard Maple, 74 White Ash

• •


ID5 mL

Treatment

8

Pollen

Flowers

158 Daisy, Ox-Eye*

Leucanthemum vulgare •159 Dandelion

Taraxacum officinale • •164 Sunflower

Helianthus annuus • •Cultivated Plants

145 Alfalfa*

Medicago sativa • •174 Mustard*

Brassica spp. • •146 Red Clover*

Trifolium pratense • •63 Sugar Beet

Beta vulgaris • •Weeds

202 Allscale*

Atriplex polycarpa • •225 Baccharis*

Baccharis spp. • •213 Burrobrush*

Hymenoclea salsola • •32 Careless Weed, Amaranth/Green

Amaranthus hybridus • •33 Cocklebur*

Xanthium strumarium • •35 Dock, Yellow/Curly*

Rumex crispus • •184 Dog Fennel*

Eupatorium capillifolium • •42 Firebush/Kochia

Kochia scoparia • •37 Goldenrod*

Solidago spp. • •40 Hemp, Water*

Amaranthus rudis • •212 Iodine Bush*

Allenrolfea occidentalis • •43 Lamb’s Quarter

Chenopodium album • •240 Lenscale/Quailbrush

Atriplex lentiformis • •44 Marsh Elder, Burweed/Giant Poverty*

Iva xanthifolia • •45 Marsh Elder, True/Rough

Iva annua • •47 Mugwort, Common*

Artemisia vulgaris • •48 Mugwort, Darkleaved/Sagebrush, Prairie*

Artemisia ludoviciana • •36 Nettle

Urtica dioica • •


ID5 mL

Treatment







Weeds Continued

9

49 Palmer’s AmaranthAmaranthus palmeri • •

52 Pigweed, Rough/RedrootAmaranthus retroflexus • •

53 Pigweed, Spiny*

Amaranthus spinosus • •54 Plantain, English

Plantago lanceolata • •238 Rabbit Bush

Ambrosia deltoidea • •272 Ragweed, Desert

Ambrosia dumosa • •185 Ragweed, False*

Ambrosia acanthicarpa • •55 Ragweed, Giant

Ambrosia trifida • •56 Ragweed, Short

Ambrosia artemisiifolia • •50 Ragweed, Slender*

Ambrosia confertiflora • •57 Ragweed, Southern*

Ambrosia bidentata • •58 Ragweed, Western

Ambrosia psilostachya • •59 Russian Thistle*

Salsola kali • •61 Sagebrush, Common

Artemisia tridentata • •199 Saltbush, Annual*

Atriplex wrightii • •64 Sorrel, Sheep/Red

Rumex acetosella • •206 Wingscale

Atriplex canescens • •Weed Mixes

P543 Weed Mix33 Cocklebur, 43 Lamb’s Quarter, 52 Rough/Redroot Pigweed • •

PO216 Dock-Sorrel Mix64 Sheep Sorrel, 35 Yellow/Curly Dock • •

P5Pigweed Mix32 Careless Weed/Amaranth Green, 49 Palmer Amaranth, 52 Rough/Redroot Pigweed • •

P6 Plantain-Sorrel Mix54 English Plantain, 64 Sheep/Red Sorrel • •

P1 Ragweed Mix55 Giant, 56 Short • •

P8Sage Mix61 Common Sagebrush, 48 Darkleaved Mugwort/Prairie Sagebrush • •

P9 Scale/Atriplex Mix202 Allscale, 240 Lenscale/Quailbrush, 206 Wingscale • •

P2 Western Ragweed Mix185 False, 58 Western • •


ID5 mL

Treatment





10

Grasses


ID5 mL

Treatment

231 Bahia Grass*

Paspalum notatum • •2 Bermuda Grass

Cynodon dactylon • •8 Brome Grass, Smooth*

Bromus inermis • •9 Canarygrass, Reed

Phalaris arundinacea • •149 Corn, Cultivated

Zea mays • •11 Couch/Quack Grass*

Elymus repens • •15 Johnson Grass

Sorghum halepense • •16 Kentucky Blue/June

Poa pratensis • •14 Meadow Fescue

Festuca elatior (pratensis) • •21 Oats, Common/Cultivated

Avena sativa • •20 Orchard

Dactylis glomerata • •22 Redtop

Agrostis (alba) gigantea • •23 Rye, Cultivated

Secale cereale • •264 Ryegrass, Giant Wild*

Leymus condensatus • •25 Ryegrass, Italian*

Lolium perenne ssp. multiflorum • •24 Ryegrass, Perennial

Lolium perenne • •27 Sweet Vernal*

Anthoxanthum odoratum • •28 Timothy

Phleum pratense • •29 Velvetgrass*

Holcus lanatus • •31 Wheat, Cultivated*

Triticum aestivum • •186 Wheatgrass, Western*

Pascopyrum smithii • •Grass Mixes

P21 Bermuda-Johnson Grass Mix2 Bermuda Grass, 15 Johnson Grass • •

P24K-O-R-T Grass Mix16 Kentucky Blue/June, 20 Orchard, 22 Redtop, 28 Timothy • •

P27

7 Grass Mix14 Meadow Fescue, 16 Kentucky Blue/June, 20 Orchard, 22 Redtop, 24 Perennial Rye, 27 Sweet Vernal, 28 Timothy

• •P28 9 Southern Grass Mix

Equal parts of: P27 7 Grass Mix, 2 Bermuda, 15 Johnson •

Pollen







Fungi

11


ID5 mL

Treatment

M6 Acremonium strictumCephalosporium acremonium • •

M1 Alternaria alternataAlternaria tenuis • •

M4 Aspergillus amstelodamiAspergillus glaucus • •

M2 Aspergillus flavus • •M3 Aspergillus fumigatus • •

M35 Aspergillus nidulans • •M5 Aspergillus niger • •

M21 Aureobasidium pullulansPullularia pullulans • •

M12 Bipolaris sorokinianaHelminthosporium sativum • •

M30 Botrytis cinerea • •M15 Candida albicans • •M8 Chaetomium globosum • •M9 Cladosporium herbarum • •

M13 Cladosporium sphaerospermumHormodendrum hordei • •

M45 Drechslera spiciferaCurvularia spicifera • •

M29 Epicoccum nigrumEpicoccum purpurascens • •

M10 Epidermophyton floccosum • •M11 Fusarium moniliforme • •M48 Fusarium solani • •M63 Geotrichum candidum • •M41 Gliocladium viride*

Gliocladium deliquescens • •M40 Helminthosporium solani

Spondylocladium atrovirens • •M103 Malassezia pachydermatis • •M52 Mucor circinelloides f. circinelloides

Mucor mucedo • •M68 Mucor circinelloides f. lusitanicus

Mucor racemosus • •M27 Mucor plumbeus • •M16 Neurospora intermedia

Monilia sitophila • •M34 Paecilomyces variotii • •M18 Penicillium chrysogenum • •M28 Penicillium digitatum* • •M19 Penicillium chrysogenum (notatum) • •M39 Phoma betae • •M22 Rhizopus oryzae

Rhizopus arrhizus • •M23 Rhizopus stolonifer

Rhizopus nigricans • •

Fungi and Smuts





12

Fungi Continued

Fungi and Smuts

M49 Rhodotorula mucilaginosaRhodotorula rubra • •

M67 Saccharomyces cerevisiae • •M33 Stemphylium solani • •M24 Trichoderma harzianum*

Trichoderma viride • •M26 Trichophyton mentagrophytes • •M50 Trichophyton rubrum • •M7 Trichothecium roseum

Cephalothecium roseum • •Fungi Mixes

MO1

Mold Mix #1M1 Alternaria alternata, M5 Aspergillus niger, M12 Bipolaris sorokiniana, M13 Cladosporium sphaerospermum, M19 Penicillium chrysogenum (notatum)

• •

MO2

Mold Mix #2M21 Aureobasidium pullulans, M45 Drechslera spicifera, M11 Fusarium moniliforme, M27 Mucor plumbeus, M23 Rhizopus stolonifer

• •

MO3

Mold Mix #3M1 Alternaria alternata, M5 Aspergillus niger, M13 Cladosporium sphaerospermum, M19 Penicillium chrysogenum (notatum)

• •MO4

Aspergillus MixM4 A. amstelodami, M2 A. flavus, M3 A. fumigatus, M35 A. nidulans, M5 A. niger • •

MO464

Dematiaceae MixM1 Alternaria alternata, M21 Aureobasidium pullulans, M12 Bipolaris sorokiniana, M9 Cladosporium herbarum, M45 Drechslera spicifera, M40 Helminthosporium solani

•MO9 Fusarium Mix

M11 F. moniliforme, M48 F. solani • •MO10 Monilia Mix

M15 Candida albicans, M16 Neurospora intermedia • •MO11 Mucor Mix

M68 M. circinelloides f. lusitanicus, M27 M. plumbeus • •MO5

Penicillium MixM17 P. camembertii, M18 P. chrysogenum, M28 P. digitatum, M19 P. chrysogenum (notatum), M42 P. roquefortii

• •MO6

Phycomycetes MixM68 Mucor circinelloides f. lusitanicus, M23 Rhizopus stolonifer • •

MO12 Rhizopus MixM22 R. oryzae, M23 R. stolonifer • •

Smuts

S3 Corn Smut*

Ustilago maydis •Smut Mixes

SO2Grain Smut Mix*

S3 Corn Smut, S1 Loose Barley Smut, S6 Loose Wheat Smut, S5 Oat Smut •

SO1 Grass Smut Mix*

S2 Bermuda Grass Smut, S4 Johnson Grass Smut •


ID5 mL

Treatment







Epithelia

Epithelia, Miscellaneous Inhalants, and Insects

13


ID5 mL

Treatment

E3 Cat EpitheliaFelis catus (domesticus) • •

E4 Cattle Epithelia*

Bos taurus • •E7 Dog Epithelia

Canis familiaris • •E50 Gerbil Epithelia

Meriones unguiculatus • •E11 Goat Epithelia

Capra hircus • •E14 Guinea Pig Epithelia*

Cavia porcellus • •E44 Hamster Epithelia*

Mesocricetus auratus • •E15 Hog Epithelia

Sus scrofa • •E17 Horse Epithelia*

Equus caballus • •E18 Human Dander • •E20 Mouse Epithelia*

Mus musculus • •E24 Rabbit Epithelia*

Oryctolagus cuniculus • •E25 Rat Epithelia*

Rattus norvegicus •E27 Sheep Epithelia

Ovis aries • •Feathers

E2 Canary Feathers*

Serinus canaria • •E5 Chicken Feathers

Gallus gallus • •E8 Duck Feathers

Anas platyrhynchos • •E12 Goose Feathers

Anser domesticus • •E22 Parakeet Feathers*

Psittacidae • •Feather Mix

EO1Feather MixE5 Chicken Feathers, E8 Duck Feathers, E12 Goose Feathers • •





14

Epithelia, Miscellaneous Inhalants, and Insects


ID5 mL

Treatment

Miscellaneous Inhalants

H21 Cotton LintersGossypium hirsutum • •

H1 CottonseedGossypium hirsutum • •

H2 FlaxseedLinum usitatissimum • •

H4 Kapok SeedCeiba pentandra • •

H5 Orris RootIris germanica var. florentina • •

H6 PyrethrumChrysanthemum cinerariifolium • •

H7 Silk*

Bombyx mori • •H8 Tobacco Leaf

Nicotiana tabacum • •Insects (Whole Body)

B31 Ant, Black/Carpenter*

Camponotus pennsylvanicus • •B47 Ant, Fire*

Solenopsis invicta • •B14 Ant, Fire*

Solenopsis richteri • •B28 Caddisfly*

Trichoptera • •B26 Cockroach, American*

Periplaneta americana • •B46 Cockroach, German*

Blattella germanica • •B69 Culicoides*

Culicoides spp. • •B39 Deer Fly*

Chrysops sp. • •B22 Flea*

Ctenocephalides canis/C. felis • •B43 Horse Fly*

Tabanus spp. • •B8 House Fly*

Musca domestica • •B12 Mayfly*

Ephemeroptera • •B55 Mosquito*

Culicidae • •B11 Moth*

Lepidoptera • •Insect Mixes (Whole Body)

BO12 2 Cockroach MixB26 American, B46 German • •

BO44 Insect Mix*

B8 House Fly, B11 Moth, B26 American Cockroach, B55 Mosquito • •







15

Dust

D25 Dust, Mattress •Dust Mixes

D9 Dust, House Mixture • •DO1 HMRU Dust Mix

House 70%, Mattress 10%, Rug 10%, Upholstery 10% •DO2 Grain Mill Dust Mix

Barley, Corn, Oat, Wheat •

Mites (Whole Body)

B72 Acarus siro • •B63 Blomia tropicalis • •B51 Dermatophagoides farinae • •B58 Dermatophagoides pteronyssinus • •B71 Lepidoglyphus destructor • •B73 Tyrophagus putrescentiae • •

Mite Mix (Whole Body)

BO60Equal Parts MixtureB51 Dermatophagoides farinae, B58 Dermatophagoides pteronyssinus • •






ID5 mL

Treatment

16

Specific non-stocked products have been identified as made-to-order items based on low utilization. Delivery

will be a minimum of 4 to 6 weeks. Please consult your Customer Care Specialist for more information.

Made-to-Order Items

Call for availability and pricing.

Foods

Specific products have been designated as premium allergens due to low utilization, decreased availability of raw materials,

increased costs associated with the collection/extraction process, and/or market conditions. These items carry a surcharge.

Please consult your Customer Care Specialist for more information.

Premium Allergens


For information on custom mixtures, please contact a GREER® Customer Care Specialist at 877.777.1080.

Sterile Diluents

Item # Fill/mL Vial Size Vial Seal Color Qty/Pack

SD2507007 2.0 mL 5-13 Silver 25

SD2507001 2.0 mL 5-20 Silver 25

SD2507010 4.0 mL 5-13 Silver 25

SD2507041 4.0 mL 5-13 Red 25

SD2507042 4.0 mL 5-13 Blue 25

SD2507043 4.0 mL 5-13 Green 25

SD2507044 4.0 mL 5-13 Yellow 25

SD2507045 4.0 mL 5-13 Pink 25

SD2507046 4.0 mL 5-13 Purple 25

SD2507047 4.0 mL 5-13 Orange 25

SD2507020 4.5 mL 5-13 Silver 25

SD2507031 4.5 mL 5-13 Red 25

SD2507032 4.5 mL 5-13 Blue 25

SD2507033 4.5 mL 5-13 Green 25

SD2507034 4.5 mL 5-13 Yellow 25

SD2507035 4.5 mL 5-13 Pink 25

SD2507036 4.5 mL 5-13 Purple 25

SD2507028 4.0 mL 5-20 Silver 25

SD2507024 4.0 mL 5-20 Red 25

SD2507027 4.0 mL 5-20 Blue 25

SD2507025 4.0 mL 5-20 Green 25

SD2507136 4.0 mL 5-20 Yellow 25

SD2507038 4.0 mL 5-20 Pink 25

SD2507039 4.0 mL 5-20 Purple 25

SD2507037 4.0 mL 5-20 Orange 25

SD2507030 4.5 mL 5-20 Silver 25

SD2507040 4.5 mL 5-20 Red 25

SD2507060 4.5 mL 5-20 Blue 25

SD2507050 4.5 mL 5-20 Green 25

SD2507137 4.5 mL 5-20 Yellow 25

SD2507075 8.0 mL 10-13 Silver 25

SD2507131 8.0 mL 10-20 Silver 25

SD2507080 9.0 mL 10-13 Silver 25

SD2507090 9.0 mL 10-20 Silver 25

SD2507100 9.0 mL 10-20 Red 25

SD2507120 9.0 mL 10-20 Blue 25

SD2507110 9.0 mL 10-20 Green 25

SD2507138 9.0 mL 10-20 Yellow 25

SD1007139 24 mL 30-20 Silver 10

SD1007140 30 mL 30-20 Silver 10

SD07143 100 mL 100-20 Silver 12

Normal SalineAlso called Phenolated Saline. Water for injection (WFI) with 0.9% NaCl.

Diluents come in a variety of fills.

30 mL and 100 mL vials are overfilled

to ensure that the labeled amount

can be withdrawn. GREER® Sterile

Diluents™ (Normal and Buffered)

contain 0.4% phenol preservative,

which acts as a preservative by

inhibiting microbial growth.1 Two

neck sizes give a choice of stopper

diameter. The second number after

the vial size is the outer diameter

of the top of the vial in millimeters.

17

1. Cox L, Nelson H, Lockey R, et al. Allergen immunotherapy: a practice parameter third update. J Allergy Clin Immunol. January 2011;127(Suppl 1):S1-55.

18

Sterile Diluents


Buffered SalineBuffered Saline maintains extract solutions at physiological pH levels.4 Contains sodium and potassium phosphates with 0.5% NaCl for isotonicity, in water for injection (WFI).

SB2507145 4.5 mL 5-20 Silver 25

SB2507146 4.5 mL 5-20 Red 25

SB2507147 4.5 mL 5-20 Blue 25

SB2507148 4.5 mL 5-20 Yellow 25

SB2507149 4.5 mL 5-20 Green 25

SB2507156 9.0 mL 10-20 Silver 25

SB07150 100 mL 100-20 Silver 12

1. Nelson MR, Cox L. Allergen immunotherapy extract preparation manual. American Academy of Allergy Asthma & Immunology website. http://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20Management/PM%20Resource%20Guide/ Ch-9-Allergen-Immunotherapy-Extract-Preparation-Manual.pdf. Published 2012. Accessed August 20, 2013.

2. Glycerine: an overview. ACIScience website. http://www.aciscience.org/docs/Glycerine_-_an_overview.pdf. Published 1990. Accessed January 29, 2013.

3. de Araujo IE. Multiple reward layers in food reinforcement. In: Gottfried JA, ed. Neurobiology of Sensation and Reward. Boca Raton, FL: CRC Press; 2011.

4. Fasman GE. Measurement of pH: buffer solutions. Practical Handbook of Biochemistry and Molecular Biology. Boca Raton, FL: CRC Press; 1989: 544-549.


SA5007212 100 mL 100-20 Silver 12

50% Glycerin Saline50% Glycerin Saline is often used to enhance the stability of extracts. 50% Glycerin Saline also helps protect the structure of allergenic proteins that may be particularly susceptible to degradation in solution and may help protect against the effects of prolonged exposure to room temperature.1

50% Glycerin Saline may be used to formulate prescriptions for sublingual immunotherapy. Its sweet taste makes sublingual extracts more palatable to pets2 and enhances patient acceptance.3


Sterile Empty Vials

SE2508020 2-13 Silver 25

SE2508030 5-13 Silver 25

SE2508031 5-13 Red 25

SE2508032 5-13 Blue 25

SE2508033 5-13 Green 25

SE2508034 5-13 Yellow 25

SE2508040 5-20 Silver 25

SE2508050 5-20 Red 25

SE2508060 5-20 Green 25

SE2508070 5-20 Blue 25

SE2508081 5-20 Orange 25

SE2508082 5-20 Pink 25

SE2508083 5-20 Purple 25

SE2508084 5-20 Yellow 25

SE2508090 10-13 Silver 25

SE2508091 10-13 Red 25

SE2508092 10-13 Blue 25

SE2508093 10-13 Green 25

SE2508094 10-13 Yellow 25

SE2508100 10-20 Silver 25

SE2508110 10-20 Red 25

SE2508120 10-20 Green 25

SE2508130 10-20 Blue 25

SE2508150 10-20 Yellow 25

SE1008150 30-20 Silver 10

SE08155 50-20 Silver 12

SE08160 100-20 Silver 12

Item # Vial Size Vial Seal Color Qty/PackManufactured by GREER® in a wide range of convenient sizes.

19

20

Plastic Colored Caps

Dropper Vials

Amber Vials and Metered Pumps

13 mm Item # Cap Color Qty/Pack

Item # Description Qty/Pack


20 mm Item # Cap Color Qty/Pack

PCYEL13 Yellow 25

PCORG13 Orange 25

PCRED13 Red 25

PCGRN13 Green 25

PCPNK13 Pink 25

PCPUR13 Purple 25

PCBLU13 Blue 25

PCYEL20 Yellow 25

PCORG20 Orange 25

PCRED20 Red 25

PCGRN20 Green 25

PCWHT20 White 25

PCPNK20 Pink 25

PCPUR20 Purple 25

PCBLU20 Blue 25

5NSEVANonsterile 5 mL vial with

dropper cap, screw thread Type 1 glass

25

10NSEVNonsterile 10 mL vial with

dropper cap, screw thread Type 1 glass

25

15NSAVNonsterile 15 mL amber glass vial

16

1200106550 µL metered-dose

hook nose pump16


hook nose pump16


snub nose pump16

Snap-on color-coded caps can be used to differentiate strengths of treatment extracts.

GREER® offers a 15 mL nonsterile empty amber glass vial with three screw-on pump options.


21

Item # Description

Syringes and Syringe Trays

Becton-Dickinson Allergist TraysCases consist of 40 trays/case, 25 syringes/tray, for a total of 1,000.

BD5535 1⁄2 cc 27 g x 1⁄2" regular bevel

BD5536 1⁄2 cc 27 g x 3⁄8" intradermal bevel

BD5537 1 cc 26 g x 1⁄2" regular bevel

BD5538 1 cc 26 g x 1⁄2" intradermal bevel





Terumo Allergist TraysCases consist of 40 trays/case, 25 syringes/tray, for a total of 1,000.

TB26T1 1 cc 26 g x 3⁄8" regular bevel

TB27T1 1 cc 27 g x 1⁄2" regular bevel

TB28T1 1 cc 27 g x 3⁄8" intradermal bevel

TB07T1 1 cc 27 g x 1⁄2" intradermal bevel

Syringe TraysCases consist of 40 trays/case, 25 syringes/tray, for a total of 1,000.

RACHST

Rachman Syringe Tray: composed of sturdy,

heavy-gauge ABS plastic that holds 18 syringes per tray.

Measures 14 1⁄16" L x 9 1⁄4" W x 1 3⁄4" D

GRS025Plastic Syringe Tray Sets:

5 sets/pack, 2-layer tray, holds 25 syringes

GRSS025Safety Syringe Organizer Tray:

5 sets/pack, 2-layer tray, holds 25 syringes

22

Item # Vial Size Type Holds

Item # Description

Mailing ContainersInner compartments (trays) slide into outer cardboard cartons (boxes) for quick packaging. Sturdy material designed to help protect vials from breakage during transportation.

5133B 5 mL (13 mm neck) 3 vials

5133T 5 mL (13 mm neck) 3 vials



5203B 5mL (20mm neck) 3 vials

5203T 5mL (20mm neck) 3 vials

5206B 5mL (20mm neck) 6 vials

5206T 5mL (20mm neck) 6 vials





5203C-100* 5 and 10 mL (20 mm neck) 3 vials

5206C-100* 5 and 10 mL (20 mm neck) 6 vials

Note: B in item number indicates boxes Note: T in item number indicates trays *These items include both boxes and trays

Styrofoam ContainersSturdy molded styrofoam conforms to each vial allowing protection against breakage and provides additional insulation when exposed to heat or cold. Lightweight design makes shipping easy and economical.

STY1CHolds any of our 5 mL or 10 mL

vials or two 2 mL vials (250 case)

STY5CHolds up to five 5 mL or 10 mL vials

with space for instruction sheet (200 case)

Ancillary Products


23

Item # Size Qty/Case

Item # Description Qty/Case


Jiffy™ Mailing BagsLightweight mailers are padded for added protection of extract vials. These versatile mailers allow for easy shipping of different materials.

JB0C 6" x 10" 250

JB1C 7 1⁄4" x 12" 100

JB2C 8 1⁄2" x 12" 100

Sharps CollectorsOSHA-approved containers for contaminated waste. Available in multiple sizes: 8.2 quart, 5 gallon, and 6 gallon sizes.

BD5490 Sharps Collector, 8.2 quarts 12

BD5491 Sharps Collector, 5 gallons 8

BD5465 Sharps Collector, 6 gallons, funnel top 12

Skin Reaction GuidesSkin reaction guides help clinicians accurately measure the wheal and erythema response following percutaneous skin testing. Both plastic reusable and paper disposable skin reaction guides are available.

SRG Clear Plastic 12

SRG3 Disposable Paper 100

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Vial Racks

GREER® Versa Vial Rack®

This one-color design features four easy-grip handles and tiered wells to hold multiple vial sizes. Racks are stackable with special drains in every well for quick cleanup. Three different base sizes allow for a better fit in most refrigerators.

Item # Style Vial Capacity To Hold Size

VRB001Bulk

Versa Vial Rack

3950-20 vials 30-20 vials10-13 vials

9 1⁄8" x 13 1⁄8"

VRT002Testing

Versa Vial Rack

48+2 controls

5 mL scratch vials5-13 vials

Labeled negative and positive controls

in 2 sizes

8" x 10"

VRLT005Testing

Versa Vial Rack (large)

72+2controls

5 mL scratch vials5-13 vials

Labeled negative and positive controls

in 2 sizes

8" x 14.5"

VRP003Prescription

Versa Vial Rack

485-20 vials

10-13 vials 10-20 vials

8" x 10"

VRLP004Prescription

Versa Vial Rack (large)

725-20 vials10-13 vials10-20 vials

8" x 14.5"


GREER® Pharmacy, an operating unit of GREER, is a licensed specialty pharmacy that can meet your allergy immunotherapy

compounding needs.

GREER Pharmacy offers custom prescription services for subcutaneous and sublingual treatment sets, including:

• One-week average delivery

• STAT option for delivery in 24 to 48 hours

• Licensed pharmacists available for individual consultation

• Total disclosure of prescription contents and strengths

• Expert review of prescriptions for allergen-saving recommendations, including:

– Any prescription over 12 allergens

– Identifying cross-reactive allergens

• Compounding capabilities for complex, multiple-allergen prescriptions

• Customized dosages and strengths

• Sample dosage schedules for subcutaneous and sublingual immunotherapy

Customized allergy immunotherapy prescriptions from GREER Pharmacy can help meet changing practice demands.

Consider GREER Pharmacy services to:

• Reduce startup costs for new practices

• Free up valuable staff time in established practices

• Reduce inventory management and costs

GREER Pharmacy obtains its extract supply from GREER, a leading manufacturer of allergenic extracts in the United States,

so you can be assured that the pharmacy uses high-quality extracts for your prescription needs. GREER Pharmacy is USP

Chapter 797 compliant and utilizes USDA-licensed extracts in the compounding of allergy immunotherapy prescriptions.

____________________________________________________________________________

STAT

For prescriptions needed in a hurry, GREER Pharmacy offers a STAT service. STAT prescriptions are processed, filled, and

shipped within 24 to 48 hours of receipt of the prescription by fax at GREER Pharmacy. Please write on the prescription,

“STAT Service Requested: Rush RX.” STAT prescription service is available Monday through Friday, with Saturday delivery

available upon request. There is a surcharge of $100 per new prescription and $75 per refill prescription for STAT service.

_____________________________________________________________________________________________________________________

Don’t see what you need? Consult your Customer Care Specialist for more information about custom prescriptions and formulations.

______________________________________________________________________________________________________________

For more information about GREER Pharmacy or to place an order, contact a GREER Customer Care Specialist at

877.777.1080 or write to [email protected]. For technical questions or to consult with a GREER pharmacist,

write to [email protected].

GREER® Pharmacy

GREER® Pharmacy Custom Prescriptions and GREER® Extracts™ are USDA Approved for Sublingual Administration

25

26

GREER® Service Team

The Unsurpassed Quality and Service You Expect from GREER®

• GREER® Service Team, including Pharmacists, Customer Care Specialists,

and Medical & Scientific Affairs Specialists, to help customize

solutions for your practice

• Rigorous quality control—from collection/cultivation

through final shipment

• More than 98% of stocked products shipped the

same or next business day1

With your GREER Service Team, you have GREER professionals

ready to help you and your practice.

GREER. In Touch. Within Reach.®

GREER® Customer Resource Center®

Practical Resources just for GREER® Customers

The GREER® Customer Resource Center® is filled with practical tools to assist you with

the diagnosis and treatment of IgE-mediated atopic dermatitis. This compilation of

educational and training materials; client education resources; information about

GREER® products and services; and scientific resources is available exclusively for

GREER customers.

More information will be added on an ongoing basis, so check back often for tools to

assist you in your dermatology practice.

________________________________________________________

Contact your Customer Care Specialist for more information. 877.777.1080 or [email protected]

1. Data on File. GREER Laboratories, Inc. 2013


272727

PO Box 800 Lenoir, NC 28645 USA U.S.D.A. Veterinary License No. 294

ALLERGENIC EXTRACT – FLEA ANTIGEN

DIRECTIONS FOR USE

ALLERGENIC EXTRACT – FLEA ANTIGEN DIRECTIONS FOR USE

FLEA ANTIGEN

DESCRIPTION: Flea antigen is an aqueous extract of the whole bodies of Ctenocephalides spp. with phenol added as a preservative. ACTIONS: The exact mechanism by which flea antigen elicits an allergic response is still under investigation. It has been demonstrated however, that successful hyposensitization treatment decreases specific IgE antibody levels, theoretically by increasing the level of blocking IgG antibodies. These blocking IgG antibodies are believed to complex with the circulating antigen before it can reach the IgE present on the skin and trigger the allergic response.

INDICATIONS 1. DIAGNOSTIC: Flea antigen is a valuable aid in the diagnosis of flea bite allergy.

Compatible clinical signs and documented exposure to fleas are also necessary to establish the diagnosis.

2. THERAPEUTIC: Flea antigen extract is indicated as an aid in alleviating the symptoms associated with flea bite allergy. A program of controlling the flea population by breaking the life cycle and minimizing flea infestation on the animal should be initiated before or concurrent with hyposensitization treatment. Concomittant antibiotic therapy and an appropriate bathing program should be given where significant secondary bacterial infection is evident. Short-term corticosteroid therapy may be used as an adjunct in the early stages of therapy.

CONTRAINDICATIONS 1. DIAGNOSTIC: Corticosteroids will inhibit the histamine mediated immediate skin test.

Any patient that has undergone continual corticosteroid treatment should discontinue this treatment for a period of one week for every month of said treatment before this patient is skin tested. However, animals with severe skin problems should be treated with antibiotics, soothing baths and possibly short term oral cortisone until their skin conditions will not interfere with skin testing.

2. THERAPEUTIC: Flea antigen is indicated for hyposensitization only when flea bite hypersensitivity has been unequivocally demonstrated both clinically and by intradermal skin testing.

PRECAUTIONS: Have in stock the following: 1. A hydrocortisone (such as Solu-Cortef®) or a prednisolone (such as Solu-Delta-Cortef®). 2. An antihistamine such as diphenhydramine hydrochloride (Benadryl®). 3. Epinephrine diluted 1:1,000. Keep patient under observation for a period of at least 30 minutes after administration. Note: Animals prone to severe reactions should be given diphenhydramine hydrochloride (Benadryl®) 30 minutes prior to treatment dose administration.

1 REACTIONS: Adverse reactions are very rarely seen and usually consist of an exacerbation of clinical signs if too large a dose is given. However, in the event of an overdose or alternatively, exquisite sensitivity of the animal, the patient may exhibit restlessness, panting, generalized hives, vomiting, circulatory collapse, and diarrhea (See Overdose section below for treatment).

There are also several normal reactions that may occur and the owner should be advised of these prior to administration of the allergen. Temporary pain and discomfort may be experienced at the time of injection, with some stiffness and soreness occurring later. A small area of ulceration may occur where intradermal administration is employed.

OVERDOSAGE: If symptoms of overdosage occur (See Reactions section above) treatment employing (a), (b) or (c) below or a combination thereof can be effective in combating an adverse reaction.

(a) Intravenous injection of hydrocortisone (i.e. Solu-Cortef®) in a dosage of 10-15 mg/lb, or alternatively, a prednisolone (i.e. Solu-Delta-Cortef®) in a dosage of 5 mg/lb. (b) Intramuscular or subcutaneous injection of epinephrine in a dosage of 0.5-1.0 ml at 1:1,000. (c) Intravenous injection of an antihistamine such as diphenhydramine hydrochloride (Benadryl®) in a dosage of 0.5-1.0 mg/lb. Note: In a crisis situation epinephrine may be administered intravenously. Use 0.5 to 1.0 ml of a 1:1,000 dilution. SKIN TESTING: DOSAGE AND ROUTE OF ADMINISTRATION 1. Materials Needed:

a. Sterile 1 ml tuberculin type syringes with 25 or 26 gauge needles, 3/8 to ½ inch in length. b. Flea antigen at 1:1,000 w/v (final concentration). c. Diluent control (negative control). d. 1:100,000 w/v histamine phosphate (positive control).

2. Suggested Procedure: a. Prepare the test area by clipping and cleansing testing site (lateral thorax or inguinal

area). b. Five minutes prior to the test, the site may be cleaned with alcohol which is allowed to

dry by evaporation. c. Using a separate syringe for each solution, load the 1 ml tuberculin syringe with 0.1 ml of

control solution or flea extract. d. Ensure that all air bubbles have been expelled from the loaded syringe, because injection

of air bubbles may force dermal cells apart and create false reactions. e. The injection sites should be at least 2.5 cm from each other and the injections should be

atraumatic. f. After gently stretching the skin around the test site, the needle is inserted into the skin at

an angle of approximately ten (10) degrees with the bevel upwards. g. Stop inserting the needle when the entire bevel is buried in the skin (ideally the bevel

should be visible through the superficial layers of the skin). h. Inject 0.05 ml of the control solution or flea extract and gently remove the needle to

prevent traumatic hemorrhage.

2 i. Retain the remaining 0.05 ml of control solution or flea extract in case the wheal is

unsatisfactory due to movement of the patient or poor injection technique. j. The skin test should be completed as soon as possible to allow simultaneous comparison

of the flea antigen wheal against the controls.

3. Interpretation: a. Immediate (IgE mediated) reactivity will cause a wheal within 15 minutes. b. A wheal that is five (5) or more millimeters greater than the negative control denotes a

positive reaction. However, a strong positive is likely to be close to the histamine injection in size, and will be a minimum of one (1) centimeter in diameter.

c. If patient is negative at 15 minutes reexamine after 24 hours to check for delayed reactions.

d. See Overdose procedure if adverse reactions occur.

HYPOSENSITIZATION: DOSAGE AND ROUTE OF ADMINISTRATION: Discussion: The optimum dosage and route of administration of flea antigen has not been clearly established and currently many dosage schedules are in use. Subcutaneous or intradermal injections have been administered with success,6 7 but it has been noted that if at least part of each injection is intradermal the response seems improved.1 A suggested treatment schedule is offered below, however; in the final analysis the dosage and length of treatment will depend upon the sensitivity and responsiveness of the patient.

Treatment: The suggested hyposensitization dose is 0.1-0.5 ml of the Flea Antigen at a 1:100 w/v per 25 lbs. of body weight. Treatments should be initiated with a 0.1 ml/25 lbs. dose and gradually increased to a maintenance dose of 0.5 ml/25 lbs. The treatment should continue for a 6 to 24 week period. The injection is administered intradermally at a number of sites with a 1.0 ml sterile tuberculin syringe, using a 25 or 26 gauge needle 3/8 to ½ inch in length. Intradermal injections should not exceed 0.2 ml per site or adverse reactions may occur.

SUGGESTED DOSAGE SCHEDULE Week Volume of 1:100 w/v Flea

Antigen per 25 lbs. of Body Weight

1 0.1 ml 2 0.2 ml 3 0.3 ml 4 0.4 ml 5 0.5 ml 6 0.5 ml

Bi-weekly to 24 weeks if necessary etc. Boosters can be given if symptoms reoccur or as a prophylactic measure before flea season. The booster dose should not exceed the last dose given.

HOW SUPPLIED: Flea antigen is supplied in sterile 10 ml vials at a concentration of 1:100 w/v (aqueous only).

3 References:

1Austin, V. H.; Atopic Skin Disease. Modern Veterinary Practice. May, pp. 355-361. 1976. 2Chamberlain, K. W.; Biological Management of the Allergic Patient. Veterinary Clinics of North America. 4, pp. 65-78. 1974. 3Halliwell, R. E. W.; Flea Bite Dermatitis. The Compendium on Continuing Education of the Small Animal Practitioner. 1(5), pp. 367-371. 1979. 4Kirk, R. W. and Bistner, S. I.; Handbook of Veterinary Procedures and Emergency Treatment. W. B. Saunders Co., Philadelphia, pp. 16-17. 1969. 5Michaeli, D. and Goldfarb, S.; Clinical Studies on the Hyposensitization of Dogs and Cats to Flea Bites. Australian Veterinary Journal. 44, pp. 161-165. 1968. 6Nesbitt, G. H. and Schmitz, J. A.; Flea Bite Allergenic Dermatitis: A Review and Survey of 330 Cases. Journal of American Veterinary Medical Association (JAVMA). 173 (3), pp. 282-288. 1978. 7Saunders, E. B.; Hyposensitization for Flea Bite Hypersensitivity. Veterinary Medicine/Small Animal Clinician (VM/SAC). May, pp. 879-881. 1977. 8August, J. R.; The Intradermal Test as a Diagnostic Aid for Canine Atopic Disease. Journal of the American Animal Hospital Association (JAAHA). 18, pp. 164-171. 1982.

GREER LABORATORIES, INC. Post Office Box 800

Lenoir, North Carolina 28645 USA U.S.D.A. Veterinary License No. 294

4-85 2.5M