Family Eye Care Ciba Order Page

CIBAVISION BRAND CONTACTS

ORDER ONLINE

FREE SHIPPING WITH PURCHASE

Rebates may be available with purchase of 12-month supply of Dailies, Dailies Progressive, Dailies Toric, Night & Days and FreshLook colors lenses.

All orders must have a current contact lens prescription from Family Eye Care to process your order. If there is no credit card on file with our office, please call (863) 675-0761 to order your contact lenses.

CONTACT LENS INFORMATION

Ciba Brand

Right Eye

Left Eye

FreshLook Colors *

Clear / Handling Tint
Enhancers - Aqua **
Enhancers - Blue **
Enhancers - Green **
Colors - Blue
Colors - Green
Colors - Hazel

ColorBlends - Blue
ColorBlends - Green
ColorBlends - Brown
ColorBlends - Honey
ColorBlends - Grey
ColorBlends - Turquoise
ColorBlends - Amethyst

Radiance - Autumn
Radiance - Eden
Radiance - Moonlight
Radiance - Sunrise

* FreshLook Colors Only: Select 2 colors for 6-month supply OR up to 4 colors for 12-month supply.
** Enhancers: For light-colored eyes.
*** FreshLook Toric ColorBlends: Only available in ColorBlends Blue, Green, Honey and Grey.

Quantity

6-month Supply

12-month Supply

For orders less than a 6-month supply please contact our office at (863) 675-0761.

CONTACT LENS SUPPLIES

Ciba Brand	6-months		12-months

Dailies 90-Pk	4 Bxs	$216	8 Bxs	$416
Dailies Progressive 30-Pk	12 Bxs	$268	24 Bxs	$520
Dailies Toric 30-Pk	12 Bxs	$336	24 Bxs	$624
Focus Night&Day	2 Bxs	$146	4 Bxs	$272
Focus Progressive	4 Bxs	$168	8 Bxs	$320
Focus Monthly	2 Bxs	$85	4 Bxs	$148
FreshLook Clear	4 Bxs	$84	8 Bxs	$152
FreshLook: Colors Color Blends Dimensions Radiance	4 Bxs	$152	8 Bxs	$288
FreshLookToric Clear	4 Bxs	$232	8 Bxs	$448
FreshLook Toric ColorBlends	4 Bxs	$312	8 Bxs	$608

PATIENT INFORMATION

First Name

Last Name

Phone

SHIPPING INFORMATION

Name

Address 1

Address 2

City

State

Zip

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