Thank you for using the Sirtex Online Order Form. Please complete the fields below to place your order. After your order has been processed, you will receive an order confirmation from Customer Service. If you have any questions, please email csusa@sirtex.com or call us on one of our numbers listed on our Contact page.

SIR-Spheres® Y-90 resin microspheres Hospital Order Form

(if you don't know your account number email csusa@sirtex.com)


What's this?



(?) Deadlines



Dose Delivery Day Order Deadline*
Monday 3 pm Wednesday
Tuesday 3 pm Wednesday
Wednesday 3 pm Thursday
Thursday 3 pm Thursday
* All times are ET week prior to delivery


Quantity Item Number Item
SIR-Y001 SIR-Spheres Y-90 resin microspheres
(including 1 Accessory Pack*)
SIR-V001 V-Vial
SIR-D001 Delivery Set
SIR-H001 V-Vial Holder
SIR-S001 Syringe Shield
SIR-B001 Delivery Box
* Accessory pack includes: one (1) Delivery Set, one (1) V-Vial, one (1) V-Vial holder and shipping




SIR-Spheres® is a registered trademark of Sirtex SIR-Spheres Pty Ltd.

Form 910E
Reference: QSOPO6
880-U-1017

Revision # 1 (CR 2306) Issued 9 Nov 2017

Now leaving sirtex.com

You are about to leave the Sirtex Web site. This link is provided to you as a service and will take you to a site maintained by a third party who is solely responsible for the content.

Please be aware that Sirtex takes no responsibility for content of these external sites, nor do we endorse, warrant or guarantee the products, services or information described or offered on other internet sites.

Click 'Continue' to proceed to the third-party Web site.

Continue

×

You are now leaving your current sirtex.com region

The Sirtex site you are linking to is intended only for healthcare practitioners and patients outside your current region. Any products discussed herein may have different approved product labeling; therefore, any information provided may not be appropriate for use in your region.

Click 'Continue' to proceed to the other Sirtex region Web site.

Continue

×