Our current patients can use the order form below to order contact lenses by email. Please be sure and indicate the location where you prefer to pick up your order.

Online Pricing for Benz Contacts

6 Month Supply
1 Year Supply
Extreme H2O
$160
$280
Extreme H2O Extra
$160
$280
Extreme H2O HC
$192
$344
Extreme H2O LC
$192
$344

*Prices do not include sales tax.

 

Order Online

Patient Name:
Patient Email:
Patient Phone: (required for contact by phone)
or phone
Pick-up Location:

Prescription:

Sphere
Cylinder
Axis
BC
Dia
Right (OD)
Left (OS)

Additional Information (optional):