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RX Lens Specification
Please refer to pricelist for power ranges. Additional cost may be incurred for out of range powers.
Patient Reference / Order Number
1. Lens Category
-- Choose Category --
SV (Single Vision Surfaced)
Office (Anti-Fatigue)
Bifocal Surfaced
Premium Free Form
Imprint FF Range
D-Vision FF Range
2. Material & Index
3. Tier Choice (Based on Category)
4. Specific Coating Selection
Hard Coat (HC)
Anti-Reflective (HMC)
Satin Blue Cut
Satin Green
Super Hydrophobic
Mirror Coating
Aqua +
Sph
Cyl
Axis
Add
PD
Seg
R
L
Frame & Diameter
No - Select Lens Diameter Instead
Yes - Input Measurements
Lens Diameter (MM)
-- Select --
60mm
65mm
70mm
75mm
A (HORIZ.)
B (VERT.)
DBL
FRAME TYPE
Full Rim
Nylon
Rimless
FRAME SHAPE
Add RX to Order
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