Pump Kit Request Page

About Rhinostat Pump Kits:

Rhinostat provides pump spray kits free of charge for clients who had trouble with the dropper version. Please read all the important information on this page so that our lab can properly formulate your pump spray kit.

Non-Active Ingredients:

Nearly all the requests we get for the pump kits are primarily the result of differences in the chemistry rather than the method of administration. The non-active ingredients in these products comprise 99.95% of the solution and they control the pH and the osmotic pressure of the finished product.

To maximize your chances for a successful withdrawal cycle, the lab may modify the chemistry of your spray kit depending on the ingredients in your current spray(s). In order to do this, we need to identify exactly what brand and version of it you have been using.

Products sold in the United States will have an NDC number listed on them. This should be on the box or packaging that the bottle came in. In the form below, we will ask you for the NDC code of the decongestant you were using at the time you ordered your kit. If you followed the transition protocol outlined in the documents that came with your kit, we will ask you for the NDC code on the transition product as well. If you have questions or need help in obtaining this information, please do not hesitate to contact us. We are here to help.

Thank you.

SPRAY KIT REQUEST FORM