This is now replaced, CLICK HERE Recothrom Topical Coagulant with 5000IU Vial Powder for Solution, Includes 5mL Prefilled Diluent Syringe (containing Sterile 0.9% Sodium Chloride Injection), a Sterile Needle-Free Transfer Device, a 5mL Sterile Empty Syringe, a Pre-Printed Label (Ea/1) by Medicines Company TAKE NOTE This ships REFRIGERATED, once ship by manufacturer, there's NO REFUND or Cancellation of orders.