Positive Airway Pressure Devices And Accessories

The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 19 established this Master IDIQ to supply positive airway pressure devices, accessories, replacement parts, facial interfaces, and mask liners to VA medical facilities nationwide, with ordering activity closed on February 14, 2022.

The vehicle is no longer active for new orders. The ordering period ended more than four years ago, though task orders continue to be issued against the vehicle's remaining obligation capacity. The combined task-order potential value totals $1.03 billion, with 100 percent of that amount now obligated across 160 task orders issued since May 2021. Ordering momentum has declined sharply: 2024 saw 36 orders, 2025 saw 12 orders, and only 3 orders have been issued year-to-date in 2026 through mid-February.

Competition is concentrated among two dominant firms. First Nation Group LLC holds 49 orders valued at $472.6 million combined potential value, and Medical Place Inc. holds 48 orders valued at $462.3 million combined potential value. Veterans Medical Supply Inc. is a distant third with 45 orders valued at $96 million combined potential value. These three primes account for 98 percent of task-order activity by count. The remaining three contractors—Congressional Medical Supply LLC, Avenue Mori Medical Equipment Inc., and one additional firm—collectively hold fewer than 2 percent of orders.

Roughly 99 percent of funding originates from Veterans Integrated Service Network 19, with a single outlier order of $18 thousand to Veterans Integrated Service Network 22. The vehicle's set-aside distribution tilts toward unrestricted awards: 78 percent of orders carry no set-aside, while 23 percent are designated Service-Disabled Veteran-Owned Small Business. Individual delivery orders range from under $1 million to approximately $44.6 million, with most falling in the $7 million to $14 million band. Firm fixed price is the standard contract type across all awards. Performance of work occurs at VA medical facilities nationwide, with centralized procurement through the VA Commodities & Services Acquisition Service in Golden, Colorado and the Denver Logistics Center.

The purpose of this IDIQ is to obtain PAP technologies while securing a continuous supply of products to support usage of these technologies in VA clinical programs such as Sleep Medicine, Respiratory Care, and others. These items are purchased by the VA CSAS and Denver Logistics Center (DLC)/Service and Distribution Center (SDC) for stocking and distribution and assignment to individual VA medical facilities and subsequent issue to Veteran patients.