NIGP 43048: Medical Gases (for Anesthesia and Respiration Therapy): Carbon Dioxide, Cyclopropane, Nitrous Oxide, (Pure) Oxygen, etc.

NIGP 43048 Medical Gases (For Anesthesia And Respiration Therapy): Carbon Dioxide, Cyclopropane, Nitrous Oxide, (Pure) Oxygen, Etc., Item tier, encompasses the supply, delivery, and tank-management services that emergency medical services, fire departments, water treatment facilities, and hospitals buy to support patient care and facility operations. Recent solicitations show state and local governments purchasing compressed and liquid medical-grade oxygen in multiple tank sizes with recurring refill and delivery services; medical-grade liquid nitrogen and emergency oxygen kits; carbon dioxide; and related cylinder rental, hydrostatic testing, and inspection services. The buyer mix spans county emergency services departments (Collier County Florida EMS, Fort Bend County Texas EMS, Williamson County Texas EMS), city utilities and fire services (City of Sanford Florida water treatment, City of Austin Texas EMS and fire stations), state health agencies (Texas Health and Human Services Commission, Georgia Department of Fire and Emergency Services, Washington State Ferries occupational health), and regional procurement authorities (County of Santa Clara California). Collier County has appeared multiple times in the recent window with separate solicitations for ongoing oxygen supply and cascade system replacement, signaling sustained demand and equipment lifecycle management.

Activity concentrates in Texas, Florida, Georgia, California, and Washington, with recent bids posted from July through October 2026. Representative solicitations include Collier County Emergency Medical Services' Quick Quote for medical-grade oxygen supply across multiple tank sizes with estimated annual spending of $12,000 and a separate Quick Quote for oxygen cascade system removal and installation (due October 15, 2026); the City of Sanford Florida's IFB for bulk liquid oxygen delivery to a water treatment plant on a three-to-five-year term (due April 9, 2026); the County of Santa Clara California's ITB for medical gas inspection, certification, preventative maintenance, and minor repair requiring ASSE 6000 certification (due October 7, 2026); and the Texas Health and Human Services Commission's IFB for medical gases and cylinder rentals to Terrell State Hospital with an estimated contract value of $31,520 for the initial 12-month term (due July 27, 2026). The City of Austin Texas issued an IFB for compressed medical-grade oxygen cylinders and refill services across ten locations with a local business five-percent preference (due June 18, 2026). Most contracts carry one-year initial terms with three-to-four optional renewal periods; pricing is typically fixed for the initial term with adjustments thereafter tied to Consumer Price Index or Producer Price Index formulas. Emergency delivery capability and 24/7 availability are standard requirements across emergency services buyers.