NIGP 475: Hospital, Surgical, and Medical Related Accessories and Sundry Items

NIGP 475 Hospital, Surgical, and Medical Related Accessories and Sundry Items is a Class code encompassing the medical equipment, supplies, and devices that state and local healthcare systems, emergency services, and public health agencies procure for direct patient care, emergency response, and facility operations. State and local governments buy under this code a diverse range of products: emergency medical supplies and pharmaceuticals for EMS operations, diagnostic and monitoring equipment such as hearing screening systems and intraoral X-ray units, pharmacy benefit management services and medical supplies for employee health programs, prescription eyeglasses and vision services, respiratory therapy equipment and oxygen delivery systems, infection control and personal protective equipment for public health points of dispensing, dental chairs and related instruments, laboratory safety apparel, medical supply vending systems with inventory management software, and Group Purchasing Organization memberships providing access to surgical instruments, wound care products, orthopedic devices, and cardiovascular implants. School districts, county health departments, municipal fire and EMS agencies, state health agencies, independent public hospitals, and health care consortiums issue solicitations under this code. Repeat activity centers on emergency medical services procurement—Williamson County issued at least two EMS-focused solicitations in the recent cycle—and on pharmacy and vision benefits administration for municipal and county employee populations.

Recent opportunities show activity concentrated in Florida, Texas, Arizona, Colorado, and several Northeast and Upper Midwest states. Representative current solicitations include Tucson Fire Department's June 2026 RFP for BLS/ALS pharmaceuticals, supplies, and vending-machine software (federally funded through ARPA, HUD, and FTA with Davis-Bacon and Buy America compliance), Collier County's April 2026 RFP for pharmacy benefit management services covering 2,400 employees with approximately $8.7 million in annual historical spending, Denver's June 2026 RFP for MMCAP Medical Supplies, and Region 14 Education Service Center's April 2026 cooperative-purchasing RFP for medical supplies and related goods and services (estimated annual volume approximately $10 million) serving state and local public agencies nationwide through OMNIA Partners. San Mateo County's August 2026 Group Purchasing Organization membership RFP for medical-related products serving the county's acute-care hospital, outpatient clinics, and long-term care facilities shows healthcare system consolidation driving larger-scale sourcing. Minnesota's July 2026 RFP for prescription eyeglasses serving Medical Assistance and MinnesotaCare populations, MassAbility's July 2026 open-enrollment contract for medical items and prosthetics ($1 million annual value, four-year term with renewal options), and Colorado's May 2026 RFP for oxygen and respiratory therapy services to two state veterans facilities illustrate ongoing state-level health program procurement. Sole-source and intent-to-award notices for specific equipment (Vidacare EZ-IO systems, Teleflex needles and drills, Maico hearing screeners) indicate vendor concentration in specialized medical devices and consumables where direct manufacturer or exclusive distributor relationships dominate purchasing. Activity reflects significant federal funding (ARPA, HUD, FTA, Section 3 labor requirements) and compliance obligations (Davis-Bacon, Buy America, cybersecurity, HIPAA) in larger municipal and state procurements.