2.2.1 Attachment 2 - DME IDIQ - Pricing and CLIN Sheet - Final.xlsx

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FEMA Durable Medical Equipment (DME)
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70FB7022R00000010
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Item Pricing Sheet Durable Medical Equipment Pricing Spreadsheet

Note: Durable Medical Equipment (DME) Items may be ordered "A La Carte" or as "Complete DME Kits." A "Complete DME Kit" includes items (DM-001 thru DM-047). Items (DM-048 thru DM-051) are only "A La Carte" items. All items, including those in a complete DME Kit, can be ordered "A La Carte" as well.

DME Item and Quantity List
Item ID#ItemDescriptionQuantity (per kit)UnitTrailersUnit CostTotal Cost
DM-001Bed Wedge for Bariatric Cot24” x 24" x 12”3EA$ - 0
DM-002Westcot 700 Cot, Bariatric with Mattress (or equivalent)600 lbs. Capacity3EA$ - 0
DM-003Westcot 400 Cot with Mattress (or equivalent)with Half Rails5EA$ - 0
DM-004Bedside Commode300 lbs. capacity2EA$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lbs capacity2EA$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, w/Soft Foam Armrests; Height Adjustable Legs; Weight Capacity: 350 lbs. Adds 4" to Height.Width: 22 1/2"; Width between Arms: 19"; Depth: 15 1/4"; Height: Floor to seat 20”2EA$ - 0
DM-007Egg Crate Padding32"W x 72"L, 1-2" density foam, roller compressed package1EA$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels1EA$ - 0
DM-009Walker, Dual ReleaseStandard w/Wheels1EA$ - 0
DM-010Walker, Dual Release (Bariatric)Heavy duty w/wheels; capacity up to 600lbs1EA$ - 0
DM-011Wheelchair, Adult1 each with Footrest; 1 each with/ elevated Leg Rest2EA$ - 0
DM-012Wheelchair, Adult XL (Bariatric)Overall width (open) 39"; capacity 700lbs. With Elevated Leg Rest1EA$ - 0
DM-013IV-Pole, 5 CasterHeavy Gauge Steel, Slow-descending pole, 3" caster's with dust covers and Thread Guards; Base has durable Black Powder finish2EA$ - 0
DM-014Canes, WhiteStandard Cane for the Blind2EA$ - 0
DM-015Canes, QuadLarge Base2EA$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch with 20" Length of 1" X 1"; Padded Top (Adjustable)2PR$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but size adjusted to Children (Adjustable)1PR$ - 0
DM-018Handheld ShowerWith 84" Hose2EA$ - 0
DM-019Shower Chair (Bariatric)700 lbs; Bath Bench2EA$ - 0
DM-020Privacy ScreenThree (3) Panel with Castors10EA$ - 0
DM-021Dressing Aid StickTwo (2) hooks: One "C" Hook; One Push-Pull Hook; Both hooks Plastic Coated2EA$ - 0
DM-022Transfer BoardsStandard for Wheelchair2EA$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" Length x 1" Height2EA$ - 0
DM-024Wheelchair (Bariatric) Ramps6' Length X 48" Width; Supports up to 800lbs.1EA$ - 0
DM-025Gait Belt70" wipeable/antimicrobial2EA$ - 0
DM-026Gait Belt96" wipeable/antimicrobial2EA$ - 0
DM-027Gravity Feeding SetGravity Feeding Set2EA$ - 0
DM-028I.V. Pole w/2 HooksFour (4) Leg; Two (2) hooks2EA$ - 0
DM-029Assistive Listening DevicesPocket Talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud, and folding headphone)2EA$ - 0
DM-030Headset (Listening Device) CoversSanitary Stretchable headphone covers: fits three (3) inches in size headphones500EA$ - 0
DM-031Magnifying Glass7 x LED illuminated magnifier round (needs AA batteries )1EA$ - 0
DM-032Communication Cards (picture boards)Large with common shelter pictures2EA$ - 0
DM-033Adaptive eating devicesFood Bumper Translucent plastic (Clip-on)15EA$ - 0
DM-034Adaptive eating devicesComfort grip angled fork-right hand15EA$ - 0
DM-035Adaptive eating devicesComfort grip angled fork-left hand15EA$ - 0
DM-036Adaptive eating devicesComfort grip angled spoon-right hand15EA$ - 0
DM-037Adaptive eating devicesComfort grip angled spoon-left hand15EA$ - 0
DM-038Adaptive eating devices (Pediatric)Comfort grip spoon -left hand7EA$ - 0
DM-039Adaptive eating devices (Pediatric)Comfort grip spoon- right hand7EA$ - 0
DM-040Adaptive eating devices (Pediatric)Comfort grip fork-right hand7EA$ - 0
DM-041Adaptive eating devices (Pediatric)Comfort grip fork-left hand7EA$ - 0
DM-042Bedside CommodeCapacity 650lbs. or greater1EA$ - 0
DM-043Elevated Toilet seatLocking elevated; capacity 350lbs1EA$ - 0
DM-0443-in-+1 CommodeCapacity 650lbs. or greater1EA$ - 0
DM-045Shower Mat Non-Slip16" x 34" Non-Slip Vinyl4EA$ - 0
DM-046Digital Infared Thermometer (temporal)Heat-seeker infrared, laser pointer, no touch3EA$ - 0
DM-047Seated (Bariatric) WalkerUp to 800lbs1EA$ - 0
DM-048Comfort Box1 each Knit Pant, T-shirt, Pair of Socks for Bariatric Resident10EA$ - 0
DM-049Transfer Lift with two (2) Mesh Swings450lbs, Capacity (Hoyer Lift/or equivaent)2EA$ - 0
DM-050Wheelchair, Pediatric1each with Footrest; 1 each with Elevated Leg Rest2EA$ - 0
DM-051Refrigerator (No Freezer)Counter Height (4 cubic feet); Used for Medications2EA$ - 0
DM-052Complete KitComplete Kit (all items DM-001-DM-0047)25KT$ - 0
TransportationSteady State Delivery cost per kit to location within the United States (CONUS)TL7$ - 0
TransportationEmergency Response Delivery cost per kit to location within the United States (CONUS)TL7$ - 0
TransportationSteady State Delivery cost per kit to location outside the US (OCONUS)TL7$ - 0
TransportationEmergency Response Delivery cost per kit to location outside the US (OCONUS)TL7$ - 0
Drop TrailerDrop Trailer Rate (per day) NTE $150.0030DA7$ - 0
Diversion RateDiversion Rate (per mile) NTE $3.001,000MI7$ - 0
Driver HourLabor (Driver) Rate (per hour) NTE $45.008HR7$ - 0
Complete Kit Total$ - 0
$0.00
Item ID#ItemDescriptionQuantity (per kit)UnitTrailersUnit CostTotal Cost
DM-001Bed Wedge for Bariatric Cot24” x 24" x 12”3EA$ - 0
DM-002Westcot 700 Cot, Bariatric with Mattress (or equivalent)600 lbs. Capacity3EA$ - 0
DM-003Westcot 400 Cot with Mattress (oe equivalent)with Half Rails5EA$ - 0
DM-004Bedside Commode300 lbs. capacity2EA$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lbs capacity2EA$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, w/Soft Foam Armrests; Height Adjustable Legs; Weight Capacity: 350 lbs. Adds 4" to Height.Width: 22 1/2"; Width between Arms: 19"; Depth: 15 1/4"; Height: Floor to seat 20”2EA$ - 0
DM-007Egg Crate Padding32"W x 72"L, 1-2" density foam, roller compressed package1EA$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels1EA$ - 0
DM-009Walker, Dual ReleaseStandard w/Wheels1EA$ - 0
DM-010Walker, Dual Release (Bariatric)Heavy duty w/wheels; capacity up to 600lbs1EA$ - 0
DM-011Wheelchair, Adult1 each with Footrest; 1 each with/ elevated Leg Rest2EA$ - 0
DM-012Wheelchair, Adult XL (Bariatric)Overall width (open) 39"; capacity 700lbs. With Elevated Leg Rest1EA$ - 0
DM-013IV-Pole, 5 CasterHeavy Gauge Steel, Slow-descending pole, 3" caster's with dust covers and Thread Guards; Base has durable Black Powder finish2EA$ - 0
DM-014Canes, WhiteStandard Cane for the Blind2EA$ - 0
DM-015Canes, QuadLarge Base2EA$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch with 20" Length of 1" X 1"; Padded Top (Adjustable)2PR$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but size adjusted to Children (Adjustable)1PR$ - 0
DM-018Handheld ShowerWith 84" Hose2EA$ - 0
DM-019Shower Chair (Bariatric)700 lbs; Bath Bench2EA$ - 0
DM-020Privacy ScreenThree (3) Panel with Castors10EA$ - 0
DM-021Dressing Aid StickTwo (2) hooks: One "C" Hook; One Push-Pull Hook; Both hooks Plastic Coated2EA$ - 0
DM-022Transfer BoardsStandard for Wheelchair2EA$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" Length x 1" Height2EA$ - 0
DM-024Wheelchair (Bariatric) Ramps6' Length X 48" Width; Supports up to 800lbs.1EA$ - 0
DM-025Gait Belt70" wipeable/antimicrobial2EA$ - 0
DM-026Gait Belt96" wipeable/antimicrobial2EA$ - 0
DM-027Gravity Feeding SetGravity Feeding Set2EA$ - 0
DM-028I.V. Pole w/2 HooksFour (4) Leg; Two (2) hooks2EA$ - 0
DM-029Assistive Listening DevicesPocket Talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud, and folding headphone)2EA$ - 0
DM-030Headset (Listening Device) CoversSanitary Stretchable headphone covers: fits three (3) inches in size headphones500EA$ - 0
DM-031Magnifying Glass7 x LED illuminated magnifier round (needs AA batteries )1EA$ - 0
DM-032Communication Cards (picture boards)Large with common shelter pictures2EA$ - 0
DM-033Adaptive eating devicesFood Bumper Translucent plastic (Clip-on)15EA$ - 0
DM-034Adaptive eating devicesComfort grip angled fork-right hand15EA$ - 0
DM-035Adaptive eating devicesComfort grip angled fork-left hand15EA$ - 0
DM-036Adaptive eating devicesComfort grip angled spoon-right hand15EA$ - 0
DM-037Adaptive eating devicesComfort grip angled spoon-left hand15EA$ - 0
DM-038Adaptive eating devices (Pediatric)Comfort grip spoon -left hand7EA$ - 0
DM-039Adaptive eating devices (Pediatric)Comfort grip spoon- right hand7EA$ - 0
DM-040Adaptive eating devices (Pediatric)Comfort grip fork-right hand7EA$ - 0
DM-041Adaptive eating devices (Pediatric)Comfort grip fork-left hand7EA$ - 0
DM-042Bedside CommodeCapacity 650lbs. or greater1EA$ - 0
DM-043Elevated Toilet seatLocking elevated; capacity 350lbs1EA$ - 0
DM-0443-in-+1 CommodeCapacity 650lbs. or greater1EA$ - 0
DM-045Shower Mat Non-Slip16" x 34" Non-Slip Vinyl4EA$ - 0
DM-046Digital Infared Thermometer (temporal)Heat-seeker infrared, laser pointer, no touch3EA$ - 0
DM-047Seated (Bariatric) WalkerUp to 800lbs1EA$ - 0
DM-048Comfort Box1 each Knit Pant, T-shirt, Pair of Socks for Bariatric Resident10EA$ - 0
DM-049Transfer Lift with two (2) Mesh Swings450lbs, Capacity (Hoyer Lift/or equivalent)2EA$ - 0
DM-050Wheelchair, Pediatric1each with Footrest; 1 each with Elevated Leg Rest2EA$ - 0
DM-051Refrigerator (No Freezer)Counter Height (4 cubic feet); Used for Medications2EA$ - 0
DM-052Complete KitComplete Kit (all items DM-001-DM-0047)25KT$ - 0
TransportationSteady State Delivery cost per kit to location within the United States (CONUS)TL7$ - 0
TransportationEmergency Response Delivery cost per kit to location within the United States (CONUS)TL7$ - 0
TransportationSteady State Delivery cost per kit to location outside the US (OCONUS)TL7$ - 0
TransportationEmergency Response Delivery cost per kit to location outside the US (OCONUS)TL7$ - 0
Drop TrailerDrop Trailer Rate (per day) NTE $150.0030DA7$ - 0
Diversion RateDiversion Rate (per mile) NTE $3.001,000MI7$ - 0
Driver HourLabor (Driver) Rate (per hour) NTE $45.008HR7$ - 0
Complete Kit Total$ - 0
$0.00
Item ID#ItemDescriptionQuantity (per kit)UnitTrailersUnit CostTotal Cost
DM-001Bed Wedge for Bariatric Cot24” x 24" x 12”3EA$ - 0
DM-002Westcot 700 Cot, Bariatric with Mattress (or equivalent)600 lbs. Capacity3EA$ - 0
DM-003Westcot 400 Cot with Mattress (or equivalent)with Half Rails5EA$ - 0
DM-004Bedside Commode300 lbs. capacity2EA$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lbs capacity2EA$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, w/Soft Foam Armrests; Height Adjustable Legs; Weight Capacity: 350 lbs. Adds 4" to Height.Width: 22 1/2"; Width between Arms: 19"; Depth: 15 1/4" Height: Floor to seat 20”2EA$ - 0
DM-007Egg Crate Padding32"W x 72"L, 1-2" density foam, roller compressed package1EA$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels1EA$ - 0
DM-009Walker, Dual ReleaseStandard w/Wheels1EA$ - 0
DM-010Walker, Dual Release (Bariatric)Heavy duty w/wheels; capacity up to 600lbs1EA$ - 0
DM-011Wheelchair, Adult1 each with Footrest; 1 each with/ elevated Leg Rest2EA$ - 0
DM-012Wheelchair, Adult XL (Bariatric)Overall width (open) 39"; capacity 700lbs. With Elevated Leg Rest1EA$ - 0
DM-013IV-Pole, 5 CasterHeavy Gauge Steel, Slow-descending pole, 3" caster's with dust covers and Thread Guards; Base has durable Black Powder finish2EA$ - 0
DM-014Canes, WhiteStandard Cane for the Blind2EA$ - 0
DM-015Canes, QuadLarge Base2EA$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch with 20" Length of 1" X 1"; Padded Top (Adjustable)2PR$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but size adjusted to Children (Adjustable)1PR$ - 0
DM-018Handheld ShowerWith 84" Hose2EA$ - 0
DM-019Shower Chair (Bariatric)700 lbs; Bath Bench2EA$ - 0
DM-020Privacy ScreenThree (3) Panel with Castors10EA$ - 0
DM-021Dressing Aid StickTwo (2) hooks: One "C" Hook; One Push-Pull Hook; Both hooks Plastic Coated2EA$ - 0
DM-022Transfer BoardsStandard for Wheelchair2EA$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" Length x 1" Height2EA$ - 0
DM-024Wheelchair (Bariatric) Ramps6' Length X 48" Width; Supports up to 800lbs.1EA$ - 0
DM-025Gait Belt70" wipeable/antimicrobial2EA$ - 0
DM-026Gait Belt96" wipeable/antimicrobial2EA$ - 0
DM-027Gravity Feeding SetGravity Feeding Set2EA$ - 0
DM-028I.V. Pole w/2 HooksFour (4) Leg; Two (2) hooks2EA$ - 0
DM-029Assistive Listening DevicesPocket Talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud, and folding headphone)2EA$ - 0
DM-030Headset (Listening Device) CoversSanitary Stretchable headphone covers: fits three (3) inches in size headphones500EA$ - 0
DM-031Magnifying Glass7 x LED illuminated magnifier round (needs AA batteries )1EA$ - 0
DM-032Communication Cards (picture boards)Large with common shelter pictures2EA$ - 0
DM-033Adaptive eating devicesFood Bumper Translucent plastic (Clip-on)15EA$ - 0
DM-034Adaptive eating devicesComfort grip angled fork-right hand15EA$ - 0
DM-035Adaptive eating devicesComfort grip angled fork-left hand15EA$ - 0
DM-036Adaptive eating devicesComfort grip angled spoon-right hand15EA$ - 0
DM-037Adaptive eating devicesComfort grip angled spoon-left hand15EA$ - 0
DM-038Adaptive eating devices (Pediatric)Comfort grip spoon -left hand7EA$ - 0
DM-039Adaptive eating devices (Pediatric)Comfort grip spoon- right hand7EA$ - 0
DM-040Adaptive eating devices (Pediatric)Comfort grip fork-right hand7EA$ - 0
DM-041Adaptive eating devices (Pediatric)Comfort grip fork-left hand7EA$ - 0
DM-042Bedside CommodeCapacity 650lbs. or greater1EA$ - 0
DM-043Elevated Toilet seatLocking elevated; capacity 350lbs1EA$ - 0
DM-0443-in-+1 CommodeCapacity 650lbs. or greater1EA$ - 0
DM-045Shower Mat Non-Slip16" x 34" Non-Slip Vinyl4EA$ - 0
DM-046Digital Infared Thermometer (temporal)Heat-seeker infrared, laser pointer, no touch3EA$ - 0
DM-047Seated (Bariatric) WalkerUp to 800lbs1EA$ - 0
DM-048Comfort Box1 each Knit Pant, T-shirt, Pair of Socks for Bariatric Resident10EA$ - 0
DM-049Transfer Lift with two (2) Mesh Swings450lbs, Capacity (Hoyer Lift/or equivalent)2EA$ - 0
DM-050Wheelchair, Pediatric1each with Footrest; 1 each with Elevated Leg Rest2EA$ - 0
DM-051Refrigerator (No Freezer)Counter Height (4 cubic feet); Used for Medications2EA$ - 0
DM-052Complete KitComplete Kit (all items DM-001-DM-0047)25KT$ - 0
TransportationSteady State Delivery cost per kit to location within the United States (CONUS)TL7$ - 0
TransportationEmergency Response Delivery cost per kit to location within the United States (CONUS)TL7$ - 0
TransportationSteady State Delivery cost per kit to location outside the US (OCONUS)TL7$ - 0
TransportationEmergency Response Delivery cost per kit to location outside the US (OCONUS)TL7$ - 0
Drop TrailerDrop Trailer Rate (per day) NTE $150.0030DA7$ - 0
Diversion RateDiversion Rate (per mile) NTE $3.001,000MI7$ - 0
Driver HourLabor (Driver) Rate (per hour) NTE $45.008HR7$ - 0
Complete Kit Total$ - 0
$0.00
Item ID#ItemDescriptionQuantity (per kit)UnitTrailersUnit CostTotal Cost
DM-001Bed Wedge for Bariatric Cot24” x 24" x 12”3EA$ - 0
DM-002Westcot 700 Cot, Bariatric with Mattress (or equivalent)600 lbs. Capacity3EA$ - 0
DM-003Westcot 400 Cot with Mattress (or equivalent)with Half Rails5EA$ - 0
DM-004Bedside Commode300 lbs. capacity2EA$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lbs capacity2EA$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, w/Soft Foam Armrests; Height Adjustable Legs; Weight Capacity: 350 lbs. Adds 4" to Height.Width: 22 1/2"; Width between Arms: 19"; Depth: 15 1/4"; Height: Floor to seat 20”2EA$ - 0
DM-007Egg Crate Padding32"W x 72"L, 1-2" density foam, roller compressed package1EA$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels1EA$ - 0
DM-009Walker, Dual ReleaseStandard w/Wheels1EA$ - 0
DM-010Walker, Dual Release (Bariatric)Heavy duty w/wheels; capacity up to 600lbs1EA$ - 0
DM-011Wheelchair, Adult1 each with Footrest; 1 each with/ elevated Leg Rest2EA$ - 0
DM-012Wheelchair, Adult XL (Bariatric)Overall width (open) 39"; capacity 700lbs. With Elevated Leg Rest1EA$ - 0
DM-013IV-Pole, 5 CasterHeavy Gauge Steel, Slow-descending pole, 3" caster's with dust covers and Thread Guards; Base has durable Black Powder finish2EA$ - 0
DM-014Canes, WhiteStandard Cane for the Blind2EA$ - 0
DM-015Canes, QuadLarge Base2EA$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch with 20" Length of 1" X 1"; Padded Top (Adjustable)2PR$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but size adjusted to Children (Adjustable)1PR$ - 0
DM-018Handheld ShowerWith 84" Hose2EA$ - 0
DM-019Shower Chair (Bariatric)700 lbs; Bath Bench2EA$ - 0
DM-020Privacy ScreenThree (3) Panel with Castors10EA$ - 0
DM-021Dressing Aid StickTwo (2) hooks: One "C" Hook; One Push-Pull Hook; Both hooks Plastic Coated2EA$ - 0
DM-022Transfer BoardsStandard for Wheelchair2EA$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" Length x 1" Height2EA$ - 0
DM-024Wheelchair (Bariatric) Ramps6' Length X 48" Width; Supports up to 800lbs.1EA$ - 0
DM-025Gait Belt70" wipeable/antimicrobial2EA$ - 0
DM-026Gait Belt96" wipeable/antimicrobial2EA$ - 0
DM-027Gravity Feeding SetGravity Feeding Set2EA$ - 0
DM-028I.V. Pole w/2 HooksFour (4) Leg; Two (2) hooks2EA$ - 0
DM-029Assistive Listening DevicesPocket Talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud, and folding headphone)2EA$ - 0
DM-030Headset (Listening Device) CoversSanitary Stretchable headphone covers: fits three (3) inches in size headphones500EA$ - 0
DM-031Magnifying Glass7 x LED illuminated magnifier round (needs AA batteries )1EA$ - 0
DM-032Communication Cards (picture boards)Large with common shelter pictures2EA$ - 0
DM-033Adaptive eating devicesFood Bumper Translucent plastic (Clip-on)15EA$ - 0
DM-034Adaptive eating devicesComfort grip angled fork-right hand15EA$ - 0
DM-035Adaptive eating devicesComfort grip angled fork-left hand15EA$ - 0
DM-036Adaptive eating devicesComfort grip angled spoon-right hand15EA$ - 0
DM-037Adaptive eating devicesComfort grip angled spoon-left hand15EA$ - 0
DM-038Adaptive eating devices (Pediatric)Comfort grip spoon -left hand7EA$ - 0
DM-039Adaptive eating devices (Pediatric)Comfort grip spoon- right hand7EA$ - 0
DM-040Adaptive eating devices (Pediatric)Comfort grip fork-right hand7EA$ - 0
DM-041Adaptive eating devices (Pediatric)Comfort grip fork-left hand7EA$ - 0
DM-042Bedside CommodeCapacity 650lbs. or greater1EA$ - 0
DM-043Elevated Toilet seatLocking elevated; capacity 350lbs1EA$ - 0
DM-0443-in-+1 CommodeCapacity 650lbs. or greater1EA$ - 0
DM-045Shower Mat Non-Slip16" x 34" Non-Slip Vinyl4EA$ - 0
DM-046Digital Infared Thermometer (temporal)Heat-seeker infrared, laser pointer, no touch3EA$ - 0
DM-047Seated (Bariatric) WalkerUp to 800lbs1EA$ - 0
DM-048Comfort Box1 each Knit Pant, T-shirt, Pair of Socks for Bariatric Resident10EA$ - 0
DM-049Transfer Lift with two (2) Mesh Swings450lbs, Capacity (Hoyer Lift/or equivalent)2EA$ - 0
DM-050Wheelchair, Pediatric1each with Footrest; 1 each with Elevated Leg Rest2EA$ - 0
DM-051Refrigerator (No Freezer)Counter Height (4 cubic feet); Used for Medications2EA$ - 0
DM-052Complete KitComplete Kit (all items DM-001-DM-0047)25KT$ - 0
TransportationSteady State Delivery cost per kit to location within the United States (CONUS)TL7$ - 0
TransportationEmergency Response Delivery cost per kit to location within the United States (CONUS)TL7$ - 0
TransportationSteady State Delivery cost per kit to location outside the US (OCONUS)TL7$ - 0
TransportationEmergency Response Delivery cost per kit to location outside the US (OCONUS)TL7$ - 0
Drop TrailerDrop Trailer Rate (per day) NTE $150.0030DA7$ - 0
Diversion RateDiversion Rate (per mile) NTE $3.001,000MI7$ - 0
Driver HourLabor (Driver) Rate (per hour) NTE $45.008HR7$ - 0
Complete Kit Total$ - 0
$0.00
Item ID#ItemDescriptionQuantity (per kit)UnitTrailersUnit CostTotal Cost
DM-001Bed Wedge for Bariatric Cot24” x 24" x 12”3EA$ - 0
DM-002Westcot 700 Cot, Bariatric with Mattress (or equivalent)600 lbs. Capacity3EA$ - 0
DM-003Westcot 400 Cot with Mattress (or equivalent)with Half Rails5EA$ - 0
DM-004Bedside Commode300 lbs. capacity2EA$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lbs capacity2EA$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, w/Soft Foam Armrests; Height Adjustable Legs; Weight Capacity: 350 lbs. Adds 4" to Height.Width: 22 1/2"; Width between Arms: 19"; Depth: 15 1/4"; Height: Floor to seat 20”2EA$ - 0
DM-007Egg Crate Padding32"W x 72"L, 1-2" density foam, roller compressed package1EA$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels1EA$ - 0
DM-009Walker, Dual ReleaseStandard w/Wheels1EA$ - 0
DM-010Walker, Dual Release (Bariatric)Heavy duty w/wheels; capacity up to 600lbs1EA$ - 0
DM-011Wheelchair, Adult1 each with Footrest; 1 each with/ elevated Leg Rest2EA$ - 0
DM-012Wheelchair, Adult XL (Bariatric)Overall width (open) 39"; capacity 700lbs. With Elevated Leg Rest1EA$ - 0
DM-013IV-Pole, 5 CasterHeavy Gauge Steel, Slow-descending pole, 3" caster's with dust covers and Thread Guards; Base has durable Black Powder finish2EA$ - 0
DM-014Canes, WhiteStandard Cane for the Blind2EA$ - 0
DM-015Canes, QuadLarge Base2EA$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch with 20" Length of 1" X 1"; Padded Top (Adjustable)2PR$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but size adjusted to Children (Adjustable)1PR$ - 0
DM-018Handheld ShowerWith 84" Hose2EA$ - 0
DM-019Shower Chair (Bariatric)700 lbs; Bath Bench2EA$ - 0
DM-020Privacy ScreenThree (3) Panel with Castors10EA$ - 0
DM-021Dressing Aid StickTwo (2) hooks: One "C" Hook; One Push-Pull Hook; Both hooks Plastic Coated2EA$ - 0
DM-022Transfer BoardsStandard for Wheelchair2EA$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" Length x 1" Height2EA$ - 0
DM-024Wheelchair (Bariatric) Ramps6' Length X 48" Width; Supports up to 800lbs.1EA$ - 0
DM-025Gait Belt70" wipeable/antimicrobial2EA$ - 0
DM-026Gait Belt96" wipeable/antimicrobial2EA$ - 0
DM-027Gravity Feeding SetGravity Feeding Set2EA$ - 0
DM-028I.V. Pole w/2 HooksFour (4) Leg; Two (2) hooks2EA$ - 0
DM-029Assistive Listening DevicesPocket Talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud, and folding headphone)2EA$ - 0
DM-030Headset (Listening Device) CoversSanitary Stretchable headphone covers: fits three (3) inches in size headphones500EA$ - 0
DM-031Magnifying Glass7 x LED illuminated magnifier round (needs AA batteries )1EA$ - 0
DM-032Communication Cards (picture boards)Large with common shelter pictures2EA$ - 0
DM-033Adaptive eating devicesFood Bumper Translucent plastic (Clip-on)15EA$ - 0
DM-034Adaptive eating devicesComfort grip angled fork-right hand15EA$ - 0
DM-035Adaptive eating devicesComfort grip angled fork-left hand15EA$ - 0
DM-036Adaptive eating devicesComfort grip angled spoon-right hand15EA$ - 0
DM-037Adaptive eating devicesComfort grip angled spoon-left hand15EA$ - 0
DM-038Adaptive eating devices (Pediatric)Comfort grip spoon -left hand7EA$ - 0
DM-039Adaptive eating devices (Pediatric)Comfort grip spoon- right hand7EA$ - 0
DM-040Adaptive eating devices (Pediatric)Comfort grip fork-right hand7EA$ - 0
DM-041Adaptive eating devices (Pediatric)Comfort grip fork-left hand7EA$ - 0
DM-042Bedside CommodeCapacity 650lbs. or greater1EA$ - 0
DM-043Elevated Toilet seatLocking elevated; capacity 350lbs1EA$ - 0
DM-0443-in-+1 CommodeCapacity 650lbs. or greater1EA$ - 0
DM-045Shower Mat Non-Slip16" x 34" Non-Slip Vinyl4EA$ - 0
DM-046Digital Infared Thermometer (temporal)Heat-seeker infrared, laser pointer, no touch3EA$ - 0
DM-047Seated (Bariatric) WalkerUp to 800lbs1EA$ - 0
DM-048Comfort Box1 each Knit Pant, T-shirt, Pair of Socks for Bariatric Resident10EA$ - 0
DM-049Transfer Lift with two (2) Mesh Swings450lbs, Capacity (Hoyer Lift/or equivalent)2EA$ - 0
DM-050Wheelchair, Pediatric1each with Footrest; 1 each with Elevated Leg Rest2EA$ - 0
DM-051Refrigerator (No Freezer)Counter Height (4 cubic feet); Used for Medications2EA$ - 0
DM-052Complete KitComplete Kit (all items DM-001-DM-0047)25KT$ - 0
TransportationSteady State Delivery cost per kit to location within the United States (CONUS)TL7$ - 0
TransportationEmergency Response Delivery cost per kit to location within the United States (CONUS)TL7$ - 0
TransportationSteady State Delivery cost per kit to location outside the US (OCONUS)TL7$ - 0
TransportationEmergency Response Delivery cost per kit to location outside the US (OCONUS)TL7$ - 0
Drop TrailerDrop Trailer Rate (per day) NTE $150.0030DA7$ - 0
Diversion RateDiversion Rate (per mile) NTE $3.001,000MI7$ - 0
Driver HourLabor (Driver) Rate (per hour) NTE $45.008HR7$ - 0
Complete Kit Total$ - 0
$0.00
$0.00
EA=Each
KT=Kit
HR=Hour
TL=Trailer Load
MI=Miles
DA=Days

CLIN Pricing Sheet

Durable Medical Equipment CLIN Ordering Spreadsheet
DirectionsPlease see the "Item Pricing Sheet" tab to reference specific item ID# and Description. For each "Complete Kits" Order; that "Total Cost" will show in the corresponding "Item Cost"column. For all "A La Carte Items" orders, the total costs of the A La Carte Items will show in the corresponding column. For all A La Carte items, please use the "Order Description" column to identify those items being ordered.
Ordering Notes***Items DM-001 thru DM-0047 represent those items that make up a complete DME kit***
Note: Durable Medical Equipment (DME) Items may be ordered a la carte or as kits. A complete DME kit includes items (DM-001 thru DM-047).***Items DM-048 thru DM-051 are not part of the DME complete kit and shall be ordered as a la carte items***
Order DetailsOrder Date (XXXX); IDIQ # (XXXX); Task Order # (XXXX);
DME CLIN SHEET
Item ID#CLIN NumberDescriptionItem CostTotal CostOrder Description

(Item Name, ID#, Quantity Etc.)

DM-0010001Complete Kits (DM-001 - DM-0047)$ - 0$ - 0
DM-0020001ACONUS Transportation - Steady State$ - 0$ - 0
DM-0030001BCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0040001COCONUS Transportation - Steady State$ - 0$ - 0
DM-0050001DOCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0060002A LA Carte Items (DM-001 - DM-0051)$ - 0$ - 0
DM-0070002ACONUS Transportation - Steady State$ - 0$ - 0
DM-0080002BCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0090002COCONUS Transportation - Steady State$ - 0$ - 0
DM-0100002DOCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0110003Drop Trailer Rate (per day) NTE $150.00$ - 0$ - 0
DM-0120004Diversion Rate (per mile) NTE $3.00$ - 0$ - 0
DM-0130005Driver Hour Rate$ - 0$ - 0
Total Cost
Base Year$ - 0$ - 0
DM-0141001Complete Kits (DM-001 - DM-0047)$ - 0$ - 0
DM-0151001ACONUS Transportation - Steady State$ - 0$ - 0
DM-0161001BCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0171001COCONUS Transportation - Steady State$ - 0$ - 0
DM-0181001DOCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0191002A LA Carte Items (DM-001 - DM-0051)$ - 0$ - 0
DM-0201002ACONUS Transportation - Steady State$ - 0$ - 0
DM-0211002BCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0221002COCONUS Transportation - Steady State$ - 0$ - 0
DM-0231002DOCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0241003Drop Trailer Rate (per day) NTE $150.00$ - 0$ - 0
DM-0251004Diversion Rate (per mile) NTE $3.00$ - 0$ - 0
DM-0261005Driver Hour Rate$ - 0$ - 0
Total Cost
Option Yr 1$ - 0$ - 0
DM-0272001Complete Kits (DM-001 - DM-0047)$ - 0$ - 0
DM-0282001ACONUS Transportation - Steady State$ - 0$ - 0
DM-0292001BCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0302001COCONUS Transportation - Steady State$ - 0$ - 0
DM-0312001DOCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0322002A LA Carte Items (DM-001 - DM-0051)$ - 0$ - 0
DM-0332002ACONUS Transportation - Steady State$ - 0$ - 0
DM-0342002BCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0352002COCONUS Transportation - Steady State$ - 0$ - 0
DM-0362002DOCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0372003Drop Trailer Rate (per day) NTE $150.00$ - 0$ - 0
DM-0382004Diversion Rate (per mile) NTE $3.00$ - 0$ - 0
DM-0392005Driver Hour Rate$ - 0$ - 0
Total Cost
Option Yr 2$ - 0$ - 0
DM-0403001Complete Kits (DM-001 - DM-0047)$ - 0$ - 0
DM-0413001ACONUS Transportation - Steady State$ - 0$ - 0
DM-0423001BCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0433001COCONUS Transportation - Steady State$ - 0$ - 0
DM-0443001DOCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0453002A LA Carte Items (DM-001 - DM-0051)$ - 0$ - 0
DM-0463002ACONUS Transportation - Steady State$ - 0$ - 0
DM-0473002BCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0483002COCONUS Transportation - Steady State$ - 0$ - 0
DM-0493002DOCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0503003Drop Trailer Rate (per day) NTE $150.00$ - 0$ - 0
DM-0513004Diversion Rate (per mile) NTE $3.00$ - 0$ - 0
DM-0523005Driver Hour Rate$ - 0$ - 0
Total Cost
Option Yr 3$ - 0$ - 0
DM-0014001Complete Kits (DM-001 - DM-0047)$ - 0$ - 0
DM-0024001ACONUS Transportation - Steady State$ - 0$ - 0
DM-0034001BCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0044001COCONUS Transportation - Steady State$ - 0$ - 0
DM-0054001DOCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0064002A LA Carte Items (DM-001 - DM-0051)$ - 0$ - 0
DM-0074002ACONUS Transportation - Steady State$ - 0$ - 0
DM-0084002BCONUS Transportation - Emergency Response$ - 0$ - 0
DM-0094002COCONUS Transportation - Steady State$ - 0$ - 0
4002DOCONUS Transportation - Emergency Response$ - 0$ - 0
4003Drop Trailer Rate (per day) NTE $150.00$ - 0$ - 0
4004Diversion Rate (per mile) NTE $3.00$ - 0$ - 0
4005Driver Hour Rate$ - 0$ - 0
Total Cost
Option Yr 4$ - 0$ - 0
DM-010Contractor Grand Total for IDIQ$0.00
DM-011
DM-012EA=Each
DM-013KT=Kit
DM-014HR=Hour
DM-015TL=Trailer Load
DM-016MI=Miles
DM-017DA=Days
DM-018Complete Kit including item numbers DM-001 through DM-047
DM-019Transportation is for vendor shipping a Truckload of DME complete kits/replenishment items/a la carte items to the required destination. Estimated at a rate for a total of 28 truckloads per year.
DM-020Drop Trailer is estimated for 30 days @ a rate of $150.00 per day for 28 trailers
DM-021Trailer Diversion is estimated at $3.00 per mile for 100 miles for 28 trailers
DM-022Driver Hour is estimated at $45.00 per hour for 8 hours for 28 drivers
DM-023
DM-024
DM-025
DM-026
DM-027
DM-028
DM-029
DM-030
DM-031
DM-032
DM-033
DM-034
DM-035
DM-036
DM-037
DM-038
DM-039
DM-040
DM-041
DM-042
DM-043
DM-044
DM-045
DM-046
DM-047
DM-048
DM-049
DM-050
DM-051
DM-052

File details come from the government source that posted it. Updated .