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Eyeglass Pricing
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Sheet1
| Indian Health Service Pricing Schedule | | | | |
| Pricing Glasses, Single | | | | |
| Base Year - Award - April 30, 2019 | | | | |
| Glass | Plastic | Polycarbonate | Hi-Index |
| Single Vision | | | | |
| Bifocal (line) | | | | |
| Progressive (no-line)* | | | | |
| Trifocal | | | | |
| Add-Ons | | | | |
| Description | Per Lens/Glasses | Price | | |
| Prism | | | | |
| Slab Off Prism | | | | |
| Anti-Reflective Coating | | | | |
| Solid/Gradient Tint | | | | |
| Trivex/Photochromatic | | | | |
| Option Year 1 - May 1, 2019 - April 30, 2020 | | | | |
| Glass | Plastic | Polycarbonate | Hi-Index |
| Single Vision | | | | |
| Bifocal (line) | | | | |
| Progressive (no-line)* | | | | |
| Trifocal | | | | |
| Add-Ons | | | | |
| Description | Per Lens/Glasses | Price | | |
| Prism | | | | |
| Slab Off Prism | | | | |
| Anti-Reflective Coating | | | | |
| Solid/Gradient Tint | | | | |
| Trivex/Photochromatic | | | | |
| Option Year 2 - May 1, 2020 - April 30, 2021 | | | | |
| Glass | Plastic | Polycarbonate | Hi-Index |
| Single Vision | | | | |
| Bifocal (line) | | | | |
| Progressive (no-line)* | | | | |
| Trifocal | | | | |
| Add-Ons | | | | |
| Description | Per Lens/Glasses | Price | | |
| Prism | | | | |
| Slab Off Prism | | | | |
| Anti-Reflective Coating | | | | |
| Solid/Gradient Tint | | | | |
| Trivex/Photochromatic | | | | |
| Option Year 3 - May 1, 2021 - April 30, 2022 | | | | |
| Glass | Plastic | Polycarbonate | Hi-Index |
| Single Vision | | | | |
| Bifocal (line) | | | | |
| Progressive (no-line)* | | | | |
| Trifocal | | | | |
| Add-Ons | | | | |
| Description | Per Lens/Glasses | Price | | |
| Prism | | | | |
| Slab Off Prism | | | | |
| Anti-Reflective Coating | | | | |
| Solid/Gradient Tint | | | | |
| Trivex/Photochromatic | | | | |
| Option Year 4 - May 1, 2022 - April 30, 2023 | | | | |
| Glass | Plastic | Polycarbonate | Hi-Index |
| Single Vision | | | | |
| Bifocal (line) | | | | |
| Progressive (no-line)* | | | | |
| Trifocal | | | | |
| Add-Ons | | | | |
| Description | Per Lens/Glasses | Price |
| Prism | | |
| Slab Off Prism | | |
| Anti-Reflective Coating | | |
| Solid/Gradient Tint | | |
| Trivex/Photochromatic | | |
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