S06 Attachment A2 - Disposable Supplies - Ancillary Supplies List 3-29-21.xlsx
XLSX spreadsheet 37 KB Posted
- Solicitation number
- 36C24120R0014
About this file
This document contains a list of disposable supplies, oxygen and cough assist supplies, ventilator supplies, and tracheostomy supplies for use in a federal contract opportunity to provide VISN 1 Home Oxygen/Respiratory Care and Durable Medical Equipment (DME) Services. Key products and services required include a wide range of CPAP and BiPAP masks, cushions, headgear, tubing and filters from manufacturers such as ResMed, Respironics, Fisher & Paykel, and others; oxygen cylinders, concentrators, backpacks and carts; ventilators, batteries, circuits and humidifiers from Philips Respironics and others; and tracheostomy tubes, ties and care kits. The contract will be awarded by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1 to provide these supplies and services to beneficiaries in the region. Pricing is included for all listed products.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24120R0014 0005.docx | DOCX document | |
| S06 36C24120R0014 0004.docx | DOCX document | |
| S06 36C24120R0014 0003.docx | DOCX document | |
| S06 36C24120R0014 0002.docx | DOCX document | |
| S06 AL18-01 - Use of thermal Fuses.pdf | ||
| S06 HomeO2-ClinicalIndications-08-28-2020 (002).pdf | ||
| S06 VA Privacy and Information Security Awareness 2018.pdf | ||
| S06 BAA Template.docx | DOCX document | |
| S06 VA Privacy HIPAA-Training-2018.pdf | ||
| S06 2006-021 VHA Policy on Smoking.pdf | ||
| S06 Rule Of Behavior.pdf | ||
| S06 VHA Directive 1173_13_Home Oxygen Program D_2020-08-05.pdf | ||
| S06 Certificate for Privacy Training.pdf | ||
| S06 1605_D_2017-09-01.pdf | ||
| S06 Simple_2022 HAP NPSG goals 101921.pdf | ||
| S06 Smoking Safety.pdf | ||
| S06 Oxygen Fact Sheet.pdf | ||
| S06 Oxygen Safety.pdf | ||
| S06 2016-1116-2 SPS Directive.pdf | ||
| S06 VISN 1 Home Oxygen DME Services Solicitation 36C24120R0014 Questions 2-4-22.docx | DOCX document | |
| 36C24120R0014 0001.docx | DOCX document | |
| 36C24120R0014_1.docx | DOCX document |
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Text version
CPAP
| VA is not required to purchase these supplies from the Contractor. | ||||||
| PAP SUPPLY LIST - | ||||||
| Title | Vendor | Type | Variable | Size | Variant SKU | Unit Price |
| Shipping & Handling | Shipping | Orders Below $25 | N/A | $ - 0 | ||
| Air Filter - ResMed | ResMed | Filter | Type | 2-Pack Standard | 36851 | $ - 0 |
| Air Filter - ResMed | ResMed | Filter | Type | Standard for S9, AirCurve 10 & AirSense 10, 12/pack | 36852 | $ - 0 |
| AirFit F10 for Her Full Face Mask Complete System | ResMed | Full Face Mask | Size | Extra Small | 63139 | $ - 0 |
| AirFit F10 for Her Full Face Mask Complete System | ResMed | Full Face Mask | Size | Small | 63140 | $ - 0 |
| AirFit F10 for Her Full Face Mask Complete System | ResMed | Full Face Mask | Size | Medium | 63141 | $ - 0 |
| AirFit F10 for Her Headgear | ResMed | Headgear | Color | Pink | 63167 | $ - 0 |
| AirFit F10 Full Face Mask Complete System | ResMed | Full Face Mask | Size | Small | 63101 | $ - 0 |
| AirFit F10 Full Face Mask Complete System | ResMed | Full Face Mask | Size | Medium | 63102 | $ - 0 |
| AirFit F10 Full Face Mask Complete System | ResMed | Full Face Mask | Size | Large | 63103 | $ - 0 |
| AirFit F10 Headgear | ResMed | Headgear | Size | Standard | 63164 | $ - 0 |
| AirFit F20 Cushion | ResMed | Full Face Cushion | Size | Small | 63467 | $ - 0 |
| AirFit F20 Cushion | ResMed | Full Face Cushion | Size | Medium | 63468 | $ - 0 |
| AirFit F20 Cushion | ResMed | Full Face Cushion | Size | Large | 63469 | $ - 0 |
| AirFit F20 Mask System | ResMed | Full Face Mask | Size | Small | 63400 | $ - 0 |
| AirFit F20 Mask System | ResMed | Full Face Mask | Size | Medium | 63401 | $ - 0 |
| AirFit F20 Mask System | ResMed | Full Face Mask | Size | Large | 63402 | $ - 0 |
| AirFit F20 Mask System for Her | ResMed | Full Face Mask | Size | Small | 63403 | $ - 0 |
| AirFit F20 Mask System for Her | ResMed | Full Face Mask | Size | Medium | 63404 | $ - 0 |
| AirFit F20/AirTouch F20 Headgear with Clips | ResMed | Headgear | Size | Small | 63470 | $ - 0 |
| AirFit F20/AirTouch F20 Headgear with Clips | ResMed | Headgear | Size | Standard | 63471 | $ - 0 |
| AirFit F20/AirTouch F20 Headgear with Clips | ResMed | Headgear | Size | Large | 63472 | $ - 0 |
| AirFit F20/AirTouch F20 Headgear with Clips | ResMed | Headgear | Size | For Her | 63473 | $ - 0 |
| AirFit F30 Full Face Cushion | ResMed | Full Face Cushion | Size | Small | 64150 | $ - 0 |
| AirFit F30 Full Face Cushion | ResMed | Full Face Cushion | Size | Medium | 64151 | $ - 0 |
| AirFit F30 Full Face Cushion | ResMed | Full Face Cushion | Size | Small | 64150 | $ - 0 |
| AirFit F30 Full Face Cushion | ResMed | Full Face Cushion | Size | Medium | 64151 | $ - 0 |
| AirFit F30 Full Face Mask System | ResMed | Full Face Mask | Size | Small | 64100 | $ - 0 |
| AirFit F30 Full Face Mask System | ResMed | Full Face Mask | Size | Medium | 64101 | $ - 0 |
| AirFit F30 Full Face Mask System | ResMed | Full Face Mask | Size | Small | 64100 | $ - 0 |
| AirFit F30 Full Face Mask System | ResMed | Full Face Mask | Size | Medium | 64101 | $ - 0 |
| AirFit F30 Headgear | ResMed | Headgear | Size | Standard | 64161 | $ - 0 |
| AirFit F30 Headgear | ResMed | Headgear | Size | Standard | 64161 | $ - 0 |
| AirFit N10 Cushion | ResMed | Nasal Cushion | Size | Small | 63241 | $ - 0 |
| AirFit N10 Cushion | ResMed | Nasal Cushion | Size | Standard | 63240 | $ - 0 |
| AirFit N10 Cushion | ResMed | Nasal Cushion | Size | Wide | 63242 | $ - 0 |
| AirFit N10 for Her Headgear | ResMed | Headgear | Size | Small (Pink) | 63261 | $ - 0 |
| AirFit N10 for Her nasal mask complete system | ResMed | Nasal Pillow Mask | Size | Fit Pack | 63201 | $ - 0 |
| AirFit N10 Headgear | ResMed | Headgear | Size | Standard | 63260 | $ - 0 |
| AirFit N10 Nasal Mask Complete System | ResMed | Nasal Mask | Size | Standard | 63200 | $ - 0 |
| AirFit N10 Nasal Mask Complete System | ResMed | Nasal Mask | Size | Wide | 63202 | $ - 0 |
| AirFit N20 Cushion | ResMed | Nasal Cushion | Size | Small | 63550 | $ - 0 |
| AirFit N20 Cushion | ResMed | Nasal Cushion | Size | Medium | 63551 | $ - 0 |
| AirFit N20 Cushion | ResMed | Nasal Cushion | Size | Large | 63552 | $ - 0 |
| AirFit N20 Headgear | ResMed | Headgear | Size | Standard | 63561 | $ - 0 |
| AirFit N20 Headgear | ResMed | Headgear | Size | For Her | 63558 | $ - 0 |
| AirFit N20 Mask System | ResMed | Nasal Mask | Size | Medium | 63501 | $ - 0 |
| AirFit N20 Mask System | ResMed | Nasal Mask | Size | Large | 63502 | $ - 0 |
| AirFit N20 Mask System | ResMed | Nasal Mask | Size | Small | 63503 | $ - 0 |
| AirFit N20 Mask System | ResMed | Nasal Mask | Size | For Her | 63500 | $ - 0 |
| AirFit N30i Cushions | ResMed | Nasal Cushion | Size | Small-Wide | 63810 | $ - 0 |
| AirFit N30i Cushions | ResMed | Nasal Cushion | Size | Medium | 63811 | $ - 0 |
| AirFit N30i Cushions | ResMed | Nasal Cushion | Size | Wide | 63812 | $ - 0 |
| AirFit N30i Cushions | ResMed | Nasal Cushion | Size | Small | 63813 | $ - 0 |
| AirFit N30i Headgear | ResMed | Headgear | Size | Standard | 63814 | $ - 0 |
| AirFit N30i Standard Starter Pack | ResMed | Nasal Mask | Size | FitPack-Standard Frame (Includes Small, Medium & Small-Wide Cushions) | 63838 | $ - 0 |
| AirFit N30i Nasal Cradle Mask | ResMed | Nasal Mask | Size | FitPack-Standard Frame (Includes Small, Medium & Small-Wide Cushions) | 63800 | $ - 0 |
| AirFit N30i Nasal Cradle Mask | ResMed | Nasal Mask | Size | FitPack-Small Frame (Includes Small, Medium & Small-Wide Cushions) | 63801 | $ - 0 |
| AirFit F30i Standard Starter Pack | ResMed | Nasal Mask | Size | FitPack-Standard Frame (Includes Small, Medium & Small Wide Cushions) | 63301 | $ - 0 |
| AirFit P10 Dual-wall pillow sleeve | ResMed | Nasal Pillows | Size | Small | 62931 | $ - 0 |
| AirFit P10 Dual-wall pillow sleeve | ResMed | Nasal Pillows | Size | Medium | 62932 | $ - 0 |
| AirFit P10 Dual-wall pillow sleeve | ResMed | Nasal Pillows | Size | Large | 62933 | $ - 0 |
| AirFit P10 for Her Dual-wall pillow sleeve | ResMed | Nasal Pillows | Size | Extra Small | 62930 | $ - 0 |
| AirFit P10 for Her Headgear | ResMed | Headgear | Color | Pink | 63167 | $ - 0 |
| AirFit P10 for Her Nasal Pillows System | ResMed | Nasal Pillow Mask | Title | Default Title | 62910 | $ - 0 |
| AirFit P10 Headgear | ResMed | Headgear | Title | Default Title | 62935 | $ - 0 |
| AirFit P10 Nasal Pillows System | ResMed | Nasal Pillow Mask | Title | Default Title | 62900 | $ - 0 |
| AirSense 10 Elbow Tube | ResMed | Elbow Tube | Title | Default Title | 37394 | $ - 0 |
| AirTouch F20 Cushion | ResMed | Full Face Cushion | Size | Small | 63028 | $ - 0 |
| AirTouch F20 Cushion | ResMed | Full Face Cushion | Size | Medium | 63029 | $ - 0 |
| AirTouch F20 Cushion | ResMed | Full Face Cushion | Size | Large | 63030 | $ - 0 |
| AirTouch F20 Mask System | ResMed | Full Face Mask | Size | Small | 63000 | $ - 0 |
| AirTouch F20 Mask System | ResMed | Full Face Mask | Size | Medium | 63001 | $ - 0 |
| AirTouch F20 Mask System | ResMed | Full Face Mask | Size | Large | 63002 | $ - 0 |
| AirTouch F20 Mask System for Her | ResMed | Full Face Mask | Size | Small | 63003 | $ - 0 |
| AirTouch F20 Mask System for Her | ResMed | Full Face Mask | Size | Medium | 63004 | $ - 0 |
| AirTouch F20 Multi Pack | ResMed | Full Face Mask (63001) & 2 Cushions | Size | Medium | 63013 | $ - 0 |
| AirTouch F20 Multi Pack | ResMed | Full Face Mask (63002) & 2 Cushions | Size | Large | 63014 | $ - 0 |
| Amara Gel Cushion | Respironics | Full Face Cushion | Size | Petite | 1090490 | $ - 0 |
| Amara Gel Cushion | Respironics | Full Face Cushion | Size | Small | 1090492 | $ - 0 |
| Amara Gel Cushion | Respironics | Full Face Cushion | Size | Medium | 1090493 | $ - 0 |
| Amara Gel Cushion | Respironics | Full Face Cushion | Size | Large | 1090494 | $ - 0 |
| Amara Headgear | Respironics | Headgear | Size | Standard | 1090297 | $ - 0 |
| Amara Silicone Cushion | Respironics | Full Face Cushion | Size | Petite | 1090290 | $ - 0 |
| Amara Silicone Cushion | Respironics | Full Face Cushion | Size | Small | 1090292 | $ - 0 |
| Amara Silicone Cushion | Respironics | Full Face Cushion | Size | Medium | 1090293 | $ - 0 |
| Amara Silicone Cushion | Respironics | Full Face Cushion | Size | Large | 1090294 | $ - 0 |
| Amara Starter Kit with both Gel and Silicone Cushions and headgear | Respironics | Full Face Mask | Size | Petite | 1106618 | $ - 0 |
| Amara Starter Kit with both Gel and Silicone Cushions and headgear | Respironics | Full Face Mask | Size | Small | 1106619 | $ - 0 |
| Amara Starter Kit with both Gel and Silicone Cushions and headgear | Respironics | Full Face Mask | Size | Medium | 1106620 | $ - 0 |
| Amara Starter Kit with both Gel and Silicone Cushions and headgear | Respironics | Full Face Mask | Size | Large | 1106621 | $ - 0 |
| Amara View Cushion | Respironics | Full Face Cushion | Size | Small | 1090692 | $ - 0 |
| Amara View Cushion | Respironics | Full Face Cushion | Size | Medium | 1090693 | $ - 0 |
| Amara View Cushion | Respironics | Full Face Cushion | Size | Large | 1090694 | $ - 0 |
| Amara View Headgear | Respironics | Headgear | Size | Standard | 1090697 | $ - 0 |
| Amara View Mask and Headgear | Respironics | Full Face Mask | Size | Small | 1090622 | $ - 0 |
| Amara View Mask and Headgear | Respironics | Full Face Mask | Size | Medium | 1090623 | $ - 0 |
| Amara View Mask and Headgear | Respironics | Full Face Mask | Size | Large | 1090624 | $ - 0 |
| Brevida Headgear | Fisher & Paykel | Headgear | Title | Default Title | 400BRE120 | $ - 0 |
| Brevida Headgear Clips | Fisher & Paykel | Headgear | Title | Default Title | 400BRE151 | $ - 0 |
| Brevida Nasal Pillows Mask w/ Headgear | Fisher & Paykel | Nasal Pillow Mask | Size | Extra Small/Small | BRE1SA | $ - 0 |
| Brevida Nasal Pillows Mask w/ Headgear | Fisher & Paykel | Nasal Pillow Mask | Size | Medium/Large | BRE1MA | $ - 0 |
| Brevida Seal | Fisher & Paykel | Nasal Pillows | Size | ExtraSmall/Small | 400BRE113 | $ - 0 |
| Brevida Seal | Fisher & Paykel | Nasal Pillows | Size | Medium/Large | 400BRE114 | $ - 0 |
| Chin Strap | ResMed | Chin Strap | Size | Default | 16015 | $ - 0 |
| Chin Strap Large | Chin Strap | Size | Large | TMS-09ADJ | $ - 0 | |
| Chin Strap Extra Large | Chin Strap | Size | Extra Large | TMS-09ADJXL | $ - 0 | |
| ClimateLine Heated Tube - S9 | ResMed | Tubing | Size | 6 Ft | 36995 | $ - 0 |
| ClimateLine Max Oxy S10 | ResMed | Tubing | Type | Heated with Oxygen Port | 37357 | $ - 0 |
| ClimateLine Max Oxy S9 | ResMed | Tubing | Type | Heated with Oxygen Port | 36996 | $ - 0 |
| ClimateLineAir Heated Tube - S10 | ResMed | Tubing | Size | 6 Ft | 37296 | $ - 0 |
| ComfortGel Blue Cushion and Flap | Respironics | Nasal Cushion | Size | Petite | 1070108 | $ - 0 |
| ComfortGel Blue Cushion and Flap | Respironics | Nasal Cushion | Size | Small | 1070107 | $ - 0 |
| ComfortGel Blue Cushion and Flap | Respironics | Nasal Cushion | Size | Medium | 1070106 | $ - 0 |
| ComfortGel Blue Cushion and Flap | Respironics | Nasal Cushion | Size | Large | 1070105 | $ - 0 |
| ComfortGel Blue Headgear (Premium Headgear) | Respironics | Headgear | Size | Standard | 1033678 | $ - 0 |
| ComfortGel Blue Mask | Respironics | Nasal Mask | Size | Petite | 1070044 | $ - 0 |
| ComfortGel Blue Mask | Respironics | Nasal Mask | Size | Small | 1070043 | $ - 0 |
| ComfortGel Blue Mask | Respironics | Nasal Mask | Size | Medium | 1070042 | $ - 0 |
| ComfortGel Blue Mask | Respironics | Nasal Mask | Size | Large | 1070041 | $ - 0 |
| Contour CPAPMAX 2.0 Pillow | Contour | Pillow | Title | Default | $ - 0 | |
| Corrugated Tubing | Tubing | Size | 22mm, 100 Ft | 000527 | $ - 0 | |
| CPAP Heated Tubing - Respironics | Respironics | Tubing | Size | 6 Ft | HT15 | $ - 0 |
| CPAP Tubing | Generic | Tubing | Size | 6 Ft | 301016 | $ - 0 |
| DreamStation Disposable Ultra-Fine Filter | Respironics | Filter | Packs | 1-Pack | 1122447 | $ - 0 |
| DreamStation Reusable Pollen Filter | Respironics | Filter | Packs | 1-Pack | 1122446 | $ - 0 |
| DreamStation Water Chamber | Respironics | Water Chamber | Title | Default Title | 1122520 | $ - 0 |
| DreamWear Cushion | Respironics | Nasal Cushion | Size | Small | 1116740 | $ - 0 |
| DreamWear Cushion | Respironics | Nasal Cushion | Size | Medium | 1116741 | $ - 0 |
| DreamWear Cushion | Respironics | Nasal Cushion | Size | Large | 1116742 | $ - 0 |
| DreamWear Full Face Cushion | Respironics | Full Face Cushion | Size | Small | 1133430 | $ - 0 |
| DreamWear Full Face Cushion | Respironics | Full Face Cushion | Size | Medium | 1133431 | $ - 0 |
| DreamWear Full Face Cushion | Respironics | Full Face Cushion | Size | Large | 1133432 | $ - 0 |
| DreamWear Full Face Cushion | Respironics | Full Face Cushion | Size | Medium Wide | 1133433 | $ - 0 |
| DreamWear Full Face Headgear | Respironics | Headgear | Title | Default Title | 1133450 | $ - 0 |
| DreamWear Full Face Mask w/ Headgear | Respironics | Full Face Mask | Size | Fit Pack (Includes Small-Medium-Large Cushions) | 1133400 | $ - 0 |
| DreamWear Gel Pillows | Respironics | Nasal Pillows | Size | Small | 1125035 | $ - 0 |
| DreamWear Gel Pillows | Respironics | Nasal Pillows | Size | Medium | 1125036 | $ - 0 |
| DreamWear Gel Pillows | Respironics | Nasal Pillows | Size | Large | 1125037 | $ - 0 |
| DreamWear Gel Pillows Mask w/ Headgear | Respironics | Nasal Pillow Mask | Size | Fit Pack (Includes Small-Medium-Large Cushions) | 1124984 | $ - 0 |
| DreamWear Headgear | Respironics | Headgear | Title | Default Title | 1116750 | $ - 0 |
| DreamWear Nasal CPAP Mask with Headgear | Respironics | Nasal Mask | Size | Large Cushion, Large Frame | 1116692 | $ - 0 |
| DreamWear Nasal CPAP Mask with Headgear (All Cushions Included) | Respironics | Nasal Mask | Size | Fit Pack (Includes Small-Medium-Large Cushions) | 1116700 | $ - 0 |
| DreamWisp Headgear | Respironics | Headgear | Size | Small | 1137964 | $ - 0 |
| DreamWisp Headgear | Respironics | Headgear | Size | Medium | 1137965 | $ - 0 |
| DreamWisp Headgear | Respironics | Headgear | Size | Large | 1137966 | $ - 0 |
| DreamWisp Nasal Mask, Medium Connector, with headgear | Respironics | Nasal Mask | Size | Petite | 1137932 | $ - 0 |
| DreamWisp Nasal Mask, Medium Connector, with headgear | Respironics | Nasal Mask | Size | Small | 1137933 | $ - 0 |
| DreamWisp Nasal Mask, Medium Connector, with headgear | Respironics | Nasal Mask | Size | Medium | 1137934 | $ - 0 |
| DreamWisp Nasal Mask, Medium Connector, with headgear | Respironics | Nasal Mask | Size | Large | 1137935 | $ - 0 |
| DreamWisp Nasal Mask, Medium Connector, with headgear | Respironics | Nasal Mask | Size | Extra Large | 1137936 | $ - 0 |
| DreamWisp Replacement Cushions | Respironics | Nasal Cushion | Size | Petite | 1137956 | $ - 0 |
| DreamWisp Replacement Cushions | Respironics | Nasal Cushion | Size | Small | 1137957 | $ - 0 |
| DreamWisp Replacement Cushions | Respironics | Nasal Cushion | Size | Medium | 1137958 | $ - 0 |
| DreamWisp Replacement Cushions | Respironics | Nasal Cushion | Size | Large | 1137959 | $ - 0 |
| DreamWisp Replacement Cushions | Respironics | Nasal Cushion | Size | Extra Large | 1137960 | $ - 0 |
| EasyLife Cushion | Respironics | Nasal Cushion | Size | Petite | 1050090 | $ - 0 |
| EasyLife Cushion | Respironics | Nasal Cushion | Size | Small | 1050091 | $ - 0 |
| EasyLife Cushion | Respironics | Nasal Cushion | Size | Medium | 1050092 | $ - 0 |
| EasyLife Cushion | Respironics | Nasal Cushion | Size | Medium/Wide | 1050093 | $ - 0 |
| EasyLife Cushion | Respironics | Nasal Cushion | Size | Large | 1050094 | $ - 0 |
| EasyLife Mask and Headgear | Respironics | Nasal Mask | Size | Petite | 1050010 | $ - 0 |
| EasyLife Mask and Headgear | Respironics | Nasal Mask | Size | Small | 1050011 | $ - 0 |
| EasyLife Mask and Headgear | Respironics | Nasal Mask | Size | Medium | 1050012 | $ - 0 |
| EasyLife Mask and Headgear | Respironics | Nasal Mask | Size | Medium/Wide | 1050013 | $ - 0 |
| EasyLife Mask and Headgear | Respironics | Nasal Mask | Size | Large | 1050014 | $ - 0 |
| Eson 2 Headgear | Fisher & Paykel | Headgear | Size | Small | 400ESN221 | $ - 0 |
| Eson 2 Headgear | Fisher & Paykel | Headgear | Size | Medium/Large | 400ESN222 | $ - 0 |
| Eson 2 Mask with Headgear | Fisher & Paykel | Nasal Mask | Size | Small | ESN2SA | $ - 0 |
| Eson 2 Mask with Headgear | Fisher & Paykel | Nasal Mask | Size | Medium | ESN2MA | $ - 0 |
| Eson 2 Mask with Headgear | Fisher & Paykel | Nasal Mask | Size | Large | ESN2LA | $ - 0 |
| Eson 2 Seal | Fisher & Paykel | Nasal Cushion | Size | Small | 400ESN211 | $ - 0 |
| Eson 2 Seal | Fisher & Paykel | Nasal Cushion | Size | Medium | 400ESN212 | $ - 0 |
| Eson 2 Seal | Fisher & Paykel | Nasal Cushion | Size | Large | 400ESN213 | $ - 0 |
| Eson ErgoFit Headgear | Fisher & Paykel | Headgear | Size | Small | 400HC567 | $ - 0 |
| Eson ErgoFit Headgear | Fisher & Paykel | Headgear | Size | Medium/Large | 400HC568 | $ - 0 |
| Eson Nasal Cushion | Fisher & Paykel | Nasal Cushion | Size | Small | 400HC126 | $ - 0 |
| Eson Nasal Cushion | Fisher & Paykel | Nasal Cushion | Size | Medium | 400HC127 | $ - 0 |
| Eson Nasal Cushion | Fisher & Paykel | Nasal Cushion | Size | Large | 400HC128 | $ - 0 |
| Eson Nasal Mask with Headgear | Fisher & Paykel | Nasal Mask | Size | Small | 400449 | $ - 0 |
| Eson Nasal Mask with Headgear | Fisher & Paykel | Nasal Mask | Size | Medium | 400450 | $ - 0 |
| Eson Nasal Mask with Headgear | Fisher & Paykel | Nasal Mask | Size | Large | 400451 | $ - 0 |
| Flexi Foam Nasal Cushion and Silicone Seal Kit | Fisher & Paykel | Nasal Cushion | Title | Default Title | 400HC509 | $ - 0 |
| Flexi Foam Nasal Cushion Insert and Silicone Seal Kit | Fisher & Paykel | Nasal Cushion | Title | Default Title | 400HC509 | $ - 0 |
| Flexifit Full Face Mask with Headgear | Fisher & Paykel | Full Face Mask | Title | Default Title | HC431A | $ - 0 |
| Flexifit Full Face Mask with Headgear "under chin" | Fisher & Paykel | Full Face Mask | Size | Large | HC432AL | $ - 0 |
| Flexifit Full Face Mask with Headgear "under chin" | Fisher & Paykel | Full Face Mask | Size | Medium | HC432AM | $ - 0 |
| Flexifit Full Face Mask with Headgear "under chin" | Fisher & Paykel | Full Face Mask | Size | Small | HC432AS | $ - 0 |
| Flexifit Full Face Mask with Headgear "under chin" | Fisher & Paykel | Full Face Mask | Size | Extra Large | HC432AXL | $ - 0 |
| Flexifit Nasal Mask with Headgear | Fisher & Paykel | Nasal Mask | Size | Small & Large | HC405A | $ - 0 |
| Flexifit Nasal Mask with Headgear | Fisher & Paykel | Nasal Mask | Size | Petite | HC406A | $ - 0 |
| Flexifit Nasal Mask with Headgear | Fisher & Paykel | Nasal Mask | Size | Medium | HC407A | $ - 0 |
| Forma Foam Cushion & Seal | Fisher & Paykel | Full Face Cushion | Size | Small | 400HC121 | $ - 0 |
| Forma Foam Cushion & Seal | Fisher & Paykel | Full Face Cushion | Size | Medium | 400HC122 | $ - 0 |
| Forma Foam Cushion & Seal | Fisher & Paykel | Full Face Cushion | Size | Large | 400HC123 | $ - 0 |
| Forma Foam Cushion & Seal | Fisher & Paykel | Full Face Cushion | Size | Extra Large | 400HC124 | $ - 0 |
| Forma Full Face Mask with Headgear | Fisher & Paykel | Full Face Mask | Size | Small | 400470A | $ - 0 |
| Forma Full Face Mask with Headgear | Fisher & Paykel | Full Face Mask | Size | Medium/Large | 400471A | $ - 0 |
| Forma Full Face Mask with Headgear | Fisher & Paykel | Full Face Mask | Size | Extra Large | 400473A | $ - 0 |
| Gecko Pads | ResMed | Mask Liner | Size | Medium | 7510 | $ - 0 |
| Gecko Pads | ResMed | Mask Liner | Size | Large | 7511 | $ - 0 |
| Humidifier Chamber, Cleanable Replacement Water Chamber for AirSense 10 | ResMed | Chamber | Size | Default | 37299 | $ - 0 |
| Humidifier Chamber, HumidAir Cleanable Tub for AirSense 10 | ResMed | Chamber | Size | Default | 37479 | $ - 0 |
| Humidifier Chamber, Standard Cleanable Water Chamber Tub - H5i | ResMed | Chamber | Size | Standard | 36803 | $ - 0 |
| Mirage Activa LT Cushion | ResMed | Nasal Cushion | Size | Small | 60198 | $ - 0 |
| Mirage Activa LT Cushion | ResMed | Nasal Cushion | Size | Medium | 60177 | $ - 0 |
| Mirage Activa LT Cushion | ResMed | Nasal Cushion | Size | Large | 60178 | $ - 0 |
| Mirage Activa LT Cushion | ResMed | Nasal Cushion | Size | Large/Wide | 60179 | $ - 0 |
| Mirage Activa LT Mask and Headgear | ResMed | Nasal Mask | Size | Small | 60182 | $ - 0 |
| Mirage Activa LT Mask and Headgear | ResMed | Nasal Mask | Size | Medium | 60148 | $ - 0 |
| Mirage Activa LT Mask and Headgear | ResMed | Nasal Mask | Size | Large | 60149 | $ - 0 |
| Mirage Activa LT Mask and Headgear | ResMed | Nasal Mask | Size | Large/Wide | 60150 | $ - 0 |
| Mirage FX Cushion | ResMed | Nasal Cushion | Size | Small | 62136 | $ - 0 |
| Mirage FX Cushion | ResMed | Nasal Cushion | Size | Standard | 62111 | $ - 0 |
| Mirage FX Cushion | ResMed | Nasal Cushion | Size | Wide | 62125 | $ - 0 |
| Mirage FX for Her Headgear | ResMed | Headgear | Color | Pink | 62129 | $ - 0 |
| Mirage FX for Her Nasal Mask Complete System | ResMed | Nasal Mask | Title | Default Title | 62128 | $ - 0 |
| Mirage FX Headgear | ResMed | Headgear | Size | Regular | 62110 | $ - 0 |
| Mirage FX Nasal Mask Complete System | ResMed | Nasal Mask | Size | Standard | 62103 | $ - 0 |
| Mirage FX Nasal Mask Complete System | ResMed | Nasal Mask | Size | Small | 62109 | $ - 0 |
| Mirage FX Nasal Mask Complete System | ResMed | Nasal Mask | Size | Wide | 62118 | $ - 0 |
| Mirage Softgel CPAP Mask | ResMed | Nasal Mask | Size | Default | 61601 | $ - 0 |
| Mirage Vista Cushion | ResMed | Nasal Cushion | Size | Standard | 60921 | $ - 0 |
| Mirage Vista Cushion | ResMed | Nasal Cushion | Size | Deep | 60922 | $ - 0 |
| Mirage Vista Mask System | ResMed | Nasal Mask | Size | Standard | 60000 | $ - 0 |
| Mirage Vista Mask System | ResMed | Nasal Mask | Size | Deep | 60001 | $ - 0 |
| Nasal Aire II CPAP Mask | Nasal Mask | Size | Default | K2A | $ - 0 | |
| Nuance Headgear | Respironics | Headgear | Title | Default Title | 1105176 | $ - 0 |
| Nuance Mask with Headgear | Respironics | Nasal Pillow Mask | Size | Fit Pack (Includes Small-Medium-Large Cushions) | 1105160 | $ - 0 |
| Nuance Pro Headgear | Respironics | Headgear | Title | Default Title | 1105178 | $ - 0 |
| Nuance Pro Mask with Headgear | Respironics | Nasal Pillow Mask | Size | Fit Pack (Includes Small-Medium-Large Cushions) | 1105167 | $ - 0 |
| Nuance/Pro Gel Cushion | Respironics | Nasal Pillows | Size | Small | 1105173 | $ - 0 |
| Nuance/Pro Gel Cushion | Respironics | Nasal Pillows | Size | Medium | 1105174 | $ - 0 |
| Nuance/Pro Gel Cushion | Respironics | Nasal Pillows | Size | Large | 1105175 | $ - 0 |
| Opus 360 Silicone Nasal Pillows | Fisher & Paykel | Nasal Pillows | Size | Small | 400HC116 | $ - 0 |
| Opus 360 Silicone Nasal Pillows | Fisher & Paykel | Nasal Pillows | Size | Medium | 400HC117 | $ - 0 |
| Opus 360 Silicone Nasal Pillows | Fisher & Paykel | Nasal Pillows | Size | Large | 400HC118 | $ - 0 |
| Opus CPAP Mask | Fisher & Paykel | Mask | Size | Default | HC482 | $ - 0 |
| Opus Nasal Pillow with Headgear | Fisher & Paykel | Nasal Pillow Mask | Title | Default Title | HC482A | $ - 0 |
| Oxygen Enrichment Valvle | Generic | Oxygen Valve | Title | N/A | 312710 | $ - 0 |
| Pico Cushion | Respironics | Nasal Cushion | Size | Small/Medium | 1104936 | $ - 0 |
| Pico Cushion | Respironics | Nasal Cushion | Size | Large | 1104937 | $ - 0 |
| Pico Cushion | Respironics | Nasal Cushion | Size | Extra Large | 1104938 | $ - 0 |
| Pico Headgear | Respironics | Headgear | Title | Default Title | 1104934 | $ - 0 |
| Pico Mask and Headgear | Respironics | Nasal Mask | Size | Fit Pack (Includes Small-Medium-Large Cushions) | 1104930 | $ - 0 |
| Pilairo Q Nasal Pillow CPAP Mask with Headgear | Fisher & Paykel | Nasal Pillow Mask | Size | Most Size Fits All | 400421 | $ - 0 |
| Pilairo Q Nasal Pillow Seal | Fisher & Paykel | Nasal Pillows | Size | Most Size Fits All | 400HC125 | $ - 0 |
| Premium Headgear | Respironics | Headgear | Size | Standard | 1033678 | $ - 0 |
| PureSom Ruby Chin Strap | CareFusion | Chin Strap | Size | Large | TMS-09ADJ | $ - 0 |
| PureSom Ruby Chin Strap | CareFusion | Chin Strap | Size | Extra Large | TMS-09ADJXL | $ - 0 |
| Quattro Air & AirFit F10 cushion | ResMed | Full Face Cushion | Size | Small | 62737 | $ - 0 |
| Quattro Air & AirFit F10 cushion | ResMed | Full Face Cushion | Size | Medium | 62738 | $ - 0 |
| Quattro Air & AirFit F10 cushion | ResMed | Full Face Cushion | Size | Large | 62739 | $ - 0 |
| Quattro Air & AirFitâ„¢ F10 cushion | ResMed | Full Face Cushion | Size | Extra Small | 62736 | $ - 0 |
| Quattro Air for Her Full Face Mask Complete System | ResMed | Full Face Mask | Size | Extra Small | 62740 | $ - 0 |
| Quattro Air for Her Full Face Mask Complete System | ResMed | Full Face Mask | Size | Small | 62741 | $ - 0 |
| Quattro Air for Her Full Face Mask Complete System | ResMed | Full Face Mask | Size | Medium | 62742 | $ - 0 |
| Quattro Air for Her Headgear | ResMed | Headgear | Size | Standard (Pink) | 62759 | $ - 0 |
| Quattro Air Full Face Mask Complete System | ResMed | Full Face Mask | Size | Small | 62701 | $ - 0 |
| Quattro Air Full Face Mask Complete System | ResMed | Full Face Mask | Size | Medium | 62702 | $ - 0 |
| Quattro Air Full Face Mask Complete System | ResMed | Full Face Mask | Size | Large | 62703 | $ - 0 |
| Quattro Air Headgear | ResMed | Headgear | Size | Standard (Blue) | 62756 | $ - 0 |
| Quattro FX cushion | ResMed | Full Face Cushion | Size | Small | 61721 | $ - 0 |
| Quattro FX cushion | ResMed | Full Face Cushion | Size | Medium | 61722 | $ - 0 |
| Quattro FX cushion | ResMed | Full Face Cushion | Size | Large | 61723 | $ - 0 |
| Quattro FX for Her Full Face Mask Complete System | ResMed | Full Face Mask | Size | Small | 62501 | $ - 0 |
| Quattro FX for Her Full Face Mask Complete System | ResMed | Full Face Mask | Size | Medium | 62502 | $ - 0 |
| Quattro FX for Her Full Face Mask Headgear | ResMed | Headgear | Size | Small | 62506 | $ - 0 |
| Quattro FX for Her Full Face Mask Headgear | ResMed | Headgear | Size | Medium/Standard | 62507 | $ - 0 |
| Quattro FX Full Face Mask Complete System | ResMed | Full Face Mask | Size | Small | 61700 | $ - 0 |
| Quattro FX Full Face Mask Complete System | ResMed | Full Face Mask | Size | Medium | 61701 | $ - 0 |
| Quattro FX Full Face Mask Complete System | ResMed | Full Face Mask | Size | Large | 61702 | $ - 0 |
| Quattro FX Full Face Mask Headgear | ResMed | Headgear | Size | Medium/Standard | 61733 | $ - 0 |
| RemZzz Mask Liners | RemZzz | Mask Liner | Size | 30-Pack | Mask Specific | $ - 0 |
| Respironics Deluxe Chin Strap | Respironics | Chin Strap | Title | Default Title | 302425 | $ - 0 |
| Respironics Premium Chin Strap | Respironics | Chin Strap | Title | Default Title | 1012911 | $ - 0 |
| Simplus Full Face Mask | Fisher & Paykel | Full Face Mask | Size | Small | 400475 | $ - 0 |
| Simplus Full Face Mask | Fisher & Paykel | Full Face Mask | Size | Medium | 400476 | $ - 0 |
| Simplus Full Face Mask | Fisher & Paykel | Full Face Mask | Size | Large | 400477 | $ - 0 |
| SleepWeaver Elan | Circadiance | Nasal Mask | Size | Universal | 100563 | $ - 0 |
| Slimline Tubing | ResMed | Tubing | Size | 6 FT | 36810 | $ - 0 |
| Swift FX dual-wall pillow sleeve | ResMed | Nasal Pillows | Size | Extra Small | 61520 | $ - 0 |
| Swift FX dual-wall pillow sleeve | ResMed | Nasal Pillows | Size | Small | 61521 | $ - 0 |
| Swift FX dual-wall pillow sleeve | ResMed | Nasal Pillows | Size | Medium | 61522 | $ - 0 |
| Swift FX dual-wall pillow sleeve | ResMed | Nasal Pillows | Size | Large | 61523 | $ - 0 |
| Swift FX for Her Headgear | ResMed | Headgear | Title | Default Title | 61543 | $ - 0 |
| Swift FX for Her Nasal Pillows System | ResMed | Nasal Pillow Mask | Title | Default Title | 61540 | $ - 0 |
| Swift FX Headgear | ResMed | Headgear | Title | Default Title | 61529 | $ - 0 |
| Swift FX Nasal Pillows System | ResMed | Nasal Pillow Mask | Title | Default Title | 61500 | $ - 0 |
| TrueBlue Cushion | Respironics | Nasal Cushion | Size | Petite | 1071861 | $ - 0 |
| TrueBlue Cushion | Respironics | Nasal Cushion | Size | Medium/Wide | 1071864 | $ - 0 |
| TrueBlue Cushion | Respironics | Nasal Cushion | Size | Medium | 1071863 | $ - 0 |
| TrueBlue Cushion | Respironics | Nasal Cushion | Size | Large | 1071865 | $ - 0 |
| TrueBlue Mask and Headgear | Respironics | Nasal Mask | Size | Petite | 1071806 | $ - 0 |
| TrueBlue Mask and Headgear | Respironics | Nasal Mask | Size | Medium/Wide | 1071809 | $ - 0 |
| TrueBlue Mask and Headgear | Respironics | Nasal Mask | Size | Medium | 1071808 | $ - 0 |
| TrueBlue Mask and Headgear | Respironics | Nasal Mask | Size | Large | 1071810 | $ - 0 |
| Vitera CPAP Mask | Nasal Mask | Size | Medium | VIT1MA | $ - 0 | |
| Water Chamber for Air 10 Series | ResMed | Water Chamber | Title | Default Title | 37299 | $ - 0 |
| Whisper Swivel II - CPAP | Respironics | Swivel | Size | Default | 332113 | $ - 0 |
| Wisp Cushion | Respironics | Nasal Cushion | Size | Petite | 1094086 | $ - 0 |
| Wisp Cushion | Respironics | Nasal Cushion | Size | Small/Medium | 1094087 | $ - 0 |
| Wisp Cushion | Respironics | Nasal Cushion | Size | Large | 1094088 | $ - 0 |
| Wisp Cushion | Respironics | Nasal Cushion | Size | Extra Large | 1112031 | $ - 0 |
| Wisp Headgear | Respironics | Headgear | Size | Standard | 1094082 | $ - 0 |
| Wisp Mask and Headgear | Respironics | Nasal Mask | Size | Fit Pack (Includes Small-Medium-Large Cushions) | 1094051 | $ - 0 |
| Zest & Zest Q Flexi Foam Cushion Insert and Silicone Seal Kit | Fisher & Paykel | Nasal Cushion | Size | Petite | 400HC557 | $ - 0 |
| Zest & Zest Q Flexi Foam Cushion Insert and Silicone Seal Kit | Fisher & Paykel | Nasal Cushion | Size | Standard (Medium) | 400HC542 | $ - 0 |
| Zest & Zest Q Flexi Foam Cushion Insert and Silicone Seal Kit | Fisher & Paykel | Nasal Cushion | Size | Plus | 400HC558 | $ - 0 |
| Zest Nasal CPAP Mask with Headgear | Fisher & Paykel | Nasal Mask | Size | Petite | 400439 | $ - 0 |
| Zest Nasal CPAP Mask with Headgear | Fisher & Paykel | Nasal Mask | Size | Standard (Medium) | 400440 | $ - 0 |
| Zest Nasal CPAP Mask with Headgear | Fisher & Paykel | Nasal Mask | Size | Plus | 400441 | $ - 0 |
Oxygen & Cough Assist
| VA is not required to purchase these supplies from the Contractor. | |||||
| Oxygen SUPPLY LIST - | |||||
| Model | Vendor | Product description | Unit | Unit Price | Comments/Questions |
| Shipping&Handling | Orders Below $25 | each | $ - 0 | ||
| FireSafe Device & Cannula Valves | each | $ - 0 | |||
| Oxysafe Tubing | each | $ - 0 | |||
| EasyPulse5 | Conserving device - O2 to both nares - Easypulse5 | each | $ - 0 | ||
| SWV-ROS | Compass/Roscoe Medical | Oxygen Swivel Connector | each | $ - 0 | |
| P-224 | Drive Medical | Oxygen Cannula Oxymizer | each | $ - 0 | |
| OXYMIZER | Oxygen Cannula Oxymizer | each | $ - 0 | ||
| CD1011 (for D Tank) | Cramer Decker Med Products | Oxygen Back Pack for patient to carry B/C/D/E, ML6, ML9, Home Fill cylinders | each | $ - 0 | |
| BK-Bag | Oxygen Back Pack for patient to carry M6/C cylinders | each | $ - 0 | ||
| BACKPACKD | Oxygen Back Pack for patient to carry D cylinders | each | $ - 0 | ||
| Cylinder Rack - accomodates four (4) B/C/D/E, ML6, ML9 cylinders | each | $ - 0 | |||
| Cylinder Rack - accomodates six (6) B/C/D/E cylinders | each | $ - 0 | |||
| Cylinder Rack - accomodates eight (8) B/C/D/E cylinders | each | $ - 0 | |||
| Cylinder Rack - accomodates twelve (12) B/C/D/E cylinders | each | $ - 0 | |||
| Cylinder Rack - accomodates twenty-eight (28) B/C/D/E cylinders | each | $ - 0 | |||
| Cylinder Cart - accomodates twelve (12) B/C/D/E cylinders - w/dual lifting handles, 5" casters, two w/brakes | each | $ - 0 | |||
| 1616-7-50 | Adult Micro Cannula - Salter | case of 50 | $ - 0 | ||
| 4807-7-7-25 | Salter double lumen cannulas & 25' extension tubing (part 1) | case of 25 | $ - 0 | ||
| 4804-4-4-25 | Salter double lumen cannulas & 25' extension tubing (part 2) | case of 25 | $ - 0 | ||
| OM-1125-8 | Oxymask Adult w/7' tubing | case | $ - 0 | ||
| OM-1425-8 | Oxymask Adult Large w/ear elastic and 7' | case | $ - 0 | ||
| OP-1125-8 | Oxyplus Adult Large mask w/7' tubing | case | $ - 0 | ||
| OP-1425-8 | Oxyplus Adult Large w/ear elastic 7' | case | $ - 0 | ||
| 8150 | Venturi Oxygen Adult Mask | each | $ - 0 | ||
| 1060 | Non-Rebreath Oxygen Mask | each | $ - 0 | ||
| Ambulatory Oximetry | each | $ - 0 | |||
| Spot Oximetry - already included in RT Pulm Assessment | each | $ - 0 | |||
| Nasal Cannula Ear Cushions | each | $ - 0 | |||
| Cough Assist (Purchase) | each | $ - 0 | |||
| Cough Assist Rental (initial RT Setup included, f/u visits billable under contracted rate) | month | $ - 0 | |||
| 1090834 | Cough Assist Circuits T70 Large mask | month | $ - 0 | ||
| 1090835 | Cough Assist Circuits T70 Trach | month | $ - 0 | ||
| "Maintain beneficiaries on a Rented Portable Oxygen Concentrator (POC) for travel oxygen patients," and "VISN Travel Set-up fee for oxygen patients - NO CHARGE." The price is in all-inclusive price; it includes the full-functional POC and rechargeable batteries necessary for the travel to be safe on the plane and during the complete trip and meets all FAA travel regulations. There is no extra charge for any batteries provided by the vendor and no set-up fee charge. | per week - no prorate | $ - 0 | |||
| 16SOFT-7-50 | Salter Soft 7’ low-flow (0-6) cannula | each | $ - 0 | ||
| Soft Nasal Cannula - multiple lengths | each | $ - 0 |
Vent, Niov, Airvo
| VA is not required to purchase these supplies from the Contractor. | ||||
| Ventilator SUPPLY LIST - | ||||
| Pruduct Number | Vendor | Product Description | Unit | Unit Price |
| Shipping&Handling | Orders Below $25 | each | $ - 0 | |
| Generation 2 | Philips Respironics | Hub device to transmit individual patient use/compliance data from the Respironics Trilogy 100/200/Evo models. | month | $ - 0 |
| 10611 | Vent Stand | each | $ - 0 | |
| 33205663 | Vent Extension Tubes Between | each | $ - 0 | |
| 1047410 | Trilogy Stand | each | $ - 0 | |
| 1043570 | Trilogy Battery Pack | each | $ - 0 | |
| 1072182 | Trilogy Battery Charging Dock | each | $ - 0 | |
| K0087 | Battery Gel | each | $ - 0 | |
| 10790 | Battery Box | each | $ - 0 | |
| 10801 | Battery Charger | each | $ - 0 | |
| 10802 | Battery DC Cord Set | each | $ - 0 | |
| 10703 | Battery Auto Lighter | each | $ - 0 | |
| 19222-001 | Battery Lithium | each | $ - 0 | |
| HUD1275 | Resuscitation Adult Mask, Medium | each | $ - 0 | |
| PUL15096-001 | Vent Backpack | each | $ - 0 | |
| 5367 | Ambu Bag Pediatric/Neo | each | $ - 0 | |
| 5372 | Ambu Bag Adult | each | $ - 0 | |
| Vent Circuits Primary | each | $ - 0 | ||
| 196230 | Bacterial Filters | each | $ - 0 | |
| 14412 | HME | each | $ - 0 | |
| 1073863 | Flex Tubes | each | $ - 0 | |
| 4001-I | Omni Flex 15mm | each | $ - 0 | |
| ALL3222 | Omni Flex 22mm | each | $ - 0 | |
| 525150 | Swivel Adapters Portex | each | $ - 0 | |
| 61OU5257 | Swivel Adapters Dar | each | $ - 0 | |
| SG00062N | Test Lung | each | $ - 0 | |
| MR550 | Humidifier | each | $ - 0 | |
| MR730 | Humidifier | each | $ - 0 | |
| MR810 | Fisher & Paykel | Humidifier | each | $ - 0 |
| MR850 | Humidifier | each | $ - 0 | |
| HC325 | Humidifier Jars | each | $ - 0 | |
| 900MR170 | C-Clamp | each | $ - 0 | |
| 900MR561 | Airway Temp Probe | each | $ - 0 | |
| 900MR810 | Fisher & Paykel | Evatherm circuits | each | $ - 0 |
| 900MR900 | Dual Hose Heater Adaptor | each | $ - 0 | |
| RT14 | Circuits | each | $ - 0 | |
| NPB40 | Pulse OX/PT Cable | each | $ - 0 | |
| WW8110-001SYS | ETCO2 Monitor | each | $ - 0 | |
| WW8111 | ETCO2 Monitor Adaptor | each | $ - 0 | |
| 130D | Suction Stationary | each | $ - 0 | |
| KIT60576 | Suction Port | each | $ - 0 | |
| 38425 (14FR Kits) | Suction Caths | each | $ - 0 | |
| 220135 (14fr Inline) | Suction Caths Inline | each | $ - 0 | |
| 1001-01 | Suction Jars 800 | each | $ - 0 | |
| 1001 | Suction Jars 1200 | each | $ - 0 | |
| 42400 | Suction Tubing 6' | each | $ - 0 | |
| 41500 | Suction Tubing 18" | each | $ - 0 | |
| 40525 | Yankauer Vented | each | $ - 0 | |
| 40500 | Yankauer Non-Vented | each | $ - 0 | |
| N225 | Little Suckers Oral | each | $ - 0 | |
| N205 | Little Suckers Nasal | each | $ - 0 | |
| E0570 | Neb Compressor | each | $ - 0 | |
| 1882 | Neb Med Kits | case of 50 | $ - 0 | |
| 1659 | MDI Spacer Adult | each | $ - 0 | |
| 2092 | MDI Spacer Pedi | each | $ - 0 | |
| 2060 | Valved T Adaptor Adult | each | $ - 0 | |
| 2058 | Valved T Adaptor Pedi | each | $ - 0 | |
| HUD1422 | Adapter 15mmID | each | $ - 0 | |
| 1421 | Adapter 22mmOD | each | $ - 0 | |
| 8650D | 50 PSI Compressor | each | $ - 0 | |
| 1803 | O2 Stem with Plug | each | $ - 0 | |
| 2025 | O2 Tubing Connectors Y/Tree | each | $ - 0 | |
| 8056 | Percent O2 | each | $ - 0 | |
| 2002 | Aerosol Bottle | each | $ - 0 | |
| 000527 | Corrugated Tubing | each | $ - 0 | |
| 1742 | Water Traps | each | $ - 0 | |
| Air Tank with Medical Compressed Air (M6, C, D, E size tank) | each | $ - 0 | ||
| BT-20-0011 | Life2000 Ventilator Rental includes handheld device with charging cables, compressor unit with power cords, purge tube, 72in oxygen hose, oxygen regular 50 psi, 40 lpm, E-size cylinders, and two interface pillows w/each new start. Also includes Rentals include home set up by Respiratory Therapist with in-home training. One week follow up with 6 min oxygen walk titration on device, then in-home follow up in 30, 60 and 90 days. Patient receives a minimum of 2 nasal pillows with new startup then 1 replacement every 6 months if requested at no additional cost. | month | $ - 0 | |
| BT-60-0013, BT-60-0014, BT-60-0015, BT-60-0016 | Breathe Inspire Mask - Extra Small/Small/Med/Large - replacement mask - single size | each | $ - 0 | |
| BT-60-0001, BT-60-0002, BT-60-0003, BT-60-0004 | Breathe NIOV Mask - Extra Small/Small/Med/Large - replacement mask - single size | each | $ - 0 | |
| OPT844E | Airvo-Optiflow Interface Medium | case of 50 | $ - 0 | |
| OPT942E | Airvo-Optiflow Nasal Cannula Small | case of 50 | $ - 0 | |
| OPT944E | Airvo-Optiflow Nasal Cannula Medium | case of 50 | $ - 0 | |
| OPT946E | Airvo-Optiflow Nasal Cannula Large | case of 50 | $ - 0 | |
| RT013 | Airvo-Mask Adapter | each | $ - 0 | |
| 900PT500E | Airvo-Heated Tubing | case | $ - 0 | |
| 900PT401 | Airvo-Refillable Water Reservoir | each | $ - 0 | |
| 900PT913 | Airvo-Air Filter Kit, two per pack | pack | $ - 0 |
Trach
| VA is not required to purchase these supplies from the Contractor. | |||
| Trach SUPPLY LIST - | |||
| Pruduct Number | Product Description | Unit | Unit Price |
| Shipping&Handling | Orders Below $25 | each | $ - 0 |
| 1075 | Trach Mask Adult | each | $ - 0 |
| 1076 | Trach Mask Pedi | each | $ - 0 |
| Trach Tubes | each | $ - 0 | |
| 8197 | Trach Ties | each | $ - 0 |
| Disp Inner Cannulas | each | $ - 0 | |
| KIT | Trach Care Kits | each | $ - 0 |
| PMV007 (Aqua) | Speaking Valve | each | $ - 0 |
File details come from the government source that posted it. Updated .