36C24423Q0387 Line Items 7 YRS.4.6.23.xlsx

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W065--VISN-04 Home Oxygen East
Solicitation number
36C24423R0115
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36C24423R0115_1.docx DOCX document
Home O2 East Securtiy Info.pdf PDF
P09 PWS VISN4 Eastern PA Home Oxygen FINAL.5.11.23.docx DOCX document

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Action Line Item Information

Action Type NamePrimary IDSecondary IDMod NumberTitleOrder Discount Type NameOrder Discount TypeOrder Discount
IDC-CON36C24422D0023Copy of 36C24421D0120 | Home Oxygen WESTPercent0

KB Version: FY23.02A

Items

Item NumberSLINDescriptionRef CLINCommentInclude Comments in DocumentContract PeriodPop BeginPop EndQuantityUnit of MeasurePackaging MultipleReceipt TypeLine Item IsUnit PriceItem Discount Type NameItem DiscountDate UpdatedAddress1Address2Address3CityStateZipZip4CountryMark ForContact NameContact PhoneContact EmailDelivery DateFOBSpecial InstructionsInclude Instructions/Comments in DocumentPRINCIPAL NAICS CODEPRODUCT/SERVICE CODEUNSPSCSIC CODEMANUFACTURER PART NUMBER (MPN)NATIONAL STOCK NUMBERLOCAL STOCK NUMBERDM DOC IDDELIVERY REF. COUNTERUNIT TEXT/DESCRIPTIONDELIVERY REFERENCEITEM MASTER FILE NUMBEREXPENDABLE/NON-EXPENDABLEQUANTITY REQUESTEDUNIT OF PURCHASE CODEUNIT OF PURCHASE TEXT/DESC.
0001Delivery and Monthly Rental of concentrator with backup system and portability items. Backup system consists of compressed gas source (M60 Cylinders Only), appropriate continuous flow regulator, stand, nasal cannula (with tubing), two (2) 25-foot tubing or one (1) 50-foot tubing, two (2) Oxysafe (or equivalent) fire safe devices (with appropriate fire safe tubing), and the following when specified by the VA: cannula (with tubing) and pre-filled humidifier, if indicated on the prescription. Portability items consist of appropriate cylinders (Cylinder sizes B [M6], D, & E), appropriate conserving device, (2) Oxysafe (or equivalent) fire safe devices handcart and cylinder pouch/bag. Concentrator will have flow rate capacity up to 5LPM. This set up is intended for the patient who is prescribed for use during the day and at night. NOTE: Pre-filled humidifiers are required for Altoona VA patients only.NoBase10/01/2309/30/240ea0QuantityNSP0per orderNONENo532283W0657352Varies
0001AAPhiladelphiaNoBase10/01/2309/30/246648Ea0QuantityPriced0NONENo532283W0657352Varies
0001ABCoatesvilleNoBase10/01/2309/30/242532Ea0QuantityPriced0NONENo532283W0657352Varies
0001ACWilkes-BarreNoBase10/01/2309/30/248052Ea0QuantityPriced0NONENo532283W0657352Varies
0001ADWilmingtonNoBase10/01/2309/30/243324Ea0QuantityPriced0NONENo532283W0657352Varies
0001AELebanonNoBase10/01/2309/30/248328Ea0QuantityPriced0NONENo532283W0657352Varies
0002Delivery and Monthly Rental of concentrator with backup system and portability items. Backup system consists of compressed gas source (M60 Cylinders Only), appropriate continuous flow regulator, stand, nasal cannula (with tubing), two (2) 25-foot tubing or one (1) 50-foot tubing, two (2) Oxysafe (or equivalent) fire safe devices (with appropriate fire safe tubing), and the following when specified by the VA: cannula (with tubing) and pre filled humidifier, if indicated on the prescription. Portability items consist of appropriate cylinders (Cylinder sizes B [M6], D, & E), appropriate conserving device, (2) Oxysafe (or equivalent) fire safe devices, handcart and cylinder pouch/bag. Concentrator will have flow rate capacity up to 10LPM. This set up is intended for the patient who is prescribed for use during the day and at night. NOTE: Pre-filled humidifiers are required for Altoona VA patients only.NoBase10/01/2309/30/240ea0QuantityNSP0NONENo532283W0657352Varies
0002AAPhiladelphiaNoBase10/01/2309/30/24588Ea0QuantityPriced0NONENo532283W0657352Varies
0002ABCoatesvilleNoBase10/01/2309/30/24120Ea0QuantityPriced0NONENo532283W0657352Varies
0002ACWilkes-BarreNoBase10/01/2309/30/24240Ea0QuantityPriced0NONENo532283W0657352Varies
0002ADWilmingtonNoBase10/01/2309/30/24204Ea0QuantityPriced0NONENo532283W0657352Varies
0002AELebanonNoBase10/01/2309/30/24732Ea0QuantityPriced0NONENo532283W0657352Varies
0003Cylinder Refill and Delivery, size "E" for CLINS 0001 and 0002. Aluminum (or metal of equivalent weight) tanks required.NoBase10/01/2309/30/240ea0QuantityNSP0NONENo532283W0657352Varies
0003AAPhiladelphiaNoBase10/01/2309/30/2418132Ea0QuantityPriced0NONENo532283W0657352Varies
0003ABCoatesvilleNoBase10/01/2309/30/244944Ea0QuantityPriced0NONENo532283W0657352Varies
0003ACWilkes-BarreNoBase10/01/2309/30/2426616Ea0QuantityPriced0NONENo532283W0657352Varies
0003ADWilmingtonNoBase10/01/2309/30/248760Ea0QuantityPriced0NONENo532283W0657352Varies
0003AELebanonNoBase10/01/2309/30/2413680Ea0QuantityPriced0NONENo532283W0657352Varies
0004Cylinder Refill and Delivery, size "D" for CLINS 0001 and 0002. Aluminum (or metal of equivalent weight) tanks required.NoBase10/01/2309/30/240ea0QuantityNSP0NONENo532283W0657352Varies
0004AAPhiladelphiaNoBase10/01/2309/30/2421264Ea0QuantityPriced0NONENo532283W0657352Varies
0004ABCoatesvilleNoBase10/01/2309/30/241872Ea0QuantityPriced0NONENo532283W0657352Varies
0004ACWilkes-BarreNoBase10/01/2309/30/2417460Ea0QuantityPriced0NONENo532283W0657352Varies
0004ADWilmingtonNoBase10/01/2309/30/242700Ea0QuantityPriced0NONENo532283W0657352Varies
0004AELebanonNoBase10/01/2309/30/2415300Ea0QuantityPriced0NONENo532283W0657352Varies
0005Cylinder Refill and Delivery, size "B" (M6) for CLINS 0001 and 0002. Aluminum (or metal or equivalent weight) tanks required.NoBase10/01/2309/30/240ea0QuantityNSP0NONENo532283W0657352Varies
0005AAPhiladelphiaNoBase10/01/2309/30/2430480Ea0QuantityPriced0NONENo532283W0657352Varies
0005ABCoatesvilleNoBase10/01/2309/30/246972Ea0QuantityPriced0NONENo532283W0657352Varies
0005ACWilkes-BarreNoBase10/01/2309/30/2432196Ea0QuantityPriced0NONENo532283W0657352Varies
0005ADWilmingtonNoBase10/01/2309/30/2420772Ea0QuantityPriced0NONENo532283W0657352Varies
0005AELebanonNoBase10/01/2309/30/244620Ea0QuantityPriced0NONENo532283W0657352Varies
0006Cylinder Refill and Delivery, size "M60" for CLINS 0001 and 0002. Aluminum (or metal or equivalent weight) tanks required as backup system.NoBase10/01/2309/30/240ea0QuantityNSP0NONENo532283W0657352Varies
0006AAPhiladelphiaNoBase10/01/2309/30/2448Ea0QuantityPriced0NONENo532283W0657352Varies
0006ABCoatesvilleNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352Varies
0006ACWilkes-BarreNoBase10/01/2309/30/2472Ea0QuantityPriced0NONENo532283W0657352Varies
0006ADWilmingtonNoBase10/01/2309/30/2412Ea0QuantityPriced0NONENo532283W0657352Varies
0006AELebanonNoBase10/01/2309/30/24156Ea0QuantityPriced0NONENo532283W0657352Varies
0007Delivery and Monthly Rental of Liquid Oxygen System (90-150 lbs.) with stationary unit, portable unit, nasal cannula (with tubing), two (2) 25-foot tubing or one (1) 50-foot tubing, two (2) Oxysafe (or equivalent) fire safe devices (with appropriate fire safe tubing) on both stationary and portable, backup system consisting of tank set up (M60 Cylinders Only), appropriate continuous flow regulator, stand, and the following when specified by the VA: mask (with tubing) and disposable pre-filled humidifier, if indicated on the prescription.NoBase10/01/2309/30/240ea0QuantityNSP0NONENo532283W0657352Varies
0007AAPhiladelphiaNoBase10/01/2309/30/2412Ea0QuantityPriced0NONENo532283W0657352Varies
0007ABCoatesvilleNoBase10/01/2309/30/2412Ea0QuantityPriced0NONENo532283W0657352Varies
0007ACWilkes-BarreNoBase10/01/2309/30/2412Ea0QuantityPriced0NONENo532283W0657352Varies
0007ADWilmingtonNoBase10/01/2309/30/2424Ea0QuantityPriced0NONENo532283W0657352Varies
0007AELebanonNoBase10/01/2309/30/24444Ea0QuantityPriced0NONENo532283W0657352Varies
00080010 Liquid Oxygen Per Pound For CLIN 0007NoBase10/01/2309/30/240ea0QuantityNSP0NONENo532283W0657352Varies
0008AAPhiladelphiaNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352Varies
0008ABCoatesvilleNoBase10/01/2309/30/242640Ea0QuantityPriced0NONENo532283W0657352Varies
0008ACWilkes-BarreNoBase10/01/2309/30/2421120Ea0QuantityPriced0NONENo532283W0657352Varies
0008ADWilmingtonNoBase10/01/2309/30/2417160Ea0QuantityPriced0NONENo532283W0657352Varies
0008AELebanonNoBase10/01/2309/30/2498400Ea0QuantityPriced0NONENo532283W0657352Varies
0009Delivery and Weekly or Monthly Rental of portable oxygen concentrator (Inogen G2, Eclipse, Simply Go, Simply Go mini or equivalent of either as designated by the VA, to include new and emerging technology) and all accessories including but not limited to nasal cannula (with tubing), two (2) Oxysafe (or equivalent) fire safe devices (with appropriate fire safe tubing), 2 sets of back-up batteries, handcart, and concentrator pouch/bag. This set up is intended for the patient who is traveling, or has other situations which require a portable concentrator. All Patients would need evaluated by RT on rental system at the time of set up for proper saturation at the prescribed liter flow.NoBase10/01/2309/30/240ea0QuantityNSP0NONENo532283W0657352Varies
0009AAPhiladelphiaNoBase10/01/2309/30/243720Ea0QuantityPriced0NONENo532283W0657352Varies
0009ABCoatesvilleNoBase10/01/2309/30/241248Ea0QuantityPriced0NONENo532283W0657352Varies
0009ACWilkes-BarreNoBase10/01/2309/30/2448Ea0QuantityPriced0NONENo532283W0657352Varies
0009ADWilmingtonNoBase10/01/2309/30/241548Ea0QuantityPriced0NONENo532283W0657352Varies
0009AELebanonNoBase10/01/2309/30/243144Ea0QuantityPriced0NONENo532283W0657352Varies
0010Electric Air Compressor capable of continuous use of up to 10 liters per minute to include a large volume nebulizer, a large volume aerosol tubing and disposable trach mask.NoBase10/01/2309/30/240ea0QuantityNSP0NONENo532283W0657352Varies
0010AAPhiladelphiaNoBase10/01/2309/30/24168Ea0QuantityPriced0NONENo532283W0657352Varies
0010ABCoatesvilleNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352Varies
0010ACWilkes-BarreNoBase10/01/2309/30/2472Ea0QuantityPriced0NONENo532283W0657352Varies
0010ADWilmingtonNoBase10/01/2309/30/2412Ea0QuantityPriced0NONENo532283W0657352Varies
0010AELebanonNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352Varies
0011Respiratory Therapy Visit for the delivery or recovery of VA owned equipment including but not limited to the set up and troubleshooting for CPAP/Bi-Level Positive Airway Pressure (PAP)/Portable Oxygen Concentrator (POC), suction machines, air compressors, VA owned ventilators, prescription change and/or additional components such as but not limited to Mask sizing/fitting, Heated Humidifiers, CPAP-A/BiPAP settings. Respiratory Therapy Visit for education to be completed upon initial set for all active Home Oxygen and PAP patients . PLEASE NOTE: Respiratory Therapy visits are also required every six (6) months for ALL active Home oxygen patients”. If patient is ordered more than one item (i.e. oxygen and PAP), this will be covered by ONE (1) Respiratory Therapy visit only.NoBase10/01/2309/30/240ea0QuantityNSP0NONENo532283W0657352Varies
0011AAPhiladelphiaNoBase10/01/2309/30/244128Ea0QuantityPriced0NONENo532283W0657352Varies
0011ABCoatesvilleNoBase10/01/2309/30/24840Ea0QuantityPriced0NONENo532283W0657352Varies
0011ACWilkes-BarreNoBase10/01/2309/30/242460Ea0QuantityPriced0NONENo532283W0657352Varies
0011ADWilmingtonNoBase10/01/2309/30/243372Ea0QuantityPriced0NONENo532283W0657352Varies
0011AELebanonNoBase10/01/2309/30/241512Ea0QuantityPriced0NONENo532283W0657352Varies
0012Nocturnal pulse oximetry study as ordered by the VA including all reports. Est. Quantity 0 Unit Price $________ Amount price for 12moNoBase10/01/2309/30/240ea0QuantityNSP0NONENo532283W0657352Varies
0012AAPhiladelphiaNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352Varies
0012ABCoatesvilleNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352Varies
0012ACWilkes-BarreNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352Varies
0012ADWilmingtonNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352Varies
0012AELebanonNoBase10/01/2309/30/2424Ea0QuantityPriced0NONENo532283W0657352Varies
0013Rental Ventilator: Service includes Respiratory Therapy Visit, maintenance and replacement of supplies (as specified), and all of the following will be performed on a monthly Basis: (a) Routine inspection per manufactures specifications. (b) Ventilator settings flow sheet must include: 1. Check respiratory rate (set and actual;)(peep if applicable). 2. Check tidal volume (delivered and exhaled) 3. FI02 4. Pressure limit/peak pressure.

5. Alarm settings (high/low).

6. Mode. (c) Check ventilator filters.

(d) Check humidification system.

(e) Check internal and external batteries & emergency backups.

(f) Check circuit

(g) Check hour meter (report when due for preventive maintenance).

(h) Comments/observations.

(i) Replacements items: 1. Filters (disposables).

2. Circuit.

3. Peep Valve.

4. Humidifier.

5. Resuscitation bag (as needed).NoBase10/01/2309/30/240ea0QuantityNSP0NONENo532283W0657352VariesN/A
0013AAPhiladelphiaNoBase10/01/2309/30/2412Ea0QuantityPriced0NONENo532283W0657352VariesN/A
0013ABCoatesvilleNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352VariesN/A
0013ACWilkes-BarreNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352VariesN/A
0013ADWilmingtonNoBase10/01/2309/30/2412Ea0QuantityPriced0NONENo532283W0657352VariesN/A
0013AELebanonNoBase10/01/2309/30/24132Ea0QuantityPriced0NONENo532283W0657352VariesN/A
0014Delivery and monthly rental of home fill concentrator with 2 portable self-fill tanks appropriate conserving device, (2) Oxysafe (or equivalent) fire safe devices , and cylinder pouch/bag and Backup system consists of compressed gas source (M60 Cylinders Only), appropriate continuous flow regulator, stand, nasal cannula (with tubing), two (2) 25-foot tubing or one (1) 50-foot tubing, two (2) Oxysafe (or equivalent) fire safe devices (with appropriate fire safe tubing), and the following when specified by the VA: cannula (with tubing) and humidifier. Home fill tanks to include appropriate conserving device, (2) Oxysafe (or equivalent) fire safe devices and cylinder pouch/bagNoBase10/01/2309/30/240ea0QuantityNSP0NONENo532283W0657352VariesN/A
0014AAPhiladelphiaNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352VariesN/A
0014ABCoatesvilleNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352VariesN/A
0014ACWilkes-BarreNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352VariesN/A
0014ADWilmingtonNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352VariesN/A
0014AELebanonNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352VariesN/A
0015Each Additional Liquid Portable Unit For CLIN 0007NoBase10/01/2309/30/240ea0QuantityNSP0NONENo532283W0657352VariesN/A
0015AAPhiladelphiaNoBase10/01/2309/30/2412Ea0QuantityPriced0NONENo532283W0657352VariesN/A
0015ABCoatesvilleNoBase10/01/2309/30/2424Ea0QuantityPriced0NONENo532283W0657352VariesN/A
0015ACWilkes-BarreNoBase10/01/2309/30/2436Ea0QuantityPriced0NONENo532283W0657352VariesN/A
0015ADWilmingtonNoBase10/01/2309/30/2436Ea0QuantityPriced0NONENo532283W0657352VariesN/A
0015AELebanonNoBase10/01/2309/30/240Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1001Delivery and Monthly Rental of concentrator with backup system and portability items. Backup system consists of compressed gas source (M60 Cylinders Only), appropriate continuous flow regulator, stand, nasal cannula (with tubing), two (2) 25-foot tubing or one (1) 50-foot tubing, two (2) Oxysafe (or equivalent) fire safe devices (with appropriate fire safe tubing), and the following when specified by the VA: cannula (with tubing) and pre-filled humidifier, if indicated on the prescription. Portability items consist of appropriate cylinders (Cylinder sizes B [M6], D, & E), appropriate conserving device, (2) Oxysafe (or equivalent) fire safe devices handcart and cylinder pouch/bag. Concentrator will have flow rate capacity up to 5LPM. This set up is intended for the patient who is prescribed for use during the day and at night. NOTE: Pre-filled humidifiers are required for Altoona VA patients only.NoOption 110/01/2409/30/250ea0QuantityNSP0per orderNONENo532283W0657352VariesN/A
1001AAPhiladelphiaNoOption 110/01/2409/30/256648Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1001ABCoatesvilleNoOption 110/01/2409/30/252532Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1001ACWilkes-BarreNoOption 110/01/2409/30/258052Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1001ADWilmingtonNoOption 110/01/2409/30/253324Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1001AELebanonNoOption 110/01/2409/30/258328Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1002Delivery and Monthly Rental of concentrator with backup system and portability items. Backup system consists of compressed gas source (M60 Cylinders Only), appropriate continuous flow regulator, stand, nasal cannula (with tubing), two (2) 25-foot tubing or one (1) 50-foot tubing, two (2) Oxysafe (or equivalent) fire safe devices (with appropriate fire safe tubing), and the following when specified by the VA: cannula (with tubing) and pre filled humidifier, if indicated on the prescription. Portability items consist of appropriate cylinders (Cylinder sizes B [M6], D, & E), appropriate conserving device, (2) Oxysafe (or equivalent) fire safe devices, handcart and cylinder pouch/bag. Concentrator will have flow rate capacity up to 10LPM. This set up is intended for the patient who is prescribed for use during the day and at night. NOTE: Pre-filled humidifiers are required for Altoona VA patients only.NoOption 110/01/2409/30/250ea0QuantityNSP0NONENo532283W0657352VariesN/A
1002AAPhiladelphiaNoOption 110/01/2409/30/25588Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1002ABCoatesvilleNoOption 110/01/2409/30/25120Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1002ACWilkes-BarreNoOption 110/01/2409/30/25240Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1002ADWilmingtonNoOption 110/01/2409/30/25204Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1002AELebanonNoOption 110/01/2409/30/25732Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1003Cylinder Refill and Delivery, size "E" for CLINS 0001 and 0002. Aluminum (or metal of equivalent weight) tanks required.NoOption 110/01/2409/30/250ea0QuantityNSP0NONENo532283W0657352VariesN/A
1003AAPhiladelphiaNoOption 110/01/2409/30/2518132Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1003ABCoatesvilleNoOption 110/01/2409/30/254944Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1003ACWilkes-BarreNoOption 110/01/2409/30/2526616Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1003ADWilmingtonNoOption 110/01/2409/30/258760Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1003AELebanonNoOption 110/01/2409/30/2513680Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1004Cylinder Refill and Delivery, size "D" for CLINS 0001 and 0002. Aluminum (or metal of equivalent weight) tanks required.NoOption 110/01/2409/30/250ea0QuantityNSP0NONENo532283W0657352VariesN/A
1004AAPhiladelphiaNoOption 110/01/2409/30/2521264Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1004ABCoatesvilleNoOption 110/01/2409/30/251872Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1004ACWilkes-BarreNoOption 110/01/2409/30/2517460Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1004ADWilmingtonNoOption 110/01/2409/30/252700Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1004AELebanonNoOption 110/01/2409/30/2515300Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1005Cylinder Refill and Delivery, size "B" (M6) for CLINS 0001 and 0002. Aluminum (or metal or equivalent weight) tanks required.NoOption 110/01/2409/30/250ea0QuantityNSP0NONENo532283W0657352VariesN/A
1005AAPhiladelphiaNoOption 110/01/2409/30/2530480Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1005ABCoatesvilleNoOption 110/01/2409/30/256972Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1005ACWilkes-BarreNoOption 110/01/2409/30/2532196Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1005ADWilmingtonNoOption 110/01/2409/30/2520772Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1005AELebanonNoOption 110/01/2409/30/254620Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1006Cylinder Refill and Delivery, size "M60" for CLINS 0001 and 0002. Aluminum (or metal or equivalent weight) tanks required as backup system.NoOption 110/01/2409/30/250ea0QuantityNSP0NONENo532283W0657352VariesN/A
1006AAPhiladelphiaNoOption 110/01/2409/30/2548Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1006ABCoatesvilleNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1006ACWilkes-BarreNoOption 110/01/2409/30/2572Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1006ADWilmingtonNoOption 110/01/2409/30/2512Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1006AELebanonNoOption 110/01/2409/30/25156Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1007Delivery and Monthly Rental of Liquid Oxygen System (90-150 lbs.) with stationary unit, portable unit, nasal cannula (with tubing), two (2) 25-foot tubing or one (1) 50-foot tubing, two (2) Oxysafe (or equivalent) fire safe devices (with appropriate fire safe tubing) on both stationary and portable, backup system consisting of tank set up (M60 Cylinders Only), appropriate continuous flow regulator, stand, and the following when specified by the VA: mask (with tubing) and disposable pre-filled humidifier, if indicated on the prescription.NoOption 110/01/2409/30/250ea0QuantityNSP0NONENo532283W0657352VariesN/A
1007AAPhiladelphiaNoOption 110/01/2409/30/2512Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1007ABCoatesvilleNoOption 110/01/2409/30/2512Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1007ACWilkes-BarreNoOption 110/01/2409/30/2512Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1007ADWilmingtonNoOption 110/01/2409/30/2524Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1007AELebanonNoOption 110/01/2409/30/25444Ea0QuantityPriced0NONENo532283W0657352VariesN/A
10080010 Liquid Oxygen Per Pound For CLIN 0007NoOption 110/01/2409/30/250ea0QuantityNSP0NONENo532283W0657352VariesN/A
1008AAPhiladelphiaNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1008ABCoatesvilleNoOption 110/01/2409/30/252640Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1008ACWilkes-BarreNoOption 110/01/2409/30/2521120Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1008ADWilmingtonNoOption 110/01/2409/30/2517160Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1008AELebanonNoOption 110/01/2409/30/2598400Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1009Delivery and Weekly or Monthly Rental of portable oxygen concentrator (Inogen G2, Eclipse, Simply Go, Simply Go mini or equivalent of either as designated by the VA, to include new and emerging technology) and all accessories including but not limited to nasal cannula (with tubing), two (2) Oxysafe (or equivalent) fire safe devices (with appropriate fire safe tubing), 2 sets of back-up batteries, handcart, and concentrator pouch/bag. This set up is intended for the patient who is traveling, or has other situations which require a portable concentrator. All Patients would need evaluated by RT on rental system at the time of set up for proper saturation at the prescribed liter flow.NoOption 110/01/2409/30/250ea0QuantityNSP0NONENo532283W0657352VariesN/A
1009AAPhiladelphiaNoOption 110/01/2409/30/253720Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1009ABCoatesvilleNoOption 110/01/2409/30/251248Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1009ACWilkes-BarreNoOption 110/01/2409/30/2548Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1009ADWilmingtonNoOption 110/01/2409/30/251548Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1009AELebanonNoOption 110/01/2409/30/253144Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1010Electric Air Compressor capable of continuous use of up to 10 liters per minute to include a large volume nebulizer, a large volume aerosol tubing and disposable trach mask.NoOption 110/01/2409/30/250ea0QuantityNSP0NONENo532283W0657352VariesN/A
1010AAPhiladelphiaNoOption 110/01/2409/30/25168Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1010ABCoatesvilleNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1010ACWilkes-BarreNoOption 110/01/2409/30/2572Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1010ADWilmingtonNoOption 110/01/2409/30/2512Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1010AELebanonNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1011Respiratory Therapy Visit for the delivery or recovery of VA owned equipment including but not limited to the set up and troubleshooting for CPAP/Bi-Level Positive Airway Pressure (PAP)/Portable Oxygen Concentrator (POC), suction machines, air compressors, VA owned ventilators, prescription change and/or additional components such as but not limited to Mask sizing/fitting, Heated Humidifiers, CPAP-A/BiPAP settings. Respiratory Therapy Visit for education to be completed upon initial set for all active Home Oxygen and PAP patients . PLEASE NOTE: Respiratory Therapy visits are also required every six (6) months for ALL active Home oxygen patients”. If patient is ordered more than one item (i.e. oxygen and PAP), this will be covered by ONE (1) Respiratory Therapy visit only.NoOption 110/01/2409/30/250ea0QuantityNSP0NONENo532283W0657352VariesN/A
1011AAPhiladelphiaNoOption 110/01/2409/30/254128Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1011ABCoatesvilleNoOption 110/01/2409/30/25840Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1011ACWilkes-BarreNoOption 110/01/2409/30/252460Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1011ADWilmingtonNoOption 110/01/2409/30/253372Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1011AELebanonNoOption 110/01/2409/30/251512Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1012Nocturnal pulse oximetry study as ordered by the VA including all reports. Est. Quantity 0 Unit Price $________ Amount price for 12moNoOption 110/01/2409/30/250ea0QuantityNSP0NONENo532283W0657352VariesN/A
1012AAPhiladelphiaNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1012ABCoatesvilleNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1012ACWilkes-BarreNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1012ADWilmingtonNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1012AELebanonNoOption 110/01/2409/30/2524Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1013Rental Ventilator: Service includes Respiratory Therapy Visit, maintenance and replacement of supplies (as specified), and all of the following will be performed on a monthly Basis: (a) Routine inspection per manufactures specifications. (b) Ventilator settings flow sheet must include: 1. Check respiratory rate (set and actual;)(peep if applicable). 2. Check tidal volume (delivered and exhaled) 3. FI02 4. Pressure limit/peak pressure.

5. Alarm settings (high/low).

6. Mode. (c) Check ventilator filters.

(d) Check humidification system.

(e) Check internal and external batteries & emergency backups.

(f) Check circuit

(g) Check hour meter (report when due for preventive maintenance).

(h) Comments/observations.

(i) Replacements items: 1. Filters (disposables).

2. Circuit.

3. Peep Valve.

4. Humidifier.

5. Resuscitation bag (as needed).NoOption 110/01/2409/30/250ea0QuantityNSP0NONENo532283W0657352VariesN/A
1013AAPhiladelphiaNoOption 110/01/2409/30/2512Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1013ABCoatesvilleNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1013ACWilkes-BarreNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1013ADWilmingtonNoOption 110/01/2409/30/2512Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1013AELebanonNoOption 110/01/2409/30/25132Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1014Delivery and monthly rental of home fill concentrator with 2 portable self-fill tanks appropriate conserving device, (2) Oxysafe (or equivalent) fire safe devices , and cylinder pouch/bag and Backup system consists of compressed gas source (M60 Cylinders Only), appropriate continuous flow regulator, stand, nasal cannula (with tubing), two (2) 25-foot tubing or one (1) 50-foot tubing, two (2) Oxysafe (or equivalent) fire safe devices (with appropriate fire safe tubing), and the following when specified by the VA: cannula (with tubing) and humidifier. Home fill tanks to include appropriate conserving device, (2) Oxysafe (or equivalent) fire safe devices and cylinder pouch/bagNoOption 110/01/2409/30/250ea0QuantityNSP0NONENo532283W0657352VariesN/A
1014AAPhiladelphiaNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1014ABCoatesvilleNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1014ACWilkes-BarreNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1014ADWilmingtonNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1014AELebanonNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1015Each Additional Liquid Portable Unit For CLIN 0007NoOption 110/01/2409/30/250ea0QuantityNSP0NONENo532283W0657352VariesN/A
1015AAPhiladelphiaNoOption 110/01/2409/30/2512Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1015ABCoatesvilleNoOption 110/01/2409/30/2524Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1015ACWilkes-BarreNoOption 110/01/2409/30/2536Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1015ADWilmingtonNoOption 110/01/2409/30/2536Ea0QuantityPriced0NONENo532283W0657352VariesN/A
1015AELebanonNoOption 110/01/2409/30/250Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2001Delivery and Monthly Rental of concentrator with backup system and portability items. Backup system consists of compressed gas source (M60 Cylinders Only), appropriate continuous flow regulator, stand, nasal cannula (with tubing), two (2) 25-foot tubing or one (1) 50-foot tubing, two (2) Oxysafe (or equivalent) fire safe devices (with appropriate fire safe tubing), and the following when specified by the VA: cannula (with tubing) and pre-filled humidifier, if indicated on the prescription. Portability items consist of appropriate cylinders (Cylinder sizes B [M6], D, & E), appropriate conserving device, (2) Oxysafe (or equivalent) fire safe devices handcart and cylinder pouch/bag. Concentrator will have flow rate capacity up to 5LPM. This set up is intended for the patient who is prescribed for use during the day and at night. NOTE: Pre-filled humidifiers are required for Altoona VA patients only.NoOption 210/01/2509/30/260ea0QuantityNSP0per orderNONENo532283W0657352VariesN/A
2001AAPhiladelphiaNoOption 210/01/2509/30/266648Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2001ABCoatesvilleNoOption 210/01/2509/30/262532Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2001ACWilkes-BarreNoOption 210/01/2509/30/268052Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2001ADWilmingtonNoOption 210/01/2509/30/263324Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2001AELebanonNoOption 210/01/2509/30/268328Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2002Delivery and Monthly Rental of concentrator with backup system and portability items. Backup system consists of compressed gas source (M60 Cylinders Only), appropriate continuous flow regulator, stand, nasal cannula (with tubing), two (2) 25-foot tubing or one (1) 50-foot tubing, two (2) Oxysafe (or equivalent) fire safe devices (with appropriate fire safe tubing), and the following when specified by the VA: cannula (with tubing) and pre filled humidifier, if indicated on the prescription. Portability items consist of appropriate cylinders (Cylinder sizes B [M6], D, & E), appropriate conserving device, (2) Oxysafe (or equivalent) fire safe devices, handcart and cylinder pouch/bag. Concentrator will have flow rate capacity up to 10LPM. This set up is intended for the patient who is prescribed for use during the day and at night. NOTE: Pre-filled humidifiers are required for Altoona VA patients only.NoOption 210/01/2509/30/260ea0QuantityNSP0NONENo532283W0657352VariesN/A
2002AAPhiladelphiaNoOption 210/01/2509/30/26588Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2002ABCoatesvilleNoOption 210/01/2509/30/26120Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2002ACWilkes-BarreNoOption 210/01/2509/30/26240Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2002ADWilmingtonNoOption 210/01/2509/30/26204Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2002AELebanonNoOption 210/01/2509/30/26732Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2003Cylinder Refill and Delivery, size "E" for CLINS 0001 and 0002. Aluminum (or metal of equivalent weight) tanks required.NoOption 210/01/2509/30/260ea0QuantityNSP0NONENo532283W0657352VariesN/A
2003AAPhiladelphiaNoOption 210/01/2509/30/2618132Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2003ABCoatesvilleNoOption 210/01/2509/30/264944Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2003ACWilkes-BarreNoOption 210/01/2509/30/2626616Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2003ADWilmingtonNoOption 210/01/2509/30/268760Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2003AELebanonNoOption 210/01/2509/30/2613680Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2004Cylinder Refill and Delivery, size "D" for CLINS 0001 and 0002. Aluminum (or metal of equivalent weight) tanks required.NoOption 210/01/2509/30/260ea0QuantityNSP0NONENo532283W0657352VariesN/A
2004AAPhiladelphiaNoOption 210/01/2509/30/2621264Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2004ABCoatesvilleNoOption 210/01/2509/30/261872Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2004ACWilkes-BarreNoOption 210/01/2509/30/2617460Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2004ADWilmingtonNoOption 210/01/2509/30/262700Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2004AELebanonNoOption 210/01/2509/30/2615300Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2005Cylinder Refill and Delivery, size "B" (M6) for CLINS 0001 and 0002. Aluminum (or metal or equivalent weight) tanks required.NoOption 210/01/2509/30/260ea0QuantityNSP0NONENo532283W0657352VariesN/A
2005AAPhiladelphiaNoOption 210/01/2509/30/2630480Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2005ABCoatesvilleNoOption 210/01/2509/30/266972Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2005ACWilkes-BarreNoOption 210/01/2509/30/2632196Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2005ADWilmingtonNoOption 210/01/2509/30/2620772Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2005AELebanonNoOption 210/01/2509/30/264620Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2006Cylinder Refill and Delivery, size "M60" for CLINS 0001 and 0002. Aluminum (or metal or equivalent weight) tanks required as backup system.NoOption 210/01/2509/30/260ea0QuantityNSP0NONENo532283W0657352VariesN/A
2006AAPhiladelphiaNoOption 210/01/2509/30/2648Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2006ABCoatesvilleNoOption 210/01/2509/30/260Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2006ACWilkes-BarreNoOption 210/01/2509/30/2672Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2006ADWilmingtonNoOption 210/01/2509/30/2612Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2006AELebanonNoOption 210/01/2509/30/26156Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2007Delivery and Monthly Rental of Liquid Oxygen System (90-150 lbs.) with stationary unit, portable unit, nasal cannula (with tubing), two (2) 25-foot tubing or one (1) 50-foot tubing, two (2) Oxysafe (or equivalent) fire safe devices (with appropriate fire safe tubing) on both stationary and portable, backup system consisting of tank set up (M60 Cylinders Only), appropriate continuous flow regulator, stand, and the following when specified by the VA: mask (with tubing) and disposable pre-filled humidifier, if indicated on the prescription.NoOption 210/01/2509/30/260ea0QuantityNSP0NONENo532283W0657352VariesN/A
2007AAPhiladelphiaNoOption 210/01/2509/30/2612Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2007ABCoatesvilleNoOption 210/01/2509/30/2612Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2007ACWilkes-BarreNoOption 210/01/2509/30/2612Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2007ADWilmingtonNoOption 210/01/2509/30/2624Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2007AELebanonNoOption 210/01/2509/30/26444Ea0QuantityPriced0NONENo532283W0657352VariesN/A
20080010 Liquid Oxygen Per Pound For CLIN 0007NoOption 210/01/2509/30/260ea0QuantityNSP0NONENo532283W0657352VariesN/A
2008AAPhiladelphiaNoOption 210/01/2509/30/260Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2008ABCoatesvilleNoOption 210/01/2509/30/262640Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2008ACWilkes-BarreNoOption 210/01/2509/30/2621120Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2008ADWilmingtonNoOption 210/01/2509/30/2617160Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2008AELebanonNoOption 210/01/2509/30/2698400Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2009Delivery and Weekly or Monthly Rental of portable oxygen concentrator (Inogen G2, Eclipse, Simply Go, Simply Go mini or equivalent of either as designated by the VA, to include new and emerging technology) and all accessories including but not limited to nasal cannula (with tubing), two (2) Oxysafe (or equivalent) fire safe devices (with appropriate fire safe tubing), 2 sets of back-up batteries, handcart, and concentrator pouch/bag. This set up is intended for the patient who is traveling, or has other situations which require a portable concentrator. All Patients would need evaluated by RT on rental system at the time of set up for proper saturation at the prescribed liter flow.NoOption 210/01/2509/30/260ea0QuantityNSP0NONENo532283W0657352VariesN/A
2009AAPhiladelphiaNoOption 210/01/2509/30/263720Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2009ABCoatesvilleNoOption 210/01/2509/30/261248Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2009ACWilkes-BarreNoOption 210/01/2509/30/2648Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2009ADWilmingtonNoOption 210/01/2509/30/261548Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2009AELebanonNoOption 210/01/2509/30/263144Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2010Electric Air Compressor capable of continuous use of up to 10 liters per minute to include a large volume nebulizer, a large volume aerosol tubing and disposable trach mask.NoOption 210/01/2509/30/260ea0QuantityNSP0NONENo532283W0657352VariesN/A
2010AAPhiladelphiaNoOption 210/01/2509/30/26168Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2010ABCoatesvilleNoOption 210/01/2509/30/260Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2010ACWilkes-BarreNoOption 210/01/2509/30/2672Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2010ADWilmingtonNoOption 210/01/2509/30/2612Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2010AELebanonNoOption 210/01/2509/30/260Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2011Respiratory Therapy Visit for the delivery or recovery of VA owned equipment including but not limited to the set up and troubleshooting for CPAP/Bi-Level Positive Airway Pressure (PAP)/Portable Oxygen Concentrator (POC), suction machines, air compressors, VA owned ventilators, prescription change and/or additional components such as but not limited to Mask sizing/fitting, Heated Humidifiers, CPAP-A/BiPAP settings. Respiratory Therapy Visit for education to be completed upon initial set for all active Home Oxygen and PAP patients . PLEASE NOTE: Respiratory Therapy visits are also required every six (6) months for ALL active Home oxygen patients”. If patient is ordered more than one item (i.e. oxygen and PAP), this will be covered by ONE (1) Respiratory Therapy visit only.NoOption 210/01/2509/30/260ea0QuantityNSP0NONENo532283W0657352VariesN/A
2011AAPhiladelphiaNoOption 210/01/2509/30/264128Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2011ABCoatesvilleNoOption 210/01/2509/30/26840Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2011ACWilkes-BarreNoOption 210/01/2509/30/262460Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2011ADWilmingtonNoOption 210/01/2509/30/263372Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2011AELebanonNoOption 210/01/2509/30/261512Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2012Nocturnal pulse oximetry study as ordered by the VA including all reports. Est. Quantity 0 Unit Price $________ Amount price for 12moNoOption 210/01/2509/30/260ea0QuantityNSP0NONENo532283W0657352VariesN/A
2012AAPhiladelphiaNoOption 210/01/2509/30/260Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2012ABCoatesvilleNoOption 210/01/2509/30/260Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2012ACWilkes-BarreNoOption 210/01/2509/30/260Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2012ADWilmingtonNoOption 210/01/2509/30/260Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2012AELebanonNoOption 210/01/2509/30/2624Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2013Rental Ventilator: Service includes Respiratory Therapy Visit, maintenance and replacement of supplies (as specified), and all of the following will be performed on a monthly Basis: (a) Routine inspection per manufactures specifications. (b) Ventilator settings flow sheet must include: 1. Check respiratory rate (set and actual;)(peep if applicable). 2. Check tidal volume (delivered and exhaled) 3. FI02 4. Pressure limit/peak pressure.

5. Alarm settings (high/low).

6. Mode. (c) Check ventilator filters.

(d) Check humidification system.

(e) Check internal and external batteries & emergency backups.

(f) Check circuit

(g) Check hour meter (report when due for preventive maintenance).

(h) Comments/observations.

(i) Replacements items: 1. Filters (disposables).

2. Circuit.

3. Peep Valve.

4. Humidifier.

5. Resuscitation bag (as needed).NoOption 210/01/2509/30/260ea0QuantityNSP0NONENo532283W0657352VariesN/A
2013AAPhiladelphiaNoOption 210/01/2509/30/2612Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2013ABCoatesvilleNoOption 210/01/2509/30/260Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2013ACWilkes-BarreNoOption 210/01/2509/30/260Ea0QuantityPriced0NONENo532283W0657352VariesN/A
2013ADWilmingtonNoOption 210/01/2509/30/2612Ea0QuantityPriced0NONENo532283W0657352VariesN/A

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