Ostomy Option Year 1 worksheet.xlsx

XLSX spreadsheet 37 KB Posted

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Q999--Ostomy Prescription Services
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36C25920Q0615
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Option Year 1

Contractor Name:Date:
Duns#Tax ID:
Phone#Email:
Contact Name:Signature:
Option Year 1: 10/6/2021 to 10/5/2022
DESCRIPTIONITEM #EST QTYCOST PER UNITTOTAL COST
CONVATEC STOMAHESIVE POWDER 1-OZ BOTTLEO02551057
CONVATEC NIGHT DRAINAGE CONTAINER SETO0270606
C-M SENSURA 3/8'-1-3/8' WAFER 5-BXO1001542
C-M SENSURA 3/8'-1-3/4' WAFER 5-BXO1001736
C-M SENSURA MIO 3/8"-2-11/16" CUT TO FIT WAFER 5-BXO1057172
HOLLISTER NEW IMAGE 2-1/4" WAFER 5-BXO1120378
HOLLISTER NEW IMAGE 2-1/4" WAFER 5-BXO11204252
C-M SENSURA MIO UROSTOMY POUCH 10-1/2" - 10-BXO1149818
C-M SENSURA CLICK MAXI UROSTOMY POUCH 10-BXO1184418
C-M SENSURA URO MAXI UROSTOMY POUCH 10-BXO1185118
C-M BRAVA MOLDABLE RING'S 2-MM 10-BXO1203073
C-M BRAVA PROTECTIVE SEAL 1-1/8" THIN 10-BXO1203718
C-M BRAVA PROTECTIVE SEAL 3/4" THIN 10-BXO1203945
C-M BRAVA ELASTIC BARRIER STRIPS 5-1/2" 20-BX = 10 UNITSO12070042
C-M BRAVA ELASTIC BARRIER STRIPS XL 30-BX = 10 UNITSO120769
C-M MIO FLEX MAXI DRAINABLE POUCH OPAQUE YELLOW 10-BXO1228245
CONVATEC SUR-FIT 1-3/4' WAFER WHITE 10-BXO12525912
CONVATEC SUR-FIT 2-1/4'' WAFER WHITE 10-BXO12526054
CONVATEC SUR-FIT 1-1/2' WAFER TAN 10-BXO12526324
CONVATEC SUR-FIT 1-3/4' WAFER TAN 10-BXO12526439
CONVATEC SUR-FIT 2-1/4' WAFER TAN 10-BXO12526545
CONVATEC SUR-FIT 1' WAFER TAN 10-BXO1252719
CONVATEC SUR-FIT 1-3/8' WAFER TAN 10-BXO12527421
CONVATEC SUR-FIT 2-1/4' WAFER 10-BXO12527615
HOLLISTER NEW IMAGE 1' WAFER CONVEX 5-BXO1390418
HOLLISTER NEW IMAGE 2 1/4' WAFER CONVEX 5-BX 57 MMO1390718
HOLLISTER SHAPE TO FIT 2-1/4' WAFER 5-BXO14103120
HOLLISTER SHAPE TO FIT 2-3/4" WAFER 5-BXO14104126
HOLLISTER NEW IMAGE 1-3/4' WAFER 5-BXO1420248
HOLLISTER NEW IMAGE 2-3/4" WAFER 5-BXO142049
C-M ASSURA 3/4" WAFER CONVEX 5-BXO1423236
HOLLISTER NEW IMAGE 2-1/4' WAFER 5-BXO14603141
HOLLISTER NEW IMAGE 1-3/8' WAFER 5-BXO1470724
HOLLISTER NEW IMAGE 1-3/4" WAFER 5-BXO1470948
HOLLISTER NEW IMAGE1-3/4" WAFER CONVEX 5-BXO1480218
HOLLISTER NEW IMAGE 2-1/4" WAFER CONVEX 5-BXO14803129
HOLLISTER NEW IMAGE 2-1/4" WAFER 5-BXO1510318
HOLLISTER NEW IMAGE 2-3/4" WAFER 5-BXO151046
HOLLISTER 2-1/4" WAFER CONVEX 5-BXO1530324
BARD BEDSIDE DRAINAGE BAG 4,000mlO1535096
BARD BEDSIDE DRAINAGE BAG 2,000-MLO15400218
HOLLISTER NEW IMAGE 1-3/4" WAFER 5-BXO1610636
HOLLISTER NEW IMAGE 2-1/4" WAFER 5-BXO1610724
C-M SENSURA MIO CLICK 13/16" DEEP CONVEX 5-BXO1695336
CONVATEC OSTOMY APPLIANCE BELT EACHO17550739
CONVATEC TAIL CLOSURES OSTOMY POUCHES - EACHO17563581
C-M SENSURA MIO UROSTOMY POUCH 10 1/2 10-BXO175718
CONVATEC UROSTOMY POUCH 1-PC CONVEX 1-1/8' 5-BXO17579424
HOLLISTER NEW IMAGE L-N-R 2-1/4' 10-BXO180049
HOLLISTER NEW IMAGE 4' L-N-R POUCH 12' DRAINABLE CLEAR 10-BXO1800618
HOLLISTER HIGH OUTPUT DRAINABLE POUCH 1-3/4 10-BXO1801215
HOLLISTER NEW IMAGE 1-3/4' POUCH 10-BXO1810218
HOLLISTER NEW IMAGE 2-1/4' POUCH 10-BXO181036
HOLLISTER NEW IMAGE POUCH L-N-R 1-3/4' 10-BXO181129
HOLLISTER NEW IMAGE L-N-R 2-1/4' 10-BXO1811312
HOLLISTER NEW IMAGE 1-3/4' POUCH 10-BXO181229
HOLLISTER NEW IMAGE 2-1/4" POUCH 10-BXO1812312
HOLLISTER NEW IMAGE L-N-R 2-1/4' 10-BXO1813318
HOLLISTER NEW IMAGE 1-3/4' POUCH 10-BXO1814224
HOLLISTER IRRIGATOR SLEEVES 5-BXO181543
HOLLISTER NEW IMAGE 2-1/4' POUCH 10-BXO1816312
HOLLISTER LOCK-N-ROLL 1-3/4' POUCH FILTER 10-BXO1818236
HOLLISTER LOCK-N-ROLL 2-1/4' POUCH FILTER 10-BXO18183141
HOLLISTER LOCK-N-ROLL 2 3/4' POUCH FILTER 10-BXO1818484
HOLLISTER LOCK-N-ROLL 2 1/4' POUCH 10-BXO1819345
HOLLISTER LOCK-N-ROLL 2-3/4' POUCH 10-BXO1819472
HOLLISTER NEW IMAGE 2-3/4' POUCH CLOSED 60-BXO1837421
CONVATEC STOMAHESIVE PASTE 2-OZ TUBEO183910273
HOLLISTER UROSTOMY 2-1/4' POUCH 9" 10-BX TRANSPARENTO1840369
HOLLISTER UROSTOMY 1-3/4" POUCH 9" 10-BXO1890239
HOLLISTER UROSTOMY 2-1/4' POUCH 9" 10-BXO189139
C-M UROSTOMY NIGHT BAG ASSURA 2000-ML - EACHO2134690
CONVATEC STOMAHESIVE SKIN BARRIER 4X4' 5-BXO2171236
CONVATEC ACTIVE-LIFE 1-3/4 " POUCH 1-PC OPAQUE 10-BXO227619
CONVATEC ACTIVE-LIFE 1-1/4" POUCH 1-PC TRANSPARENT 12" 10-BXO2276618
CONVATEC ACTIVE-LIFE 3/4' - 2-1/2' POUCH 1-PC 10-BXO22771120
NU-HOPE OSTOMY BELT 1-1/2" - EACHO26103
C-M BRAVA OSTOMY STRIP PASTE 10-BX 2-OZO2655536
NU-HOPE SUPPORT BELT 4" SZ-L 36"-40" - EACHO26623
NU-HOPE SUPPORT BELT 4" SZ-XL 41"-46" - EACHO2663J9
NU-HOPE SUPPORT BELT 4" SZ-S 28"-31" - EACHO2665C6
NU-HOPE SUPPORT BELT 4" COOL COMFORT SZ-XXL 47"-52" 2-3/8" OPENING - EACHO26693
HOLLISTER KARAYA 1-1/2" POUCH 1-PC 30-BXO32736
CONVATEC ACTIVELIFE 1-PC POUCH 3/4"-2-1/2" - 10-BXO40059812
CONVATEC SUR-FIT 1-1/2' POUCH 10-BXO40150133
CONVATEC SUR-FIT 1-3/4' POUCH 10-BXO40150233
CONVATEC SUR-FIT 2-1/4' POUCH 10-BXO40150330
CONVATEC SUR-FIT 2-3/4' POUCH 10-BXO4015043
CONVATEC SUR-FIT 1-3/4' POUCH 10-BXO4015079
CONVATEC SUR-FIT 1-3/4' POUCH 10-BXO40151221
CONVATEC SUR-FIT 2-1/4" POUCH 10-BXO40151366
CONVATEC SUR-FIT 1-3/4' POUCH 30-BXO40152221
CONVATEC SUR-FIT 1-3/4' POUCH 30-BXO40152618
CONVATEC SUR-FIT 2-1/4' POUCH 30-BXO40152721
CONVATEC SUR-FIT 2-3/4' POUCH 30-BXO4015289
CONVATEC UROSTOMY SUR-FIT 1-3/4' POUCH 10-BXO401544135
CONVATEC UROSTOMY SUR-FIT 2-1/4' POUCH 10-BXO4015459
CONVATEC UROSTOMY SUR-FIT 2-3/4" POUCH 10-BXO40154612
CONVATEC UROSTOMY SUR-FIT 1-3/4' POUCH 10-BXO40154912
CONVATEC UROSTOMY SUR-FIT 1-3/4' POUCH 10-BXO4015539
CONVATEC IRRIGATION SLEEVE 5-BXO40191312
CONVATEC SUR-FIT 1-3/4' POUCH OPAQUE 12' 10-BXO40193445
CONVATEC VISI-FLOW IRRIGATION WITH STOMA CONE KITO4019893
CONVATEC SUR-FIT NATURA LOW-PRESSURE ADAPTOR 45mm 10-BX - DISCONTINUEDO4019936
CONVATEC SUR-FIT 1/2'-7/8' DURAHESIVE WAFER CONVEX SZ-S 10-BXO40459215
CONVATEC SUR-FIT 7/8' - 1-1/4' DURAHESIVE WAFER CONVEX SZ-M 10-BXO40459318
CONVATEC SUR-FIT 2-1/4' POUCH 12' W/FILTER 20-BXO41131112
CONVATEC SUR-FIT 1-3/4' POUCH 12' W/ FILTER 10-BXO41136018
CONVATEC SUR-FIT 1-3/4' POUCH 12' W/FILTER 20-BXO4114916
CONVATEC SUR-FIT 2-1/4' POUCH 12' W/FILTER 20-BXO41149224
CONVATEC SUR-FIT 1-3/4' WAFER MOLDABLE DURAHESIVE SZ-M 7/8' - 1-1/4' 10-BXO41180239
CONVATEC SUR-FIT 2-1/4' WAFER MOLDABLE DURAHESIVE SZ-L 1-1/4' - 1-3/4' 10-BXO41180412
CONVATEC SUR-FIT 2-1/4' WAFER MOLDABLE DURAHESIVE SZ-L 1-1/4' - 1-3/4' 10-BXO4118059
CONVATEC SUR-FIT 2-1/4' WAFER MOLDABLE DURAHESIVE SZ-L 1-1/4' - 1-3/4' 10-BXO41180618
CONVATEC SUR-FIT 1-1/2' WAFER DURAHESIVE 10-BXO41315418
CONVATEC SUR-FIT 1-3/4' WAFER 10-BXO4131559
CONVATEC SUR-FIT 2-1/4" WAFER 10-BXO4131569
CONVATEC SUR-FIT 1-3/4' WAFER WHITE 10-BXO4131619
CONVATEC SUR-FIT 1-3/4' WAFER TAN 10-BXO41316612
CONVATEC SUR-FIT 1-3/8">1-3/4" WAFER TAN 10-BXO41316718
CONVATEC SUR-FIT 1-3/8">1-3/4" WAFER TAN 10-BXO41316824
CONVATEC SUR-FIT POUCH 2-1/4" 60-BXO41317118
CONVATEC SUR-FIT 3/4" WAFER CONVEX-IT 10-BXO41317924
CONVATEC SUR-FIT 7/8' WAFER CONVEX-IT 10-BXO41318024
CONVATEC SUR-FIT 1' WAFER CONVEX-IT 10-BXO41318151
CONVATEC SUR-FIT 1-1/8' WAFER CONVEX-IT 10-BXO41318290
CONVATEC SUR-FIT 1-1/4' WAFER CONVEX-IT 10-BXO41318321
CONVATEC SUR-FIT 2-1/4" POUCH 12" 20-BXO41333518
CONVATEC NATURA UROSTOMY POUCH 1-3/4" 10-BXO41343718
CONVATEC NATURA + POUCH 1-3/4"10-BXO41641712
CONVATEC NATURA + POUCH 1-3/4" 10-BXO41641821
CONVATEC NATURA + POUCH 2-3/4" 10-BXO4164229
CONVATEC NATURA + POUCH 2-3/4" 10-BXO4164239
CONVATEC SUR-FIT POUCH 1-3/4" HIGH OUTPUT 5-BXO4206956
CONVATEC NATURA WAFER 2-1/4" 10-BXO42104057
CONVATEC SUR-FIT 1/2"X1-3/4"' WAFER 10-BXO42146412
NU-HOPE 1-PC POUCH - 10-BXO437410R18
NU-HOPE 1-PC POUCH - 10-BXO487410R18
C-M LEG BAG SECURITY WITH STRAPS 21-OZ - EACHO517024
NU-HOPE SUPPORT BELT 4" SZ-XL 41"-46" EACHO6313F9
NU-HOPE SUPPORT BELT 6" SZ-L 36"-40" - EACHO6333CP6
NU-HOPE SUPPORT BELT 6" SZ-XL 47"-52" - EACHO6334U3
NU-HOPE SUPPORT BELT 4" SZ-L 36"-40" - EACHO6412A6
NU-HOPE SUPPORT 5" BELT 36">41" SZ-L - EACHO6422BGPC6
NU-HOPE SUPPORT 5" BELT 41">46" SZ-XL - EACHO6423I3
NU-HOPE SUPPORT BELT 6' SZ-L 36'-40' EACHO6463SP3
NU-HOPE SUPPORT BELT 6" SZ-XL 41">46" EACHO6603I3
NU-HOPE SUPPORT BELT 6" SZ-XL 41">46" EACHO6603U3
NU-HOPE SUPPORT BELT 6" SZ-XL 41">46" EACHO6613F9
NU-HOPE SUPPORT BELT 6" SZ-XL 41">46" - EACHO6613PACP6
NU-HOPE SUPPORT BELT 6" SZ-XL 41">46" - EACHO6629BGPF3
NU-HOPE SUPPORT BELT 6" SZ-S 28">31" - EACHO6710C6
NU-HOPE SUPPORT BELT 6" SZ-L 36">40" EACHO6712FP3
NU-HOPE SUPPORT BELT 6" SZ-XL 41">46" - EACHO67136
NU-HOPE SUPPORT BELT 6" SZ-XXL 47">52" - EACHO6714PF3
HOLLISTER OSTOMY BELT SZ-M 26">43" EACHO730033
HOLLISTER UROSTOMY DRAIN TUBE ADAPTERO733133
NU-HOPE 1-PC POUCH 1-1/4" - 10-BXO7412TS421
HOLLISTER M9 ODOR DROPS 8-OZO771733
HOLLISTER ADAPT BARRIER RINGS 48-MM RINGS 2" 10-BXO780569
HOLLISTER ADAPT BARRIER RINGS 48-MM RINGS 2" SLIM - 10-BXO781587
HOLLISTER ADAPT LUBRICATING DEODORANT 8-OZ BOTTLEO78500123
HOLLISTER KARAYA POWDER 1-OZ BOTTLEO790669
HOLLISTER ADAPT PASTE 2.1-OZ TUBEO79300192
HOLLISTER ADAPT BARRIER EXTENDERS 30-BX -10-UNITESO794026
HOLLISTER ADAPT CONVEX BARRIER RINGS OVAL 7/8">1-1/2" 10-BXO7960118
HOLLISTER 1-PC POUCH 1-3/8" 30-BXO8233530
HOLLISTER PREMIER 1" POUCH CONVEX 1-PC TRANSPARENT 5-BXO828224
HOLLISTER PREMIER 1-PC POUCH CUT TO FIT 10-BXO83319
CONVATEC EAKIN SEALS 2" 20-BXO839002141
CONVATEC EAKIN WOUND POUCHES 9.7'X6.3' 5-BXO83926872
HOLLISTER UROSTOMY 7/8" POUCH CONVEX - 5-BXO841321
HOLLISTER UROSTOMY POUCH 1-PC 1-3/4" 10-BXO844915
HOLLISTER UROSTOMY POUCH 1-PC 1-1/4" 10-BXO84689
HOLLISTER UROSTOMY 2" POUCH CONVEX - 5-BXO8479872
HOLLISTER UROSTOMY 1' POUCH CONVEX TRANSPARENT 5-BO848451
HOLLISTER UROSTOMY 1-1/8" POUCH CONVEX - 5-BXO848518
HOLLISTER UROSTOMY 1-1/4' POUCH CONVEX TRANSPARENT 5-BXO848630
HOLLISTER UROSTOMY 1-1/2" POUCH CONVEX TRANSPARENT 5-BXO848854
HOLLISTER UROSTOMY 1-18" POUCH PRE-CUT CONVEX 1-PC 5-BXO8489518
HOLLISTER UROSTOMY 1-3/8" POUCH PRE-CUT CONVEX 1-PC 5-BXO849718
HOLLISTER UROSTOMY 1" POUCH PRE-CUT CONVEX 1-PC 5-BXO849943
HOLLISTER PREMIER 1-PC POUCH SOFT CONVEX 1-1/2" 5-BXO854836
HOLLISTER PREMIER 1-PC POUCH 1" - 10-BXO855215
HOLLISTER PREMIER 1-1/4" POUCH CONVEX 1-PC TRANSPARENT 12' 5-BXO861418
HOLLISTER PREMIER 1-PC POUCH SOFT CONVEX 7/8" 5-BXO866130
HOLLISTER PREMIER 1-PC POUCH SOFT CONVEX 1-1/4" 5-BXO866412
HOLLISTER PREMIER 1-PC POUCH SOFT CONVEX 2-1/8" 5-BXO8671121
HOLLISTER DRAINABLE POUCH CLAMP BEIGE - EACHO8770144
NU-HOPE NU-FLEX URINARY POUCHES CONVEX 10-BXO8865GIFVCE24
HOLLISTER PREMIER 1-PC POUCH CUT TO FIT 10-BXO890112
PARTHENON PAR-SORB SUPER ABSORBENT CRYSTALS 100-PKOP20011006
ACTIVE LIFESTYLE SURE SEAL RING MEDIUM SQUARE 2-1/4"X2-3/4" L-F 10-BXORS0236
SNS SKIN BARRIER ARCS 1" 30-BX = 10 UNITSOSNS206309
C-M BRAVA ADHESIVE REMOVER SPRAY 1.7-OZ CANW12010533
C-M BRAVA SKIN BARRIER SPRAY 1.7-OZ CANW12020527
C-M BRAVA SKIN BARRIER WIPES 30-BXW1202159
HY PINK TAPE 2"X 5-YD EACH / 20 UNITSW120BLF186
3M MICROFOAM TAPE 2'X5-YD EACH / 20 UNITSW152829
C-M PREP WIPES 54-BXW20413
NU-HOPE ADHESIVE 4-OZW240036
3M MEDIPORE-H TAPE 3" EACH 10-YD / 60 UNITS (2863 SAME)W29639
3M MEDIPORE-H TAPE 4' EA 10-YD / 80 UNITSW296412
3M CAVILON NO STING BARRIER PREP WIPES 30-BXW334454
3M CAVILON NO STING BARRIR FILM 3 ML WAND APPLICATOR 25-BXW3345132
3M CAVILON NO STING BARRIER FILM SPRAY 28-ML BOTTLE - EACHW334621
S&N UNI-SOLVE ADHESIVE REMOVER WIPES 50-BXW402300393
S&N REMOVE ADHESIVE REMOVER WIPES 50-BXW4031003
CONVATEC SENSI-CARE STING-FREE ADHESIVE REOMOVER WIPE 30-BXW4135006
CONVATEC SENSI-CARE STING-FREE SKIN BARRIER SPRAY 50-MLW4135023
S&N SKIN PREP SPRAY 4OZW420200228
S&N UNI-SOLVE ADHESIVE REMOVER 8-OZ BOTTLEW5940250018
HOLLISTER MEDICAL ADHEXIVE SPRAY 3.2-OZ EACHW773051
HOLLISTER REMOVE ADHESIVE REMOVER WIPES 50-BXW776039
MEDLINE MARATHON SKIN PROTECTANT 10-BXWMSC0930059
OSTO-BOND SKIN BONDING CEMENT 4-OZ CAN W-BRUSH CONTAINS LATEX - MONTREALWOSTOBOND27

Option Year 1 Total

&"Arial,Bold"&8 12:40 PM &"Arial,Bold"&8 04/21/20 &"Arial,Bold"&8 Accrual Basis &"Arial,Bold"&12 JQ Medical Supply &"Arial,Bold"&14 Sales by Customer Detail &"Arial,Bold"&10 December 1, 2019 through April 21, 2020

&"Arial,Bold"&8 Page &P of &N image1.emf image2.emf

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