FSS-65-II-C - Solventum Orthodontics Corporation - 36F79721D0178

Department of Veterans Affairs Federal Supply Schedule

Authorized Federal Supply Schedule Price List

On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order are available through GSA Advantage!, a menu-driven database system. The INTERNET address GSA Advantage! Is:

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Dental Equipment and Supplies FSC Group 65 Part II Section C

FSC Class: 6520

Federal Supply Schedule Price List Number One Effective July 1, 2021

Initial Contract award effective July 1, 2021

Contract Number: 36F79721D01781 Contract Period: July 1, 2021 through June 30, 2026

For more information on ordering from federal Supply Schedules, click on the FSS Schedule button at fss.gsa.gov.

3M Unitek Corporation Orthodontic Products 2724 South Peck Rd Monrovia, CA 91016 USA

Phone: 800-423-4588 Opt 3 for GOV CSR Email: 3msupport.unitek.us@mmm.com attn Govt CSR Team Fax: 651-732-8488 (US, if necessary) Web: www.3m.com/3M/en_US/p/c/dental-orthodontics/i/health-care/oral-care/orthodontic

For Contracting Information (Only):

Joan Harp: 626-574-4326 or Email: jharp@mmm.com

Business Size: Large Tax Identification Number (TIN): 06-0976495

Unitek

Customer Information for Contract Number: 36F79721D0178

1a. Special Item numbers:

SIN C-13 Cements, page 1 SIN C-14 Crowns, Bands & Related items, pages 1-13

SIN C-28b TADs, page 13 SIN C-35 Orthodontic Supplies, pages 13 – 42 SIN C-6 Ortholux™ Luminous Curing Light, page 42

1b. Identification of lowest Price Product by SIN:

SIN C-13: Transbond™ XT Gel Etch Tips @ $11.30, page 1 SIN C-14: Molar Band GP Narrow Reg @ $2.10, page 2 SIN C-28b: Unitek TAD Cap @ $25.72, page 13 SIN C-35: AlastiK™ Separators @ $0.10, page 31

SIN C-6 Eye Shield for Ortholux™ Luminous Curing Light @ $26.54, page 42

1c. Hour Rates: (if applicable): N/A

2. Maximum Order Limitation: $100,000 per item per order

3. Minimum Order Limitation: $25.00

4. Geographic Coverage - 50 states, District of Columbia excludes Puerto Rico

5. Points of Production: Except for the foreign products shown below in 10, all products included in this contract are manufactured within the geographic area of the 48 contiguous United States

6. Discounts: Prices shown herein are Government Net

Prices (discount deducted)

7. Quantity Discounts – None

8. Prompt Payment Terms: Net 30 days.

9a. Government Commercial Credit Card: is accepted at or below the micro-purchase threshold.

9b. Government Commercial Credit Card: is accepted above the micro-purchase threshold.

10. Foreign Items: Some products in the following SINs were manufactured:

All 4006-xxx & 3006-xxx C-35: Switzerland P/Ns: 704-457/704-456/704-460 C-6; 712-090/712-091 C-13; 804-171/500-081/500-083 C-35: Germany

P/N: 712-037 C-13: Korea P/Ns: 803-003/803-007/800-734 C-35: Japan

P/Ns: 149-212/902-475/905-216/905-108/905-249/905- 254/955-213/957-114/957-115/957-116/957-126/957-

129/957-130/957-131/957-132/957-161/957- 168/957-170/957-171/957-172/957-214/957- 215/957-230/957-231/957-232/957-254/957- 270/957-271/957-272 C-14: Mexico

11a-d: Time of Delivery: All SINs: 7-14 days After Receipt of Order (ARO). No expedited delivery. Emergency delivery: can be made overnight or within 2-days after receipt of order for stocked material. 3M will be responsible for the cost of delivery on emergency orders

12. F.O.B. Point: Destination - 50 States includes, Washington DC Excludes Puerto Rico

13a. Ordering Address:

Please refer to the cover page for ordering address

& contact information

13b. Ordering Procedures: For supplies and services, the ordering procedures information on Blanket Purchase Agreements (BPAs) are found in Federal Acquisition Regulations (FAR) 8.405-3.

14. Payment Address:

3M Unitek Corporation File #56561 Los Angeles, CA 90074

15a-b Warranty Provision / Limitation of Liability /

Return Goods Policy: see attachment Warranty-For Government Use Only

16. Export packing charges: N/A

17. Terms and conditions of Government purchase card acceptance. See 9a. and 9b. No additional discounts are granted for its use

18. Terms and conditions of rental, maintenance, and repair (if applicalble): N/A

19. Terms and conditions of installation: N/A

20. Terms and conditions of repair parts: N/A

20a. Terms and Conditions for any other services (if applicable): N/A

21. List of service and distribution points: N/A

22. List of participating dealers (if applicable): N/A

23. Preventitive maintenance (if applicable): N/A

24a. Special attributes such as environmental attributes (eg, recycled content, energy efficiency, and/or reduced pollutants) (if applicable:. N/A

24b. Indicate that Seciton 508 compliance information is available on Electronic and Information Technology (EIT) supplies and services and show where full details can be found (eg, contractor’s website or other location) the EIT standards can be found at: www. Secton 508.gov/ (if applicable): N/A

25. Data Universal Number System (DUNS) number.

008256356

26. Notification regarding registration in Centeral

Contractor Registration (CCR) database: Registration status is Active

3M Unitek 2724 South Peck Road Orthodontic Products Monrovia, CA 91016-5097

626 574 4000 www.3MUnitek.com

Warranty – For Government Use Only

3M Unitek Corporation represents and warrants that as of the date of delivery of Orthodontic product awarded under C-6, C-13, C-14, C-28 and C-35 (the "Product") under the above-referenced contract, the Product will: (i) be manufactured in compliance in all material respects with cGMPs as in effect at the time of manufacture, (ii) be manufactured in accordance with the specifications and Product NDA and

(iii) not be adulterated or misbranded within the meaning of applicable provisions of the Federal Food, Drug, and Cosmetic Act, as amended. This limited warranty shall not apply with respect to defects resulting from neglect, misuse, fire or other hazard, unauthorized alteration or modification, or improper handling, storage or usage that arose after Product was delivered to the FSS customer.

Additionally, this warranty includes the Government.

See attached Terms and Conditions of Sale in respect to the section labeled “Product Use” that describes the Buyer (the Government) is responsible for evaluating whether the Product is appropriate for the particular use or application.

3M Unitek acknowledges the section labeled “Shipments” is intended for the Commercial customer and not the Government, as all shipments are FOB Destination.

Also, 3M Unitek acknowledges the section labeled “Back-Orders” is intended for the Commercial customer and not the Government, as there will be no additional shipping charges for back-orders to neither Domestic nor International shipments.

52.212-4 (o) (Tailored) Warranty. 3M Unitek Corporation warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract. In the event that the terms of the contractor’s standard commercial warranty (See Clause 552.246-73) conflict with the warranty terms contained in this clause, the terms of this clause will govern this contract, unless some other resolution is specified in the award document.

52.212-4 (p) (Tailored) Limitation of liability. Except as otherwise provided by an express warranty, the contractor will not be liable to the Government in a breach of warranty action for consequential damages resulting from any defect or deficiencies in accepted items. In the event that the terms of the contractor’s standard commercial warranty/limitation of liability clause(s) place greater limits on the contractor’s liability than do the terms contained in this clause, the terms of this clause will govern the contract.

Contractor

3M UNITEK

VA FSS CONTRACT# 36F79721D0178 Contract Period July 1, 2021 through June 30, 2026

SIN

Catalog Number

Product Description FSS Price UOM As Priced

Date Effective

End Date

C-13 712-030 Transbond XT Capsule Kit 144.98 KT 7/1/2021 6/30/2026 C-13 712-031 Transbond XT Capsules 25/box 90.85 BX 7/1/2021 6/30/2026 C-13 712-032 Adhesive Capsule Dispensing Gun 28.44 EA 7/1/2021 6/30/2026 C-13 712-033 Transbond LR Capsule Kit 144.98 KT 7/1/2021 6/30/2026 C-13 712-034 Transbond XT Primer 59.11 EA 7/1/2021 6/30/2026 C-13 712-035 Transbond XT Syringe Kit 96.65 KT 7/1/2021 6/30/2026 C-13 712-036 Transbond XT Syringes 4/pk 139.19 PK 7/1/2021 6/30/2026 C-13 712-037 Plastic Dispensing Tips 25/pk for Unitek Etching Gel 11.30 PK 7/1/2021 6/30/2026 C-13 712-038 Transbond LR Capsules 25/Box 90.85 BX 7/1/2021 6/30/2026 C-13 712-039 Unitek Etching Gel Syringes with plastic tips 27.34 PK 7/1/2021 6/30/2026 C-13 712-046 Transbond Supreme LV Kit 72.77 KT 7/1/2021 6/30/2026 C-13 712-051 Multi-Cure GI Powder 35g 55.10 KT 7/1/2021 6/30/2026 C-13 712-052 Multi-Cure GI Liquid 25g 55.10 KT 7/1/2021 6/30/2026 C-13 712-070 Sondhi Indirect Kit 128.20 KT 7/1/2021 6/30/2026 C-13 712-072 Sondhi Indirect Resin A 55.77 EA 7/1/2021 6/30/2026 C-13 712-073 Sondhi Indirect Resin B 55.77 EA 7/1/2021 6/30/2026 C-13 712-080 Transbond Plus Light Cure Band Adhesive Kit 132.97 KT 7/1/2021 6/30/2026 C-13 712-082 Transbond Plus Adhesive Disposable Tips 11.33 BX 7/1/2021 6/30/2026 C-13 712-090 Transbond Plus Self Etching Self Etching Primer (100/Bx) 172.69 BX 7/1/2021 6/30/2026 C-13 712-091 Transbond Plus Self Etching Self Etching Primer (20/bx) 39.99 BX 7/1/2021 6/30/2026 C-13 712-101 Transbond PLUS Color Change Adhesive Syringe Kit (2ea/Kt) 92.11 KT 7/1/2021 6/30/2026 C-13 712-103 Transbond PLUS Color Change Adhesive Syringe Refill (4ea/Pk) 153.41 PK 7/1/2021 6/30/2026 C-13 712-104 Transbond PLUS Color Change Adhesive Capsule Refill (25ea) 107.98 PK 7/1/2021 6/30/2026 C-13 712-108 Transbond PLUS Color Change Adhesive Capsule Kit with SEP 170.53 KT 7/1/2021 6/30/2026

C-14 149-000 Bicuspid Band Proportional U/L Lt/Rt Bicuspid Assorted (MUST

ORDER BY INDIVIDUAL SIZES) 2.18 EA 7/1/2021 6/30/2026

C-14 149-101 Bicuspid Band Proportional U Lt/Rt Bicuspid 1 2.18 EA 7/1/2021 6/30/2026 C-14 149-102 Bicuspid Band Proportional U Lt/Rt Bicuspid 2 2.18 EA 7/1/2021 6/30/2026 C-14 149-103 Bicuspid Band Proportional U Lt/Rt Bicuspid 3 2.18 EA 7/1/2021 6/30/2026 C-14 149-104 Bicuspid Band Proportional U Lt/Rt Bicuspid 4 2.18 EA 7/1/2021 6/30/2026 C-14 149-105 Bicuspid Band Proportional U Lt/Rt Bicuspid 5 2.18 EA 7/1/2021 6/30/2026 C-14 149-106 Bicuspid Band Proportional U Lt/Rt Bicuspid 6 2.18 EA 7/1/2021 6/30/2026 C-14 149-107 Bicuspid Band Proportional U Lt/Rt Bicuspid 7 2.18 EA 7/1/2021 6/30/2026 C-14 149-108 Bicuspid Band Proportional U Lt/Rt Bicuspid 8 2.18 EA 7/1/2021 6/30/2026 C-14 149-109 Bicuspid Band Proportional U Lt/Rt Bicuspid 9 2.18 EA 7/1/2021 6/30/2026 C-14 149-110 Bicuspid Band Proportional U Lt/Rt Bicuspid 10 2.18 EA 7/1/2021 6/30/2026 C-14 149-111 Bicuspid Band Proportional U Lt/Rt Bicuspid 11 2.18 EA 7/1/2021 6/30/2026 C-14 149-112 Bicuspid Band Proportional U Lt/Rt Bicuspid 12 2.18 EA 7/1/2021 6/30/2026 C-14 149-113 Bicuspid Band Proportional U Lt/Rt Bicuspid 13 2.18 EA 7/1/2021 6/30/2026 C-14 149-114 Bicuspid Band Proportional U Lt/Rt Bicuspid 14 2.18 EA 7/1/2021 6/30/2026 C-14 149-115 Bicuspid Band Proportional U Lt/Rt Bicuspid 15 2.18 EA 7/1/2021 6/30/2026 C-14 149-116 Bicuspid Band Proportional U Lt/Rt Bicuspid 16 2.18 EA 7/1/2021 6/30/2026 C-14 149-117 Bicuspid Band Proportional U Lt/Rt Bicuspid 17 2.18 EA 7/1/2021 6/30/2026 C-14 149-118 Bicuspid Band Proportional U Lt/Rt Bicuspid 18 2.18 EA 7/1/2021 6/30/2026 C-14 149-119 Bicuspid Band Proportional U Lt/Rt Bicuspid 19 2.18 EA 7/1/2021 6/30/2026 C-14 149-120 Bicuspid Band Proportional U Lt/Rt Bicuspid 20 2.18 EA 7/1/2021 6/30/2026 C-14 149-121 Bicuspid Band Proportional U Lt/Rt Bicuspid 21 2.18 EA 7/1/2021 6/30/2026 C-14 149-122 Bicuspid Band Proportional U Lt/Rt Bicuspid 22 2.18 EA 7/1/2021 6/30/2026 C-14 149-123 Bicuspid Band Proportional U Lt/Rt Bicuspid 23 2.18 EA 7/1/2021 6/30/2026 C-14 149-124 Bicuspid Band Proportional U Lt/Rt Bicuspid 24 2.18 EA 7/1/2021 6/30/2026 C-14 149-125 Bicuspid Band Proportional U Lt/Rt Bicuspid 25 2.18 EA 7/1/2021 6/30/2026 C-14 149-126 Bicuspid Band Proportional U Lt/Rt Bicuspid 26 2.18 EA 7/1/2021 6/30/2026 C-14 149-127 Bicuspid Band Proportional U Lt/Rt Bicuspid 27 2.18 EA 7/1/2021 6/30/2026 C-14 149-128 Bicuspid Band Proportional U Lt/Rt Bicuspid 28 2.18 EA 7/1/2021 6/30/2026 C-14 149-129 Bicuspid Band Proportional U Lt/Rt Bicuspid 29 2.18 EA 7/1/2021 6/30/2026 C-14 149-130 Bicuspid Band Proportional U Lt/Rt Bicuspid 30 2.18 EA 7/1/2021 6/30/2026 C-14 149-201 Bicuspid Band Proportional L Lt/Rt Bicuspid 1 2.18 EA 7/1/2021 6/30/2026 C-14 149-202 Bicuspid Band Proportional L Lt/Rt Bicuspid 2 2.18 EA 7/1/2021 6/30/2026 C-14 149-203 Bicuspid Band Proportional L Lt/Rt Bicuspid 3 2.18 EA 7/1/2021 6/30/2026 C-14 149-204 Bicuspid Band Proportional L Lt/Rt Bicuspid 4 2.18 EA 7/1/2021 6/30/2026 C-14 149-205 Bicuspid Band Proportional L Lt/Rt Bicuspid 5 2.18 EA 7/1/2021 6/30/2026 C-14 149-206 Bicuspid Band Proportional L Lt/Rt Bicuspid 6 2.18 EA 7/1/2021 6/30/2026

FSC Group 65IIC 1 of 43 Initial Contract Award

Effective July 1 2021

VA FSS CONTRACT# 36F79721D0178 Contract Period July 1, 2021 through June 30, 2026

SIN

Catalog Number

Product Description FSS Price UOM As Priced

Date Effective

End Date

C-14 149-207 Bicuspid Band Proportional L Lt/Rt Bicuspid 7 2.18 EA 7/1/2021 6/30/2026 C-14 149-208 Bicuspid Band Proportional L Lt/Rt Bicuspid 8 2.18 EA 7/1/2021 6/30/2026 C-14 149-209 Bicuspid Band Proportional L Lt/Rt Bicuspid 9 2.18 EA 7/1/2021 6/30/2026 C-14 149-210 Bicuspid Band Proportional L Lt/Rt Bicuspid 10 2.18 EA 7/1/2021 6/30/2026 C-14 149-211 Bicuspid Band Proportional L Lt/Rt Bicuspid 11 2.18 EA 7/1/2021 6/30/2026 C-14 149-212 Bicuspid Band Proportional L Lt/Rt Bicuspid 12 2.18 EA 7/1/2021 6/30/2026 C-14 149-213 Bicuspid Band Proportional L Lt/Rt Bicuspid 13 2.18 EA 7/1/2021 6/30/2026 C-14 149-214 Bicuspid Band Proportional L Lt/Rt Bicuspid 14 2.18 EA 7/1/2021 6/30/2026 C-14 149-215 Bicuspid Band Proportional L Lt/Rt Bicuspid 15 2.18 EA 7/1/2021 6/30/2026 C-14 149-216 Bicuspid Band Proportional L Lt/Rt Bicuspid 16 2.18 EA 7/1/2021 6/30/2026 C-14 149-217 Bicuspid Band Proportional L Lt/Rt Bicuspid 17 2.18 EA 7/1/2021 6/30/2026 C-14 149-218 Bicuspid Band Proportional L Lt/Rt Bicuspid 18 2.18 EA 7/1/2021 6/30/2026 C-14 149-219 Bicuspid Band Proportional L Lt/Rt Bicuspid 19 2.18 EA 7/1/2021 6/30/2026 C-14 149-220 Bicuspid Band Proportional L Lt/Rt Bicuspid 20 2.18 EA 7/1/2021 6/30/2026 C-14 149-221 Bicuspid Band Proportional L Lt/Rt Bicuspid 21 2.18 EA 7/1/2021 6/30/2026 C-14 149-222 Bicuspid Band Proportional L Lt/Rt Bicuspid 22 2.18 EA 7/1/2021 6/30/2026 C-14 149-223 Bicuspid Band Proportional L Lt/Rt Bicuspid 23 2.18 EA 7/1/2021 6/30/2026 C-14 149-224 Bicuspid Band Proportional L Lt/Rt Bicuspid 24 2.18 EA 7/1/2021 6/30/2026 C-14 149-225 Bicuspid Band Proportional L Lt/Rt Bicuspid 25 2.18 EA 7/1/2021 6/30/2026 C-14 149-226 Bicuspid Band Proportional L Lt/Rt Bicuspid 26 2.18 EA 7/1/2021 6/30/2026 C-14 149-227 Bicuspid Band Proportional L Lt/Rt Bicuspid 27 2.18 EA 7/1/2021 6/30/2026 C-14 149-228 Bicuspid Band Proportional L Lt/Rt Bicuspid 28 2.18 EA 7/1/2021 6/30/2026 C-14 149-229 Bicuspid Band Proportional L Lt/Rt Bicuspid 29 2.18 EA 7/1/2021 6/30/2026 C-14 149-230 Bicuspid Band Proportional L Lt/Rt Bicuspid 30 2.18 EA 7/1/2021 6/30/2026 C-14 149-231 Bicuspid Band Proportional L Lt/Rt Bicuspid 31 2.18 EA 7/1/2021 6/30/2026 C-14 149-232 Bicuspid Band Proportional L Lt/Rt Bicuspid 32 2.18 EA 7/1/2021 6/30/2026 C-14 149-233 Bicuspid Band Proportional L Lt/Rt Bicuspid 33 2.18 EA 7/1/2021 6/30/2026 C-14 149-234 Bicuspid Band Proportional L Lt/Rt Bicuspid 34 2.18 EA 7/1/2021 6/30/2026 C-14 149-235 Bicuspid Band Proportional L Lt/Rt Bicuspid 35 2.18 EA 7/1/2021 6/30/2026 C-14 149-236 Bicuspid Band Proportional L Lt/Rt Bicuspid 36 2.18 EA 7/1/2021 6/30/2026 C-14 149-237 Bicuspid Band Proportional L Lt/Rt Bicuspid 37 2.18 EA 7/1/2021 6/30/2026 C-14 149-238 Bicuspid Band Proportional L Lt/Rt Bicuspid 38 2.18 EA 7/1/2021 6/30/2026

C-14 160-000 Molar Band GP Regular U/L Lt/Rt Assorted (MUST ORDER BY

INDIVIDUAL SIZES) 2.10 EA 7/1/2021 6/30/2026

C-14 160-156 Molar Band GP Narrow Reg U Lt/Rt Molar 28 2.10 EA 7/1/2021 6/30/2026 C-14 160-157 Molar Band GP Narrow Reg U Lt/Rt Molar 28+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-158 Molar Band GP Narrow Reg U Lt/Rt Molar 29 2.10 EA 7/1/2021 6/30/2026 C-14 160-159 Molar Band GP Narrow Reg U Lt/Rt Molar 29+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-160 Molar Band GP Narrow Reg U Lt/Rt Molar 30 2.10 EA 7/1/2021 6/30/2026 C-14 160-161 Molar Band GP Narrow Reg U Lt/Rt Molar 30+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-162 Molar Band GP Narrow Reg U Lt/Rt Molar 31 2.10 EA 7/1/2021 6/30/2026 C-14 160-163 Molar Band GP Narrow Reg U Lt/Rt Molar 31+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-164 Molar Band GP Narrow Reg U Lt/Rt Molar 32 2.10 EA 7/1/2021 6/30/2026 C-14 160-165 Molar Band GP Narrow Reg U Lt/Rt Molar 32+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-166 Molar Band GP Narrow Reg U Lt/Rt Molar 33 2.10 EA 7/1/2021 6/30/2026 C-14 160-167 Molar Band GP Narrow Reg U Lt/Rt Molar 33+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-168 Molar Band GP Narrow Reg U Lt/Rt Molar 34 2.10 EA 7/1/2021 6/30/2026 C-14 160-169 Molar Band GP Narrow Reg U Lt/Rt Molar 34+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-170 Molar Band GP Narrow Reg U Lt/Rt Molar 35 2.10 EA 7/1/2021 6/30/2026 C-14 160-171 Molar Band GP Narrow Reg U Lt/Rt Molar 35+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-172 Molar Band GP Narrow Reg U Lt/Rt Molar 36 2.10 EA 7/1/2021 6/30/2026 C-14 160-173 Molar Band GP Narrow Reg U Lt/Rt Molar 36+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-174 Molar Band GP Narrow Reg U Lt/Rt Molar 37 2.10 EA 7/1/2021 6/30/2026 C-14 160-175 Molar Band GP Narrow Reg U Lt/Rt Molar 37+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-176 Molar Band GP Narrow Reg U Lt/Rt Molar 38 2.10 EA 7/1/2021 6/30/2026 C-14 160-177 Molar Band GP Narrow Reg U Lt/Rt Molar 38+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-178 Molar Band GP Narrow Reg U Lt/Rt Molar 39 2.10 EA 7/1/2021 6/30/2026 C-14 160-179 Molar Band GP Narrow Reg U Lt/Rt Molar 39+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-180 Molar Band GP Narrow Reg U Lt/Rt Molar 40 2.10 EA 7/1/2021 6/30/2026 C-14 160-181 Molar Band GP Narrow Reg U Lt/Rt Molar 40+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-182 Molar Band GP Narrow Reg U Lt/Rt Molar 41 2.10 EA 7/1/2021 6/30/2026 C-14 160-183 Molar Band GP Narrow Reg U Lt/Rt Molar 41+ 2.10 EA 7/1/2021 6/30/2026

FSC Group 65IIC 2 of 43

VA FSS CONTRACT# 36F79721D0178 Contract Period July 1, 2021 through June 30, 2026

SIN

Catalog Number

Product Description FSS Price UOM As Priced

Date Effective

End Date

C-14 160-184 Molar Band GP Narrow Reg U Lt/Rt Molar 42 2.10 EA 7/1/2021 6/30/2026 C-14 160-250 Molar Band GP Narrow Reg L Lt/Rt Molar 25 2.10 EA 7/1/2021 6/30/2026 C-14 160-252 Molar Band GP Narrow Reg L Lt/Rt Molar 26 2.10 EA 7/1/2021 6/30/2026 C-14 160-254 Molar Band GP Narrow Reg L Lt/Rt Molar 27 2.10 EA 7/1/2021 6/30/2026 C-14 160-256 Molar Band GP Narrow Reg L Lt/Rt Molar 28 2.10 EA 7/1/2021 6/30/2026 C-14 160-257 Molar Band GP Narrow Reg L Lt/Rt Molar 28+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-258 Molar Band GP Narrow Reg L Lt/Rt Molar 29 2.10 EA 7/1/2021 6/30/2026 C-14 160-259 Molar Band GP Narrow Reg L Lt/Rt Molar 29+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-260 Molar Band GP Narrow Reg L Lt/Rt Molar 30 2.10 EA 7/1/2021 6/30/2026 C-14 160-261 Molar Band GP Narrow Reg L Lt/Rt Molar 30+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-262 Molar Band GP Narrow Reg L Lt/Rt Molar 31 2.10 EA 7/1/2021 6/30/2026 C-14 160-263 Molar Band GP Narrow Reg L Lt/Rt Molar 31+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-264 Molar Band GP Narrow Reg L Lt/Rt Molar 32 2.10 EA 7/1/2021 6/30/2026 C-14 160-265 Molar Band GP Narrow Reg L Lt/Rt Molar 32+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-266 Molar Band GP Narrow Reg L Lt/Rt Molar 33 2.10 EA 7/1/2021 6/30/2026 C-14 160-267 Molar Band GP Narrow Reg L Lt/Rt Molar 33+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-268 Molar Band GP Narrow Reg L Lt/Rt Molar 34 2.10 EA 7/1/2021 6/30/2026 C-14 160-269 Molar Band GP Narrow Reg L Lt/Rt Molar 34+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-270 Molar Band GP Narrow Reg L Lt/Rt Molar 35 2.10 EA 7/1/2021 6/30/2026 C-14 160-271 Molar Band GP Narrow Reg L Lt/Rt Molar 35+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-272 Molar Band GP Narrow Reg L Lt/Rt Molar 36 2.10 EA 7/1/2021 6/30/2026 C-14 160-273 Molar Band GP Narrow Reg L Lt/Rt Molar 36+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-274 Molar Band GP Narrow Reg L Lt/Rt Molar 37 2.10 EA 7/1/2021 6/30/2026 C-14 160-275 Molar Band GP Narrow Reg L Lt/Rt Molar 37+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-276 Molar Band GP Narrow Reg L Lt/Rt Molar 38 2.10 EA 7/1/2021 6/30/2026 C-14 160-277 Molar Band GP Narrow Reg L Lt/Rt Molar 38+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-278 Molar Band GP Narrow Reg L Lt/Rt Molar 39 2.10 EA 7/1/2021 6/30/2026 C-14 160-279 Molar Band GP Narrow Reg L Lt/Rt Molar 39+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-280 Molar Band GP Narrow Reg L Lt/Rt Molar 40 2.10 EA 7/1/2021 6/30/2026 C-14 160-281 Molar Band GP Narrow Reg L Lt/Rt Molar 40+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-282 Molar Band GP Narrow Reg L Lt/Rt Molar 41 2.10 EA 7/1/2021 6/30/2026 C-14 160-283 Molar Band GP Narrow Reg L Lt/Rt Molar 41+ 2.10 EA 7/1/2021 6/30/2026 C-14 160-284 Molar Band GP Narrow Reg L Lt/Rt Molar 42 2.10 EA 7/1/2021 6/30/2026

C-14 901-301 Molar Band Nar Contoured Reg ME L Lt/Rt 1Molar Intro Kt 150 Bds (weldable for Buccal/Lingul attachements per RX) 314.71 KT 7/1/2021 6/30/2026

C-14 901-304 Molar Band Nar Contoured Reg ME L Lt/Rt 1Molar Pro Kit 300 Bds (weldable for Buccal/Lingul attachements per RX) 629.43 KT 7/1/2021 6/30/2026

C-14 901-401 Molar Band Nar Contoured Reg ME U Lt/Rt 1Molar Intro Kit 150 Bd (weldable for Buccal/Lingul attachements per RX) 314.71 KT 7/1/2021 6/30/2026

C-14 901-404 Molar Band Nar Contoured Reg ME U Lt/Rt 1Molar Pro Kit 300 Bds (weldable for Buccal/Lingul attachements per RX) 629.43 KT 7/1/2021 6/30/2026

C-14 902-000 Molar Band Nar Contoured Reg ME U/L Lt/Rt 1Molar Assorted

(MUST ORDER BY INDIVIDUAL SIZES) 2.10 EA 7/1/2021 6/30/2026

C-14 902-162 Molar Band Nar Contoured Reg ME U Lt 1Molar 31 2.10 EA 7/1/2021 6/30/2026 C-14 902-163 Molar Band Nar Contoured Reg ME U Lt 1Molar 31+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-164 Molar Band Nar Contoured Reg ME U Lt 1Molar 32 2.10 EA 7/1/2021 6/30/2026 C-14 902-165 Molar Band Nar Contoured Reg ME U Lt 1Molar 32+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-166 Molar Band Nar Contoured Reg ME U Lt 1Molar 33 2.10 EA 7/1/2021 6/30/2026 C-14 902-167 Molar Band Nar Contoured Reg ME U Lt 1Molar 33+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-168 Molar Band Nar Contoured Reg ME U Lt 1Molar 34 2.10 EA 7/1/2021 6/30/2026 C-14 902-169 Molar Band Nar Contoured Reg ME U Lt 1Molar 34+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-170 Molar Band Nar Contoured Reg ME U Lt 1Molar 35 2.10 EA 7/1/2021 6/30/2026 C-14 902-171 Molar Band Nar Contoured Reg ME U Lt 1Molar 35+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-172 Molar Band Nar Contoured Reg ME U Lt 1Molar 36 2.10 EA 7/1/2021 6/30/2026 C-14 902-173 Molar Band Nar Contoured Reg ME U Lt 1Molar 36+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-174 Molar Band Nar Contoured Reg ME U Lt 1Molar 37 2.10 EA 7/1/2021 6/30/2026 C-14 902-175 Molar Band Nar Contoured Reg ME U Lt 1Molar 37+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-176 Molar Band Nar Contoured Reg ME U Lt 1Molar 38 2.10 EA 7/1/2021 6/30/2026 C-14 902-177 Molar Band Nar Contoured Reg ME U Lt 1Molar 38+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-178 Molar Band Nar Contoured Reg ME U Lt 1Molar 39 2.10 EA 7/1/2021 6/30/2026 C-14 902-179 Molar Band Nar Contoured Reg ME U Lt 1Molar 39+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-180 Molar Band Nar Contoured Reg ME U Lt 1Molar 40 2.10 EA 7/1/2021 6/30/2026

FSC Group 65IIC 3 of 43

VA FSS CONTRACT# 36F79721D0178 Contract Period July 1, 2021 through June 30, 2026

SIN

Catalog Number

Product Description FSS Price UOM As Priced

Date Effective

End Date

C-14 902-181 Molar Band Nar Contoured Reg ME U Lt 1Molar 40+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-182 Molar Band Nar Contoured Reg ME U Lt 1Molar 41 2.10 EA 7/1/2021 6/30/2026 C-14 902-183 Molar Band Nar Contoured Reg ME U Lt 1Molar 41+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-184 Molar Band Nar Contoured Reg ME U Lt 1Molar 42 2.10 EA 7/1/2021 6/30/2026 C-14 902-185 Molar Band Nar Contoured Reg ME U Lt 1Molar 42+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-186 Molar Band Nar Contoured Reg ME U Lt 1Molar 43 2.10 EA 7/1/2021 6/30/2026 C-14 902-187 Molar Band Nar Contoured Reg ME U Lt 1Molar 43+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-188 Molar Band Nar Contoured Reg ME U Lt 1Molar 44 2.10 EA 7/1/2021 6/30/2026 C-14 902-262 Molar Band Nar Contoured Reg ME U Rt 1Molar 31 2.10 EA 7/1/2021 6/30/2026 C-14 902-263 Molar Band Nar Contoured Reg ME U Rt 1Molar 31+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-264 Molar Band Nar Contoured Reg ME U Rt 1Molar 32 2.10 EA 7/1/2021 6/30/2026 C-14 902-265 Molar Band Nar Contoured Reg ME U Rt 1Molar 32+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-266 Molar Band Nar Contoured Reg ME U Rt 1Molar 33 2.10 EA 7/1/2021 6/30/2026 C-14 902-267 Molar Band Nar Contoured Reg ME U Rt 1Molar 33+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-268 Molar Band Nar Contoured Reg ME U Rt 1Molar 34 2.10 EA 7/1/2021 6/30/2026 C-14 902-269 Molar Band Nar Contoured Reg ME U Rt 1Molar 34+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-270 Molar Band Nar Contoured Reg ME U Rt 1Molar 35 2.10 EA 7/1/2021 6/30/2026 C-14 902-271 Molar Band Nar Contoured Reg ME U Rt 1Molar 35+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-272 Molar Band Nar Contoured Reg ME U Rt 1Molar 36 2.10 EA 7/1/2021 6/30/2026 C-14 902-273 Molar Band Nar Contoured Reg ME U Rt 1Molar 36+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-274 Molar Band Nar Contoured Reg ME U Rt 1Molar 37 2.10 EA 7/1/2021 6/30/2026 C-14 902-275 Molar Band Nar Contoured Reg ME U Rt 1Molar 37+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-276 Molar Band Nar Contoured Reg ME U Rt 1Molar 38 2.10 EA 7/1/2021 6/30/2026 C-14 902-277 Molar Band Nar Contoured Reg ME U Rt 1Molar 38+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-278 Molar Band Nar Contoured Reg ME U Rt 1Molar 39 2.10 EA 7/1/2021 6/30/2026 C-14 902-279 Molar Band Nar Contoured Reg ME U Rt 1Molar 39+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-280 Molar Band Nar Contoured Reg ME U Rt 1Molar 40 2.10 EA 7/1/2021 6/30/2026 C-14 902-281 Molar Band Nar Contoured Reg ME U Rt 1Molar 40+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-282 Molar Band Nar Contoured Reg ME U Rt 1Molar 41 2.10 EA 7/1/2021 6/30/2026 C-14 902-283 Molar Band Nar Contoured Reg ME U Rt 1Molar 41+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-284 Molar Band Nar Contoured Reg ME U Rt 1Molar 42 2.10 EA 7/1/2021 6/30/2026 C-14 902-285 Molar Band Nar Contoured Reg ME U Rt 1Molar 42+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-286 Molar Band Nar Contoured Reg ME U Rt 1Molar 43 2.10 EA 7/1/2021 6/30/2026 C-14 902-287 Molar Band Nar Contoured Reg ME U Rt 1Molar 43+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-288 Molar Band Nar Contoured Reg ME U Rt 1Molar 44 2.10 EA 7/1/2021 6/30/2026 C-14 902-362 Molar Band Nar Contoured Reg ME L Lt 1Molar 31 2.10 EA 7/1/2021 6/30/2026 C-14 902-363 Molar Band Nar Contoured Reg ME L Lt 1Molar 31+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-364 Molar Band Nar Contoured Reg ME L Lt 1Molar 32 2.10 EA 7/1/2021 6/30/2026 C-14 902-365 Molar Band Nar Contoured Reg ME L Lt 1Molar 32+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-366 Molar Band Nar Contoured Reg ME L Lt 1Molar 33 2.10 EA 7/1/2021 6/30/2026 C-14 902-367 Molar Band Nar Contoured Reg ME L Lt 1Molar 33+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-368 Molar Band Nar Contoured Reg ME L Lt 1Molar 34 2.10 EA 7/1/2021 6/30/2026 C-14 902-369 Molar Band Nar Contoured Reg ME L Lt 1Molar 34+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-370 Molar Band Nar Contoured Reg ME L Lt 1Molar 35 2.10 EA 7/1/2021 6/30/2026 C-14 902-371 Molar Band Nar Contoured Reg ME L Lt 1Molar 35+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-372 Molar Band Nar Contoured Reg ME L Lt 1Molar 36 2.10 EA 7/1/2021 6/30/2026 C-14 902-373 Molar Band Nar Contoured Reg ME L Lt 1Molar 36+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-374 Molar Band Nar Contoured Reg ME L Lt 1Molar 37 2.10 EA 7/1/2021 6/30/2026 C-14 902-375 Molar Band Nar Contoured Reg ME L Lt 1Molar 37+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-376 Molar Band Nar Contoured Reg ME L Lt 1Molar 38 2.10 EA 7/1/2021 6/30/2026 C-14 902-377 Molar Band Nar Contoured Reg ME L Lt 1Molar 38+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-378 Molar Band Nar Contoured Reg ME L Lt 1Molar 39 2.10 EA 7/1/2021 6/30/2026 C-14 902-379 Molar Band Nar Contoured Reg ME L Lt 1Molar 39+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-380 Molar Band Nar Contoured Reg ME L Lt 1Molar 40 2.10 EA 7/1/2021 6/30/2026 C-14 902-381 Molar Band Nar Contoured Reg ME L Lt 1Molar 40+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-382 Molar Band Nar Contoured Reg ME L Lt 1Molar 41 2.10 EA 7/1/2021 6/30/2026 C-14 902-383 Molar Band Nar Contoured Reg ME L Lt 1Molar 41+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-384 Molar Band Nar Contoured Reg ME L Lt 1Molar 42 2.10 EA 7/1/2021 6/30/2026 C-14 902-385 Molar Band Nar Contoured Reg ME L Lt 1Molar 42+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-386 Molar Band Nar Contoured Reg ME L Lt 1Molar 43 2.10 EA 7/1/2021 6/30/2026 C-14 902-387 Molar Band Nar Contoured Reg ME L Lt 1Molar 43+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-388 Molar Band Nar Contoured Reg ME L Lt 1Molar 44 2.10 EA 7/1/2021 6/30/2026

FSC Group 65IIC 4 of 43

VA FSS CONTRACT# 36F79721D0178 Contract Period July 1, 2021 through June 30, 2026

SIN

Catalog Number

Product Description FSS Price UOM As Priced

Date Effective

End Date

C-14 902-462 Molar Band Nar Contoured Reg ME L Rt 1Molar 31 2.10 EA 7/1/2021 6/30/2026 C-14 902-463 Molar Band Nar Contoured Reg ME L Rt 1Molar 31+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-464 Molar Band Nar Contoured Reg ME L Rt 1Molar 32 2.10 EA 7/1/2021 6/30/2026 C-14 902-465 Molar Band Nar Contoured Reg ME L Rt 1Molar 32+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-466 Molar Band Nar Contoured Reg ME L Rt 1Molar 33 2.10 EA 7/1/2021 6/30/2026 C-14 902-467 Molar Band Nar Contoured Reg ME L Rt 1Molar 33+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-468 Molar Band Nar Contoured Reg ME L Rt 1Molar 34 2.10 EA 7/1/2021 6/30/2026 C-14 902-469 Molar Band Nar Contoured Reg ME L Rt 1Molar 34+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-470 Molar Band Nar Contoured Reg ME L Rt 1Molar 35 2.10 EA 7/1/2021 6/30/2026 C-14 902-471 Molar Band Nar Contoured Reg ME L Rt 1Molar 35+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-472 Molar Band Nar Contoured Reg ME L Rt 1Molar 36 2.10 EA 7/1/2021 6/30/2026 C-14 902-473 Molar Band Nar Contoured Reg ME L Rt 1Molar 36+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-474 Molar Band Nar Contoured Reg ME L Rt 1Molar 37 2.10 EA 7/1/2021 6/30/2026 C-14 902-475 Molar Band Nar Contoured Reg ME L Rt 1Molar 37+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-476 Molar Band Nar Contoured Reg ME L Rt 1Molar 38 2.10 EA 7/1/2021 6/30/2026 C-14 902-477 Molar Band Nar Contoured Reg ME L Rt 1Molar 38+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-478 Molar Band Nar Contoured Reg ME L Rt 1Molar 39 2.10 EA 7/1/2021 6/30/2026 C-14 902-479 Molar Band Nar Contoured Reg ME L Rt 1Molar 39+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-480 Molar Band Nar Contoured Reg ME L Rt 1Molar 40 2.10 EA 7/1/2021 6/30/2026 C-14 902-481 Molar Band Nar Contoured Reg ME L Rt 1Molar 40+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-482 Molar Band Nar Contoured Reg ME L Rt 1Molar 41 2.10 EA 7/1/2021 6/30/2026 C-14 902-483 Molar Band Nar Contoured Reg ME L Rt 1Molar 41+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-484 Molar Band Nar Contoured Reg ME L Rt 1Molar 42 2.10 EA 7/1/2021 6/30/2026 C-14 902-485 Molar Band Nar Contoured Reg ME L Rt 1Molar 42+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-486 Molar Band Nar Contoured Reg ME L Rt 1Molar 43 2.10 EA 7/1/2021 6/30/2026 C-14 902-487 Molar Band Nar Contoured Reg ME L Rt 1Molar 43+ 2.10 EA 7/1/2021 6/30/2026 C-14 902-488 Molar Band Nar Contoured Reg ME L Rt 1Molar 44 2.10 EA 7/1/2021 6/30/2026

C-14 905-000 Molar Band Nar Contoured Reg ME U/L Lt/Rt 2Molar Assorted

(MUST ORDER BY INDIVIDUAL SIZES) 2.10 EA 7/1/2021 6/30/2026

C-14 905-106 Molar Band Nar Contoured Reg ME L Rt 2Molar 28 2.10 EA 7/1/2021 6/30/2026 C-14 905-107 Molar Band Nar Contoured Reg ME L Rt 2Molar 28+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-108 Molar Band Nar Contoured Reg ME L Rt 2Molar 29 2.10 EA 7/1/2021 6/30/2026 C-14 905-109 Molar Band Nar Contoured Reg ME L Rt 2Molar 29+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-110 Molar Band Nar Contoured Reg ME L Rt 2Molar 30 2.10 EA 7/1/2021 6/30/2026 C-14 905-111 Molar Band Nar Contoured Reg ME L Rt 2Molar 30+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-112 Molar Band Nar Contoured Reg ME L Rt 2Molar 31 2.10 EA 7/1/2021 6/30/2026 C-14 905-113 Molar Band Nar Contoured Reg ME L Rt 2Molar 31+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-114 Molar Band Nar Contoured Reg ME L Rt 2Molar 32 2.10 EA 7/1/2021 6/30/2026 C-14 905-115 Molar Band Nar Contoured Reg ME L Rt 2Molar 32+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-116 Molar Band Nar Contoured Reg ME L Rt 2Molar 33 2.10 EA 7/1/2021 6/30/2026 C-14 905-117 Molar Band Nar Contoured Reg ME L Rt 2Molar 33+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-118 Molar Band Nar Contoured Reg ME L Rt 2Molar 34 2.10 EA 7/1/2021 6/30/2026 C-14 905-119 Molar Band Nar Contoured Reg ME L Rt 2Molar 34+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-120 Molar Band Nar Contoured Reg ME L Rt 2Molar 35 2.10 EA 7/1/2021 6/30/2026 C-14 905-121 Molar Band Nar Contoured Reg ME L Rt 2Molar 35+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-122 Molar Band Nar Contoured Reg ME L Rt 2Molar 36 2.10 EA 7/1/2021 6/30/2026 C-14 905-123 Molar Band Nar Contoured Reg ME L Rt 2Molar 36+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-124 Molar Band Nar Contoured Reg ME L Rt 2Molar 37 2.10 EA 7/1/2021 6/30/2026 C-14 905-125 Molar Band Nar Contoured Reg ME L Rt 2Molar 37+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-126 Molar Band Nar Contoured Reg ME L Rt 2Molar 38 2.10 EA 7/1/2021 6/30/2026 C-14 905-127 Molar Band Nar Contoured Reg ME L Rt 2Molar 38+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-128 Molar Band Nar Contoured Reg ME L Rt 2Molar 39 2.10 EA 7/1/2021 6/30/2026 C-14 905-129 Molar Band Nar Contoured Reg ME L Rt 2Molar 39+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-130 Molar Band Nar Contoured Reg ME L Rt 2Molar 40 2.10 EA 7/1/2021 6/30/2026 C-14 905-131 Molar Band Nar Contoured Reg ME L Rt 2Molar 40+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-132 Molar Band Nar Contoured Reg ME L Rt 2Molar 41 2.10 EA 7/1/2021 6/30/2026 C-14 905-146 Molar Band Nar Contoured Reg ME L Lt 2Molar 28 2.10 EA 7/1/2021 6/30/2026 C-14 905-147 Molar Band Nar Contoured Reg ME L Lt 2Molar 28+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-148 Molar Band Nar Contoured Reg ME L Lt 2Molar 29 2.10 EA 7/1/2021 6/30/2026 C-14 905-149 Molar Band Nar Contoured Reg ME L Lt 2Molar 29+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-150 Molar Band Nar Contoured Reg ME L Lt 2Molar 30 2.10 EA 7/1/2021 6/30/2026 C-14 905-151 Molar Band Nar Contoured Reg ME L Lt 2Molar 30+ 2.10 EA 7/1/2021 6/30/2026

FSC Group 65IIC 5 of 43

VA FSS CONTRACT# 36F79721D0178 Contract Period July 1, 2021 through June 30, 2026

SIN

Catalog Number

Product Description FSS Price UOM As Priced

Date Effective

End Date

C-14 905-152 Molar Band Nar Contoured Reg ME L Lt 2Molar 31 2.10 EA 7/1/2021 6/30/2026 C-14 905-153 Molar Band Nar Contoured Reg ME L Lt 2Molar 31+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-154 Molar Band Nar Contoured Reg ME L Lt 2Molar 32 2.10 EA 7/1/2021 6/30/2026 C-14 905-155 Molar Band Nar Contoured Reg ME L Lt 2Molar 32+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-156 Molar Band Nar Contoured Reg ME L Lt 2Molar 33 2.10 EA 7/1/2021 6/30/2026 C-14 905-157 Molar Band Nar Contoured Reg ME L Lt 2Molar 33+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-158 Molar Band Nar Contoured Reg ME L Lt 2Molar 34 2.10 EA 7/1/2021 6/30/2026 C-14 905-159 Molar Band Nar Contoured Reg ME L Lt 2Molar 34+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-160 Molar Band Nar Contoured Reg ME L Lt 2Molar 35 2.10 EA 7/1/2021 6/30/2026 C-14 905-161 Molar Band Nar Contoured Reg ME L Lt 2Molar 35+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-162 Molar Band Nar Contoured Reg ME L Lt 2Molar 36 2.10 EA 7/1/2021 6/30/2026 C-14 905-163 Molar Band Nar Contoured Reg ME L Lt 2Molar 36+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-164 Molar Band Nar Contoured Reg ME L Lt 2Molar 37 2.10 EA 7/1/2021 6/30/2026 C-14 905-165 Molar Band Nar Contoured Reg ME L Lt 2Molar 37+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-166 Molar Band Nar Contoured Reg ME L Lt 2Molar 38 2.10 EA 7/1/2021 6/30/2026 C-14 905-167 Molar Band Nar Contoured Reg ME L Lt 2Molar 38+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-168 Molar Band Nar Contoured Reg ME L Lt 2Molar 39 2.10 EA 7/1/2021 6/30/2026 C-14 905-169 Molar Band Nar Contoured Reg ME L Lt 2Molar 39+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-170 Molar Band Nar Contoured Reg ME L Lt 2Molar 40 2.10 EA 7/1/2021 6/30/2026 C-14 905-171 Molar Band Nar Contoured Reg ME L Lt 2Molar 40+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-172 Molar Band Nar Contoured Reg ME L Lt 2Molar 41 2.10 EA 7/1/2021 6/30/2026 C-14 905-206 Molar Band Nar Contoured Reg ME U Rt 2Molar 28 2.10 EA 7/1/2021 6/30/2026 C-14 905-207 Molar Band Nar Contoured Reg ME U Rt 2Molar 28+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-208 Molar Band Nar Contoured Reg ME U Rt 2Molar 29 2.10 EA 7/1/2021 6/30/2026 C-14 905-209 Molar Band Nar Contoured Reg ME U Rt 2Molar 29+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-210 Molar Band Nar Contoured Reg ME U Rt 2Molar 30 2.10 EA 7/1/2021 6/30/2026 C-14 905-211 Molar Band Nar Contoured Reg ME U Rt 2Molar 30+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-212 Molar Band Nar Contoured Reg ME U Rt 2Molar 31 2.10 EA 7/1/2021 6/30/2026 C-14 905-213 Molar Band Nar Contoured Reg ME U Rt 2Molar 31+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-214 Molar Band Nar Contoured Reg ME U Rt 2Molar 32 2.10 EA 7/1/2021 6/30/2026 C-14 905-215 Molar Band Nar Contoured Reg ME U Rt 2Molar 32+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-216 Molar Band Nar Contoured Reg ME U Rt 2Molar 33 2.10 EA 7/1/2021 6/30/2026 C-14 905-217 Molar Band Nar Contoured Reg ME U Rt 2Molar 33+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-218 Molar Band Nar Contoured Reg ME U Rt 2Molar 34 2.10 EA 7/1/2021 6/30/2026 C-14 905-219 Molar Band Nar Contoured Reg ME U Rt 2Molar 34+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-220 Molar Band Nar Contoured Reg ME U Rt 2Molar 35 2.10 EA 7/1/2021 6/30/2026 C-14 905-221 Molar Band Nar Contoured Reg ME U Rt 2Molar 35+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-222 Molar Band Nar Contoured Reg ME U Rt 2Molar 36 2.10 EA 7/1/2021 6/30/2026 C-14 905-223 Molar Band Nar Contoured Reg ME U Rt 2Molar 36+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-224 Molar Band Nar Contoured Reg ME U Rt 2Molar 37 2.10 EA 7/1/2021 6/30/2026 C-14 905-225 Molar Band Nar Contoured Reg ME U Rt 2Molar 37+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-226 Molar Band Nar Contoured Reg ME U Rt 2Molar 38 2.10 EA 7/1/2021 6/30/2026 C-14 905-227 Molar Band Nar Contoured Reg ME U Rt 2Molar 38+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-228 Molar Band Nar Contoured Reg ME U Rt 2Molar 39 2.10 EA 7/1/2021 6/30/2026 C-14 905-229 Molar Band Nar Contoured Reg ME U Rt 2Molar 39+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-230 Molar Band Nar Contoured Reg ME U Rt 2Molar 40 2.10 EA 7/1/2021 6/30/2026 C-14 905-231 Molar Band Nar Contoured Reg ME U Rt 2Molar 40+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-232 Molar Band Nar Contoured Reg ME U Rt 2Molar 41 2.10 EA 7/1/2021 6/30/2026 C-14 905-246 Molar Band Nar Contoured Reg ME U Lt 2Molar 28 2.10 EA 7/1/2021 6/30/2026 C-14 905-247 Molar Band Nar Contoured Reg ME U Lt 2Molar 28+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-248 Molar Band Nar Contoured Reg ME U Lt 2Molar 29 2.10 EA 7/1/2021 6/30/2026 C-14 905-249 Molar Band Nar Contoured Reg ME U Lt 2Molar 29+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-250 Molar Band Nar Contoured Reg ME U Lt 2Molar 30 2.10 EA 7/1/2021 6/30/2026 C-14 905-251 Molar Band Nar Contoured Reg ME U Lt 2Molar 30+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-252 Molar Band Nar Contoured Reg ME U Lt 2Molar 31 2.10 EA 7/1/2021 6/30/2026 C-14 905-253 Molar Band Nar Contoured Reg ME U Lt 2Molar 31+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-254 Molar Band Nar Contoured Reg ME U Lt 2Molar 32 2.10 EA 7/1/2021 6/30/2026 C-14 905-255 Molar Band Nar Contoured Reg ME U Lt 2Molar 32+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-256 Molar Band Nar Contoured Reg ME U Lt 2Molar 33 2.10 EA 7/1/2021 6/30/2026 C-14 905-257 Molar Band Nar Contoured Reg ME U Lt 2Molar 33+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-258 Molar Band Nar Contoured Reg ME U Lt 2Molar 34 2.10 EA 7/1/2021 6/30/2026 C-14 905-259 Molar Band Nar Contoured Reg ME U Lt 2Molar 34+ 2.10 EA 7/1/2021 6/30/2026

FSC Group 65IIC 6 of 43

VA FSS CONTRACT# 36F79721D0178 Contract Period July 1, 2021 through June 30, 2026

SIN

Catalog Number

Product Description FSS Price UOM As Priced

Date Effective

End Date

C-14 905-260 Molar Band Nar Contoured Reg ME U Lt 2Molar 35 2.10 EA 7/1/2021 6/30/2026 C-14 905-261 Molar Band Nar Contoured Reg ME U Lt 2Molar 35+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-262 Molar Band Nar Contoured Reg ME U Lt 2Molar 36 2.10 EA 7/1/2021 6/30/2026 C-14 905-263 Molar Band Nar Contoured Reg ME U Lt 2Molar 36+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-264 Molar Band Nar Contoured Reg ME U Lt 2Molar 37 2.10 EA 7/1/2021 6/30/2026 C-14 905-265 Molar Band Nar Contoured Reg ME U Lt 2Molar 37+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-266 Molar Band Nar Contoured Reg ME U Lt 2Molar 38 2.10 EA 7/1/2021 6/30/2026 C-14 905-267 Molar Band Nar Contoured Reg ME U Lt 2Molar 38+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-268 Molar Band Nar Contoured Reg ME U Lt 2Molar 39 2.10 EA 7/1/2021 6/30/2026 C-14 905-269 Molar Band Nar Contoured Reg ME U Lt 2Molar 39+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-270 Molar Band Nar Contoured Reg ME U Lt 2Molar 40 2.10 EA 7/1/2021 6/30/2026 C-14 905-271 Molar Band Nar Contoured Reg ME U Lt 2Molar 40+ 2.10 EA 7/1/2021 6/30/2026 C-14 905-272 Molar Band Nar Contoured Reg ME U Lt 2Molar 41 2.10 EA 7/1/2021 6/30/2026

C-14 906-101 Molar Band Nar Contoured Reg ME Lt/Rt 2Molar Intro Kit 150 Bd (weldable for Buccal/Lingul attachements per RX) 314.71 KT 7/1/2021 6/30/2026

C-14 906-104 Molar Band Nar Contoured Reg ME L Lt/Rt 2Molar Pro Kit 300 Bds (weldable for Buccal/Lingul attachements per RX) 629.43 KT 7/1/2021 6/30/2026

C-14 906-204 Molar Band Nar Contoured Reg ME U Lt/Rt 2Molar Pro Kit 300 Bds (weldable for Buccal/Lingul attachements per RX) 629.43 KT 7/1/2021 6/30/2026

C-14 951-301 Molar Band Std Contoured Reg ME L Lt/Rt 1Molar Intro Kt 150 Bds (weldable for Buccal/Lingul attachements per RX) 314.71 KT 7/1/2021 6/30/2026

C-14 951-306 Molar Band Std Contoured Reg ME L Lt/Rt 1Molar Mstr Kt 600 Bds (weldable for Buccal/Lingul attachements per RX) 1258.84 KT 7/1/2021 6/30/2026

C-14 951-308 Molar Band Std Contoured Reg ME L Lt/Rt 1Molar Trial Kt 76 Bds (weldable for Buccal/Lingul attachements per RX) 159.46 KT 7/1/2021 6/30/2026

C-14 951-401 Molar Band Std Contoured Reg ME U Lt/Rt 1Molar Intro Kt 150 Bds (weldable for Buccal/Lingul attachements per RX) 314.71 KT 7/1/2021 6/30/2026

C-14 951-404 Molar Band Std Contoured Reg ME U Lt/Rt 1Molar Pro Kt 300 Bands (weldable for Buccal/Lingul attachements per RX) 629.43 KT 7/1/2021 6/30/2026

C-14 951-406 Molar Band Std Contoured Reg ME U Lt/Rt 1Molar Mstr Kt 600 Bds (weldable for Buccal/Lingul attachements per RX) 1258.84 KT 7/1/2021 6/30/2026

C-14 951-408 Molar Band Std Contoured Reg ME U Lt/Rt 1Molar Trial Kt 76 Bds (weldable for Buccal/Lingul attachements per RX) 159.46 KT 7/1/2021 6/30/2026

C-14 952-000 Molar Band Std Contoured Reg ME U/L Lt/Rt 1Molar Assorted

(MUST ORDER BY INDIVIDUAL SIZES) 2.10 EA 7/1/2021 6/30/2026

C-14 952-162 Molar Band Std Contoured Reg ME U Lt 1Molar 31 2.10 EA 7/1/2021 6/30/2026 C-14 952-163 Molar Band Std Contoured Reg ME U Lt 1Molar 31+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-164 Molar Band Std Contoured Reg ME U Lt 1Molar 32 2.10 EA 7/1/2021 6/30/2026 C-14 952-165 Molar Band Std Contoured Reg ME U Lt 1Molar 32+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-166 Molar Band Std Contoured Reg ME U Lt 1Molar 33 2.10 EA 7/1/2021 6/30/2026 C-14 952-167 Molar Band Std Contoured Reg ME U Lt 1Molar 33+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-168 Molar Band Std Contoured Reg ME U Lt 1Molar 34 2.10 EA 7/1/2021 6/30/2026 C-14 952-169 Molar Band Std Contoured Reg ME U Lt 1Molar 34+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-170 Molar Band Std Contoured Reg ME U Lt 1Molar 35 2.10 EA 7/1/2021 6/30/2026 C-14 952-171 Molar Band Std Contoured Reg ME U Lt 1Molar 35+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-172 Molar Band Std Contoured Reg ME U Lt 1Molar 36 2.10 EA 7/1/2021 6/30/2026 C-14 952-173 Molar Band Std Contoured Reg ME U Lt 1Molar 36+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-174 Molar Band Std Contoured Reg ME U Lt 1Molar 37 2.10 EA 7/1/2021 6/30/2026 C-14 952-175 Molar Band Std Contoured Reg ME U Lt 1Molar 37+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-176 Molar Band Std Contoured Reg ME U Lt 1Molar 38 2.10 EA 7/1/2021 6/30/2026 C-14 952-177 Molar Band Std Contoured Reg ME U Lt 1Molar 38+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-178 Molar Band Std Contoured Reg ME U Lt 1Molar 39 2.10 EA 7/1/2021 6/30/2026 C-14 952-179 Molar Band Std Contoured Reg ME U Lt 1Molar 39+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-180 Molar Band Std Contoured Reg ME U Lt 1Molar 40 2.10 EA 7/1/2021 6/30/2026 C-14 952-181 Molar Band Std Contoured Reg ME U Lt 1Molar 40+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-182 Molar Band Std Contoured Reg ME U Lt 1Molar 41 2.10 EA 7/1/2021 6/30/2026 C-14 952-183 Molar Band Std Contoured Reg ME U Lt 1Molar 41+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-184 Molar Band Std Contoured Reg ME U Lt 1Molar 42 2.10 EA 7/1/2021 6/30/2026 C-14 952-185 Molar Band Std Contoured Reg ME U Lt 1Molar 42+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-186 Molar Band Std Contoured Reg ME U Lt 1Molar 43 2.10 EA 7/1/2021 6/30/2026 C-14 952-187 Molar Band Std Contoured Reg ME U Lt 1Molar 43+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-188 Molar Band Std Contoured Reg ME U Lt 1Molar 44 2.10 EA 7/1/2021 6/30/2026

FSC Group 65IIC 7 of 43

VA FSS CONTRACT# 36F79721D0178 Contract Period July 1, 2021 through June 30, 2026

SIN

Catalog Number

Product Description FSS Price UOM As Priced

Date Effective

End Date

C-14 952-262 Molar Band Std Contoured Reg ME U Rt 1Molar 31 2.10 EA 7/1/2021 6/30/2026 C-14 952-263 Molar Band Std Contoured Reg ME U Rt 1Molar 31+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-264 Molar Band Std Contoured Reg ME U Rt 1Molar 32 2.10 EA 7/1/2021 6/30/2026 C-14 952-265 Molar Band Std Contoured Reg ME U Rt 1Molar 32+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-266 Molar Band Std Contoured Reg ME U Rt 1Molar 33 2.10 EA 7/1/2021 6/30/2026 C-14 952-267 Molar Band Std Contoured Reg ME U Rt 1Molar 33+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-268 Molar Band Std Contoured Reg ME U Rt 1Molar 34 2.10 EA 7/1/2021 6/30/2026 C-14 952-269 Molar Band Std Contoured Reg ME U Rt 1Molar 34+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-270 Molar Band Std Contoured Reg ME U Rt 1Molar 35 2.10 EA 7/1/2021 6/30/2026 C-14 952-271 Molar Band Std Contoured Reg ME U Rt 1Molar 35+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-272 Molar Band Std Contoured Reg ME U Rt 1Molar 36 2.10 EA 7/1/2021 6/30/2026 C-14 952-273 Molar Band Std Contoured Reg ME U Rt 1Molar 36+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-274 Molar Band Std Contoured Reg ME U Rt 1Molar 37 2.10 EA 7/1/2021 6/30/2026 C-14 952-275 Molar Band Std Contoured Reg ME U Rt 1Molar 37+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-276 Molar Band Std Contoured Reg ME U Rt 1Molar 38 2.10 EA 7/1/2021 6/30/2026 C-14 952-277 Molar Band Std Contoured Reg ME U Rt 1Molar 38+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-278 Molar Band Std Contoured Reg ME U Rt 1Molar 39 2.10 EA 7/1/2021 6/30/2026 C-14 952-279 Molar Band Std Contoured Reg ME U Rt 1Molar 39+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-280 Molar Band Std Contoured Reg ME U Rt 1Molar 40 2.10 EA 7/1/2021 6/30/2026 C-14 952-281 Molar Band Std Contoured Reg ME U Rt 1Molar 40+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-282 Molar Band Std Contoured Reg ME U Rt 1Molar 41 2.10 EA 7/1/2021 6/30/2026 C-14 952-283 Molar Band Std Contoured Reg ME U Rt 1Molar 41+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-284 Molar Band Std Contoured Reg ME U Rt 1Molar 42 2.10 EA 7/1/2021 6/30/2026 C-14 952-285 Molar Band Std Contoured Reg ME U Rt 1Molar 42+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-286 Molar Band Std Contoured Reg ME U Rt 1Molar 43 2.10 EA 7/1/2021 6/30/2026 C-14 952-287 Molar Band Std Contoured Reg ME U Rt 1Molar 43+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-288 Molar Band Std Contoured Reg ME U Rt 1Molar 44 2.10 EA 7/1/2021 6/30/2026 C-14 952-362 Molar Band Std Contoured Reg ME L Lt 1Molar 31 2.10 EA 7/1/2021 6/30/2026 C-14 952-363 Molar Band Std Contoured Reg ME L Lt 1Molar 31+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-364 Molar Band Std Contoured Reg ME L Lt 1Molar 32 2.10 EA 7/1/2021 6/30/2026 C-14 952-365 Molar Band Std Contoured Reg ME L Lt 1Molar 32+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-366 Molar Band Std Contoured Reg ME L Lt 1Molar 33 2.10 EA 7/1/2021 6/30/2026 C-14 952-367 Molar Band Std Contoured Reg ME L Lt 1Molar 33+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-368 Molar Band Std Contoured Reg ME L Lt 1Molar 34 2.10 EA 7/1/2021 6/30/2026 C-14 952-369 Molar Band Std Contoured Reg ME L Lt 1Molar 34+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-370 Molar Band Std Contoured Reg ME L Lt 1Molar 35 2.10 EA 7/1/2021 6/30/2026 C-14 952-371 Molar Band Std Contoured Reg ME L Lt 1Molar 35+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-372 Molar Band Std Contoured Reg ME L Lt 1Molar 36 2.10 EA 7/1/2021 6/30/2026 C-14 952-373 Molar Band Std Contoured Reg ME L Lt 1Molar 36+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-374 Molar Band Std Contoured Reg ME L Lt 1Molar 37 2.10 EA 7/1/2021 6/30/2026 C-14 952-375 Molar Band Std Contoured Reg ME L Lt 1Molar 37+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-376 Molar Band Std Contoured Reg ME L Lt 1Molar 38 2.10 EA 7/1/2021 6/30/2026 C-14 952-377 Molar Band Std Contoured Reg ME L Lt 1Molar 38+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-378 Molar Band Std Contoured Reg ME L Lt 1Molar 39 2.10 EA 7/1/2021 6/30/2026 C-14 952-379 Molar Band Std Contoured Reg ME L Lt 1Molar 39+ 2.10 EA 7/1/2021 6/30/2026 C-14 952-380 Molar Band Std Contoured Reg…