Federal Supply Schedule 36F79724D0046

DEPARTMENT OF VETERANS AFFAIRS

Federal Supply Service

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 for GSA Advantage!™ is GSAAdvantage.gov

Medical Equipment and Supplies

FSC Group 65, Part II, Section A

FSC Classes: 6515

Contract Number: 36F79724D0046 Contract Period: January 15, 2024 to January 14, 2029

For more information on ordering from Federal Supply Schedules, enter the following address into your web browser:

http://gsa.gov/portal/category/100623

NxStage Medical, Inc.

350 Merrimack St

Lawrence, MA 01843 Phone: 978-722-6943

Fax: 978-687-4809 http://www.nxstage.com/

Unique Entity ID (UEI): WTE4T3GFAGU3 Data Universal Number System (DUNS) Number: 088013219

Central Contractor Registration (CCR) Cage Code: 4ELZ9

Business Size: Other Than Small

“Prices Shown Herein are Net (discount deducted)”

NxStage Medical, Inc. - 978-722-6943 - http://www.nxstage.com/

Customer Information:

1a. List of awarded special item number(s):

SIN A-66, Hemodialysis Equipment (Accessories, replacement parts, and consumable items)

1b. Identification of the lowest priced model number and lowest unit price for that model for each special item number awarded in the contract. This price is the Government price based on a unit of one, exclusive of any quantity/dollar volume, prompt payment, or any other concession affecting price. Those contracts that have unit prices based on the geographic location of the customer, should show the range of the lowest price, and cite the areas to which the prices apply: See Below.

SIN Product

Number

Product Description FSS Price with IFF

A-66 ANC‐200

Drain Line Extension (case of 24).

Drain Line Extension for use when performing dialysis with

Express Premixed Dialysate. Case of 24.

$66.21

1c. If the Contractor is proposing hourly rates, a description of all corresponding commercial job titles, experience, functional responsibility and education for those types of employees or subcontractors who will perform services shall be provided. If hourly rates are not applicable, indicate “Not applicable” for this item: Not Applicable

2. Maximum order: $100,000 (SIN A-66)

3. Minimum order: No Minimum

4. Geographic coverage (delivery area): All 50 states and District of Columbia

5. Point(s) of production (city, county, and State or foreign country): Mexico

6. Discount from list prices or statement of net price: Prices shown herein are Net (discount deducted)

7. Quantity Discounts: None

8. Prompt Payment Terms: 1% 15 days, Net 30 days

9a. Notification that Government purchase cards are accepted at or below the micro-purchase threshold:

Accepted for all orders with no limitation

9b. Notification whether Government purchase cards are accepted or not accepted above the micro-purchase threshold: Accepted for all orders with no limitation

10. Foreign items (list items by country of origin): All items on contract

11a. Time of delivery: 10 business days upon receipt of order (ARO)

11b. Expedited delivery: Expedited shipping is available. Please call 866 NXStage to discuss options and pricing.

The government is responsible for difference between normal and expedited delivery.

11c. Overnight and 2-day delivery: Expedited shipping is available. Please call 866 NXStage to discuss options and pricing. The government is responsible for difference between normal and expedited delivery.

11d. Urgent requirements: Expedited shipping is available. Please call 866 NXStage to discuss options and pricing.

The government is responsible for difference between normal and expedited delivery.

12. FOB Point(s): F.O.B. Destination to all 48 contiguous States and District of Columbia.

Point of Exportation to Alaska, Hawaii, and the Commonwealth of Puerto Rico.

13a. Ordering address(es):

NxStage Medical, Inc.

350 Merrimack St

Lawrence, MA 01843 customerservicenxs@fmc-na.com

Customer Service

Phone 866-697-8243

Fax 978-687-4809

13b. Ordering Procedures: For supplies and services, the ordering procedures, information on Blanket

Purchase Agreements (BPA’s) are found in Federal Acquisition Regulation (FAR) 8.405-3

14. Payment address(es):

Attn. Accounts Receivable

NxStage Medical, Inc.

350 Merrimack Street

Lawrence, MA 01843

15. Warranty provision: Warranty Policy Amended for Government Use dated 11/29/2023

Returned Goods Policy: Return Goods Policy Amended for Government Use dated 11/29/2023

Training filename: Training Policy Amended for Government Use dated 11/29/2023

Delivery within consignee premises filename: Delivery Within Consignee Property Policy

Amended for Government Use dated 11/29/2023

16. Export packing charges, if applicable: Not Applicable

17. Terms and conditions of Government purchase card acceptance (any thresholds above the micro-purchase level): Accepted for all orders with no limitation

18. Terms and conditions of rental, maintenance, and repair (if applicable): Not Applicable

19. Terms and conditions of installation (if applicable): Not Applicable

20a. Terms and conditions of repair parts indicating date of parts price lists and any discounts from list prices (if applicable): Not Applicable

20b. Terms and conditions for any other services (if applicable): Product training and education for healthcare professional may be available; contact NxStage per the attached Training Policy document. Delivery to

VA facilities within consignee premises may be available; contact NxStage per the attached Delivery

Within Consignee Property Policy document.

21. List of service and distribution points (if applicable): Not Applicable

22. List of participating dealers (if applicable): Not Applicable

23. Preventive Maintenance (if applicable): Not Applicable

24a. Special attributes such as environmental attributes (e.g., recycled content, energy efficiency, and/or reduced pollutants): Not Applicable

24b. If applicable, indicate that Section 508 compliance information is available on Electronic and Information

Technology (EIT) supplies and services and show where full details can be found (e.g., contractor’s website or other location). The EIT standards can be found at www.Section508.gov/ : Not Applicable http://www.nxstage.com/ mailto:customerservicenxs@fmc-na.com http://www.section508.gov/

25. Data Universal Number System (DUNS) number: 088013219

26. Notification regarding registration in System for Award Management (SAM) database: Yes, registered

Attachments:

Warranty Policy Amended for Government Use dated 11/29/2023

Return Goods Policy Amended for Government Use dated 11/29/2023

Training Policy Amended for Government Use dated 11/29/2023

Delivery Within Consignee Property Policy Amended for Government Use dated 11/29/2023

FSS Price List, Prices Effective 1/15/2024

SIN Product Number Product Name/Description UOI FSS Net Price

(with IFF) A‐66 ANC‐200 Drain Line Extension (case of 24). Drain Line Extension for use when performing dialysis with Express Premixed Dialysate. Case of 24.

CA $66.21

A‐66 DTK‐001 Dialysate Test Kit (case of 25). The Dialysate Test kit is purchased by the centers and distributed to patients at their clinic visit when water sampling is required (~3 month intervals). Quantity required by the center is based on their home patient population. Case of 25.

CA $85.60

A‐66 EX‐15‐N‐4‐SUP NxStage Hemodialysis Bags 4x week 15L. Monthly home hemodialysis

Express (bag) therapy package for 15L 4x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,336.23

A‐66 EX‐15‐N‐5‐SUP NxStage Hemodialysis Bags 5x week 15L. Monthly home hemodialysis

Express (bag) therapy package for 15L 5x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,432.09

A‐66 EX‐15‐N‐6‐SUP NxStage Hemodialysis Bags 6x week 15L. Monthly home hemodialysis

Express (bag) therapy package for 15L 6x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,539.96

A‐66 EX‐15‐N‐7‐SUP NxStage Hemodialysis Bags 7x week 15L. Monthly home hemodialysis

Express (bag) therapy package for 15L 7x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,779.62

A‐66 EX‐15‐N‐E‐SUP NxStage Hemodialysis Bags 3.5x (EOD) 15L. Monthly home hemodialysis Express (bag) therapy package for 15L 3.5x/week (EOD) prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and premixed dialysate bags.

EA $1,234.35

A‐66 EX‐20‐N‐4‐SUP NxStage Hemodialysis Bags 4x week 20L. Monthly home hemodialysis

Express (bag) therapy package for 20L 4x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,366.18

A‐66 EX‐20‐N‐5‐SUP NxStage Hemodialysis Bags 5x week 20L. Monthly home hemodialysis

Express (bag) therapy package for 20L 5x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,438.10

A‐66 EX‐20‐N‐6‐SUP NxStage Hemodialysis Bags 6x week 20L. Monthly home hemodialysis

Express (bag) therapy package for 20L 6x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,719.70

A‐66 EX‐20‐N‐7‐SUP NxStage Hemodialysis Bags 7x week 20L. Monthly home hemodialysis

Express (bag) therapy package for 20L 7x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,959.39

A‐66 EX‐20‐N‐E‐SUP NxStage Hemodialysis Bags 3.5x (EOD) 20L. Monthly home hemodialysis Express (bag) therapy package for 20L 3.5x/week (EOD) prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and premixed dialysate bags.

EA $1,294.26

A‐66 EX‐25‐N‐4‐SUP NxStage Hemodialysis Bags 4x week 25L. Monthly home hemodialysis

Express (bag) therapy package for 25L 4x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,486.01

NxStage Medical, Inc.

FSS Contract # 36F79724D0046

FSS Schedule 65IIA

FSS Product Price List - Prices Effective 1/15/2024

NxStage Medical, Inc.

FSS Contract # 36F79724D0046

FSS Schedule 65IIA

FSS Product Price List - Prices Effective 1/15/2024

A‐66 EX‐25‐N‐5‐SUP NxStage Hemodialysis Bags 5x week 25L. Monthly home hemodialysis

Express (bag) therapy package for 25L 5x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,617.85

A‐66 EX‐25‐N‐6‐SUP NxStage Hemodialysis Bags 6x week 25L. Monthly home hemodialysis

Express (bag) therapy package for 25L 6x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $2,019.30

A‐66 EX‐25‐N‐7‐SUP NxStage Hemodialysis Bags 7x week 25L. Monthly home hemodialysis

Express (bag) therapy package for 25L 7x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,921.88

A‐66 EX‐25‐N‐E‐SUP NxStage Hemodialysis Bags 3.5x (EOD) 25L. Monthly home hemodialysis Express (bag) therapy package for 25L 3.5x/week (EOD) prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and premixed dialysate bags.

EA $1,354.20

A‐66 EX‐30‐N‐4‐SUP NxStage Hemodialysis Bags 4x week 30L. Monthly home hemodialysis

Express (bag) therapy package for 30L 4x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,677.76

A‐66 EX‐30‐N‐5‐SUP NxStage Hemodialysis Bags 5x week 30L. Monthly home hemodialysis

Express (bag) therapy package for 30L 5x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,941.41

A‐66 EX‐30‐N‐6‐SUP NxStage Hemodialysis Bags 6x week 30L. Monthly home hemodialysis

Express (bag) therapy package for 30L 6x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $2,229.03

A‐66 EX‐30‐N‐7‐SUP NxStage Hemodialysis Bags 7x week 30L. Monthly home hemodialysis

Express (bag) therapy package for 30L 7x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $2,390.99

A‐66 EX‐30‐N‐E‐SUP NxStage Hemodialysis Bags 3.5x (EOD) 30L. Monthly home hemodialysis Express (bag) therapy package for 30L 3.5x/week (EOD) prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and premixed dialysate bags.

EA $1,420.11

A‐66 EX‐35‐N‐4‐SUP NxStage Hemodialysis Bags 4x week 35L. Monthly home hemodialysis

Express (bag) therapy package for 35L 4x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,821.42

A‐66 EX‐35‐N‐5‐SUP NxStage Hemodialysis Bags 5x week 35L. Monthly home hemodialysis

Express (bag) therapy package for 35L 5x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $2,108.90

A‐66 EX‐35‐N‐6‐SUP NxStage Hemodialysis Bags 6x week 35L. Monthly home hemodialysis

Express (bag) therapy package for 35L 6x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $2,432.76

A‐66 EX‐35‐N‐E‐SUP NxStage Hemodialysis Bags 3.5x (EOD) 35L. Monthly home hemodialysis Express (bag) therapy package for 35L 3.5x/week (EOD) prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and premixed dialysate bags.

EA $1,533.95

NxStage Medical, Inc.

FSS Contract # 36F79724D0046

FSS Schedule 65IIA

FSS Product Price List - Prices Effective 1/15/2024

A‐66 EX‐40‐N‐4‐SUP NxStage Hemodialysis Bags 4x week 40L. Monthly home hemodialysis

Express (bag) therapy package for 40L 4x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $1,965.08

A‐66 EX‐40‐N‐5‐SUP NxStage Hemodialysis Bags 5x week 40L. Monthly home hemodialysis

Express (bag) therapy package for 40L 5x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $2,276.36

A‐66 EX‐40‐N‐6‐SUP NxStage Hemodialysis Bags 6x week 40L. Monthly home hemodialysis

Express (bag) therapy package for 40L 6x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $2,636.49

A‐66 EX‐40‐N‐E‐SUP NxStage Hemodialysis Bags 3.5x (EOD) 40L. Monthly home hemodialysis Express (bag) therapy package for 40L 3.5x/week (EOD) prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and premixed dialysate bags.

EA $1,653.81

A‐66 EX‐45‐N‐4‐SUP NxStage Hemodialysis Bags 4x week 45L. Monthly home hemodialysis

Express (bag) therapy package for 45L 4x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $2,109.18

A‐66 EX‐45‐N‐5‐SUP NxStage Hemodialysis Bags 5x week 45L. Monthly home hemodialysis

Express (bag) therapy package for 45L 5x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $2,444.73

A‐66 EX‐45‐N‐6‐SUP NxStage Hemodialysis Bags 6x week 45L. Monthly home hemodialysis

Express (bag) therapy package for 45L 6x/week prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and premixed dialysate bags.

EA $2,840.19

A‐66 EX‐45‐N‐E‐SUP NxStage Hemodialysis Bags 3.5x (EOD) 45L. Monthly home hemodialysis Express (bag) therapy package for 45L 3.5x/week (EOD) prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and premixed dialysate bags.

EA $1,773.65

A‐66 HF‐20‐N‐4‐SUP NxStage Hemodialysis HF 4x week 20L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 20L 4x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,272.02

A‐66 HF‐20‐N‐5‐SUP NxStage Hemodialysis HF 5x week 20L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 20L 5x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,336.13

A‐66 HF‐20‐N‐6‐SUP NxStage Hemodialysis HF 6x week 20L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 20L 6x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,464.36

A‐66 HF‐20‐N‐E‐SUP NxStage Hemodialysis HF 3.5x week 20L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 20L 3.5x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,178.76

A‐66 HF‐25‐N‐4‐SUP NxStage Hemodialysis HF 4x week 25L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 25L 4x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,272.02

NxStage Medical, Inc.

FSS Contract # 36F79724D0046

FSS Schedule 65IIA

FSS Product Price List - Prices Effective 1/15/2024

A‐66 HF‐25‐N‐5‐SUP NxStage Hemodialysis HF 5x week 25L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 25L 5x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,400.24

A‐66 HF‐25‐N‐6‐SUP NxStage Hemodialysis HF 6x week 25L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 25L 6x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,580.94

A‐66 HF‐25‐N‐E‐SUP NxStage Hemodialysis HF 3.5x week 25L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 25L 3.5x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,190.41

A‐66 HF‐30‐N‐4‐SUP NxStage Hemodialysis HF 4x week 30L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 30L 4x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,330.30

A‐66 HF‐30‐N‐5‐SUP NxStage Hemodialysis HF 5x week 30L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 30L 5x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,516.82

A‐66 HF‐30‐N‐6‐SUP NxStage Hemodialysis HF 6x week 30L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 30L 6x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,697.52

A‐66 HF‐30‐N‐E‐SUP NxStage Hemodialysis HF 3.5x week 30L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 30L 3.5x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,202.07

A‐66 HF‐40‐N‐4‐SUP NxStage Hemodialysis HF 4x week 40L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 40L 4x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,545.95

A‐66 HF‐40‐N‐5‐SUP NxStage Hemodialysis HF 5x week 40L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 40L 5x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,697.52

A‐66 HF‐40‐N‐6‐SUP NxStage Hemodialysis HF 6x week 40L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 40L 6x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,930.66

A‐66 HF‐40‐N‐E‐SUP NxStage Hemodialysis HF 3.5x week 40L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 40L 3.5x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,417.72

A‐66 HF‐50‐N‐4‐SUP NxStage Hemodialysis HF 4x week 50L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 50L 4x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,650.87

A‐66 HF‐50‐N‐5‐SUP NxStage Hemodialysis HF 5x week 50L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 50L 5x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,814.09

NxStage Medical, Inc.

FSS Contract # 36F79724D0046

FSS Schedule 65IIA

FSS Product Price List - Prices Effective 1/15/2024

A‐66 HF‐50‐N‐6‐SUP NxStage Hemodialysis HF 6x week 50L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 50L 6x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $2,036.74

A‐66 HF‐50‐N‐E‐SUP NxStage Hemodialysis HF 3.5x week 50L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 50L 3.5x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,534.31

A‐66 HF‐60‐N‐4‐SUP NxStage Hemodialysis HF 4x week 60L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 60L 4x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,767.46

A‐66 HF‐60‐N‐5‐SUP NxStage Hemodialysis HF 5x week 60L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 60L 5x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,930.66

A‐66 HF‐60‐N‐6‐SUP NxStage Hemodialysis HF 6x week 60L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 60L 6x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $2,153.33

A‐66 HF‐60‐N‐E‐SUP NxStage Hemodialysis HF 3.5x week 60L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 60L 3.5x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,650.87

A‐66 HF‐60‐N‐O‐SUP NxStage Hemodialysis HF 4.7x week 60L. Monthly home hemodialysis

Pureflow therapy package for use with System One S for 60L 4.7x/week prescription, which includes NxStage cartridges, Fluid Warmer

Disposable Sets, and PureFlow disposable supplies.

EA $1,898.03

A‐66 PF‐20‐N‐4‐SUP NxStage Hemodialysis PF 4x week 20L. Monthly home hemodialysis

PureFlow therapy package for 20L 4x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,198.40

A‐66 PF‐20‐N‐5‐SUP NxStage Hemodialysis PF 5x week 20L. Monthly home hemodialysis

PureFlow therapy package for 20L 5x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,264.31

A‐66 PF‐20‐N‐6‐SUP NxStage Hemodialysis PF 6x week 20L. Monthly home hemodialysis

PureFlow therapy package for 20L 6x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,396.14

A‐66 PF‐20‐N‐7‐SUP NxStage Hemodialysis PF 7x week 20L. Monthly home hemodialysis

PureFlow therapy package for 20L 7x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,498.01

A‐66 PF‐20‐N‐E‐SUP NxStage Hemodialysis PF 3.5x (EOD) 20L. Monthly home hemodialysis

PureFlow therapy package for 20L 3.5x/week (EOD) prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and

PureFlow disposable supplies.

EA $1,102.54

A‐66 PF‐25‐N‐4‐SUP NxStage Hemodialysis PF 4x week 25L. Monthly home hemodialysis

PureFlow therapy package for 25L 4x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,198.40

NxStage Medical, Inc.

FSS Contract # 36F79724D0046

FSS Schedule 65IIA

FSS Product Price List - Prices Effective 1/15/2024

A‐66 PF‐25‐N‐5‐SUP NxStage Hemodialysis PF 5x week 25L. Monthly home hemodialysis

PureFlow therapy package for 25L 5x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,330.23

A‐66 PF‐25‐N‐6‐SUP NxStage Hemodialysis PF 6x week 25L. Monthly home hemodialysis

PureFlow therapy package for 25L 6x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,515.98

A‐66 PF‐25‐N‐7‐SUP NxStage Hemodialysis PF 7x week 25L. Monthly home hemodialysis

PureFlow therapy package for 25L 7x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,635.82

A‐66 PF‐25‐N‐E‐SUP NxStage Hemodialysis PF 3.5x (EOD) 25L. Monthly home hemodialysis

PureFlow therapy package for 25L 3.5x/week (EOD) prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and

PureFlow disposable supplies.

EA $1,114.52

A‐66 PF‐30‐N‐4‐SUP NxStage Hemodialysis PF 4x week 30L. Monthly home hemodialysis

PureFlow therapy package for 30L 4x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,258.32

A‐66 PF‐30‐N‐5‐SUP NxStage Hemodialysis PF 5x week 30L. Monthly home hemodialysis

PureFlow therapy package for 30L 5x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,450.06

A‐66 PF‐30‐N‐6‐SUP NxStage Hemodialysis PF 6x week 30L. Monthly home hemodialysis

PureFlow therapy package for 30L 6x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,635.82

A‐66 PF‐30‐N‐7‐SUP NxStage Hemodialysis PF 7x week 30L. Monthly home hemodialysis

PureFlow therapy package for 30L 7x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,695.74

A‐66 PF‐30‐N‐E‐SUP NxStage Hemodialysis PF 3.5x (EOD) 30L. Monthly home hemodialysis

PureFlow therapy package for 30L 3.5x/week (EOD) prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and

PureFlow disposable supplies.

EA $1,126.50

A‐66 PF‐35‐N‐4‐SUP NxStage Hemodialysis PF 4x week 35L. Monthly home hemodialysis

PureFlow therapy package for 35L 4x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,480.02

A‐66 PF‐35‐N‐5‐SUP NxStage Hemodialysis PF 5x week 35L. Monthly home hemodialysis

PureFlow therapy package for 35L 5x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,635.82

A‐66 PF‐35‐N‐6‐SUP NxStage Hemodialysis PF 6x week 35L. Monthly home hemodialysis

PureFlow therapy package for 35L 6x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,875.50

A‐66 PF‐35‐N‐E‐SUP NxStage Hemodialysis PF 3.5x (EOD) 35L. Monthly home hemodialysis

PureFlow therapy package for 35L 3.5x/week (EOD) prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and

PureFlow disposable supplies.

EA $1,348.20

NxStage Medical, Inc.

FSS Contract # 36F79724D0046

FSS Schedule 65IIA

FSS Product Price List - Prices Effective 1/15/2024

A‐66 PF‐40‐N‐4‐SUP NxStage Hemodialysis PF 4x week 40L. Monthly home hemodialysis

PureFlow therapy package for 40L 4x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,480.02

A‐66 PF‐40‐N‐5‐SUP NxStage Hemodialysis PF 5x week 40L. Monthly home hemodialysis

PureFlow therapy package for 40L 5x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,635.82

A‐66 PF‐40‐N‐6‐SUP NxStage Hemodialysis PF 6x week 40L. Monthly home hemodialysis

PureFlow therapy package for 40L 6x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,875.50

A‐66 PF‐40‐N‐E‐SUP NxStage Hemodialysis PF 3.5x (EOD) 40L. Monthly home hemodialysis

PureFlow therapy package for 40L 3.5x/week (EOD) prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and

PureFlow disposable supplies.

EA $1,348.20

A‐66 PF‐50‐N‐4‐SUP NxStage Hemodialysis PF 4x week 50L. Monthly home hemodialysis

PureFlow therapy package for 50L 4x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,587.88

A‐66 PF‐50‐N‐5‐SUP NxStage Hemodialysis PF 5x week 50L. Monthly home hemodialysis

PureFlow therapy package for 50L 5x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,755.66

A‐66 PF‐50‐N‐6‐SUP NxStage Hemodialysis PF 6x week 50L. Monthly home hemodialysis

PureFlow therapy package for 50L 6x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,984.54

A‐66 PF‐50‐N‐E‐SUP NxStage Hemodialysis PF 3.5x (EOD) 50L. Monthly home hemodialysis

PureFlow therapy package for 50L 3.5x/week (EOD) prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and

PureFlow disposable supplies.

EA $1,468.05

A‐66 PF‐60‐N‐4‐SUP NxStage Hemodialysis PF 4x week 60L. Monthly home hemodialysis

PureFlow therapy package for 60L 4x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,707.72

A‐66 PF‐60‐N‐5‐SUP NxStage Hemodialysis PF 5x week 60L. Monthly home hemodialysis

PureFlow therapy package for 60L 5x/week prescription, which includes

NxStage cartridges, Fluid Warmer Disposable Sets, and PureFlow disposable supplies.

EA $1,875.50

A‐66 PF‐60‐N‐E‐SUP NxStage Hemodialysis PF 3.5x (EOD) 60L. Monthly home hemodialysis

PureFlow therapy package for 60L 3.5x/week (EOD) prescription, which includes NxStage cartridges, Fluid Warmer Disposable Sets, and

PureFlow disposable supplies.

EA $1,587.88