Attachment D.10 - Bills of Materials VISN 23.xlsx

XLSX spreadsheet 667 KB Posted Jan 13, 2025

Attached to: 6515--Custom Sterile Surgical Procedure Packs VISNs 5, 9, 10, 12, 15, 16, &23
Solicitation number: 36C77625R0017
Issued by: Department of Veterans Affairs Technology Acquisition Center Austin

About this file

Written by GovTribe AI · Jan 13, 2025

This is a Bills of Materials spreadsheet detailing surgical procedure packs and medical supplies required for Veterans Affairs Medical Centers (VAMCs) in VISN 23, which includes facilities in Black Hills, Des Moines, Fargo, Iowa City, Minneapolis, Omaha, and Sioux Falls.

The document lists detailed components and quantities for approximately 30 different types of surgical packs including podiatry, general surgery, urology, laparoscopic, endoscopy, cardiovascular, orthopedic, and other specialty procedure packs. For each pack type, it specifies the case quantity requirements, individual components with manufacturer details, country of origin requirements for Trade Agreements Act compliance, unit prices (currently shown as $0.00), and quantities per tray. The document appears to be a pricing template where vendors would input their costs for each component, with fields to calculate total tray prices, US component costs, TAA compliance percentages, and final case prices.

View the file

Other files

File	Type	Posted
Attachment D.2 - Schedule of Items - Custom Packs Amended 3.xlsx	XLSX spreadsheet	Mar 27, 2025
36C77625R0017 0003 Custom Sterile Procedure Packs.pdf	PDF	Mar 27, 2025
Attachment D.12 - Sample Pack Evaluation Checklist Amended.pdf	PDF	Mar 27, 2025
Attachment D.2 - Schedule of Items - Custom Packs Amended 2.xlsx	XLSX spreadsheet	Mar 17, 2025
36C77625R0017 0002 - Custom Packs Amendment 2.pdf	PDF	Mar 17, 2025
Attachment D.14 - Country Codes.xlsx	XLSX spreadsheet	Mar 17, 2025
Attachment D.8 - Bills of Materials VISN 15 Amended.xlsx	XLSX spreadsheet	Feb 21, 2025
Attachment D.6 - Bills of Materials VISN 10 Amended.xlsx	XLSX spreadsheet	Feb 21, 2025
Attachment D.10 - Bills of Materials VISN 23 Amended.xlsx	XLSX spreadsheet	Feb 21, 2025
36C77625R0017 0001 Custom Packs Amendment.pdf	PDF	Feb 21, 2025
Attachment D.7 - Bills of Materials VISN 12 Amended.xlsx	XLSX spreadsheet	Feb 21, 2025
Attachment D.11 - Three Sample Packs-Bills of Materials Amended.xlsx	XLSX spreadsheet	Feb 21, 2025
Attachment D.5 - Bills of Materials VISN 9 Amended.xlsx	XLSX spreadsheet	Feb 21, 2025
Attachment D.2 - Schedule of Items - Custom Packs Amended.xlsx	XLSX spreadsheet	Feb 21, 2025
Attachment D.9 - Bills of Materials VISN 16 Amended.xlsx	XLSX spreadsheet	Feb 21, 2025
Attachment D.4 - Bills of Materials VISN 5 Amended.xlsx	XLSX spreadsheet	Feb 21, 2025
Attachment D.8 - Bills of Materials VISN 15.xlsx	XLSX spreadsheet	Jan 13, 2025
Attachment D.13 - Custom Pack Experience.docx	DOCX document	Jan 13, 2025
Attachment D.2 - Schedule of Items - Custom Packs.xlsx	XLSX spreadsheet	Jan 13, 2025
Attachment D.4 - Bills of Materials VISN 5.xlsx	XLSX spreadsheet	Jan 13, 2025
Attachment D.5 - Bills of Materials VISN 9.xlsx	XLSX spreadsheet	Jan 13, 2025
Attachment D.11 - Three Sample Packs - Bills of Materials.xlsx	XLSX spreadsheet	Jan 13, 2025
36C77625R0017_1.docx	DOCX document	Jan 13, 2025
Attachment D.12 - Sample Pack Evaluation Checklist.pdf	PDF	Jan 13, 2025
Attachment D.6 - Bills of Materials VISN 10.xlsx	XLSX spreadsheet	Jan 13, 2025
Attachment D.3 - Custom Pack Monthly Reporting Tool.xlsx	XLSX spreadsheet	Jan 13, 2025
Attachment D.1 - Delivery Locations.pdf	PDF	Jan 13, 2025
Attachment D.9 - Bills of Materials VISN 16.xlsx	XLSX spreadsheet	Jan 13, 2025
Attachment D.7 - Bills of Materials VISN 12.xlsx	XLSX spreadsheet	Jan 13, 2025

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VISN Summary Tab

Attachment 10 - Bills of Materials, VISN 23
VISN	Station Code	Station	Tray/Pack Description	Tray Number	Tray/Pack Price	Qty in CASE	Case Price
23	568	Black Hills	Podiatry Pack			4	$0.00
23	568	Black Hills	General Surgery Pack			4	$0.00
23	568	Black Hills	Urology Pack			12	$0.00
23	568	Black Hills	Lap Chole Pack			3	$0.00
23	568	Black Hills	Epidural Tray			20	$0.00
23	568	Black Hills	Universal Block Tray			20	$0.00
23	636A6	Des Moines	Left Heart Pack			5	$0.00
23	636A6	Des Moines	Total Knee Pack			1	$0.00
23	636A6	Des Moines	Gown Pack			10	$0.00
23	636A6	Des Moines	Cysto Pack			8	$0.00
23	636A6	Des Moines	Podiatry Pack			5	$0.00
23	636A6	Des Moines	Lap Chole Pack			5	$0.00
23	636A6	Des Moines	Minor Pack			5	$0.00
23	636A6	Des Moines	Major Pack			4	$0.00
23	636A6	Des Moines	PICC Kit			4	$0.00
23	636A6	Des Moines	Radiology Kit			6	$0.00
23	636A6	Des Moines	Obstetric Kit			5	$0.00
23	437	Fargo	Cystoscope Pack			10	$0.00
23	437	Fargo	Basic Pack			10	$0.00
23	437	Fargo	Arthroscopy Pack			6	$0.00
23	437	Fargo	Basic Basin Set			8	$0.00
23	437	Fargo	Hip Pack			4	$0.00
23	437	Fargo	PICC Line-Dressing Chng Kit			40	$0.00
23	437	Fargo	Knee Pack			5	$0.00
23	636A8	Iowa City	Cysto Pack			6	$0.00
23	636A8	Iowa City	PICC Kit			6	$0.00
23	636A8	Iowa City	Four Gown			8	$0.00
23	636A8	Iowa City	Angiography Pack			4	$0.00
23	636A8	Iowa City	Pacemaker Pack			3	$0.00
23	636A8	Iowa City	Major Pack			3	$0.00
23	636A8	Iowa City	Vascular Pack			2	$0.00
23	636A8	Iowa City	ENT Pack			2	$0.00
23	636A8	Iowa City	Cataract Pack			6	$0.00
23	636A8	Iowa City	Standard Eye Pack			3	$0.00
23	636A8	Iowa City	Neuro Pack			1	$0.00
23	636A8	Iowa City	Ortho Pack			3	$0.00
23	636A8	Iowa City	Double Basin Pack			8	$0.00
23	636A8	Iowa City	Orthopedic Pack			3	$0.00
23	636A8	Iowa City	MOHS Kit			12	$0.00
23	618	Minneapolis	Access Change Kit			30	$0.00
23	618	Minneapolis	Angiography Pack MPLS			2	$0.00
23	618	Minneapolis	Arthroscopy Pack			2	$0.00
23	618	Minneapolis	Cardiovascular Pack			1	$0.00
23	618	Minneapolis	Endoscopy			22	$0.00
23	618	Minneapolis	EP Pack			2	$0.00
23	618	Minneapolis	Extremity Pack			22	$0.00
23	618	Minneapolis	Eye Cataract Pack			3	$0.00
23	618	Minneapolis	Eye Prep Pack			30	$0.00
23	618	Minneapolis	Hand Pack			3	$0.00
23	618	Minneapolis	Hip Pack			2	$0.00
23	618	Minneapolis	IR Pack			3	$0.00
23	618	Minneapolis	Knee Pack			2	$0.00
23	618	Minneapolis	Minor Pack			3	$0.00
23	618	Minneapolis	Pain Block Pack			6	$0.00
23	618	Minneapolis	Plastic Eye Pack			2	$0.00
23	618	Minneapolis	Retina Pack			3	$0.00
23	618	Minneapolis	Set-up Pack			2	$0.00
23	618	Minneapolis	Shoulder Pack			2	$0.00
23	618	Minneapolis	TURP Pack			3	$0.00
23	618	Minneapolis	Vascular Pack			2	$0.00
23	636	Omaha	Vascular Pack			2	$0.00
23	636	Omaha	TURP/Bladder Pack			4	$0.00
23	636	Omaha	Endovascular Pack			2	$0.00
23	636	Omaha	Single Basin Pack			6	$0.00
23	636	Omaha	Basic Cystoscope Pack			10	$0.00
23	636	Omaha	Basin Set-up Pack			4	$0.00
23	636	Omaha	Neuro Laminectomy Pack			3	$0.00
23	636	Omaha	Laparotomy Pack			3	$0.00
23	636	Omaha	Hip Pack Omaha			1	$0.00
23	636	Omaha	Knee Pack Omaha			1	$0.00
23	636	Omaha	Arthescopy Pack Omaha			2	$0.00
23	636	Omaha	Shoulder Pack Omaha			1	$0.00
23	636	Omaha	Heart Cath Pack			3	$0.00
23	636	Omaha	Radiology Pack			4	$0.00
23	636	Omaha	EP Pack			3	$0.00
23	636	Omaha	Carotid Pack			2	$0.00
23	636	Omaha	Urology Pack - Cysto Custom			4	$0.00
23	636	Omaha	Eye Catract Pack			4	$0.00
23	438	Sioux Falls	Cysto Pack			4	$0.00
23	438	Sioux Falls	Lower Ext Pack			2	$0.00
23	438	Sioux Falls	Major Pack			2	$0.00
23	438	Sioux Falls	Minor Pack			2	$0.00
23	438	Sioux Falls	Sinus-Endo Pack			2	$0.00
23	438	Sioux Falls	Total Joint Pack			2	$0.00
23	438	Sioux Falls	Upper Ext Pack			2	$0.00

Podiatry Pack

VISN 23	BLACK HILLS
Tray Number	Description	Case Qty
	Podiatry Pack	4
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	SYR 50CC BULB				$0.00	1	$0.00
	BLADE #15 CARB				$0.00	3	$0.00
	BAG 7WX10L POLY 2ML				$0.00	1	$0.00
	COUNTER NDL DBL MAG XLG 60CT				$0.00	1	$0.00
	GAUZE 4X4 12PLY 10'S IN PKG				$0.00	10	$0.00
	GAUZE SPONGE 4X8 12PLY XR 10'S				$0.00	10	$0.00
	LABEL CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	TAPE CLOSURE LABEL				$0.00	1	$0.00
	TAPE CLOSURE LABEL				$0.00	1	$0.00
	LABEL 3 1/2 X10				$0.00	1	$0.00
	BNDG KERLIX 4.5'X 4.1 YD				$0.00	1	$0.00
	BAG HEADER 21 X 30				$0.00	1	$0.00
	COBAN 4' LF TAN				$0.00	1	$0.00
	BAG SUTURE CLEAR 20X18 W/TAPE				$0.00	1	$0.00
	CORRECT MED LABEL SYSTEM				$0.00	1	$0.00
	CARTON23X15X23 SW				$0.00	1	$0.00
	GOWN XLG FAB REIN ULTRA				$0.00	1	$0.00
	BANDAGE ELASTIC VELCRO 4X5YD				$0.00	1	$0.00
	POUCH TYVEK 8' X 12'				$0.00	1	$0.00
	DRAPE LOWER EXTREMITY 88X131				$0.00	1	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	6	$0.00
	COVER BACK TABLE HD 60X90				$0.00	1	$0.00
	GAUZE PAD 2X2 12PLY 1'S				$0.00	4	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00
	DRAPE XLG 76' X 96' HANDIBIN				$0.00	1	$0.00
	DRAPE XLG 76' X 96' HANDIBIN				$0.00	1	$0.00
	DRAPE XLG 76' X 96' HANDIBIN				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Gen Surg Pack

VISN 23	BLACK HILLS
Tray Number	Description	Case Qty
	General Surgery Pack	4
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	SYR 50CC BULB				$0.00	1	$0.00
	SYR 10CC L/L				$0.00	2	$0.00
	BLADE #15 CARB				$0.00	2	$0.00
	BAG 7WX10L POLY 2ML				$0.00	1	$0.00
	MASTISOL 2/3CC VIAL				$0.00	1	$0.00
	TRAY FOAM 18 X 14 X 5/8				$0.00	1	$0.00
	COUNTER NDL DBL MAG XLG 60CT				$0.00	1	$0.00
	GAUZE SPONGE 4X8 12PLY XR 10'S				$0.00	10	$0.00
	PAD TELFA 8 X 3 2 SIDE MYLAR				$0.00	1	$0.00
	STRIP STERI 1/4 X 4 5'S				$0.00	1	$0.00
	LABEL CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	TAPE CLOSURE LABEL				$0.00	2	$0.00
	LABEL 3 1/2 X10				$0.00	1	$0.00
	TEGADERM 4 X 4.75				$0.00	2	$0.00
	BAG HEADER 21 X 30				$0.00	1	$0.00
	BAG SUTURE CLEAR 20X18 W/TAPE				$0.00	1	$0.00
	NDL 25G X 1.5' SAFETY				$0.00	2	$0.00
	CORRECT MED LABEL SYSTEM				$0.00	1	$0.00
	CARTON23X15X23 SW				$0.00	1	$0.00
	GOWN XLG FAB REIN ULTRA				$0.00	1	$0.00
	GOWN LG FAB REIN ULTRA				$0.00	1	$0.00
	CAUTERY ROCKER W/EDGE BLADE				$0.00	1	$0.00
	TOWEL ABSORB. WHITE 17 X 20				$0.00	1	$0.00
	TOWEL ABSORB. WHITE 17 X 20				$0.00	1	$0.00
	POUCH TYVEK 8' X 12'				$0.00	1	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	10	$0.00
	LAP SPONGE 18X18 XR 5S NO RING				$0.00	5	$0.00
	COVER TABLE 60 X 90 HD				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00
	LABELS- DOT BLANK LIMITED				$0.00	1	$0.00
	DRAPE XLG 76' X 96' HANDIBIN				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Urology Pack

VISN 23	BLACK HILLS
Tray Number	Description	Case Qty
	UROLOGY PACK	12

MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	SYR 30CC L/L				$0.00	1	$0.00
	LEGGING 31 X 48				$0.00	2	$0.00
	DRAPE CYSTO T				$0.00	1	$0.00
	SET IRRIG Y TYPE DRIP CHMBR				$0.00	1	$0.00
	LABEL CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	TAPE CLOSURE LABEL				$0.00	1	$0.00
	TAPE CLOSURE LABEL				$0.00	1	$0.00
	LABEL 3 1/2 X10				$0.00	1	$0.00
	BAG HEADER 19 X 30				$0.00	1	$0.00
	CARTON23X15X23 SW				$0.00	1	$0.00
	GOWN XLG FAB REIN ULTRA				$0.00	1	$0.00
	TOWEL ABSORB. WHITE 17 X 20				$0.00	2	$0.00
	SYR 60CC CATH TIP				$0.00	1	$0.00
	COVER TABLE 60 X 90 HD				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00
	DRAPE XLG 76' X 96' HANDIBIN				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Lap Chole Pack

VISN 23	BLACK HILLS
Tray Number	Description	Case Qty
	LAP CHOLE PACK	3
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	SYR 30CC L/L				$0.00	1	$0.00
	LEGGING 31 X 48				$0.00	2	$0.00
	DRAPE CYSTO T				$0.00	1	$0.00
	SET IRRIG Y TYPE DRIP CHMBR				$0.00	1	$0.00
	LABEL CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	TAPE CLOSURE LABEL				$0.00	1	$0.00
	TAPE CLOSURE LABEL				$0.00	1	$0.00
	LABEL 3 1/2 X10				$0.00	1	$0.00
	BAG HEADER 19 X 30				$0.00	1	$0.00
	CARTON23X15X23 SW				$0.00	1	$0.00
	GOWN XLG FAB REIN ULTRA				$0.00	1	$0.00
	TOWEL ABSORB. WHITE 17 X 20				$0.00	2	$0.00
	SYR 60CC CATH TIP				$0.00	1	$0.00
	COVER TABLE 60 X 90 HD				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00
	DRAPE XLG 76' X 96' HANDIBIN				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Epidural Tray

VISN 23	BLACK HILLS
Tray Number	Description	Case Qty
	Epidural Tray	20
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	APP CHLORAPREP 3ML ORNG W/PKG				$0.00	1	$0.00
	Printed Label Black Font				$0.00	6	$0.00
	BAG HEADER 10 X 16				$0.00	1	$0.00
	BAG, ZIPLOCK 6WX9L PRESS ON				$0.00	1	$0.00
	CARTON,23X15X23 SW				$0.00	1	$0.00
	DRAPE, FEN 18X26, ADHE PATCH				$0.00	1	$0.00
	FILTER STRAW 5MICRON F L/L 4"				$0.00	1	$0.00
	LABEL 3.5 X 10 WHITE				$0.00	1	$0.00
	LABEL, CUSTOM KIT (8.5x11)				$0.00	1	$0.00
	LABEL, WHITE 1/2 X 1.75 CUSTOM				$0.00	10	$0.00
	LABEL: GREEN POST STERILE ASSY				$0.00	1	$0.00
	LABELS- DOT BLANK LIMITED				$0.00	1	$0.00
	LIDOCAINE HCI 5ML AMPULE 1%				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00
	NDL HOLDER SAT-T-CUBE				$0.00	1	$0.00
	NDL, 18G X 1.5" RG BEV				$0.00	1	$0.00
	NDL, 27GX1.25" ALUM HUB A BEV				$0.00	1	$0.00
	POCKET FOAM 2X7				$0.00	1	$0.00
	SYR, 10CC L/L				$0.00	2	$0.00
	SYR, 3CC L/L				$0.00	1	$0.00
	SYR, 5CC L/L				$0.00	2	$0.00
	SYR, 5ML GLASS LOR,LS M				$0.00	2	$0.00
	SYR, PREFILD .9% SODIUM CHLOR.				$0.00	1	$0.00
	TAPE, CLOSURE LABEL BLANK TEAR				$0.00	1	$0.00
	TRAY, HALF DEEP 9.72x5.4x2				$0.00	1	$0.00
	WRAP 24X24 H200				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Univ Block Track

VISN 23	BLACK HILLS
Tray Number	Description	Case Qty
	Universal Block Tray	20

MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	APP CHLORAPREP 3ML ORNG W/PKG				$0.00	1	$0.00
	Printed Label Black Font				$0.00	6	$0.00
	BAG HEADER 10 X 16				$0.00	1	$0.00
	CARTON,23X15X23 SW				$0.00	1	$0.00
	DRAPE,CLEAR FEN 24X30 W/4X8				$0.00	1	$0.00
	GAUZE, 4X4 12PLY 10'S IN PKG				$0.00	2	$0.00
	LABEL 3.5 X 10 WHITE				$0.00	1	$0.00
	LABEL, CUSTOM KIT (8.5x11)				$0.00	1	$0.00
	LABEL, WHITE 1/2 X 1.75 CUSTOM				$0.00	10	$0.00
	LABELS- DOT BLANK LIMITED				$0.00	1	$0.00
	LIDOCAINE HCI 5ML AMPULE 1%				$0.00	2	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00
	NDL HOLDER SAT-T-CUBE				$0.00	1	$0.00
	NDL, 18G X 1.5" RG BEV				$0.00	1	$0.00
	NDL, 19G X 1.5 NOKOR TW FILTER				$0.00	1	$0.00
	NDL, 27GX1.25" ALUM HUB A BEV				$0.00	1	$0.00
	POCKET FOAM 2X7				$0.00	2	$0.00
	SET,EXT 12" W/ CLAMP SM BORE				$0.00	1	$0.00
	SYR, 10CC L/L				$0.00	2	$0.00
	SYR, 3CC L/L				$0.00	1	$0.00
	SYR, 5CC L/L				$0.00	1	$0.00
	TAPE, CLOSURE LABEL BLANK TEAR				$0.00	1	$0.00
	TRAY, HALF DEEP 9.72x5.4x2				$0.00	1	$0.00
	WRAP 24X24 H200				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Left Heart Pack

VISN 23	DES MOINES
Tray Number	Description	Case Qty
	LEFT HEART PACK	5
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	BANDBAG 30X30				$0.00	1	$0.00
	BOWL, 32/35 OZ				$0.00	2	$0.00
	BOWL,SPONGE 250CC				$0.00	1	$0.00
	CLAMP TOWEL 4.5" DK BLUE				$0.00	1	$0.00
	COVER, BACK TABLE 44 X 78				$0.00	1	$0.00
	CUP, MEDICINE 2 OZ.				$0.00	1	$0.00
	DRAPE FEMORAL ANGIO W/ POUCHES				$0.00	1	$0.00
	FORCEP,KELLY STR 5.5"				$0.00	1	$0.00
	GOWN, XLG FAB REIN ULTRA				$0.00	2	$0.00
	LABEL, WHITE, 1.75" X 0.5",				$0.00	5	$0.00
	LABELS, CUSTOM W/DUAL TIP				$0.00	1	$0.00
	SCISSORS, STRAIGHT, 5.5"				$0.00	1	$0.00
	SPONGE, VERSALON 4X4 NON-WOVEN				$0.00	40	$0.00
	SYR, 10CC L/L				$0.00	5	$0.00
	TOWEL BLUE NS NON X RAY				$0.00	10	$0.00
	TOWEL, ABSORB. WHITE 17 X 20				$0.00	2	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Total Knee Pack

VISN 23	DES MOINES
Tray Number	Description	Case Qty
	TOTAL KNEE PACK	1
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	BAG, SUTURE 12 X18 POLY				$0.00	1	$0.00
	BANDAGE ESMARK 6"X12 WHT LF				$0.00	1	$0.00
	BANDAGE HONEYCOMB ELAS 6"X210"				$0.00	1	$0.00
	BLADE, #10 CARBON				$0.00	3	$0.00
	BLADE, #15 CARB				$0.00	3	$0.00
	BNDG, KERLIX 4.5"X 4.1 YD				$0.00	1	$0.00
	CAUTERY ROCKER W/HOLSTER 2.5"				$0.00	1	$0.00
	COBAN 6"X5YD LF TAN				$0.00	1	$0.00
	COUNTER, NDL POP-N-CONT				$0.00	1	$0.00
	COVER, BACK TABLE 50 X 90				$0.00	1	$0.00
	COVER, BACK TABLE 60 X 90				$0.00	1	$0.00
	COVER, MAYO 23X54 REIN				$0.00	2	$0.00
	DRAPE LG 76" X 55" HANDIBIN				$0.00	1	$0.00
	DRAPE, 3/4 REIN W/ALC REPEL				$0.00	1	$0.00
	DRAPE, ORTHOARTS LOWER EXTREM				$0.00	1	$0.00
	DRESSING, ADAPTIC 3X8 3'S-PGBK				$0.00	1	$0.00
	GAUZE 4X4 16PLY RFID 10'S				$0.00	1	$0.00
	GAUZE, 8X4 12PLY SINGLES				$0.00	10	$0.00
	LABELS, CUSTOM MEDICATION 20				$0.00	1	$0.00
	PAD, ABD, 8X10 COMBINE				$0.00	1	$0.00
	POUCH INSTRUMENT 2 COMP				$0.00	1	$0.00
	SHEET, SPLIT (21") 60X70 IMP				$0.00	1	$0.00
	SPONGE LAP 18X18 RFID XR 5'S				$0.00	2	$0.00
	SPONGE, EXILON DRAIN 2'S				$0.00	1	$0.00
	STAPLER, SKIN 35 WIDE "APPOSE"				$0.00	1	$0.00
	STOCKINETTE, 12X48 IMP W/O TAB				$0.00	1	$0.00
	SYR, BULB, 60CC W PROTECT CAP				$0.00	1	$0.00
	TOWEL BLUE NS NON X RAY				$0.00	14	$0.00
	TRAY ECO PAD 19.50X15.50X.50				$0.00	1	$0.00
	TRAY, MAYO 12.5 X 19 (SMALL)				$0.00	1	$0.00
	TUBING SUCT 6 MM X 10' CL BULK				$0.00	1	$0.00
	YANKAUER,STRAIGHT TIP W/O VENT				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Gown Pack

VISN 23	DES MOINES
Tray Number	Description	Case Qty
	GOWN PACK	10
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	COVER, BACK TABLE 44 X 90				$0.00	1	$0.00
	GOWN AERO CHROME XL BIN NS				$0.00	4	$0.00
	TOWEL BLUE NS NON X RAY				$0.00	4	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Cysto Pack

VISN 23	DES MOINES
Tray Number	Description	Case Qty
	CYSTO PACK	8
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	COVER, BACK TABLE 50 X 90				$0.00	1	$0.00
	CUP, SPECIMEN 5 OZ W/SCREW LID				$0.00	1	$0.00
	DRAPE, CYSTO T 62X40x100 FEN				$0.00	1	$0.00
	EVACUATOR, BLADDER URO VAC - LATEX				$0.00	1	$0.00
	GAUZE, 8X4 12PLY SINGLES				$0.00	10	$0.00
	GOWN AERO CHROME XL BIN NS				$0.00	1	$0.00
	GOWN BR IMP XXL-XL RAG SLVSMAR				$0.00	1	$0.00
	LEGGING, 31 X 48				$0.00	2	$0.00
	LUBE JELLY: 4OZ FLIP TOP EZ				$0.00	1	$0.00
	MARKER, UTILITY REG TIP, NS				$0.00	1	$0.00
	PAD, GROUNDING PGYBK				$0.00	1	$0.00
	STRAINER, CALCULI				$0.00	1	$0.00
	SYR, 35CC L/S				$0.00	1	$0.00
	SYR, 60CC CATH TIP				$0.00	1	$0.00
	TOWEL BLUE NS NON X RAY				$0.00	8	$0.00
	TRAY ECO PAD 19.50X15.50X.50				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Podiatry Pack Des Moines

VISN 23	DES MOINES
Tray Number	Description	Case Qty
	PODIATRY PACK DES MOINES	5
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	BAG, BEDSIDE W/TAPE PAPER				$0.00	1	$0.00
	BANDAGE ESMARK 4"X9' LF WHT				$0.00	1	$0.00
	BANDAGE, ELASTIC, VELCRO 4X5YD				$0.00	1	$0.00
	BLADE, #15 CARB				$0.00	3	$0.00
	BNDG, KERLIX 4.5"X 4.1 YD				$0.00	1	$0.00
	BOWL, 32/35 OZ				$0.00	2	$0.00
	CAUTERY ROCKER W/HOLSTER 2.5"				$0.00	1	$0.00
	COUNTER, NDL FM/MAG 20 POP-N				$0.00	1	$0.00
	COVER, BACK TABLE 50 X 90				$0.00	1	$0.00
	COVER, MAYO 23X54 REIN				$0.00	1	$0.00
	CUP, SPECIMEN 5 OZ W/SCREW LID				$0.00	2	$0.00
	DRAPE HALF 40" X 58" HANDIBIN				$0.00	1	$0.00
	DRAPE, STERI LG CLR (STERILE)				$0.00	1	$0.00
	DRAPE, UNIV EXT 90X131 2.5"				$0.00	1	$0.00
	DRESSING, ADAPTIC 3X3 - PGBK				$0.00	1	$0.00
	GAUZE 4X4 16PLY RFID 10'S				$0.00	1	$0.00
	GAUZE, 8X4 12PLY SINGLES				$0.00	10	$0.00
	GOWN AERO CHROME XL BIN NS				$0.00	3	$0.00
	LABELS, CUSTOM MEDICATION				$0.00	1	$0.00
	PAD, GROUNDING PGYBK				$0.00	1	$0.00
	SYR, BULB 60CC W/O CAP				$0.00	1	$0.00
	TIP, SUCTION FRAZIER 10F VTD				$0.00	1	$0.00
	TOWEL BLUE NS NON X RAY				$0.00	13	$0.00
	TUBING, SUCT 1/4" X 20'				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Lap Chole Pack Des Moines

VISN 23	DES MOINES
Tray Number	Description	Case Qty
	LAP CHOLE PACK DES MOINES	5
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	BAG, SUTURE 12 X18 POLY				$0.00	1	$0.00
	BLADE, #15 CARB				$0.00	2	$0.00
	BOWL, 32/35 OZ				$0.00	2	$0.00
	CAUTERY ROCKER W/HOLSTER 2.5"				$0.00	1	$0.00
	CLEARIFY VISUALIZATION SYSTEM				$0.00	1	$0.00
	COUNTER, NDL FM/MAG 20 POP-N				$0.00	1	$0.00
	COVER, BACK TABLE 50 X 90				$0.00	1	$0.00
	COVER, MAYO 23X54 REIN				$0.00	1	$0.00
	CUP, SPECIMEN 5 OZ W/SCREW LID				$0.00	3	$0.00
	DRAPE UTILITY 17"X26" W TAPE				$0.00	4	$0.00
	DRAPE, LAPAROSCOPIC ABDOM.				$0.00	1	$0.00
	GAUZE 4X4 16PLY RFID 10'S				$0.00	1	$0.00
	GOWN AERO CHROME XL BIN NS				$0.00	4	$0.00
	LABELS, CUSTOM W/MARKERS				$0.00	1	$0.00
	NDL, 22G X 1.5" RG BEV SMK HB				$0.00	1	$0.00
	PAD, GROUNDING PGYBK				$0.00	1	$0.00
	RULER, 6" FLEXIBLE				$0.00	1	$0.00
	SPONGE LAP 18X18 RFID XR 5'S				$0.00	1	$0.00
	SYR, 20CC L/L				$0.00	2	$0.00
	TIP CAUTERY TEFLON, 2.75" PTFE				$0.00	1	$0.00
	TOWEL BLUE NS NON X RAY				$0.00	16	$0.00
	TOWEL, ABSORB. WHITE 17 X 20				$0.00	1	$0.00
	TRAY, FOAM 18 X 14 X 5/8				$0.00	1	$0.00
	TUBING INSUFFLATION 10FT W/				$0.00	1	$0.00
	TUBING, SUCT 1/4" X 20'				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Minor Pack

VISN 23	DES MOINES
Tray Number	Description	Case Qty
	MINOR PACK	5
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	BAG, SUTURE 12 X18 POLY				$0.00	1	$0.00
	BLADE, #15 CARB				$0.00	2	$0.00
	BOWL, 32/35 OZ				$0.00	1	$0.00
	COUNTER, NDL FM/MAG 20 POP-N				$0.00	1	$0.00
	COVER, MAYO 23X54 REIN				$0.00	1	$0.00
	COVER,BACK TABLE 50X90				$0.00	1	$0.00
	CUP, SPECIMEN 5 OZ W/SCREW LID				$0.00	2	$0.00
	DRAPE UTILITY 17"X26" W TAPE				$0.00	4	$0.00
	DRAPE XLG 76" X 96" HANDIBIN				$0.00	1	$0.00
	GAUZE 4X4 16PLY RFID 10'S				$0.00	1	$0.00
	GAUZE, 8X4 12PLY SINGLES				$0.00	10	$0.00
	GOWN AERO CHROME XL BIN NS				$0.00	3	$0.00
	LABELS, CUSTOM W/MARKERS				$0.00	1	$0.00
	NDL, 22G X 1.5" RG BEV SMK HB				$0.00	1	$0.00
	NDL, 25G X 1.5" RG BEV BLU HB				$0.00	1	$0.00
	SYR, 10CC L/L				$0.00	1	$0.00
	SYR, 20CC L/L				$0.00	1	$0.00
	TOWEL BLUE NS NON X RAY				$0.00	13	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Major Pack

VISN 23	DES MOINES
Tray Number	Description	Case Qty
	MAJOR PACK	4

MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	BAG, SUTURE 12 X18 POLY				$0.00	1	$0.00
	BLADE, #10 CARBON				$0.00	2	$0.00
	BLADE, #15 CARB				$0.00	1	$0.00
	CAUTERY ROCKER W/HOLSTER 2.5"				$0.00	1	$0.00
	COUNTER, NDL 40CT FM/ADH #1842				$0.00	1	$0.00
	COVER, MAYO 23X54 REIN				$0.00	1	$0.00
	COVER,BACK TABLE 50X90				$0.00	1	$0.00
	CUP, SPECIMEN 5 OZ W/SCREW LID				$0.00	2	$0.00
	DRAPE XLG 76" X 96" HANDIBIN				$0.00	1	$0.00
	DRAPE, TOP 108X50 FABRIC REIN				$0.00	1	$0.00
	DRAPE, U 88X108 ORTHO (4X40)				$0.00	1	$0.00
	DRAPE, UTILITY 26X15 TAPE				$0.00	4	$0.00
	GAUZE 4X4 16PLY RFID 10'S				$0.00	1	$0.00
	LABELS, CUSTOM W/MARKERS				$0.00	1	$0.00
	PAD, GROUNDING PGYBK				$0.00	1	$0.00
	SPONGE LAP 18X18 RFID XR 5'S				$0.00	2	$0.00
	SYR, BULB 60CC W/O CAP				$0.00	1	$0.00
	TIP CAUTERY TEFLON, 2.75" PTFE				$0.00	1	$0.00
	TOWEL BLUE NS NON X RAY				$0.00	20	$0.00
	TRAY ECO PAD 19.50X15.50X.50				$0.00	1	$0.00
	TUBING, SUCT 1/4" X 20'				$0.00	1	$0.00
	YANKAUER BULB TIP WITHOUT VENT				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

PICC Kit

VISN 23	DES MOINES
Tray Number	Description	Case Qty
	PICC KIT	4
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	APP CHLORAPREP 3ML CLEAR W/PKG				$0.00	1	$0.00
	BAG, DEPOT W/ LARGE BORE TUBIN				$0.00	1	$0.00
	COVER, BACK TABLE STD FF 44X78				$0.00	1	$0.00
	CUP, MEDICINE 2 OZ.				$0.00	1	$0.00
	DRAPE, FEM/ANG 82 X 124 WNDW				$0.00	1	$0.00
	DRESSING, BIOPATCH, BLUE, ANTI				$0.00	1	$0.00
	DRESSING, SORBAVIEW 3 X 5				$0.00	1	$0.00
	GAUZE, 4X4 12PLY 10'S IN PKG				$0.00	2	$0.00
	LABELS- DOT BLANK LIMITED				$0.00	1	$0.00
	NDL, SAFETY 25G X 5/8"				$0.00	1	$0.00
	SCALPEL, #11 SAFETY BLUE,				$0.00	1	$0.00
	SYR, 10CC MEDALLION WHITE				$0.00	4	$0.00
	TOWEL BLUE NS NON X RAY				$0.00	6	$0.00
	TRAY ECO QUARTER SHEET TAN				$0.00	1	$0.00
	VALVE, CLEAR, MAX PLUS,				$0.00	2	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Radiology Kit

VISN 23	DES MOINES
Tray Number	Description	Case Qty
	RADIOLOGY KIT	6
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	BAG, DEPOT W/ LARGE BORE TUBIN				$0.00	1	$0.00
	BANDBAG 30X36 W/TAPE				$0.00	1	$0.00
	BOWL, 32/35 OZ				$0.00	2	$0.00
	BOWL,GUIDEWIRE W/TABS 2500CC				$0.00	1	$0.00
	BOWL,SPONGE 250CC				$0.00	1	$0.00
	COUNTER, NDL 10CT FM/MAG				$0.00	1	$0.00
	COVER, BACK TABLE 50 X 90				$0.00	1	$0.00
	CUP, MEDICINE 2 OZ.				$0.00	1	$0.00
	DRAPE FEMORAL ANGIO W/ POUCHES				$0.00	1	$0.00
	FORCEP, MOSQUITO STRAIGHT 5IN				$0.00	1	$0.00
	GOWN, XLG FAB REIN ULTRA				$0.00	2	$0.00
	LABEL, BLUE1/2X1.75 CUSTOM 4				$0.00	24	$0.00
	LABEL, WHITE, 1.75" X 0.5",				$0.00	1	$0.00
	LABELS, CUSTOM MEDICATION				$0.00	1	$0.00
	NDL, 25G X 5/8 SAFETY GLIDE				$0.00	1	$0.00
	PEN: SHARPIE ULTRA FINE				$0.00	1	$0.00
	RULER, 6" FLEXIBLE				$0.00	1	$0.00
	SCALPEL, #11 SAFETY BLUE,				$0.00	1	$0.00
	SCISSORS, STRAIGHT, 5.5"				$0.00	1	$0.00
	SPONGE, VERSALON 4X4 NON-WOVEN				$0.00	40	$0.00
	SYR, 10CC CONTROL L/L				$0.00	1	$0.00
	SYR, 10CC MEDALLION WHITE				$0.00	4	$0.00
	SYR, 20ML, RED PLUNGER,				$0.00	1	$0.00
	TOWEL BLUE NS NON X RAY				$0.00	11	$0.00
	TOWEL, ABSORB. WHITE 17 X 20				$0.00	2	$0.00
	TRAY ECO PAD 19.50X15.50X.50				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Obstetrics Pack

VISN 23	DES MOINES
Tray Number	Description	Case Qty
	OBSTETRIC KIT	5

MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	BAG, BIOHAZARD 24X24 RED				$0.00	1	$0.00
	BEANIE, BABY				$0.00	1	$0.00
	BLANKET, BABY				$0.00	1	$0.00
	CLAMP, UMBILICAL CORD				$0.00	2	$0.00
	COVER, BACK TABLE 44X75				$0.00	1	$0.00
	DIAPERS PAMPER NEWBORN 20'S				$0.00	1	$0.00
	GLOVE NITRILE MED WALLET PF				$0.00	1	$0.00
	PAD OB CONTOURED PEACH 7"X14"				$0.00	2	$0.00
	SYR, BULB 2OZ BLUE				$0.00	1	$0.00
	TIE, LOCKING 8" NATURAL 40LB				$0.00	2	$0.00
	TOWEL OR BLUE NON XR				$0.00	4	$0.00
	TRAY ECO QUARTER SHEET TAN				$0.00	1	$0.00
	UNDERPAD, 17X24 FLUFF FILL				$0.00	2	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Cystoscope Pack

VISN 23	FARGO
Tray Number	Description	Case Qty
	CYSTOSCOPE PACK	10
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	SYR, 60CC L/L				$0.00	1	$0.00
	BOWL, 32/35 OZ				$0.00	1	$0.00
	BAG, SUTURE 12 X18 POLY				$0.00	1	$0.00
	SET, IRRIG INTERMITTENT				$0.00	1	$0.00
	LABEL, CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	TAPE, CLOSURE LABEL				$0.00	1	$0.00
	LABEL, 3 1/2 X10				$0.00	1	$0.00
	BAG, HEADER 17 X 30				$0.00	1	$0.00
	CARTON,23X15X23 SW				$0.00	1	$0.00
	MARKER, UTILITY PERM 6 LABELS				$0.00	1	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	1	$0.00
	LEGGINGS, SURGICAL 31" X 48"				$0.00	2	$0.00
	DRAPE CYSTO T				$0.00	1	$0.00
	COVER, BACK TABLE 44X75 POLY				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Basic Pack

VISN 23	FARGO
Tray Number	Description	Case Qty
	BASIC PACK	10
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	COVER, MAYO 23X54 REIN				$0.00	1	$0.00
	BAG, SUTURE 12 X18 POLY				$0.00	1	$0.00
	WRAP, 30 X 30 3PP				$0.00	1	$0.00
	LABEL, CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	TAPE, CLOSURE LABEL				$0.00	1	$0.00
	LABEL, 3 1/2 X10				$0.00	1	$0.00
	BAG, HEADER 17 X 30				$0.00	1	$0.00
	CARTON,23X15X23 SW				$0.00	1	$0.00
	GOWN XLG BIN SURG MICROCOOL530				$0.00	1	$0.00
	GOWN XLG BIN SURG MICROCOOL530				$0.00	1	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	1	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	1	$0.00
	TRAY ECO QUARTER SHEET TAN				$0.00	1	$0.00
	COVER, BACK TABLE 44 X 90				$0.00	1	$0.00
	SHEET THREE QUARTER 60 X 76				$0.00	1	$0.00
	TOWEL W/ADHESIVE NON-ABSORBENT				$0.00	2	$0.00
	TOWEL W/ADHESIVE NON-ABSORBENT				$0.00	2	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	BAA %	0.00%

Case Price $0.00

Arthescopy Pack

VISN 23	FARGO
Tray Number	Description	Case Qty
	ARTHESCOPY PACK	6
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	STOCKINETTE, 12X48 IMP W/O TAB				$0.00	1	$0.00
	SYR, 60CC L/L				$0.00	1	$0.00
	GAUZE, 4X4 12PLY 10'S IN PKG				$0.00	10	$0.00
	COVER, MAYO 23X54 REIN				$0.00	1	$0.00
	BAG, SUTURE 12 X18 POLY				$0.00	1	$0.00
	STRIP, STERI 1/2X4 3'S				$0.00	1	$0.00
	WRAP, 30 X 30 3PP				$0.00	1	$0.00
	SET, IRRIG Y TYPE DRIP CHMBR				$0.00	1	$0.00
	LABEL, CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	TAPE, CLOSURE LABEL				$0.00	1	$0.00
	LABEL, 3 1/2 X10				$0.00	1	$0.00
	BAG, HEADER 17 X 30				$0.00	1	$0.00
	PADDING, SOF ROLL 6" X 4YD				$0.00	1	$0.00
	COBAN, 4" LF TAN				$0.00	1	$0.00
	BANDAGE, HONEYCOMB 6" L/F DBL				$0.00	1	$0.00
	LABEL, WHITE, 1.75" X 0.5",				$0.00	1	$0.00
	CARTON,23X15X23 SW				$0.00	1	$0.00
	TUBING, SUCT 1/4" X 20'				$0.00	2	$0.00
	POUCH, SELF SEAL, 12 X 15.5				$0.00	1	$0.00
	LABELS, CUSTOM W/DUAL TIP				$0.00	1	$0.00
	DRAPE, U 60 X 72				$0.00	1	$0.00
	GOWN XLG BIN SURG MICROCOOL530				$0.00	1	$0.00
	GOWN XLG BIN SURG MICROCOOL530				$0.00	1	$0.00
	COVER,BACK TABLE 50X90				$0.00	1	$0.00
	GOWN, KC400, MICROCOOL XL				$0.00	1	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	1	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	1	$0.00
	ARTHROSCOPY SHEET W/PCH 92X120				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Basic Basin Pack

VISN 23	FARGO
Tray Number	Description	Case Qty
	BASIC BASIN PACK	8
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	COUNTER, NDL FM/MAG 20 POP-N				$0.00	1	$0.00
	COVER, LIGHT HNDL RIGID				$0.00	2	$0.00
	BOWL, 32/35 OZ				$0.00	1	$0.00
	BASIN O.R. 6000CC ROUND				$0.00	1	$0.00
	CUP, MEDICINE 2 OZ.				$0.00	1	$0.00
	PITCHER, GRAD 1200CC PLAS				$0.00	1	$0.00
	CAUTERY,ROCKER W/HOLSTER				$0.00	1	$0.00
	LABEL, CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	TAPE, CLOSURE LABEL				$0.00	1	$0.00
	LABEL, 3 1/2 X10				$0.00	1	$0.00
	TIP CLEANER				$0.00	1	$0.00
	BAG, HEADER 19 X 24				$0.00	1	$0.00
	SYR, BULB 60CC W/O CAP				$0.00	1	$0.00
	LABEL, WHITE, 1.75" X 0.5",				$0.00	1	$0.00
	CARTON,23X15X23 SW				$0.00	1	$0.00
	BASIN, EMESIS 700CC TURQUOISE				$0.00	1	$0.00
	MARKER, SKIN W/ RULER 9 LABELS				$0.00	1	$0.00
	WRAP, BASIN COVER 50 X 50				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Hip Pack

VISN 23	FARGO
Tray Number	Description	Case Qty
	HIP PACK	4
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	STOCKINETTE, 12X48 IMP W/O TAB				$0.00	1	$0.00
	BAG, SUTURE 12 X18 POLY				$0.00	1	$0.00
	WRAP, 30 X 30 3PP				$0.00	1	$0.00
	LABEL, CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	TAPE, CLOSURE LABEL				$0.00	1	$0.00
	DRAPE, IOBAN 23x17 FOIL INCISE				$0.00	2	$0.00
	LABEL, 3 1/2 X10				$0.00	1	$0.00
	ELECTRODE, BLADE 6" EXTENDED				$0.00	1	$0.00
	BAG, HEADER 21 X 30				$0.00	1	$0.00
	COBAN, 4" LF TAN				$0.00	1	$0.00
	FRAZIER, HANDLE 18FR SUCTION				$0.00	1	$0.00
	CONN TBG 6 MM X 10' CL BULK				$0.00	1	$0.00
	CARTON,23X15X23 SW				$0.00	1	$0.00
	DRAPE, U 60 X 72				$0.00	1	$0.00
	GOWN XLG BIN SURG MICROCOOL530				$0.00	1	$0.00
	GOWN XLG BIN SURG MICROCOOL530				$0.00	2	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	1	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	2	$0.00
	BAG, ZIPLOCK 6X9 6MIL CLR				$0.00	1	$0.00
	COVER, BACK TABLE 50 X 90				$0.00	1	$0.00
	SHEET THREE QUARTER 60 X 76				$0.00	1	$0.00
	DRAPE TIBURON HIP W PCH				$0.00	1	$0.00
	COVER, MAYO, 23" W/ PLASTIC				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Dress Change Kit

VISN 23	FARGO
Tray Number	Description	Case Qty
	PICC LINE -DRESSING CHANGE KIT	40

MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	TRAY, HALF DEEP 9.72x5.4x2				$0.00	1	$0.00
	PAD, PREP ALCOHOL LG 1 PLY				$0.00	1	$0.00
	STRIP, STERI 1/2X4 3'S				$0.00	1	$0.00
	WRAP, 30 X 30 3PP				$0.00	1	$0.00
	LABEL, 3 1/2 X10				$0.00	1	$0.00
	TEGADERM, 4 X 4.75				$0.00	1	$0.00
	BAG, HEADER 10 X 16				$0.00	1	$0.00
	GAUZE SPONG 2X2 4PLY NON WOVEN				$0.00	3	$0.00
	RULER, 6" FLEXIBLE				$0.00	1	$0.00
	MASK, FACE W/ EYE SHIELD				$0.00	1	$0.00
	LABEL, WHITE, 1.75" X 0.5",				$0.00	1	$0.00
	CARTON,23X15X23 SW				$0.00	1	$0.00
	GLOVE,NITRILE MED,PF,WALLET,				$0.00	1	$0.00
	CHLORAPREP, 3ML, W/ APP,				$0.00	1	$0.00
	GAUZE, 4 X 4 8PLY				$0.00	3	$0.00
	DRESSING, BIOPATCH, 1" DISK				$0.00	1	$0.00
	LABEL, HALF CUST. PRE PRINT				$0.00	1	$0.00
	BAG FLAT POLY 12X18 2ML				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00
	SWABSTICK, PVP PAINT 3'S				$0.00	1	$0.00
	SWABSTICK ALCOHOL SINGLES				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Knee Pack

VISN 23	FARGO
Tray Number	Description	Case Qty
	KNEE PACK	5
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	STOCKINETTE, 12X48 IMP W/O TAB				$0.00	1	$0.00
	TRAY, FOAM 18 X 14 X 5/8				$0.00	1	$0.00
	BAG, SUTURE 12 X18 POLY				$0.00	1	$0.00
	STAPLER, SKIN WIDE 35W				$0.00	1	$0.00
	WRAP, 30 X 30 3PP				$0.00	1	$0.00
	LABEL, CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	TAPE, CLOSURE LABEL				$0.00	1	$0.00
	DRAPE, IOBAN 23x17 FOIL INCISE				$0.00	1	$0.00
	LABEL, 3 1/2 X10				$0.00	1	$0.00
	BAG, HEADER 17 X 30				$0.00	1	$0.00
	PADDING, SOF ROLL 6" X 4YD				$0.00	1	$0.00
	COBAN, 4" LF TAN				$0.00	1	$0.00
	FRAZIER, HANDLE 18FR SUCTION				$0.00	1	$0.00
	CARTON,23X15X23 SW				$0.00	1	$0.00
	TUBING, SUCT 1/4" X 20'				$0.00	1	$0.00
	COVER,MAYO STAND 23X55				$0.00	1	$0.00
	DRAPE, U 60 X 72				$0.00	1	$0.00
	GOWN XLG BIN SURG MICROCOOL530				$0.00	1	$0.00
	GOWN XLG BIN SURG MICROCOOL530				$0.00	2	$0.00
	GOWN XLG BIN SURG MICROCOOL530				$0.00	1	$0.00
	BAG, ZIPLOCK 9 X 12, 4ML				$0.00	1	$0.00
	TOWEL, ABSORB. WHITE 17 X 20				$0.00	1	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	12	$0.00
	BANDAGE ESMARK 6"X3YD LF BLUE				$0.00	1	$0.00
	COVER, BACK TABLE 50 X 90				$0.00	1	$0.00
	BANDAGE ELASTIC 6"X10 YDS				$0.00	1	$0.00
	SHEET THREE QUARTER 60 X 76				$0.00	2	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Cysto Pack Iowa City

VISN 23	IOWA CITY
Tray Number	Description	Case Qty
	CYSTO PACK IOWA CITY	6
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	SYR 20CC L/L				$0.00	1	$0.00
	LEGGING 31 X 48				$0.00	2	$0.00
	DRAPE CYSTO T 62X40x100 FEN				$0.00	1	$0.00
	CARTON 19 X15X19				$0.00	1	$0.00
	SET IRRIG INTERMITTENT				$0.00	1	$0.00
	LABEL CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	TAPE CLOSURE LABEL				$0.00	1	$0.00
	LABEL 3 1/2 X10				$0.00	1	$0.00
	BAG HEADER 17 X 30				$0.00	1	$0.00
	GAUZE 8X4 12PLY SINGLES				$0.00	10	$0.00
	LABELS CUSTOM W/DUAL TIP				$0.00	1	$0.00
	BAG ZIPLOCK 8X10 2ML				$0.00	1	$0.00
	COVER BACK TABLE 44X75 POLY				$0.00	1	$0.00
	CONTAINER SPECIMEN 4.5 OZ				$0.00	1	$0.00
	GOWN AERO CHROME TWL CSR XL NS				$0.00	2	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1.00 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

PICC Kit Iowa City

VISN 23	IOWA CITY
Tray Number	Description	Case Qty
	PICC KIT	6
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	SYR 10CC L/L				$0.00	3	$0.00
	NDL 25G X 1.5' RG BEV BLU HB				$0.00	1	$0.00
	NDL 18G X 1.5' RG BEV				$0.00	1	$0.00
	BOWL 16/20 OZ (500CC)				$0.00	1	$0.00
	GAUZE 4X4 12PLY 10'S IN PKG				$0.00	3	$0.00
	WRAP 30 X 30 3PP				$0.00	1	$0.00
	TOWEL POLY LINED 18' X 26'				$0.00	1	$0.00
	LABEL CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	TAPE CLOSURE LABEL				$0.00	1	$0.00
	LABEL 3 1/2 X10				$0.00	1	$0.00
	DECANTERBAGFLOW6' SPIKE 2CAPS				$0.00	1	$0.00
	BAG HEADER 17 X 30				$0.00	1	$0.00
	BOX SHORTSTOP NDL DISPOSAL				$0.00	1	$0.00
	CARTON23X15X23 SW				$0.00	1	$0.00
	SCALPEL #11 SAFETY BLUE				$0.00	1	$0.00
	CHLORAPREP 3ML PREPSTICK				$0.00	3	$0.00
	TRAY ECO QUARTER SHEET TAN				$0.00	1	$0.00
	BANDBAG 36WX28L				$0.00	2	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00
	LABELS- DOT BLANK LIMITED				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Four Gown Pack

VISN 23	IOWA CITY
Tray Number	Description	Case Qty
	FOUR GOWN PACK	8
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	BASIN O.R. 6000CC ROUND				$0.00	1	$0.00
	BOWL 48 OZ (1500CC) GRADUATED				$0.00	1	$0.00
	WRAP 28 X 28 2PP2				$0.00	1	$0.00
	LABEL CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	CARTON 23X19X22				$0.00	1	$0.00
	TAPE CLOSURE LABEL				$0.00	1	$0.00
	LABEL 3 1/2 X10				$0.00	1	$0.00
	BAG HEADER 19 X 24				$0.00	1	$0.00
	TOWEL ABSORB. WHITE 17 X 20				$0.00	1	$0.00
	TOWEL ABSORB. WHITE 17 X 20				$0.00	1	$0.00
	TOWEL ABSORB. WHITE 17 X 20				$0.00	2	$0.00
	TOWEL ABSORB. WHITE 17 X 20				$0.00	1	$0.00
	COVER BACK TABLE 44 X 90				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00
	GOWN XLG SMART				$0.00	1	$0.00
	GOWN XLG SMART				$0.00	2	$0.00
	GOWN XLG SMART				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Angiography Pack

VISN 23	IOWA CITY
Tray Number	Description	Case Qty
	ANGIOGRAPHY PACK	4

MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	SYR 10CC L/S				$0.00	7	$0.00
	SYR 5CC L/L				$0.00	2	$0.00
	SYR 10CC L/L				$0.00	4	$0.00
	NDL 26G X 1/2' RG BEV LT BRN				$0.00	1	$0.00
	COUNTER NDL 40CT FM/ADH #1842				$0.00	1	$0.00
	CUP GRAD SNAP 5OZ W/O CAP				$0.00	1	$0.00
	SPONGE POST OP 4X4				$0.00	25	$0.00
	SPONGE POST OP 4X4				$0.00	25	$0.00
	LABEL CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	TRAY MAYO 12.5 X 19 (SMALL)				$0.00	1	$0.00
	TAPE CLOSURE LABEL				$0.00	1	$0.00
	LABEL 3 1/2 X10				$0.00	1	$0.00
	BAG HEADER 21 X 37				$0.00	1	$0.00
	NDL 21GA X 1 THIN WALL				$0.00	2	$0.00
	CARTON23X15X23 SW				$0.00	1	$0.00
	HOLDER SUCTION TUBE				$0.00	1	$0.00
	SHEETS FOAM 19' X 24' PRECUT				$0.00	1	$0.00
	COVERBACK TABLE 50X90				$0.00	1	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	10	$0.00
	BANDBAG 36WX28L				$0.00	3	$0.00
	BAG ZIPLOCK 8X10 2ML				$0.00	1	$0.00
	DRAPE ANGIO XL FEMORAL NS				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00
	BOWL 32/35 OZ				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Pacemaker Pack

VISN 23	IOWA CITY
Tray Number	Description	Case Qty
	PACEMAKER PACK	3
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	CUP, SPECIMEN 5 OZ W/SCREW LID				$0.00	1	$0.00
	SHEETS, FOAM 19" X 24" PRECUT				$0.00	1	$0.00
	BASIN WASH FOOT TUB RECTANGULA				$0.00	1	$0.00
	TRAY, HALF DEEP 9.72x5.4x2				$0.00	1	$0.00
	MARKER SKIN W RULER 9 LABELS				$0.00	1	$0.00
	SCALPEL, PROTECTED SIZE 10				$0.00	1	$0.00
	NDL, 25G X 1.5" RG BEV BLU HB				$0.00	2	$0.00
	SYR, 10CC L/L				$0.00	2	$0.00
	NDL, 25G X1" REG BEV BLUE HB				$0.00	1	$0.00
	SYR, 10CC L/S				$0.00	2	$0.00
	SYR, BULB, 60CC W PROTECT CAP				$0.00	1	$0.00
	YANKAUER BULB TIP WITHOUT VENT				$0.00	1	$0.00
	GAUZE, 4X4 16PLY DBL XR 10'S				$0.00	2	$0.00
	COVER, LIGHT HNDL FLEX				$0.00	1	$0.00
	COUNTER, NDL POP-N-CONT				$0.00	1	$0.00
	DRAPE, TOWEL W/ADH,TIBURON				$0.00	4	$0.00
	BASIN PLACENTA 12 X 10 X 3				$0.00	1	$0.00
	BANDBAG 36WX28L				$0.00	1	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	6	$0.00
	SPONGE, LAP 18 X 18 XR RFD 5'S				$0.00	2	$0.00
	TUBING, SUCT 1/4" X 20'				$0.00	1	$0.00
	GOWN AEROBLUE XXL NS				$0.00	1	$0.00
	COVER, TABLE 60 X 90 HD				$0.00	1	$0.00
	BAG, HEADER 24 X 37				$0.00	1	$0.00
	LABEL, CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	LABEL, 3 1/2 X10				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00
	CARTON,23X15X23 SW				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Major Pack Iowa City

VISN 23	IOWA CITY
Tray Number	Description	Case Qty
	MAJOR PACK IOWA CITY	3
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	SYR 50CC BULB				$0.00	1	$0.00
	BLADE #15 CARB				$0.00	1	$0.00
	BLADE #10 CARBON				$0.00	1	$0.00
	COUNTER NDL POP-N-CONT				$0.00	1	$0.00
	CUP MEDICINE 2 OZ.				$0.00	1	$0.00
	PITCHER GRAD 1200CC PLAS				$0.00	1	$0.00
	GAUZE 4X4 16PLY DBL XR 10'S				$0.00	1	$0.00
	COVER MAYO 23X54 REIN				$0.00	1	$0.00
	DRAPE BAR 72X112				$0.00	1	$0.00
	BAG SUTURE 12 X18 POLY				$0.00	1	$0.00
	WRAP 30 X 30 3PP				$0.00	1	$0.00
	LABEL CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	BOWLSPONGE 250CC				$0.00	1	$0.00
	TAPE CLOSURE LABEL				$0.00	1	$0.00
	LABEL 3 1/2 X10				$0.00	1	$0.00
	COVER TABLE OVERHEAD 74X110				$0.00	1	$0.00
	TIP CLEANER				$0.00	1	$0.00
	BAG HEADER 21 X 37				$0.00	1	$0.00
	DRAPE MAGNETIC 9 1/2 X 16 TRY				$0.00	1	$0.00
	GAUZE 8X4 12PLY SINGLES				$0.00	20	$0.00
	POUCH INSTRUMENT 2 COMP				$0.00	1	$0.00
	HOLDER SCALPEL BLUE				$0.00	1	$0.00
	RULER 6' FLEXIBLE				$0.00	1	$0.00
	CAUTERY ROCKER W/HOLSTER				$0.00	1	$0.00
	LABEL WHITE 1.75' X 0.5'				$0.00	1	$0.00
	CARTON23X15X23 SW				$0.00	1	$0.00
	TUBING SUCT 1/4' X 20'				$0.00	1	$0.00
	SWAB PROCTO 8'				$0.00	1	$0.00
	MARKER DUAL				$0.00	1	$0.00
	YANKAUER BULB TIP WITHOUT VENT				$0.00	1	$0.00
	SHEETS FOAM 19' X 24' PRECUT				$0.00	2	$0.00
	BAG ZIPLOCK 9 X 12 4ML				$0.00	1	$0.00
	DRAPE U 88X108 ORTHO (4X40)				$0.00	1	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	2	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	10	$0.00
	LAP SPONGE 18X18 XR 5S NO RING				$0.00	1	$0.00
	TRAY PLAT/MAYO 21.5X16.5X1.25				$0.00	1	$0.00
	COVER BACK TABLE 80 X 90				$0.00	1	$0.00
	CONTAINER SPECIMEN 4.5 OZ				$0.00	1	$0.00
	SPONGE CHERRY 1/2 INCH				$0.00	1	$0.00
	LABELS CUSTOM SAOC				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Vascular Pack

VISN 23	IOWA CITY
Tray Number	Description	Case Qty
	VASCULAR PACK	2
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	GAUZE, 8X4 12PLY SINGLES				$0.00	10	$0.00
	WRAP, 30 X 30 3PP				$0.00	1	$0.00
	POUCH, TYVEK 8" X 12"				$0.00	1	$0.00
	LABEL, WHITE, 1.75" X 0.5",				$0.00	1	$0.00
	BASIN O.R. 6000CC ROUND				$0.00	2	$0.00
	BOWL, 32/35 OZ				$0.00	2	$0.00
	PITCHER, GRAD 1200CC PLAS				$0.00	1	$0.00
	LID, FOR 250CC BOWL				$0.00	1	$0.00
	BOWL,SPONGE 250CC				$0.00	1	$0.00
	BLADE, #10 CARBON				$0.00	1	$0.00
	LOOPS, VESSEL RED MAXI				$0.00	4	$0.00
	BLADE, #11 CARB				$0.00	1	$0.00
	TIP CLEANER				$0.00	1	$0.00
	BLADE, #15 CARB				$0.00	1	$0.00
	CUP, MEDICINE 2 OZ.				$0.00	1	$0.00
	BOOTS, SUTURE 10'S YELLOW				$0.00	1	$0.00
	HEMOCLIP, MED 10'S				$0.00	1	$0.00
	HEMOCLIP LG 10'S				$0.00	1	$0.00
	LABELS CUSTOM SAOC				$0.00	1	$0.00
	YANKAUER BULB TIP WITHOUT VENT				$0.00	1	$0.00
	RULER, 6" FLEXIBLE				$0.00	1	$0.00
	MARKER, DUAL				$0.00	1	$0.00
	DRAPE, STERID11X17 W/ADH				$0.00	1	$0.00
	SYR, 20CC L/L				$0.00	2	$0.00
	SPONGE CHERRY 1/2 INCH				$0.00	1	$0.00
	HOLDER, SCALPEL BLUE				$0.00	1	$0.00
	SYR, BULB, 60CC W PROTECT CAP				$0.00	2	$0.00
	CAUTERY,ROCKER W/HOLSTER				$0.00	1	$0.00
	BAG ISOLATION 20X20				$0.00	1	$0.00
	POUCH INSTRUMENT 2 COMP				$0.00	1	$0.00
	COUNTER, NDL POP-N-CONT				$0.00	1	$0.00
	COVER, TABLE 44X90 ATTANE				$0.00	1	$0.00
	GOWN, LG, SMART				$0.00	2	$0.00
	TOWEL OR WHIT XR				$0.00	2	$0.00
	GOWN, XLG, SMART				$0.00	2	$0.00
	TOWEL OR WHIT XR				$0.00	2	$0.00
	COVER, TABLE 44X90 ATTANE				$0.00	1	$0.00
	COVER OVERHEAD TABLE 80 X 90				$0.00	1	$0.00
	SHEETS, FOAM 19" X 24" PRECUT				$0.00	1	$0.00
	DRAPE, U 88X108 ORTHO (4X40)				$0.00	1	$0.00
	BAG, SUTURE 12 X18 POLY				$0.00	1	$0.00
	DRAPE, BAR 72X112				$0.00	1	$0.00
	PAD INSTRUMENT MAG 10X16				$0.00	1	$0.00
	TUBING, SUCT 1/4" X 20'				$0.00	1	$0.00
	LAP SPONGE 18X18 XR 5S NO RING				$0.00	1	$0.00
	GAUZE, 4X4 16PLY DBL XR 10'S				$0.00	1	$0.00
	TOWEL OR WHIT XR				$0.00	14	$0.00
	COVER, MAYO 23X54 REIN				$0.00	1	$0.00
	BAG, HEADER 24 X 37				$0.00	1	$0.00
	LABEL, CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	LABEL, 3 1/2 X10				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00
	CARTON,23X15X23 SW				$0.00	1	$0.00
	DRAPE, LG 60x81 SPLIT IMP				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

ENT Pack

VISN 23	IOWA CITY
Tray Number	Description	Case Qty
	ENT PACK	2
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	SPONGE CHERRY 1/2 INCH				$0.00	1	$0.00
	NDL, 18G X 1.5 ST PK HB				$0.00	2	$0.00
	NDL, 27G X .5" REG BEV WH HB				$0.00	1	$0.00
	BASIN O.R. 6000CC ROUND				$0.00	2	$0.00
	BOWL, 32/35 OZ				$0.00	2	$0.00
	PITCHER, GRAD 1200CC PLAS				$0.00	1	$0.00
	PAD, TELFA 8 X 3, 2 SIDE MYLAR				$0.00	1	$0.00
	BLADE, #15 CARB				$0.00	4	$0.00
	TIP CLEANER				$0.00	1	$0.00
	HOLDER, SCALPEL BLUE				$0.00	1	$0.00
	CUP, MEDICINE 2 OZ.				$0.00	6	$0.00
	GAUZE, 4X4 16PLY DBL XR 10'S				$0.00	1	$0.00
	COUNTER, NDL POP-N-CONT				$0.00	1	$0.00
	LABELS CUSTOM SAOC				$0.00	1	$0.00
	MARKER, DUAL				$0.00	1	$0.00
	ELECTRODE,BLADE 2-3/4"				$0.00	1	$0.00
	SYR, 20CC L/L				$0.00	1	$0.00
	SYR, 10CC CONTROL L/L				$0.00	1	$0.00
	CAUTERY, ROCKER W/EDGE BLADE				$0.00	1	$0.00
	SYR, BULB 60CC W/O CAP				$0.00	1	$0.00
	CORD, BIPOLAR DISP BLUE				$0.00	1	$0.00
	LAP SPONGE 18X18 XR 5S NO RING				$0.00	1	$0.00
	POUCH INSTRUMENT 2 COMP				$0.00	1	$0.00
	TUBING, SUCT 1/4" X 20'				$0.00	1	$0.00
	COVER, BACK TABLE 44 X 90				$0.00	1	$0.00
	SHEETS, FOAM 19" X 24" PRECUT				$0.00	1	$0.00
	TRAY ECO PAD 19.50X15.50X.50				$0.00	1	$0.00
	BAG, SUTURE 12 X18 POLY				$0.00	1	$0.00
	TOWEL OR BLUE XR W/GOLD STITCH				$0.00	5	$0.00
	DRAPE, STERI LG CLR (STERILE)				$0.00	1	$0.00
	DRAPE, U 88X108 ORTHO (4X40)				$0.00	1	$0.00
	COVER, MAYO 23X54 REIN				$0.00	1	$0.00
	PAD INSTRUMENT MAG 10X16				$0.00	1	$0.00
	DRAPE, BAR 72X112				$0.00	1	$0.00
	TOWEL OR WHIT XR				$0.00	6	$0.00
	COVER, BACK TABLE 80 X 90				$0.00	1	$0.00
	BAG, HEADER 21 X 37				$0.00	1	$0.00
	LABEL, CUST. PRE-PRINT. SURVEY				$0.00	1	$0.00
	LABEL, 3 1/2 X10				$0.00	1	$0.00
	LINER POLY 43X48 16 MIC				$0.00	1	$0.00
	CARTON,23X15X23 SW				$0.00	1	$0.00

Labor and overhead, Post assembly, SG & A expense, Sterilization $0.00 1 $0.00

	Tray Price	$0.00
US Component Cost		$0.00
	TAA %	0.00%

Case Price $0.00

Cataract Pack

VISN 23	IOWA CITY
Tray Number	Description	Case Qty
	Cataract Pack	6
MFG Stock Number	Component	Manufacturer	Country of Origin-Trade Agreement Act-Per FAR Provision 52.225-6	Domestic or Foreign End Product per FAR Clause 52.225-5	Component Unit Price	Component Quantity per Tray	Extended Price
	APPLICATOR,6" COTTON TIP, WOOD				$0.00	12	$0.00
	BAG, SUTURE 12 X18 POLY				$0.00	1	$0.00
	BOWL, 16/20 OZ (500CC)				$0.00	1	$0.00
	CANNULA 21G X 7/8" ANG ANT				$0.00	1	$0.00
	CANNULA: ANTERIOR CHAMBER				$0.00	2	$0.00
	COUNTER, NDL 40CT FM/ADH #1842				$0.00	1	$0.00
	COVER 60X90 BACK TABLE HD STD				$0.00	1	$0.00
	COVER, MAYO 23X54 REIN				$0.00	1	$0.00
	CUP, MEDICINE 2 OZ.				$0.00	3	$0.00
	DRAPE, EYELASH 4.5" X 5"				$0.00	1	$0.00
	DRAPE, STERI LG 17 X 23				$0.00	1	$0.00
	GAUZE, 4X4 12PLY 10'S IN PKG				$0.00	2	$0.00

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Jan 13, 2025.