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Exhibit A Expanded Detailed Listing of Medical Supplies Items by NIGP Code
| 193-94 |
| Urinalysis Reagents and Tests (For Albumin, Bile, Blood, Glucose, Ketones, etc.) |
| 200-32 |
| Hospital Wear, Patient |
| 200-34 |
| Hospital Wear, Professional |
| 201-42 |
| Gloves: Latex, Plastic, PVC, Poly, Synthetic, Vinyl, etc. (All Types) |
| 269-40 |
| Electrolytic, Caloric, and Water Balance |
| 269-52 |
| Eye, Ear, Nose, and Throat Preparations |
| 269-75 |
| Ointments, Analgesic, Antibiotic |
| 269-84 |
| Skin and Mucous Membrane Agents |
| 271-30 |
| Enteral Administration Systems (For Tube Feeding, etc.) |
| 271-34 |
| Feeding Equipment and Accessories (Other Than Tube Feeding) |
| 271-35 |
| Filter Sets and In-Line Filters |
| 271-41 |
| IV Additive Equipment and Supplies: Bands, Caps, |
Dispensing Syringes, etc. (Not Otherwise Itemized)
| 271-42 |
| IV Drop Counters, Flowmeters and Regulators |
| 271-44 |
| Infusion Solutions (For Organ Preservation, Such as Kidneys, etc.) |
| 271-56 |
| Irrigation Solutions and Sets |
| 271-63 |
| Mannitol Solutions |
| 271-68 |
| Nutritional Product IV Solutions: Amino Acids, |
Fat Emulsions, Protein Hydrolysate, etc.
| 271-76 |
| Premixed Pharmaceutical Solutions |
| 271-78 |
| Recycled Pharmaceutical Sets and Supplies |
| 271-80 |
| Respiratory Therapy Solutions and Sets |
| 271-84 |
| Sets (For IV Pumps): Peristaltic, Metering, etc. |
| 271-88 |
| Specialty and Custom-Made Sets and Equipment |
(Not Otherwise Itemized)
| 271-92 |
| Specialty Solutions (Not Otherwise Itemized) |
| 271-96 |
| Standard IV and Injectable Solutions: Dextrose, |
Electrolytes, Ringer's, Saline, etc.
| 345-04 |
| Air Bags, Rescue Lifting Systems |
| 345-05 |
| Asbestos Abatement Equipment and Supplies |
| 345-06 |
| Chemical Light, Emergency |
| 345-08 |
| Clothing and Belts, Safety (Not Automotive) |
(See 345-79 for Reflective Type)
| 345-10 |
| C.P.R. Equipment and Supplies (See 345-68 For Models) |
| 345-16 |
| Detectors and Parts, Dust, Gas, Voltage |
| 345-18 |
| Emergency Showers and Wash Stations |
| 345-21 |
| Extraction Equipment for the Removal of Exhaust Gases and |
Other Vapors from Buildings (OSHA)
| 345-22 |
| Fall Protection Equipment and Accessories (For the Climber's |
Protection from Falls (See 445 for Pole and Tree Climbing Equipment)
| 345-24 |
| Fireproof Curtains |
| 345-30 |
| First Aid Blankets, Stretchers, etc. |
| 345-32 |
| First Aid Cabinets, Kits, and Refills |
| 345-40 |
| First Aid and Safety Teaching Equipment and Supplies: Charts, |
Manuals, Posters, Safety Placards, Safety Training Videos, etc.
| 345-48 |
| Gloves, Safety: Electrician's, Lineman's, etc. (Including Sleeves) |
| 345-64 |
| Head, Ear, Eye and Face Protection |
| 345-66 |
| Lockout and Tagout Safety Kits and Supplies |
| 345-68 |
| Manikins and Models, First Aid and Safety Teaching |
| 345-72 |
| Masks, Filters, and Parts: Dust and Gas |
| 345-74 |
| Personal Protective Equipment (PPE), (Blood Borne |
Pathogen Protection), Not Listed Elsewhere
| 345-78 |
| Recycled First Aid and Safety Equipment and Supplies |
| 345-79 |
| Reflective Safety Apparel and Accessories |
(See 345-08 for Non-Reflective Type)
| 345-80 |
| Respiratory Protection Equipment and Parts (Including |
CPAP Equipment and Parts)
| 345-84 |
| Resuscitators and Parts (Including Portable Rescue Units) |
| 345-86 |
| Scissors, First Aid and Paramedic |
| 430-24 |
| Gas Cylinder Carts, Clamps, and Stands, Hospital and Laboratory Type |
| 435-04 |
| Antimicrobial Solutions, Topical: Surgical Prep, etc. |
| 435-05 |
| Antimicrobial Protectant Solutions, Aqueous Based |
| 435-08 |
| Benzalkonium Chloride, USP (Aqueous Solution) |
| 435-16 |
| Detergent, Surgical Scrub, All Types |
| 435-24 |
| Detergent-Disinfectant, Phenolic Type, Liquid |
| 435-25 |
| Disinfectant, Germicidal |
| 435-40 |
| Detergent-Disinfectant, Iodophor Type |
| 435-56 |
| Detergent-Disinfectant, Quaternary Ammonium Type |
| 435-59 |
| Disinfestation Equipment and Supplies |
(for Ambulances, Hospital Rooms, etc.)
| 435-64 |
| Instrument Sterilizing Solution, Hospital |
| 435-66 |
| Recycled Detergents, Disinfectants and Cleaners for Health Care Personnel |
| 435-68 |
| Skin Cleansers: Emollient, Nonalkaline, etc. |
| 435-70 |
| Skin Cleaners, Antimicrobial: Emollient, Nonalkaline, etc. (See |
Class 485 for Janitorial Hand and Skin Cleaners)
| 435-72 |
| Soap, Surgical Scrub (See 485-85 for Janitorial Type Scrubbing Soap) |
| 435-90 |
| Whirlpool Additives, Antimicrobial |
| 436-04 |
| Antimicrobial Solutions, Topical: Surgical Prep, etc., |
Environmentally Certified Product
| 436-05 |
| Antimicrobial Protectant Solutions, Aqueous Based, |
Environmentally Certified Product
| 436-08 |
| Benzalkonium Chloride, USP (Aqueous Solution), |
Environmentally Certified Product
| 436-16 |
| Detergent, Surgical Scrub, All Types, |
Environmentally Certified Product
| 436-24 |
| Detergent-Disinfectant, Phenolic Type, Liquid, |
Environmentally Certified Products
| 436-25 |
| Disinfectant, Germicidal, Environmentally Certified Products |
| 436-40 |
| Detergent-Disinfectant, Iodophor Type, |
Environmentally Certified Products
| 436-56 |
| Detergent-Disinfectant, Quaternary Ammonium Type, |
Environmentally Certified Products
| 436-59 |
| Disinfestation Equipment and Supplies (for Ambulances, |
Hospital Rooms, etc.), Environmentally Certified Products
| 436-64 |
| Instrument Sterilizing Solution, Hospital, |
Environmentally Certified Products
| 436-66 |
| Recycled Detergents, Disinfectants and Cleaners for Health |
Care Personnel, Environmentally Certified Products
| 436-68 |
| Skin Cleansers: Emollient, Nonalkaline, etc., |
Environmentally Certified Products
| 436-70 |
| Skin Cleaners, Antimicrobial: Emollient, Nonalkaline, etc. (See |
Class 485 for Janitorial Hand-Skin Cleaners), Environmentally Certified Products
| 436-72 |
| Soap, Surgical Scrub (See 485-85 for Janitorial Type Scrubbing |
Soap), Environmentally Certified Products
| 436-90 |
| Whirlpool Additives, Antimicrobial, Environmentally Certified Products |
| 465-01 |
| Analyzer Equipment, Medical (Not Otherwise Classified) |
| 465-02 |
| Anesthesia and Respiration Equipment, Hospital: Controls, |
Gauges, Outlets, Tents, Valves, Ventilators, etc.
| 465-03 |
| Angiocardiography, Angiography and Angioplasty |
Equipment and Supplies
| 465-04 |
| Biofeedback Equipment and Supplies |
| 465-05 |
| Blood Cell Counters, Processors, Separators, and |
Accessories: IV Sets, etc.
| 465-07 |
| Blood Chemistry Equipment (For Clotting Time, Blood Glucose, etc.) |
| 465-09 |
| Blood Oxygenators and Heat Exchangers |
| 465-11 |
| Blood Pressure and Blood Flow Detection Equipment: |
Dopplers, Sphygmomanometers, Stethoscopes, etc.
| 465-12 |
| Cancer Equipment and Supplies (Incl. Chemotherapy |
and Radiation Equipment)
| 465-13 |
| Cardiac Pacemakers, Heart Valves, Stints, etc. |
| 465-14 |
| Cardiovascular Instrumentation: Defibrillators, Heart |
Pumps, Monitoring Equipment, etc.
| 465-16 |
| Clinical Forensic and Postmortem Equipment and Supplies) |
(Not Otherwise Classified
| 465-17 |
| Clinical Chemical Analysis Systems, Automatic: Colorimetric, |
Ion Electrode, Titrating, etc.
| 465-18 |
| Clinical Chemical Analysis Accessories: Clinical Centrifuges and |
Rotators, Fraction Collectors, Multiple Sample Dispensers, Spotters, etc.
| 465-19 |
| Cryosurgical Equipment |
| 465-22 |
| Diagnostic Equipment, Computerized: Plethysmographs, Spirometers, etc. |
| 465-23 |
| Diagnostic Equipment, Minor: Headlights, Penlights, Percussion Hammers, |
Specula, Tourniquets (Blood Pressure), Tuning Forks, etc.
| 465-24 |
| Diagnostic/Surgical Equipment (Optical and Fiber Optics): |
Arthroscopes, Bronchoscopes, Colonoscopes, Endoscopes, Proctoscopes, etc.
| 465-25 |
| Diagnostic Equipment, Electronic (Not Otherwise Itemized) |
| 465-27 |
| Diathermy and Ultrasonic Equipment (For Diagnostic |
and Therapeutic Services)
| 465-29 |
| Electrical Safety Analyzers (For Current Leakage Detection) |
| 465-30 |
| Electrocardiographs (EKG) and Supplies |
| 465-32 |
| Electroencephalographs (EEG) and Supplies |
| 465-34 |
| Electrosurgical and Laser Surgery Instruments and Accessories |
| 465-37 |
| Eye, Ear, Nose, and Throat Equipment (Handheld): |
Laryngoscopes, Ophthalmoscopes, Otoscopes, Retinoscopes, etc.
| 465-38 |
| Fertility, Sterility, and Impotence Equipment and Supplies |
| 465-40 |
| Freezers and Refrigerators (Blood Bank Type) |
| 465-44 |
| Hemodialysis Equipment and Accessories |
| 465-48 |
| Hospital and Surgical Equipment and Accessories |
(Not Otherwise Classified)
| 465-50 |
| Housekeeping Equipment and Supplies, Specialized |
(For Hospitals) Incl. Chemicals
| 465-53 |
| Hypothermia Systems Equipment and Supplies |
| 465-54 |
| Injection Guns (Jet Injectors) and Parts |
| 465-55 |
| Intravenous and Arterial Infusion Equipment and Supplies |
(Not Otherwise Classified)
| 465-56 |
| Lavage Systems and Accessories for Treatment of Wounds |
| 465-57 |
| Lithotripters (For Breaking Kidney and Other Stones) |
| 465-58 |
| Lamps, Examining and Surgical (For Headlights See Item 23) |
| 465-60 |
| Monitoring Systems, All Types (Hospital and Patient) |
| 465-61 |
| Mortuary and Morgue Equipment and Supplies: Embalming |
Fluid, Embalming Pumps, Injectors, etc. (See 410-42 for Furniture;
475-73 for Cadaver Bags and Shrouds; 495-82 for Scales)
| 465-63 |
| Nursery Supplies: Infant Measuring Devices, etc. |
(For Incubators See Class 410)
| 465-64 |
| Operating Room Equipment (Not Furniture) |
| 465-65 |
| Obstetrical and Gynecological Equipment and Supplies |
| 465-66 |
| Organ Preservation Equipment: Perfusion Chambers, etc. |
| 465-67 |
| Orthopedic Equipment: Bone Plates, Bone Saws, Cast Cutters, |
Drills, Nails, Pins, Prosthetic Bones and Joints, Screws, etc.
| 465-70 |
| Pads and Pumping Systems, Alternating Pressure Point |
| 465-72 |
| Pads and Systems, Fluid Circulating (Cooling and Warming) |
| 465-73 |
| Pads, Heating, Standard Type |
| 465-74 |
| Plastic or Reconstructive Surgery Equipment and Supplies |
| 465-75 |
| Pharmacy Equipment and Accessories |
| 465-76 |
| Physical Therapy Equipment and Supplies |
| 465-77 |
| Pulmonary Equipment and Supplies |
| 465-78 |
| Pumps, Hospital: Breast, Enteral and IV Feeding, Infusion, |
Pressure, Suction (Aspirators), and Vacuum
| 465-79 |
| Psychologist and Psychiatrist Equipment and Supplies |
| 465-81 |
| Recycled Hospital and Surgical Equipment |
| 465-82 |
| Rehabilitation Equipment and Supplies |
(For Hydrotherapy, Physiotherapy, Phototherapy etc.
| 465-83 |
| Repair Kits, Hospital and Medical Equipment |
| 465-84 |
| Shield, Protective, Surgical |
| 465-85 |
| Shock Treatment Units and Accessories |
| 465-88 |
| Splints and Tourniquets |
| 465-90 |
| Sterilizing Equipment, Hospital and Research: Autoclaves and |
Sterilizers (Chemical, Dry Heat, Gas, Steam, etc.)
| 465-91 |
| Stress Relief and Test Equipment |
| 465-92 |
| Surgical Instruments, Floor Grade |
| 465-93 |
| Surgical Instruments, Operating Room Grade |
| 465-95 |
| Vaporizers, Humidifiers, and Nebulizers (Including Room Size) |
| 465-97 |
| Warming Cabinets (For Blood, IV Solutions, etc.) |
| 475-05 |
| Apnea Equipment and Supplies, Sleep |
| 475-06 |
| Atomizers and Nebulizers, Pocket Size |
| 475-08 |
| Bags, Physician and Nurse |
| 475-09 |
| Bandages (All Types), Adhesive Tapes, Dressings, Plaster of Paris, |
and Surgical Gauze (Including Casts)
| 475-10 |
| Bath Systems Complete, Patient |
| 475-11 |
| Blades and Handles, Surgeons' |
| 475-12 |
| Body Parts for Transplanting, Artificial and Human |
| 475-14 |
| Brush-Sponges, Scrub Brushes, and Dispensers |
| 475-15 |
| Brushes, Specialized, Instrument Cleaning: Tracheal Tube, etc. |
| 475-16 |
| Catheters, IV: Around Needle, Inside Needle, and Winged Vein Sets |
| 475-17 |
| Catheters and Urinary Drainage Systems, Plastic and Rubber |
| 475-18 |
| Catheters, Specialized (And Guide Wires) |
| 475-19 |
| Cement and Tape Remover, Surgical |
| 475-20 |
| Cleaning Equipment and Supplies (For Infectious Body Fluid) |
| 475-21 |
| Care Supplies, Patient (Not Otherwise Classified) |
| 475-22 |
| Clips, Wound (Not for Use in Automatic Suturing Instruments) |
| 475-24 |
| Collection Systems, Suction, Disposable |
| 475-26 |
| Crushers and Cutters, Tablet |
| 475-27 |
| Cotton and/or Rayon, Surgical (Dry or Impregnated With Germicide): |
Applicators, Balls, Padding, Swabs, etc.
| 475-28 |
| Debridement Products and Supplies |
| 475-29 |
| Diabetes Test Kits (Including Syringes) |
| 475-30 |
| Decubitus Pads: Sheepskin Shearlings, Synthetics, etc. |
| 475-31 |
| Dispensers, Hospital (Not Otherwise Classified) |
| 475-32 |
| Disposals, Sanitary Napkin |
| 475-33 |
| Dermatome Blades, Cement, and Tape |
| 475-34 |
| Disposal Systems, Non-reusable (For Blades, Hospital Waste |
Containers, Needles, Syringes, etc.)
| 475-35 |
| Electrodes, Grounding Pads, Lead Wires, and Electrode Gel |
(For Monitoring Devices), Disposable
| 475-36 |
| Glassware: Bottles, Prescription and Nursing; Glasses, Medicine; Jars, |
Ointment and Dressing; Vials, Medicine, Specimen, etc.
| 475-37 |
| Emergency Medical Services (EMS) Equipment and Supplies |
(Including Response Kits, Life Support Kits, Trauma Kits, etc.)
| 475-39 |
| Glove Powder and Detergents |
| 475-40 |
| Grafts and Implants, External |
| 475-41 |
| Gloves and Finger Cots, Medical Type |
| 475-42 |
| Grafts and Implants, Internal |
| 475-43 |
| Height Measurement Devices |
| 475-44 |
| Hosiery, Orthopedic and Surgical |
| 475-45 |
| Hospital Tubing and Accessories (All Types) |
| 475-47 |
| Identification Supplies, Patient |
| 475-48 |
| Instrument Cleaners: Instrument Milk, Detergents, Lubricants, |
Rust Inhibitors, etc.
| 475-49 |
| Instructional Aids and Training Programs, Medical (See Class 345 |
and/or Class 785 for Manikins and Models)
| 475-51 |
| Lymphatic Equipment and Supplies (Mapping, Navigator, etc.) |
| 475-52 |
| Medical Ergonomic Instruments and Equipment |
| 475-53 |
| Medical I.D. Bracelets, Tags, etc., for Hospital Patients and |
Medical Emergency
| 475-54 |
| Medical Documentation Forms, Charts, Labels, etc. |
| 475-55 |
| Medical Examination Equipment and Supplies |
(Not Otherwise Classified)
| 475-61 |
| Needles, Specialized: Amniocentesis Type, Biopsy, |
Spinal, Surgical, etc.
| 475-62 |
| Operating and Examining Apparel, Disposable: Capes, Caps, |
Examination Paper, Gowns, Masks, etc.
| 475-63 |
| Ostomy Care Products |
| 475-64 |
| Paper Goods: Diapers, Medication Blister Cards, Pillowcases, |
Sheets, Wiping Tissues, etc.
| 475-65 |
| Pads, Sterile, Impregnated (For Topical Applications) |
| 475-66 |
| Packs, Pads, and Drapes, Surgical: Lap Sponges, OB Pads, etc. |
| 475-67 |
| Personal Items: Applicators, Corn Plasters, Safety Pins, |
Suspensory, Tongue Blades, etc.
| 475-68 |
| Paramedic Equipment and Supplies (Not Otherwise Classified) |
| 475-69 |
| Pharmaceutical Equipment and Supplies (Not Otherwise Classified) |
| 475-70 |
| Plastic Ware: Bottles; Prescription and Nursing; Cups, Medicine; Jars, |
Ointment and Dressing; Vials, Medicine; Specimen, Sickness Bags, etc.
| 475-71 |
| Protective Wall and Corner Guards Installed in Health and |
Nursing Facilities (For Patients Safety and Protection)
| 475-72 |
| Recycled Hospital Accessories and Sundry Equipment and Supplies |
| 475-73 |
| Rubber, Fabric, and Plastic Goods: Cadaver Bags and Shrouds |
Ice Bags, Sheeting, Tubing, Water Bottles, etc.
| 475-74 |
| Sets, Procedural, Disposable: Catheter Care, Enema, Irrigation, surgical |
Prep, Surgical Scrub, Suture Removal, Urine and Stool Collection Kits, etc.
| 475-75 |
| Stopcocks and Adapters, Reusable |
| 475-76 |
| Stopcocks, Disposable |
| 475-77 |
| Sterilizing Supplies: Biohazard Bags, Indicators, |
Sterilizing Tapes, Tubes, Wraps, etc.
| 475-78 |
| Sutures and Suturing Needles, Disposable (Including Skin Staplers, |
Skin Closures and Supplies)
| 475-79 |
| Surgical Bougies, Sounds, Obturators, etc. |
| 475-80 |
| Syringes and Needles, Hypodermic, Reusable |
| 475-81 |
| Surgical Support Supplies incl. Post-Surgery (Not Otherwise Classified) |
| 475-82 |
| Syringes, Hypodermic and Irrigation (Disposable), and |
Hypodermic Needles
| 475-84 |
| Trauma Packs and Kits |
| 475-85 |
| Thermometers, Clinical; Sheaths and Dispensers (Including Electronic) |
| 475-86 |
| Trays, Preparation |
| 475-87 |
| Tracheotomy Equipment and Accessories |
(Including Tracheal Tubes, Masks, etc.)
| 475-88 |
| Utensils, Sickroom: Aluminum, Enamelware, |
Stainless Steel, etc. (Bed Pans, etc.)
| 475-90 |
| Utensils, Sickroom, Plastic (Bed Pans, etc.) |
| 475-93 |
| Vaccination Needles and Devices (Incl. Immunology Equipment) |
| 475-95 |
| Vacuum Blood-Collecting Sets (Tubes, Tube-Holders, and Needles) |
| 475-97 |
| Vaginal Speculums and Dilators, Disposable |