CTR070636_Pricing.xlsx
XLSX spreadsheet 49 KB Posted
- Attached to
- Master Agreement AZ|CTR070636
- Contract number
- CTR070636
- Issued by
- Arizona
About this file
This document is a state-level pricing list and order form for the Arizona WIC (Women, Infants, and Children) Program, specifically a contract with Hygeia Medical Group Inc. (Contract #BPM005910) effective for 2024. The document outlines a comprehensive pricing schedule for breast pumps, accessories, and related maternal health products, with contact information provided for Tom Dempski at Hygeia for questions or order placement.
The pricing list covers a range of breast pump models including personal and multi-user categories, with discounted pricing at 30% off list price for various Hygeia breast pump models such as Pro, EnJoye Cordless, and Express models. Product offerings include complete pump systems with accessories, personal accessory sets (PAS), totes, backpacks, carry cases, manual pumps, flanges, and supplementary items like nursing pads, milk storage bags, and compression stockings. Each product is assigned a stock number, minimum order quantity, list price, and discounted Arizona WIC price. Notably, some upcoming products are listed with "Price TBD", and certain pump models have different pricing tiers based on order volume (e.g., orders less than or more than 1000 pumps).
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Other files
| File | Type | Posted |
|---|---|---|
| 2025_Hygeia_COI_AZ_WIC.pdf | ||
| 2025_final_Hygeia_AZ_WIC_Tier_1_price_list_order_form_8.12.2025_Rev.1__2_.xlsx | XLSX spreadsheet | |
| ACORD_Form_20250225-112018-1.pdf | ||
| AZ_WIC_-_Hygeia_COI_3-1-2024.pdf | ||
| CTR070636_Contract_Amendment__1_HYGEIA_.docx | DOCX document | |
| CTR070636_Contract_Amendment__2_HYGEIA_.pdf |
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Text version
Sheet1
| Final 2-2024 Rev 2 | |||||
| HYGEIA II MEDICAL GROUP INC: 2024 AZ WIC Contract #BPM005910 PRICE LIST/ORDER FORM Email: tom.dempski@hygeiahealth.com for questions or to place orders. | |||||
| *Scope of work items listed with orange highlights* | |||||
| Please note items MUST be ordered in minimum quantities | |||||
| Stock # | Min. order Qty | Hygeia WIC List price | Discount % | AZ WIC Price | |
| PERSONAL USE: Pro and EnJoye Cordless Breast pumps with Hospital Grade Performance. 1-year warranty | |||||
| *Coming Soon* Hygeia Express™ Powered Breast Pump with built-in lithium rechargeable battery, power cord, and backflow protection PAS. LCD, three-phase pumping, with 9 levels of Massage, Expression and Stimulation, timer display to track pumping time. PAS Personal Accessory Set includes (2) backflow silicone diaphragms,(2) backflow protector cases, (2) small 24mm flanges, (2) medium 28mm flanges, (2) duckbill valves, (2) bottles, (2) tubing, (2) locking rings and discs, (2) tubing adapters. One-Year Warranty. *features and descriptions subject to change* *features and descriptions subject to change. Price TBD* | 10-0318 | 1 | $0.00 | 0.00% | $0.00 |
| *Coming Soon* Hygeia Express™ Powered Breast Pump PLUS with built-in lithium rechargeable battery, power cord, basic insulated tote, cooler, cold pack, manual pump adapter, and backflow protection PAS. LCD, three-phase pumping, with 9 levels of Massage, Expression and Stimulation, timer display to track pumping time. PAS Personal Accessory Set includes: (2) backflow silicone diaphragms,(2) backflow protector cases, (2) small 24mm flanges, (2) medium 28mm flanges (4) duckbill valves, (4) bottles, (2) tubing, (4) locking rings and discs (2) tubing adapters (1) manual pump adapter. One year warranty.*features and descriptions subject to change. Price TBD* | 10-0319 | 1 | $0.00 | 0.00% | $0.00 |
| Coming Soon* Hygeia Express™ Powered Breast Pump DELUXE with built-in lithium rechargeable battery, power cord, *new* deluxe backpack tote, cooler, cold pack, manual pump adapter, and backflow protection PAS. LCD, three-phase pumping, with 9 levels of Massage, Expression and Stimulation, timer display to track pumping time, and rechargeable battery. PAS Personal Accessory Set includes: (2) backflow silicone diaphragms,(2) backflow protector cases, (2) small 24mm flanges, (2) medium 28mm flanges (4) duckbill valves, (4) bottles, (2) tubing, (4) locking rings and discs (2) tubing adapters (1) manual pump adapter. One year warranty.*features and descriptions subject to change. Price TBD* | 10-0320 | 1 | $0.00 | 0.00% | $0.00 |
| Hygeia PRO™ Breast Pump with built-in lithium rechargeable battery, power cord, and backflow protection PAS. LCD, two-phase pumping with 6 levels of Stimulation and 12 levels of Expression, timer display to track pumping time. PAS Personal Accessory Set includes: (2) backflow silicone diaphragms,(2) backflow protector cases, (2) medium 28mm flanges (2) duckbill valves, (2) bottles, (2) tubing, (2) locking rings and discs (2) tubing adapters (1) manual pump adapter. One-Year Warranty. | 10-0309 | 1 | $146.00 | 30% | $102.20 |
| Hygeia PRO™ Plus Breast Pump with build-in lithium rechargeable battery, power cord, basic tote, cooler, cold pack and manual pump adapter and NEW backflow protection PAS. LCD display, two-phase pumping, with 6 levels Stimulation and 12 levels of Expression, timer display to track pumping time. PAS includes: (2) backflow silicone diaphragms,(2) backflow protector cases, (2) small 24mm flanges, (2) Medium 28mm flanges (4) duckbill valves, (4) bottles, (2) tubing, (4) locking rings and discs. (2) tubing adapters. One Year Warranty. **PRICE for orders which are less than 1000 pumps** | 10-0312 | 1 | $168.86 | 30% | $118.20 |
| Hygeia PRO™ Deluxe Breast Pump with build-in lithium rechargeable battery, power cord, deluxe backpack tote, cooler, cold pack and manual pump adapter and NEW backflow protection PAS. LCD display, two-phase pumping, with 6 levels Stimulation and 12 levels of Expression, timer display to track pumping time and rechargeable battery. PAS Personal Accessory Set includes: (2) backflow silicone diaphragms,(2) backflow protector cases, (2) small 24mm flanges, (2) medium 28mm flanges (4) duckbill valves, (4) bottles, (2) tubing, (4) locking rings and discs, (2) tubing adapters. One Year Warranty. **PRICE for orders which are less than 1000 pumps** | 10-0313 | 1 | $182.14 | 30% | $127.50 |
| Hygeia PRO™ Plus Breast Pump with build-in lithium rechargeable battery, power cord, basic tote, cooler, cold pack and manual pump adapter and NEW backflow protection PAS. LCD display, two-phase pumping, with 6 levels Stimulation and 12 levels of Expression, timer display to track pumping time. PAS includes: (2) backflow silicone diaphragms,(2) backflow protector cases, (2) small 24mm flanges, (2) Medium 28mm flanges (4) duckbill valves, (4) bottles, (2) tubing, (4) locking rings and discs. (2) tubing adapters. One Year Warranty. **PRICE for order which are more than 1000 pumps** | 10-0312 | 1 | $168.86 | 33% | $114.65 |
| Hygeia PRO™ Deluxe Breast Pump with build-in lithium rechargeable battery, power cord, deluxe backpack tote, cooler, cold pack and manual pump adapter and NEW backflow protection PAS. LCD display, two-phase pumping, with 6 levels Stimulation and 12 levels of Expression, timer display to track pumping time and rechargeable battery. PAS Personal Accessory Set includes: (2) backflow silicone diaphragms,(2) backflow protector cases, (2) small 24mm flanges, (2) medium 28mm flanges (4) duckbill valves, (4) bottles, (2) tubing, (4) locking rings and discs, (2) tubing adapters. One Year Warranty. **PRICE for orders which are more than 1000 pumps** | 10-0313 | 1 | $182.14 | 33% | $123.68 |
| EnJoye™ CORDLESS Pump with Rechargeable Internal Lithium Ion Battery, Power Supply and EnJoye™ Plus PAS: Includes: (2) medium 27mm flanges, (2) duckbill ,(2) bottles, (2) tubing, (2) bottle rings and ring covers, (2) bottle adapters,(1) bacteriostatic filter. One Year Warranty. | 10-0026 | 1 | $212.50 | 30% | $148.75 |
| EnJoye™ CORDLESS Pump with Rechargeable Internal Lithium Ion Battery, power supply with Basic Tote, Cooler, Cold Pack, Manual Pump Piston and Universal Deluxe PAS: (2 ) medium 27mm flanges, (2) large 29mm flanges, 2 duckbill valves, 4 bottles, 2 tubing,4 bottle rings, 2 bottle adapters, 1 manual pump piston with cylinder and 1 bacteriostatic filter. One Year Warranty. | 10-0026WC | 1 | $227.57 | 30% | $159.30 |
| EnJoye™ CORDLESS Pump with Rechargeable Internal Lithium Ion Battery, Power Supply, Deluxe Tote, Cooler, Cold Pack and EnJoye Plus PAS: (2) medium 27mm flanges, (2) large 29mm flanges, 2 duckbill, 2 off-set valves, 2 off-set membranes, 2 bottles, 2 tubing, 2 bottle rings, 2 bottle adapters and 1 bacteriostatic filter. One Year Warranty. | 10-0058 | 1 | $295.66 | 30% | $206.96 |
| MULTI USER: EnJoye Cordless Electric Breast pumps with Hospital Grade Performance. 3-year warranty. | |||||
| EnJoye™ CORDLESS Pump with Rechargeable Internal Lithium Ion Battery, Metal Luer Lock Stem and Power Supply. | 10-0044s3 | 1 | $386.14 | 30% | $270.30 |
| EnJoye™ CORDLESS Pump with Rechargeable Internal Lithium Ion Battery, Metal Luer Lock Stem and Power Supply, Deluxe Backpack Tote with removable cooler and cold pack. Holds 4-5oz. bottles | 10-0044s3a | 1 | $408.00 | 30% | $285.60 |
| EnJoye™ CORDLESS Pump Rechargeable Internal Lithium Ion Battery, Metal Luer Lock Stem and Power Supply. Small Hard Plastic Carry Case with shoulder strap, removable cooler and cold pack. Holds 4-5oz. bottles | 10-0044s3b | 1 | $429.86 | 30% | $300.90 |
| PAS PERSONAL ACCESSORY SETS: Pro, Evolve, EnJoye Cordless, EnDeare and Lactina | |||||
| Universal Deluxe PAS: works with ALL Hygeia Breast Pumps EnJoye, EnDeare and Lactina pumps. (2) medium 27mm flanges, (2) large 29mm flanges, 2 duckbill, 2 off-set valves, 4 off-set membranes, 4 bottles, 2 tubing, 4 bottle rings and ring covers, 2 bottle adapters, 1 bacteriostatic filter, 1 manual pump piston & cylinder. | 20-0075 | 20 | $43.57 | 30% | $30.50 |
| EnDeare™ Plus PAS without filter required for EnJoye: works with Hygeia EnDeare and Lactina Breast Pumps. Includes: (2) medium 27mm flanges, (2) large 29mm flanges, 4 duckbill, 4 bottles, 2 tubing, 4 bottle rings and ring covers, 2 bottle adapters, 1 manual pump piston & cylinder | 20-0075NF | 20 | $39.63 | 30% | $27.74 |
| EnJoye™ Plus PAS: (2) medium 27mm flanges, (2) large 30mm flanges, 2 duckbill 2 off-set valves, 2 off-set membranes, 2 bottles, 2 tubing, 2 bottle rings, 2 bottle adapters,1 bacteriostatic filter | 20-0023 | 20 | $38.10 | 30% | $26.67 |
| Universal Basic PAS: Works with Hygeia EnDeare, EnJoye, and Medela Lactina pumps. Includes: (2) 27mm medium flanges, (2) duckbill valves, (2) bottles, (2) tubing, (2) bottle ring and ring covers, (2) bottle adapters, (1) manual pump conversion piston & cylinder, (1) bacteriostatic filter | 10-0007 | 20 | $35.61 | 30% | $24.93 |
| Hygeia PRO and Express add-on Safeguard Closed PAS: Includes 2 duckbill valves, 2 bottles, 2 bottle locking rings, 2 locking disks, 1 manual hand pump adapter. | 10-0306 | 20 | $21.79 | 30% | $15.25 |
| Hygeia PRO™ or Express™ Safeguard Closed PAS: Includes (2) backflow silicone diaphragms, (2) backflow protector cases, (2) 24mm small flanges(2) 28mm medium flanges, (2) duckbill, (2) bottles, (2) tubing, (2) bottle lids, (2) tubing adapters (2) Express connectors for tubing | 20-0115 | 20 | $27.61 | 30% | $19.33 |
| Hygeia Express Wearable PAS for use with Express Powered Breast Pump: Safeguard closed PAS Includes (2) 28mm medium flange cups (2) duckbill valves (2) tubing.*coming soon* | 10-0322 | 20 | $42.84 | 30% | $29.99 |
| BREAST PUMP TOTES, BACKPACKS, CARRY CASES and COOLER WITH COLD PACK: | |||||
| Orange breastfeeding cooler with cold pack holds 4-5oz bottles | 50-0042 | 20 | $8.01 | 30% | $5.61 |
| Deluxe JX Backpack tote, black, easy-to-clean micro-fiber with handle, stroller stapes, changing pad, wet-wipe pocket, adjustable back straps, 2 large water bottle pockets, and 7 exterior zippered storage pockets and 1 zippered storage pocket plus 3 built-in foil-lined pockets to keep bottles cool. | 50-0098 | 10 | $42.84 | 30% | $29.99 |
| Deluxe JX Backpack tote, black, easy-to-clean micro-fiber with handle, stroller stapes, changing pad, wet-wipe pocket, adjustable back straps 2 water bottle pockets, and 7 exterior zippered storage pockets and1 zippered storage pocket. 3 built-in foil-lined pockets to keep bottles cool, plus a removable breastmilk storage cooler with ice pack that holds 4-4oz bottles. | 20-0119 | 10 | $45.70 | 30% | $31.99 |
| Universal Insulated Black Tote *Compatible with all Hygeia pumps & Lactina* | 50-0072 | 20 | $12.86 | 30% | $9.00 |
| Universal Deluxe Tote with Cooler & Ice Pack *Compatible with all Hygeia pumps & Lactina* | 20-0049 | 10 | $45.57 | 30% | $31.90 |
| Small Hard Plastic Carry Case with Shoulder Strap, (approx.15 x12 x 6) *Compatible with all Hygeia pumps & Lactina* | 10-0129 | 1 | $116.57 | 30% | $81.60 |
| Small Hard Plastic Carry Case with Shoulder Strap, (approx.15 x12 x 6) *Compatible with all Hygeia pumps & Lactina* Includes: removeable cooler and cold pack. | 10-0129k | 1 | $127.54 | 30% | $89.28 |
| EnJoye™ and EnDeare™ Replacement Shoulder strap for Hard Sided Carry Case | 10-0101-S | 1 | $19.67 | 30% | $13.77 |
| MANUAL BREAST PUMPS: | |||||
| Hygeia ONE Hand Manual Pump with removeable flanges. (1) Small 24mm, (1) Medium 28mm flange, (1) flange base, (2) duckbill valves, (1) bottle, (1) manual hand pump adapter and (1) bottle stand | 20-0117 | 20 | $20.40 | 30% | $14.28 |
| Hygeia TWO-HAND Manual Breast pump with (1) 28mm medium flange and (1) large 30mm flange and (1) duck bill valve(1) off-set valve & membrane | 20-0070 | 20 | $24.37 | 30% | $17.06 |
| FLANGES: Pro, Express, EnJoye Cordless, EnDeare and Lactina | |||||
| Assorted flange Pack 7 pairs of individually packaged flanges with size sticker (2) each 13,15,17,21,24,30,32mm. Compatible with Hygeia or Medela | 10-0331 | 1 | $114.00 | 30% | $79.80 |
| (XS) 10mm Small Flange Only. No connector or valve | 30-0172 | 10 | $5.07 | 30% | $3.55 |
| (XS) 13mm Small Flange Only. No connector or valve | 30-0168 | 10 | $5.07 | 30% | $3.55 |
| (XS) 15mm Small Flange Only. No connector or valve | 30-0169 | 10 | $5.07 | 30% | $3.55 |
| (XS) 17mm Small Flange Only. No connector or valve | 30-0170 | 10 | $5.07 | 30% | $3.55 |
| (XS) 19mm Small Flange Only. No connector or valve | 30-0182 | 10 | $5.07 | 30% | $3.55 |
| (XS) 20mm Small Flange Only. No connector or valve | 30-0165 | 10 | $5.07 | 30% | $3.55 |
| (S) 21mm Small Flange Only. No connector or valve | 30-0171 | 10 | $5.07 | 30% | $3.55 |
| (S) 24mm Small Flange Only. No connector or valve | 30-0164 | 10 | $5.07 | 30% | $3.55 |
| (M) 25mm Soft silicone insert works best with S or M size flange | 10-0119 | 10 | $6.42 | 30% | $4.65 |
| (M) 27mm Medium Flange Only. No connector or valve. *while they last* | 30-0006 | 10 | $5.07 | 30% | $3.55 |
| (M) 28mm Medium Flange Only. No connector or valve. (2 pack) | 30-0139 | 10 | $10.14 | 30% | $7.10 |
| (L) 30mm Large Flange Only. No connector or valve | 30-0044 | 10 | $5.07 | 30% | $3.55 |
| (XL) 31mm X-Large Flange Only. no connector or valve.*while they last* | 30-0045 | 10 | $5.07 | 30% | $3.55 |
| (XXL) 32mm XXL-Large Flange Only. No connector or valve | 30-0167 | 10 | $5.07 | 30% | $3.55 |
| (M) Medium Flange Set 27mm - 1 Flange, 1 Flange connector and 1 duckbill valve *not compatible with Express/PRO *while they last* | 20-0064 | 10 | $6.64 | 30% | $4.65 |
| (L) Large Flange Set- 29mm 1 Flange, 1 Flange connector and 1 duckbill valve *not compatible with Express/PRO *while they last* | 20-0065 | 10 | $6.64 | 30% | $4.65 |
| (XL) X-Large Flange Set 31mm - 1 Flange, 1 flange connector and 1 duckbill valve *not compatible with Express/PRO *while they last* | 20-0066 | 10 | $6.64 | 30% | $4.65 |
| PAS PARTS and ACCESSORIES: EnJoye Cordless and EnDeare pumps | |||||
| Duckbill Valve fits all EnJoye / EnDeare Hygeia flanges | 30-0069 | 10 | $6.60 | 30% | $4.62 |
| Offset Valve fits all EnJoye/ EnDeare Hygeia flanges (1) valve (1) membrane | 30-0069a | 10 | $6.60 | 30% | $4.62 |
| Offset Membranes fits EnJoye / EnDeare Hygeia flanges (4) pack | 30-0016 | 10 | $6.00 | 30% | $4.20 |
| 40" Tubing - with Connectors (2) Pack for EnJoye / EnDeare | 20-0084 | 10 | $22.00 | 30% | $15.40 |
| Bacteriostatic Filter for EnJoye Series Pumps | 30-0021 | 10 | $14.20 | 30% | $9.94 |
| Piston with Shoulder for EnDeare or Manual Breast Pump | 20-0008 | 10 | $25.00 | 30% | $17.50 |
| EnDeare Flange Holder Wing (1) each replacement piece | 30-0071 | 1 | $8.57 | 30% | $6.00 |
| EnDeare White Rubber Piston Holder (1) each replacement piece | 30-0033 | 1 | $5.71 | 30% | $4.00 |
| Single-user replacement PAS PARTS: Pro and Express pumps | |||||
| Hygeia Pro or Express Flange Base (2 pack) | 30-0140 | 1 | $9.29 | 30% | $6.50 |
| Hygeia Pro or Express Tubing 32" (2 pack) | 20-0116 | 1 | $12.86 | 30% | $9.00 |
| Hygeia Pro or Express Milk Storage Containers 4oz. (2 pack) | 30-0141 | 1 | $7.14 | 30% | $5.00 |
| Hygeia Pro or Express Duckbill valves (2 pack) | 30-0142 | 1 | $7.14 | 30% | $5.00 |
| Hygeia Pro or Express Locking rings (2 pack) | 30-0143 | 1 | $4.64 | 30% | $3.25 |
| Hygeia Pro or Express Locking discs (2 pack) | 30-0144 | 1 | $4.64 | 30% | $3.25 |
| Hygeia Pro or Express 3 piece backflow protector (2 pack) | 30-0145 | 1 | $11.43 | 30% | $8.00 |
| Hygeia Pro or Express Tubing adapter (2 pack) | 30-0126 | 1 | $7.14 | 30% | $5.00 |
| POWER SUPPIES and BREAST PUMP PRESSURE TESTING GAUGE: | |||||
| Power Supply for Hygeia Pro | 40-0053 | 1 | $36.07 | 30% | $25.25 |
| Power Supply for EnJoye Cordless | 40-0003 | 1 | $36.07 | 30% | $25.25 |
| Power Supply for Express | 40-0054 | 1 | $36.07 | 30% | $25.25 |
| Breast pump Pressure Testing Gauge | 10-0085 | 1 | $132.86 | 30% | $93.00 |
| BRA PADS, BREAST MILK STORAGE BAGS. COMPRESSION STOCKING AND PREGNANCY SUPPORT BANDS | |||||
| Hygeia Breast Milk Storage Bags (1) individual bag (packed by 20) | 10-0290 | 1 | $0.36 | 30% | $0.25 |
| Hygeia Breast Milk Storage Bags (100 pack of 20 each per box) | 10-0322 | 1 | $657.14 | 30% | $460.00 |
| 15mm Nipple Shields Clear Silicone with cutout for skin to skin contact | 10-0314 | 1 | $14.21 | 30% | $9.95 |
| 21mm Nipple Shields Clear Silicone with cutout for skin to skin contact | 10-0315 | 1 | $14.21 | 30% | $9.95 |
| Hygeia 100 % Cotton Washable Nursing Pads (1 pack of 4 pads) | 80-0036 | 1 | $10.71 | 30% | $7.50 |
| Hygeia 100 % Cotton Washable Nursing Pads (10 packs of 4 pads) | 10-0126 | 1 | $57.86 | 30% | $40.50 |
| Hygeia 100 % Cotton Washable Nursing Pads (100 packs of 4 pads per box) | 10-0333 | 1 | $578.57 | 30% | $405.00 |
| Disposable Nursing Pads-Medium (30 count) | 10-0018 | 1 | $5.21 | 30% | $3.65 |
| Disposable Nursing Pads-Medium (60 count) | 10-0019 | 1 | $8.36 | 30% | $5.85 |
| Disposable Nursing Pads-Large (30 count) | 10-0016 | 1 | $5.21 | 30% | $3.65 |
| Disposable Nursing Pads-Large (60 count) | 10-0017 | 1 | $8.36 | 30% | $5.85 |
| Compression Stocking 20-30mmHg (2 pack) (1)Medium and (1) Large included 80%Nylon 20% Spandex self-fastening | 10-0323 | 1 | $85.71 | 30% | $60.00 |
| Pregnancy Support Band (3 pack) (1)Medium, (1) Large and (1) Extra Large 94% Nylon, 20% Spandex 20-30mmHg | 10-0324 | 1 | $142.86 | 30% | $100.00 |
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