DME CLIN Pricing ALACARTE July 18 2012.xlsx
XLSX spreadsheet 42 KB Posted
- Attached to
- Durable Medical Equipment Federal contract opportunity
- Solicitation number
- HSFE70-12-R-0044
About this file
ATTACHMENT 3A-DME A LA CARTE
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| HSFE70-12-R-0044 Amendment 0002 DME IDIQ.docx | DOCX document | |
| Questions and Answers for DME IDIQ September 7 2012.docx | DOCX document | |
| IDIQ DME HSFE70-12-R-0044 Amendment 0001.docx | DOCX document | |
| DME CLIN Pricing KIT July 18 2012.xlsx | XLSX spreadsheet | |
| Attachment 4 DME July 18 2012.docx | DOCX document | |
| DME Price Cost Schedule Section B July 18(2).xlsx | XLSX spreadsheet | |
| DME SOW rev 8 20 2012.docx | DOCX document | |
| FINAL DME PDF.pdf | ||
| DME Price Cost Schedule Section B July 18(2).xlsx | XLSX spreadsheet | |
| DME CLIN Pricing KIT July 18 2012.xlsx | XLSX spreadsheet | |
| DME CLIN Pricing ALACARTE July 18 2012.xlsx | XLSX spreadsheet | |
| Attachment 4 DME July 30 2012.docx | DOCX document | |
| DME SOW August 3 2012.docx | DOCX document | |
| DME Draft Solicitation August 9 2012.pdf |
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Text version
A La Carte - BASE
| Attachment 3A, "DME A-La-Carte Pricing" | 0001A | 0002A | 0003A | 0004A | SECTION D | ||||||||||
| BASE YEAR | 001-100 Units | 101-200 Units | 201-400 Units | 401-600 Units | |||||||||||
| ITEM # | Name | Description | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | TOTAL |
| DM-001 | Bed Wedge for Bariatric Cot | 24” x 24’ x 12” | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-002 | Westcott 700 Cot, Bariatric w/mattress | 600 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-003 | Westcott 400 Cot w/ Mattress | with Half Side Rails | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-004 | Bedside Commode | 300 lb capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-005 | 3 in 1 Commode for Over Toilet Use | 300 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-006 | Independent Toilet Seat with Safety Bars | Contoured, Soft Foam Armrests; Legs Height Adjustable; Weight Capacity 350 lbs; Adds 4" to Height. Width: 22 1/2"; Width bet Arms: 19"; Depth: 15 1/4"; Floor to Seat 20" | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-007 | Egg Crate Padding | 32”W x 72”L, 1.2 density foam, roller compressed pkg | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-008 | Walker, Dual Release | Standard w/out Wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-009 | Walker, Dual Release | Standard w/wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-010 | Walker, Dual Release | Heavy duty w/wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-011 | Wheelchair, Adult | 1ea w/Foot Rest; 1ea w/Elevated Leg Rest | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-012 | Wheelchair, Adult, XL | To 450 lb Capacity w/Elevated Leg Rest | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-013 | IV-Pole, 5 Castor | Heavy Gauge Steel, Slow-descending Pole, 3" Castors w/Dust Covers and Thread Guards; Base has Durable Black Powder Finish | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-014 | Canes, White | Standard Cane for the Blind | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-015 | Canes, Quad | Large Base | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-016 | Crutches, Adult | Hardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-017 | Crutches, Youth | Same Description as Adult Crutch but Size Adjusted for Children | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-018 | Handheld Shower | With 84" Hose | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-019 | Shower Chair w/Back Rest | 400 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-020 | Privacy Screen | 3 Panel with Castors | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-021 | Dressing Aid Stick | 2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-022 | Transfer Boards | Standard for Wheelchair | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-023 | Assorted Utensil Holders (Non-Latex) | Special Soft Holders, 3" L x 1"H | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-024 | Wheelchair Ramps | Portable, 10' long | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
D-15
OP1
| Attachment 3A, "DME A-La-Carte Pricing" | 1001A | 1002A | 1003A | 1004A | SECTION D | ||||||||||
| OPTION 1 | 001-100 Units | 101-200 Units | 201-400 Units | 401-600 Units | |||||||||||
| ITEM # | Name | Description | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | TOTAL |
| DM-001 | Bed Wedge for Bariatric Cot | 24” x 24’ x 12” | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-002 | Westcott 700 Cot, Bariatric w/mattress | 600 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-003 | Westcott 400 Cot w/ Mattress | with Half Side Rails | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-004 | Bedside Commode | 300 lb capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-005 | 3 in 1 Commode for Over Toilet Use | 300 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-006 | Independent Toilet Seat with Safety Bars | Contoured, Soft Foam Armrests; Legs Height Adjustable; Weight Capacity 350 lbs; Adds 4" to Height. Width: 22 1/2"; Width bet Arms: 19"; Depth: 15 1/4"; Floor to Seat 20" | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-007 | Egg Crate Padding | 32”W x 72”L, 1.2 density foam, roller compressed pkg | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-008 | Walker, Dual Release | Standard w/out Wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-009 | Walker, Dual Release | Standard w/wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-010 | Walker, Dual Release | Heavy duty w/wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-011 | Wheelchair, Adult | 1ea w/Foot Rest; 1ea w/Elevated Leg Rest | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-012 | Wheelchair, Adult, XL | To 450 lb Capacity w/Elevated Leg Rest | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-013 | IV-Pole, 5 Castor | Heavy Gauge Steel, Slow-descending Pole, 3" Castors w/Dust Covers and Thread Guards; Base has Durable Black Powder Finish | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-014 | Canes, White | Standard Cane for the Blind | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-015 | Canes, Quad | Large Base | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-016 | Crutches, Adult | Hardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-017 | Crutches, Youth | Same Description as Adult Crutch but Size Adjusted for Children | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-018 | Handheld Shower | With 84" Hose | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-019 | Shower Chair w/Back Rest | 400 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-020 | Privacy Screen | 3 Panel with Castors | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-021 | Dressing Aid Stick | 2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-022 | Transfer Boards | Standard for Wheelchair | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-023 | Assorted Utensil Holders (Non-Latex) | Special Soft Holders, 3" L x 1"H | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-024 | Wheelchair Ramps | Portable, 10' long | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
OP2
| Attachment 3A, "DME A-La-Carte Pricing" | 2001A | 2002A | 2003A | 2004A | |||||||||||
| OPTION 2 | 001-100 Units | 101-200 Units | 201-400 Units | 401-600 Units | |||||||||||
| ITEM # | Name | Description | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | TOTAL |
| DM-001 | Bed Wedge for Bariatric Cot | 24” x 24’ x 12” | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-002 | Westcott 700 Cot, Bariatric w/mattress | 600 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-003 | Westcott 400 Cot w/ Mattress | with Half Side Rails | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-004 | Bedside Commode | 300 lb capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-005 | 3 in 1 Commode for Over Toilet Use | 300 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-006 | Independent Toilet Seat with Safety Bars | Contoured, Soft Foam Armrests; Legs Height Adjustable; Weight Capacity 350 lbs; Adds 4" to Height. Width: 22 1/2"; Width bet Arms: 19"; Depth: 15 1/4"; Floor to Seat 20" | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-007 | Egg Crate Padding | 32”W x 72”L, 1.2 density foam, roller compressed pkg | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-008 | Walker, Dual Release | Standard w/out Wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-009 | Walker, Dual Release | Standard w/wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-010 | Walker, Dual Release | Heavy duty w/wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-011 | Wheelchair, Adult | 1ea w/Foot Rest; 1ea w/Elevated Leg Rest | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-012 | Wheelchair, Adult, XL | To 450 lb Capacity w/Elevated Leg Rest | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-013 | IV-Pole, 5 Castor | Heavy Gauge Steel, Slow-descending Pole, 3" Castors w/Dust Covers and Thread Guards; Base has Durable Black Powder Finish | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-014 | Canes, White | Standard Cane for the Blind | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-015 | Canes, Quad | Large Base | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-016 | Crutches, Adult | Hardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-017 | Crutches, Youth | Same Description as Adult Crutch but Size Adjusted for Children | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-018 | Handheld Shower | With 84" Hose | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-019 | Shower Chair w/Back Rest | 400 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-020 | Privacy Screen | 3 Panel with Castors | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-021 | Dressing Aid Stick | 2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-022 | Transfer Boards | Standard for Wheelchair | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-023 | Assorted Utensil Holders (Non-Latex) | Special Soft Holders, 3" L x 1"H | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-024 | Wheelchair Ramps | Portable, 10' long | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
OP3
| A-LA-CARTE | Attachment 3A, "DME A-La-Carte Pricing" | 3002A | 3003A | 3004A | |||||||||||
| OPTION 3 | OPTION 3 | 001-100 Units | 101-200 Units | 201-400 Units | 401-600 Units | ||||||||||
| ITEM # | Name | Description | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | TOTAL |
| DM-001 | Bed Wedge for Bariatric Cot | 24” x 24’ x 12” | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-002 | Westcott 700 Cot, Bariatric w/mattress | 600 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-003 | Westcott 400 Cot w/ Mattress | with Half Side Rails | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-004 | Bedside Commode | 300 lb capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-005 | 3 in 1 Commode for Over Toilet Use | 300 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-006 | Independent Toilet Seat with Safety Bars | Contoured, Soft Foam Armrests; Legs Height Adjustable; Weight Capacity 350 lbs; Adds 4" to Height. Width: 22 1/2"; Width bet Arms: 19"; Depth: 15 1/4"; Floor to Seat 20" | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-007 | Egg Crate Padding | 32”W x 72”L, 1.2 density foam, roller compressed pkg | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-008 | Walker, Dual Release | Standard w/out Wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-009 | Walker, Dual Release | Standard w/wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-010 | Walker, Dual Release | Heavy duty w/wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-011 | Wheelchair, Adult | 1ea w/Foot Rest; 1ea w/Elevated Leg Rest | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-012 | Wheelchair, Adult, XL | To 450 lb Capacity w/Elevated Leg Rest | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-013 | IV-Pole, 5 Castor | Heavy Gauge Steel, Slow-descending Pole, 3" Castors w/Dust Covers and Thread Guards; Base has Durable Black Powder Finish | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-014 | Canes, White | Standard Cane for the Blind | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-015 | Canes, Quad | Large Base | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-016 | Crutches, Adult | Hardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-017 | Crutches, Youth | Same Description as Adult Crutch but Size Adjusted for Children | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-018 | Handheld Shower | With 84" Hose | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-019 | Shower Chair w/Back Rest | 400 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-020 | Privacy Screen | 3 Panel with Castors | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-021 | Dressing Aid Stick | 2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-022 | Transfer Boards | Standard for Wheelchair | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-023 | Assorted Utensil Holders (Non-Latex) | Special Soft Holders, 3" L x 1"H | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-024 | Wheelchair Ramps | Portable, 10' long | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
OP4
| Attachment 3A, "DME A-La-Carte Pricing" | 4001A | 4002A | 4003A | 4004A | |||||||||||
| OPTION 4 | 001-100 Units | 101-200 Units | 201-400 Units | 401-600 Units | |||||||||||
| ITEM # | Name | Description | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | Unit Price | QTY | Price | TOTAL |
| DM-001 | Bed Wedge for Bariatric Cot | 24” x 24’ x 12” | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-002 | Westcott 700 Cot, Bariatric w/mattress | 600 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-003 | Westcott 400 Cot w/ Mattress | with Half Side Rails | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-004 | Bedside Commode | 300 lb capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-005 | 3 in 1 Commode for Over Toilet Use | 300 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-006 | Independent Toilet Seat with Safety Bars | Contoured, Soft Foam Armrests; Legs Height Adjustable; Weight Capacity 350 lbs; Adds 4" to Height. Width: 22 1/2"; Width bet Arms: 19"; Depth: 15 1/4"; Floor to Seat 20" | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-007 | Egg Crate Padding | 32”W x 72”L, 1.2 density foam, roller compressed pkg | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-008 | Walker, Dual Release | Standard w/out Wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-009 | Walker, Dual Release | Standard w/wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-010 | Walker, Dual Release | Heavy duty w/wheels | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-011 | Wheelchair, Adult | 1ea w/Foot Rest; 1ea w/Elevated Leg Rest | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-012 | Wheelchair, Adult, XL | To 450 lb Capacity w/Elevated Leg Rest | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-013 | IV-Pole, 5 Castor | Heavy Gauge Steel, Slow-descending Pole, 3" Castors w/Dust Covers and Thread Guards; Base has Durable Black Powder Finish | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-014 | Canes, White | Standard Cane for the Blind | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-015 | Canes, Quad | Large Base | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-016 | Crutches, Adult | Hardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-017 | Crutches, Youth | Same Description as Adult Crutch but Size Adjusted for Children | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-018 | Handheld Shower | With 84" Hose | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-019 | Shower Chair w/Back Rest | 400 lb Capacity | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-020 | Privacy Screen | 3 Panel with Castors | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-021 | Dressing Aid Stick | 2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-022 | Transfer Boards | Standard for Wheelchair | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-023 | Assorted Utensil Holders (Non-Latex) | Special Soft Holders, 3" L x 1"H | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| DM-024 | Wheelchair Ramps | Portable, 10' long | 100 | $ - 0 | 200 | $ - 0 | 400 | $ - 0 | 600 | $ - 0 | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
File details come from the government source that posted it. Updated .