Attachment_3_-_DME_A-La-Carte_Pricing.xlsx

XLSX spreadsheet 47 KB Posted

Attached to
Durable Medical Equipment Federal contract opportunity
Solicitation number
HSFE70-17-R-0020
Issued by
Federal Emergency Management Agency Headquarters Office of the Chief Procurement Officer

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Attachment 3 DMEA-La-Carte Pricing

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Amendment_0002_Signed.pdf PDF
Durable_Medical_Equipment_Questions_and_Answers.pdf PDF
HSFE70-17-R-0020.pdf PDF
Amendment_0001_Signed.pdf PDF
HSFE70-17-R-0020.pdf PDF
Attachment_4_Past_Performance.pdf PDF
Attachment_2-DME_CLIN_Pricing_Kit.xlsx XLSX spreadsheet
Attachment_1_Statement_of_Work_DME.pdf PDF
Attachment_1_Statement_of_Work_DME.pdf PDF

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Base Year

Attachment 3, "DME A-La-Carte Pricing"
ITEM #NameDescription0001A0002A0003A0004A
001-100 Units101-200 Units201-400 Units401-600 Units
Unit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPrice
DM-001Bed Wedge for Bariatric COT24” x 24’ x12”$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-002Westcott 700 Cot,Bariatric w/mattress600 lb Capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-003Westcott 400 Cot w/Mattresswith Half Side Rails$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-004Bedside Commode300 lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, 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"$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg.$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-009Walker, Dual ReleaseStandard w/wheels$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-010Bariatric Walker, Dual Release w/wheelsHeavy duty w/wheels up to 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-011Wheelchair, Adult1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-012Wheelchair (Bariatric), Adult, XLOverall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-014Canes, WhiteStandard Cane for the Blind$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-015Canes, QuadLarge Base$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable )$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children (Adjustable )$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-018Handheld ShowerWith 84" Hose$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-019Shower Chair (Bariatric)700lbs; Bath Bench$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-020Privacy Screen3 Panel with Castors$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-022Transfer BoardsStandard for Wheelchair$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-024Wheelchair (Bariatric) Ramps6’x48”; supports up to 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-025Ramps- (Bariatric) Walker6’x 48’; 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-026Seated Bariatric WalkerUp to 800lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-027Gait Belt70” wipe able/ antimicrobial$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-028Gait Belt96”’ wipe able/ antimicrobial$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-029IV Pole 2 Hook4 leg; 2 hook$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-030Assistive listening devicesPocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-031Headset (listening devices) coversSanitary stretchable headphone covers; fits3 inches in size headphones$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-032Magnifying glass7x LED illuminated magnifier round (needs AA batteries)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-033Communication Cards (picture boards)Large with common shelter pictures$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-034Adapted eating devices UtensilsFood Bumper Translucent plastic (clip on)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-035Adapted eating devices UtensilsComfort grip Angled Fork - Right hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-036Adapted eating devices UtensilsComfort grip Angled Spoon-Left hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-037Adapted eating devices UtensilsComfort grip Angled Spoon-Right hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-038Adapted eating devices UtensilsPediatric: Comfort grip spoon-left$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-039Adapted eating devices UtensilsPediatric: Comfort grip spoon-right$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-040Adapted eating devices UtensilsPediatric: Comfort grip fork-right$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-041Adapted eating devices UtensilsPediatric: Comfort grip fork-left$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-042Bedside CommodeCapacity 650lbs or greater$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-043Elevated toilet seatLocking elevated; capacity 350lbs.$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-0443-in-1 CommodeCapacity 650lbs or greater$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-045Shower Mat_Non-Slip16”x34” Non-Slip Vinyl$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-046Digital Infrared Thermometer (temporal)Digital Infrared$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-047Ramps- (Bariatric) Walker6’x 48’; 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-048Comfort Box1ea Knit Pant, T-shirt, Pair Sock for Bariatric Resident$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-049Transfer Lift w/2 Mesh Slings450LB Capacity (Hoyer Lift)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-050Wheelchair, Pediatric1ea w/Foot Rest; 1ea w/Elev. Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-051Refrigerator(No Freezer)Counter Height; Used for Medications$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-52Seated Bariatric WalkerDual release; heavy duty w/wheels up to 800lb$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0

Option 1

Attachment 3, "DME A-La-Carte Pricing"
ITEM #NameDescription1001A1002A1003A1004A
001-100 Units101-200 Units201-400 Units401-600 Units
Unit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPrice
DM-001Bed Wedge for Bariatric COT24” x 24’ x12”$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-002Westcott 700 Cot,Bariatric w/mattress600 lb Capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-003Westcott 400 Cot w/Mattresswith Half Side Rails$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-004Bedside Commode300 lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, 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"$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg.$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-009Walker, Dual ReleaseStandard w/wheels$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-010Bariatric Walker, Dual Release w/wheelsHeavy duty w/wheels up to 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-011Wheelchair, Adult1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-012Wheelchair (Bariatric), Adult, XLOverall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-014Canes, WhiteStandard Cane for the Blind$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-015Canes, QuadLarge Base$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable )$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children (Adjustable )$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-018Handheld ShowerWith 84" Hose$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-019Shower Chair (Bariatric)700lbs; Bath Bench$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-020Privacy Screen3 Panel with Castors$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-022Transfer BoardsStandard for Wheelchair$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-024Wheelchair (Bariatric) Ramps6’x48”; supports up to 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-025Ramps- (Bariatric) Walker6’x 48’; 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-026Seated Bariatric WalkerUp to 800lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-027Gait Belt70” wipe able/ antimicrobial$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-028Gait Belt96”’ wipe able/ antimicrobial$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-029IV Pole 2 Hook4 leg; 2 hook$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-030Assistive listening devicesPocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-031Headset (listening devices) coversSanitary stretchable headphone covers; fits3 inches in size headphones$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-032Magnifying glass7x LED illuminated magnifier round (needs AA batteries)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-033Communication Cards (picture boards)Large with common shelter pictures$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-034Adapted eating devices UtensilsFood Bumper Translucent plastic (clip on)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-035Adapted eating devices UtensilsComfort grip Angled Fork - Right hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-036Adapted eating devices UtensilsComfort grip Angled Spoon-Left hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-037Adapted eating devices UtensilsComfort grip Angled Spoon-Right hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-038Adapted eating devices UtensilsPediatric: Comfort grip spoon-left$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-039Adapted eating devices UtensilsPediatric: Comfort grip spoon-right$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-040Adapted eating devices UtensilsPediatric: Comfort grip fork-right$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-041Adapted eating devices UtensilsPediatric: Comfort grip fork-left$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-042Bedside CommodeCapacity 650lbs or greater$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-043Elevated toilet seatLocking elevated; capacity 350lbs.$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-0443-in-1 CommodeCapacity 650lbs or greater$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-045Shower Mat_Non-Slip16”x34” Non-Slip Vinyl$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-046Digital Infrared Thermometer (temporal)Digital Infrared$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-047Ramps- (Bariatric) Walker6’x 48’; 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-048Comfort Box1ea Knit Pant, T-shirt, Pair Sock for Bariatric Resident$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-049Transfer Lift w/2 Mesh Slings450LB Capacity (Hoyer Lift)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-050Wheelchair, Pediatric1ea w/Foot Rest; 1ea w/Elev. Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-051Refrigerator(No Freezer)Counter Height; Used for Medications$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-52Seated Bariatric WalkerDual release; heavy duty w/wheels up to 800lb$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0

Option 2

Attachment 3, "DME A-La-Carte Pricing"
ITEM #NameDescription2001A2002A2003A2004A
001-100 Units101-200 Units201-400 Units401-600 Units
Unit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPrice
DM-001Bed Wedge for Bariatric COT24” x 24’ x12”$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-002Westcott 700 Cot,Bariatric w/mattress600 lb Capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-003Westcott 400 Cot w/Mattresswith Half Side Rails$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-004Bedside Commode300 lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, 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"$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg.$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-009Walker, Dual ReleaseStandard w/wheels$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-010Bariatric Walker, Dual Release w/wheelsHeavy duty w/wheels up to 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-011Wheelchair, Adult1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-012Wheelchair (Bariatric), Adult, XLOverall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-014Canes, WhiteStandard Cane for the Blind$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-015Canes, QuadLarge Base$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable )$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children (Adjustable )$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-018Handheld ShowerWith 84" Hose$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-019Shower Chair (Bariatric)700lbs; Bath Bench$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-020Privacy Screen3 Panel with Castors$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-022Transfer BoardsStandard for Wheelchair$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-024Wheelchair (Bariatric) Ramps6’x48”; supports up to 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-025Ramps- (Bariatric) Walker6’x 48’; 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-026Seated Bariatric WalkerUp to 800lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-027Gait Belt70” wipe able/ antimicrobial$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-028Gait Belt96”’ wipe able/ antimicrobial$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-029IV Pole 2 Hook4 leg; 2 hook$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-030Assistive listening devicesPocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-031Headset (listening devices) coversSanitary stretchable headphone covers; fits3 inches in size headphones$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-032Magnifying glass7x LED illuminated magnifier round (needs AA batteries)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-033Communication Cards (picture boards)Large with common shelter pictures$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-034Adapted eating devices UtensilsFood Bumper Translucent plastic (clip on)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-035Adapted eating devices UtensilsComfort grip Angled Fork - Right hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-036Adapted eating devices UtensilsComfort grip Angled Spoon-Left hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-037Adapted eating devices UtensilsComfort grip Angled Spoon-Right hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-038Adapted eating devices UtensilsPediatric: Comfort grip spoon-left$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-039Adapted eating devices UtensilsPediatric: Comfort grip spoon-right$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-040Adapted eating devices UtensilsPediatric: Comfort grip fork-right$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-041Adapted eating devices UtensilsPediatric: Comfort grip fork-left$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-042Bedside CommodeCapacity 650lbs or greater$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-043Elevated toilet seatLocking elevated; capacity 350lbs.$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-0443-in-1 CommodeCapacity 650lbs or greater$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-045Shower Mat_Non-Slip16”x34” Non-Slip Vinyl$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-046Digital Infrared Thermometer (temporal)Digital Infrared$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-047Ramps- (Bariatric) Walker6’x 48’; 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-048Comfort Box1ea Knit Pant, T-shirt, Pair Sock for Bariatric Resident$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-049Transfer Lift w/2 Mesh Slings450LB Capacity (Hoyer Lift)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-050Wheelchair, Pediatric1ea w/Foot Rest; 1ea w/Elev. Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-051Refrigerator(No Freezer)Counter Height; Used for Medications$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-52Seated Bariatric WalkerDual release; heavy duty w/wheels up to 800lb$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0

Option 3

Attachment 3, "DME A-La-Carte Pricing"
ITEM #NameDescription3001A3002A3003A3004A
001-100 Units101-200 Units201-400 Units401-600 Units
Unit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPrice
DM-001Bed Wedge for Bariatric COT24” x 24’ x12”$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-002Westcott 700 Cot,Bariatric w/mattress600 lb Capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-003Westcott 400 Cot w/Mattresswith Half Side Rails$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-004Bedside Commode300 lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, 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"$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg.$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-009Walker, Dual ReleaseStandard w/wheels$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-010Bariatric Walker, Dual Release w/wheelsHeavy duty w/wheels up to 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-011Wheelchair, Adult1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-012Wheelchair (Bariatric), Adult, XLOverall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-014Canes, WhiteStandard Cane for the Blind$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-015Canes, QuadLarge Base$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable )$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children (Adjustable )$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-018Handheld ShowerWith 84" Hose$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-019Shower Chair (Bariatric)700lbs; Bath Bench$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-020Privacy Screen3 Panel with Castors$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-022Transfer BoardsStandard for Wheelchair$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-024Wheelchair (Bariatric) Ramps6’x48”; supports up to 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-025Ramps- (Bariatric) Walker6’x 48’; 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-026Seated Bariatric WalkerUp to 800lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-027Gait Belt70” wipe able/ antimicrobial$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-028Gait Belt96”’ wipe able/ antimicrobial$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-029IV Pole 2 Hook4 leg; 2 hook$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-030Assistive listening devicesPocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-031Headset (listening devices) coversSanitary stretchable headphone covers; fits3 inches in size headphones$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-032Magnifying glass7x LED illuminated magnifier round (needs AA batteries)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-033Communication Cards (picture boards)Large with common shelter pictures$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-034Adapted eating devices UtensilsFood Bumper Translucent plastic (clip on)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-035Adapted eating devices UtensilsComfort grip Angled Fork - Right hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-036Adapted eating devices UtensilsComfort grip Angled Spoon-Left hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-037Adapted eating devices UtensilsComfort grip Angled Spoon-Right hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-038Adapted eating devices UtensilsPediatric: Comfort grip spoon-left$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-039Adapted eating devices UtensilsPediatric: Comfort grip spoon-right$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-040Adapted eating devices UtensilsPediatric: Comfort grip fork-right$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-041Adapted eating devices UtensilsPediatric: Comfort grip fork-left$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-042Bedside CommodeCapacity 650lbs or greater$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-043Elevated toilet seatLocking elevated; capacity 350lbs.$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-0443-in-1 CommodeCapacity 650lbs or greater$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-045Shower Mat_Non-Slip16”x34” Non-Slip Vinyl$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-046Digital Infrared Thermometer (temporal)Digital Infrared$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-047Ramps- (Bariatric) Walker6’x 48’; 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-048Comfort Box1ea Knit Pant, T-shirt, Pair Sock for Bariatric Resident$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-049Transfer Lift w/2 Mesh Slings450LB Capacity (Hoyer Lift)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-050Wheelchair, Pediatric1ea w/Foot Rest; 1ea w/Elev. Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-051Refrigerator(No Freezer)Counter Height; Used for Medications$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-52Seated Bariatric WalkerDual release; heavy duty w/wheels up to 800lb$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0

Option 4

Attachment 3, "DME A-La-Carte Pricing"
ITEM #NameDescription4001A4002A4003A4004A
001-100 Units101-200 Units201-400 Units401-600 Units
Unit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPriceUnit PriceQTYPrice
DM-001Bed Wedge for Bariatric COT24” x 24’ x12”$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-002Westcott 700 Cot,Bariatric w/mattress600 lb Capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-003Westcott 400 Cot w/Mattresswith Half Side Rails$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-004Bedside Commode300 lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-0053 in 1 Commode for Over Toilet Use300 lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-006Independent Toilet Seat with Safety BarsContoured, 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"$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-007Egg Crate Padding32”W x 72”L, 1.2 density foam, roller compressed pkg.$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-008Walker, Dual ReleaseStandard w/out Wheels$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-009Walker, Dual ReleaseStandard w/wheels$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-010Bariatric Walker, Dual Release w/wheelsHeavy duty w/wheels up to 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-011Wheelchair, Adult1 ea w/Foot Rest; 1 ea w/Elevated Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-012Wheelchair (Bariatric), Adult, XLOverall width (open) 39”; capacity 700lbs Baw/Elevated Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-013IV-Pole, 5 CastorHeavy Gauge Steel, Slow-descending Pole, 3" Castorsw/Dust Covers and Thread Guards; Base has Durable Black Powder Finish$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-014Canes, WhiteStandard Cane for the Blind$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-015Canes, QuadLarge Base$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-016Crutches, AdultHardwood Armpit Crutch w/20" Length of 1" x 1": Padded Top ( Adjustable )$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-017Crutches, YouthSame Description as Adult Crutch but Size Adjusted for Children (Adjustable )$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-018Handheld ShowerWith 84" Hose$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-019Shower Chair (Bariatric)700lbs; Bath Bench$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-020Privacy Screen3 Panel with Castors$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-021Dressing Aid Stick2 hooks: One "C" Hook; One Push-pull Hook; Both Hooks Plastic Coated$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-022Transfer BoardsStandard for Wheelchair$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-023Assorted Utensil Holders (Non-Latex)Special Soft Holders, 3" L x 1"H$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-024Wheelchair (Bariatric) Ramps6’x48”; supports up to 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-025Ramps- (Bariatric) Walker6’x 48’; 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-026Seated Bariatric WalkerUp to 800lb capacity$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-027Gait Belt70” wipe able/ antimicrobial$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-028Gait Belt96”’ wipe able/ antimicrobial$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-029IV Pole 2 Hook4 leg; 2 hook$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-030Assistive listening devicesPocket talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud and folding headphone$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-031Headset (listening devices) coversSanitary stretchable headphone covers; fits3 inches in size headphones$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-032Magnifying glass7x LED illuminated magnifier round (needs AA batteries)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-033Communication Cards (picture boards)Large with common shelter pictures$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-034Adapted eating devices UtensilsFood Bumper Translucent plastic (clip on)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-035Adapted eating devices UtensilsComfort grip Angled Fork - Right hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-036Adapted eating devices UtensilsComfort grip Angled Spoon-Left hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-037Adapted eating devices UtensilsComfort grip Angled Spoon-Right hand$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-038Adapted eating devices UtensilsPediatric: Comfort grip spoon-left$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-039Adapted eating devices UtensilsPediatric: Comfort grip spoon-right$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-040Adapted eating devices UtensilsPediatric: Comfort grip fork-right$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-041Adapted eating devices UtensilsPediatric: Comfort grip fork-left$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-042Bedside CommodeCapacity 650lbs or greater$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-043Elevated toilet seatLocking elevated; capacity 350lbs.$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-0443-in-1 CommodeCapacity 650lbs or greater$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-045Shower Mat_Non-Slip16”x34” Non-Slip Vinyl$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-046Digital Infrared Thermometer (temporal)Digital Infrared$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-047Ramps- (Bariatric) Walker6’x 48’; 800lbs$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-048Comfort Box1ea Knit Pant, T-shirt, Pair Sock for Bariatric Resident$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-049Transfer Lift w/2 Mesh Slings450LB Capacity (Hoyer Lift)$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-050Wheelchair, Pediatric1ea w/Foot Rest; 1ea w/Elev. Leg Rest$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-051Refrigerator(No Freezer)Counter Height; Used for Medications$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0
DM-52Seated Bariatric WalkerDual release; heavy duty w/wheels up to 800lb$ - 0100$ - 0$ - 0200$ - 0$ - 0400$ - 0$ - 0600$ - 0

File details come from the government source that posted it. Updated .