Pricing Schedule.pdf

Line Item Description Quantity Unit Unit Price Extended Price

081505791 SUPERSLIDE TRANSFER BOARD 24 IN",

Medium withHandles; Each 1 each $ $

2 081100643 SWEDISH AFO, WOMAN LEFT BLACK"; Each 1 each $ $

3 081100650 SWEDISH AFO, WOMAN RIGHT BLACK" 1 each $ $

4 081091925 MEDIBEADS KING PAD 12 X 16" 1 each $ $

5 081100668 SWEDISH AFO, MEN'S LEFT BLACK"; Each 1 each $ $

6 081100676 SWEDISH AFO, MEN'S RIGHT BLACK"; Each 1 each $ $

7 081091933 MEDIBEADS NECK WRAP 8 X 22" 1 each $ $

8 081507961 KNEE SLING" 1 each $ $

9 081091917 MEDIBEADS STANDARD PAD 12X9" 1 each $ $

10 081014315 SNOOPY ARM SLING, X SMALL 1 each $ $

11 081561661 DAYS LIGHTWEIGHT ALUMINUM ROLLATOR 1 each $ $

081049881 COMFORT COOL THUMB CMC RGHT

MEDPLUS

1 each $ $

13 081238203 3/4 FINGER COMPRESS GLOVE, M-R 1 each $ $

14 081238229 3/4 FINGER COMPRESS GLOVE, L-R 1 each $ $

15 081183359 HIGH PROFILE CUSHION 18X16X4 1 each $ $

16 081677988 BALANCEDAIREADJ CUSH 18X18X4 1 each $ $

17 081627934 Glide Wheelchair Cushion, 18" X 18"; Each 1 each $ $

18 081139971 MATERNITY SI-LOC, S/M 1 each $ $

19 081049899 COMFORT COOL THUMB CMC LFT MEDPLUS 1 each $ $

20 081238211 3/4 FINGER COMPRESS GLOVE, M-L 1 each $ $

21 081235068 COMFORT COOL THUMB CMC LFT MED 1 each $ $

22 081092014 MediBeads Neck Wrap Cover 1 each $ $

23 081603323 TRACER SX5 18"X16" DESK ARM 1 each $ $

24 0812382373/4 FINGER COMPRESS GLOVE, L-L 1 each $ $

25 081235068 COMFORT COOL THUMB CMC LFT MED 1 each $ $

26 081092006 MEDIBEADS KING COVER 1 each $ $

081514371 GEL-CARE ADVANCED 5"X6" SA SHEET 10/

PK

1 each $ $

28 081006840 ARM REST ATTACHMENT FOR WALKER 1 each $ $

29 081680131 HG80 PREMIUM TENNIS ELBOW S/M 1 each $ $

30 081593276 ORTHAHEEL RELIEF FULL LNGTH MED; PAIR 1 each $ $

31 081561778DAYS QUAD CANE, WIDE BASE 1 each $ $

32 081547264 REDDIE KNEE BRACE 3XL 1 each $ $

081437805 CRUISER III 16X16 FULL ARM SWINGAWAY

FOOTRESTS

1 each $ $

34 081235050 COMFORT COOL THUMB CMC RGHT MED 1 each $ $

PRICING SCHEDULE - SOLICITATION IHS1488768

35 081235076 COMFORT COOL THUMB CMC RGHT LG 1 each $ $

36 081624733 M-BRACE OA KNEE R MEDIAL / L LATERAL XL 1 each $ $

37 081624683 M-BRACE OA KNEE L MEDIAL / R LATERAL XL 1 each $ $

38 081106871 EXTRA H/DUTYTRANSFER BENCH WFB 1 each $ $

39 081106855 Bariatric Bath Seat with Brace, 600 lbs.; Each 1 each $ $

40 081091990 MEDIBEADS STANDARD COVER 1 each $ $

081049865 COMFORT COOL THUMB CMC RGHT SM

PLUS

1 each $ $

42 081134949 DELUXE BARIATRIC DROP ARM COMMODE 1 each $ $

43 081033232 PARABATH PARAFFIN BATH 1 each $ $

44 081345669 GOOD GRIPS SHOEHORN 18" 1 each $ $

081534833 TRANSFER BELT, 54", NEUTRAL (PACKAGE

OF 5)

1 each $ $

46 081342047 IT-PHYTZ, ELEVATING LEG RESTS PAIR 1 each $ $

081584853 EXTRA WIDE HEAVY DUTY STEEL BARIATRIC

ROLLATOR

1 each $ $

48 081306398 EASIREACH II 26" (1) 1 each $ $

081605104 KINESIO GOLD FP BLUE, 2"X16.4', ROLLS/PK

1 each $ $

50 081235043 COMFORT COOL THUMB CMC LFT SM 1 each $ $

51 081236264 OVAL 8, SIZE 9, 5/PK 1 each $ $

52 081173095 POWERSTEP FULL LENGTH SIZE D; PAIR 1 each $ $

53 081173087 POWERSTEP FULL LENGTH SIZE C; PAIR 1 each $ $

54 081173079 POWERSTEP FULL LENGTH SIZE B; PAIR 1 each $ $

55 081173129 POWERSTEP FULL LENGTH SIZE G; PAIR 1 each $ $

56 081173137 POWERSTEP FULL LENGTH SIZE H; PAIR 1 each $ $

57 081173103 POWERSTEP FULL LENGTH SIZE E; PAIR 1 each $ $

58 081173111 POWERSTEP FULL LENGTH SIZE F; PAIR 1 each $ $

59 081033257 PARABATH HIGH STAND 1 each $ $

60 081126887 THERMOSKIN PLANTAR FXT, MED, BEIGE 1 each $ $

61 081075621 AIRLITE CUSHION 16X16X2/3.8 1 each $ $

081561653 DAYS BARIATRIC TWO-BUTTON WALKER W/

5" WHEELS

1 each $ $

63 081246107 THERMOSKIN PAT TRACK STABLZ XL 1 each $ $

64 081196542 FREE UP, 16 OZ. 1 each $ $

65 081295286 PADDED BATHTUB TRANSFER BENCH (1) 1 each $ $

66 081063676 CANDO FLEXIBLE BAR SET/6 1 each $ $

081543636 EDUCATOR PELVIC FLOOR EXERCISE

INDICATOR

1 each $ $

68 081593250 ORTHAHEEL RELIEF FULL LNGTH XS 1 each $ $

69 081126879 THERMOSKIN PLANTAR FXT, SM, BEIGE 1 each $ $

70 081248251 THERMOSKIN GLOVES, PAIR, XX-LG 1 each $ $

71 081593284 ORTHAHEEL RELIEF FULL LNGTH LG; PAIR 1 each $ $

72 081593292 ORTHAHEEL RELIEF FULL LNGTH XL; PAIR 1 each $ $

081659036 INVACARE REDUCED GAP HALF LENGTH BED

RAIL; PAIR

1 each $ $

74 081240936 Skil-Care Bed Rail Wedge Pads; Pair 1 each $ $

75 081347301 ELBOW STABILIZER, ADULT 1 each $ $

76 081294776 E.GELCASTandSPLINT / PAD(4X4)25/PK 1 each $ $

77 081029602 S/P PUTTY MED.GREEN, 5 LBS" 1 each $ $

78 081292622 MINI MASSAGER WITH BATTERY 1 each $ $

79 081331503 DRIVE TRANSFER BENCH W/COMMODE 1 each $ $

RTL12075 Bath Transfer Bench drive™ 21 to 25 Inch

Height Range 300 lbs. Weight Capacity Fixed Handle 1 each $ $

81 081236231 OVAL 8, SIZE 6, 5/PK 1 each $ $

82 081045855 THERMOSKIN ELASTIC ELBOW LG 1 each $ $

081040021 Rolyan Kwik-Form Plus Hand/Thumb

Orthosis 1 each $ $

081195858 LACING BLOCKS (DISCONTINUED, NO

REPLACEMENT)

1 each $ $

85 081171255 Cover-Roll Stretch 2" x 10 yd, per roll 1 each $ $

081040013 ROLYAN KWIK-FORM PLUS HAND/THUMB

ORTHOSIS, LEFT, MEDIUM

1 each $ $

081502145 Rolyan HANZ and HANZ Antimicrobial

WHFO; Left, Medium 1 each $ $

88 081286368 ECONOMY HIP KIT (1) 26" REACHER 1 each $ $

89 081274398 ROLYAN STABILIZER WALKER HIGH SMALL 1 each $ $

90 081567981 ROLYAN HEEL BOOT NAVY/LIGHT BLUE" 1 each $ $

91 081287226 POWER GRIP (1) 1 each $ $

92 081236249 OVAL 8, SIZE 7, 5/PK 1 each $ $

93 081236298 OVAL 8, SIZE 12, 5/PK 1 each $ $

94 081239284 FEMALE B/FLY CHEST HARNESS M 1 each $ $

95 081049873 COMFORT COOL THUMB CMC LFT PLUS SM 1 each $ $

96 081264282 POLYFLX 1/16"X12X18 1% WHITE 4/PK 1 each $ $

97 081171230 LEUKOTAPE P, 1 1/2X15 YD 1 each $ $

98 081695857 ROCKBALLS; Pair 1 each $ $

99 081173145 POWERSTEP FULL LENGTH SIZE I; PAIR 1 each $ $

100 081173061 POWERSTEP FULL LENGTH SIZE A; PAIR 1 each $ $

081288836 ELBOW/HEEL PROTECTOR W/PAD SHOCK

ABSORBING PAD XL(1 PAIR)

1 each $ $

102 081442045 POINT RELIEF MASSAGER 1 each $ $

103 081235787 DYNAMIC DIGIT EXTENSOR TUBE,SM 1 each $ $

104 081406982 ANTIMICROBIAL GAIT BELT, 70" 1 each $ $

081071810 INVACARE REAR ANTI-TIPPERS (SPR, EX2,

9000XT, SX5); PAIR

1 each $ $

081451087 ADVANCED DORSAL RESTING SPLINT

MEDIUM

1 each $ $

107 081451095 ADVANCED DORSAL RESTING SPLINT LARGE 1 each $ $

108 081604198 ALIGNRITE WRIST BLK LNG LEFT LG 1 each $ $

081047448 POLYFORM W/T SPIC PERF SM PRECUT 3/

PK

1 each $ $

110 081515295 ECONOMY R-SECURABLE II, BEIGE 2"X10YD. 1 each $ $

111 081590991 ROLYAN ADJ FRAME CERVICAL COLLAR LG 1 each $ $

112 081367143 3/4" 3PP BUDDY LOOP 25/PK 1 each $ $

113 081077031 TRANSFER BRD W/ SIDE HAND HOLE 1 each $ $

114 081671437 THREE MEMORY TIMER 1 each $ $

115 081568005 MID-CALF BOOT NAVY/LIGHT BLUE 1 each $ $

116 081015908 LARGE DIGIT HAND HELD TIMER 1 each $ $

117 0810801833 PP BUDDY LOOPS 1/2" WIDE 25/PK 1 each $ $

118 081515311 ECONOMY R-SECURABLE, 2"X10YD. 1 each $ $

119 081518372 Aircast AirLift PTTD Brace. Right-Medium 1 each $ $

120 081030824 PERFORMA PARAFFIN WAX. 6 LB BLOCKS. 1 each $ $

081216811 TERRY TROPIC PAC COVER - OVERSIZE 15" X

42" 1 each $ $

7100709 Bon Vital' Complete Dual Purpose Massage

Creme. 14 OZ. Jar 1 each $ $

123 081420579 R-WRAP BLACK 2"X15YD (1 ROLL) 1 each $ $

081534841 TRANSFER BELT, 72", NEUTRAL (PACKAGE

OF 5)

1 each $ $

081238187 ROLYAN 3/4 FINGER COMPRESS GLOVE, S-R.

WRIST LENGTH.

1 each $ $

081238195 ROLYAN 3/4 FINGER COMPRESS GLOVE, S-L.

WRIST LENGTH.

1 each $ $

127 081301928 AQCLR 1/16X18X24 SOLID BEIGE 1 1 each $ $

128 081627827 RIGID CUSHION INSERT 17X15 1 each $ $

081589290 DAYS BARIATRIC WALKER DOUBLE FIXED

WHEELS and GLIDE CAPS 1 each $ $

130 081073469 TUMBLEFORMS 2 FOAM ELEVATOR -BLUE 1 each $ $

131 081236256 OVAL 8, SIZE 8, 5/PK 1 each $ $

081167261 HI-D Transfer Board. 400 LB-

26"LX10"WX1/2"D-MID HANDLE HOLE

1 each $ $

133 081540715 BG408 ANTI VIBE MECHANICS AIR GLV S 1 each $ $

134 081540756 BG408 ANTI VIBE MECHANICS AIR GLV XL 1 each $ $

135 081287325 ADJUST QUAD CANE WIDE BASE (1) 1 each $ $

136 081236314 OVAL 8, SIZE 14, 5/PK 1 each $ $

137 081622117 PELVIWAND V 1 each $ $

081287317 ADJUST QUAD CANE STD BASE 5" X 7"

STANDARD BASE (1)

1 each $ $

139 081086560 HOTPAC - NECK CONTOUR 24" X 6.5" 1 each $ $

140 081183284 Economy Heat Gun 1 each $ $

141 081166883 TRANSFER BOARD W/SLOTS, 30" 1 each $ $

142 081632140 MEASURING WHEEL WITH DIGITAL DISPLAY 1 each $ $

081293349 R-VALUE KWIK-FORM PROGRESSIVE HAND

SPLINT MEDIUM/LARGE (1)

1 each $ $

144 081606722 CHROME SUCTION CUP GRAB BAR-12" 1 each $ $

145 081295187 PORTABLE PLASTIC BATHBOARD (1) 1 each $ $

081604206 AlignRite Wrist Support without Wrist Strap -

Black. Short. Left. XL.

1 each $ $

081604255 AlignRite Wrist Support without Wrist Strap -

Black. Short. Right. XL 1 each $ $

081604180 AlignRite Wrist Support without Wrist Strap -

Black. Short. Left. Medium 1 each $ $

149 081604131 ALIGNRITE WRIST BLK LNG RGHT MED 1 each $ $

150 081604123 ALIGNRITE WRIST BLK LNG RGHT SM 1 each $ $

151 081604172 ALIGNRITE WRIST BLK SHORT LEFT SM 1 each $ $

152 081406982 ANTIMICROBIAL GAIT BELT, 70" 1 each $ $

153 081412840 PRO-TEC HINGED KNEE WRAP XXL 1 each $ $

154 081403351 MUELLER LUMBAR BRACE W/PAD EXT 1 each $ $

155 081278035 EXPRESS COMFORT FOAM 18X16X2 1 each $ $

156 081547157 ROLYANFIT WRAP HINGED KNEE 4X 1 each $ $

157 081182583 LMB EXTENSION FINGER SPLINT,A 1 each $ $

158 081182591 LMB EXTENSION FINGER SPLINT,B 1 each $ $

159 081182393 LMB Spring Finger Extension Splint, D 1 each $ $

160 081182609 LMB EXTENSION FINGER SPLINT,C 1 each $ $

161 081629336 CanDo Rubber Medicine Ball. 2 LB. Yellow 1 each $ $

162 081334168 SOFT BOOT 1 each $ $

163 081292614 NEOPRENE ADHESI STRAP2"X14" 10/PK 1 each $ $

164 081156504 COMFORT COOL CMC ABD RGHT SM 1 each $ $

165 081276427 TEMPER FOAM MED S/A 3/8X16X24 (2) 1 each $ $

166 081236272 OVAL 8, SIZE 10, 5/PK 1 each $ $

167 081236215 OVAL 8, SIZE 4, 5/PK 1 each $ $

168 081236306 OVAL 8, SIZE 13, 5/PK 1 each $ $

169 081304690 SOF-STRETCH EXTENSION WH XSM 1 1 each $ $

170 081304708 SOF-STRETCH EXTENSION WHITE S1 1 each $ $

171 081304732 SOF-STRETCH EXTENSION WHIT XL1 1 each $ $

172 081304724 SOF-STRETCH EXTENSION WHITE L1 1 each $ $

173 081304716 SOF-STRETCH EXTENSION WHITE M1 1 each $ $

174 081186915 FLEX. TAPE MEASURE 60" 1 each $ $

175 081052810 FOAM ROLLERS IN BLUE 6 X 36 1 each $ $

176 081189273 ENDURA-TAPE 1 1/2 X15 3/PK 1 each $ $

177 081292606 NEOPRENE AHDHSTRAP1/8X1X14" 10/PK 1 each $ $

178 081571686 SPORTS TAPING KIT 1 each $ $

081216829 TERRY TROPIC PAC COVER - CERVICAL 24" X

6.6" 1 each $ $

180 081679992 PILLOW CASE-WHITE VINYL-ZIPPER 1 each $ $

181 081175082 SP FOAM CUSHION 18X16X2 1 each $ $

081065390 REUSABLE HEAT PAN LINER 30X45" SPLINT

PAN NETTING

1 each $ $

081202878 Sammons Preston Bendable Sponge, Contour 1 each $ $

184 08118664 22" WIDE NYLON D-RINGS, 25/PK 1 each $ $

0811399 553-T OE Triple Budin Splint STRAIGHTENER -

LEFT

1 each $ $

186 081680149 HG80 PREMIUM TENNIS ELBOW L/XL 1 each $ $

187 081246073 THERMOSKIN PAT TRACK STABLZ SM 1 each $ $

188 081172725 TRANSFER BELT, 72" 1 each $ $

189 081516608 ACTIVAPATCH 6/PK 1 each $ $

190 081172709 TRANSFER BELT, 54" 1 each $ $

191 081169234 LEMA STRAP 1 each $ $

192 081613652 MEDICA SHORTS, SMALL/MEDIUM, COUNT 1 each $ $

193 081236280 OVAL 8, SIZE 11, 5/PK 1 each $ $

194 081564715 EXPRESS COMFORT GELFOAM 16X16X2 1 each $ $

195 081542919 AQUAFLEX WEIGHTED VAGINAL CONES 1 each $ $

196 081235035 COMFORT COOL THUMB CMC RGHT SM 1 each $ $

081694074 SWEDE-O ARTHRITIC GLOVES, PAIR, 2XL

70906 1 each $ $

198 081195015 SFSHLL HLMT, MD,RBL,22-22 3/4" 1 each $ $

199 081612498 IMPULSE 3000 W/ TIMER 1 each $ $

200 081292648 THERA CANE MASSAGER (1) 1 each $ $

201 081593268 ORTHAHEEL RELIEF FULL LNGTH SM 1 each $ $

202 081169614 STAND MIRROR 5"X4"OVAL 1 each $ $

203 081280585 NETTING 15"X24" FOR HEAT PAN 1 1 each $ $

204 081244193 ADJUST-A-LIFT LARGE 1 each $ $

205 081042241 SP LUMBAR ROLL FIRM BURGUNDY 1 each $ $

206 081295708 ROLYAN THUMB LOOP INFANT (1) 1 each $ $

207 081295690 ROLYAN THUMB LOOP CHILD (1) 1 each $ $

208 081505643 CanDo Black Foam Roll. Round. 6"X12" 1 each $ $

209 081079235 FOAM ELEVATOR (SOFT) 1 each $ $

081031301 FUNCTIONAL HAND WEIGHTS, 2-1.5 LB;

PAIR

1 each $ $

211 081301365 ROLYAN NE0 WRAP-0N THUMB R XS 1 each $ $

212 081452531 CHILDREN'S WRIST SUPPORT, RED, LEFT LG 1 each $ $

081248111 EDEMA GLOVE, OPEN FINGER, SHOULDER

LENGTH, LEFT, LARGE

1 each $ $

081248129 EDEMA GLOVE, OPEN FINGER, SHOULDER

LENGTH, RIGHT, LARGE

081584036 THERABAND PRO FOAM ROLLERS, 6" X 36",

ROUND

1 each $ $

216 081239516 ADAPT REACHER W/SUCTION CUP 26 1 each $ $

217 081708866 SP SOLID SEAT INSERT 16X16 1 each $ $

218 081591494 DAYS BARIATRIC QUAD CANE, LARGE BASE 1 each $ $

219 081616002 ORFICAST (BLUE) 1.5" X 9.8 FT 1 each $ $

220 081236223 OVAL 8, SIZE 5, 5/PK 1 each $ $

221 081022607 Sammons Preston Reacher. Standard 26" 1 each $ $

222 081036102 SILIPOS GEL METATARSAL PADS PR PAIR 1 each $ $

223 081541150 RIBBED KNIT DIGITAL CAPS XXL. 6PK 1 each $ $

081570134 HEEL BOOT SHORT NAVY/ LIGHT BLUE PAIR

(2) 1 each $ $

225 081196450 OTOFORM K/C 6 OZ.(170 GRAM) 1 each $ $

226 081327881 VASYLI FULL INSOLE BLUE KIDS S; PAIR 1 each $ $

227 081589233 DAYS WALKER GLIDE CAPS 4/PK 1 each $ $

228 081188234 ROLYAN LOOP, WHITE, 2X25 YD 1 each $ $

081083583 THERABAND STANDARD EXERCISE BALL, 65

CM, GREEN, RETAIL PACK

1 each $ $

230 081610864 PRO ROLLER ROUND - PINK MARBLE 1 each $ $

231 081413608 WRIST WIDGET 1 each $ $

081298306 TEMPER FOAM R-LITE FOAM BLOCKS, PINK

SOFT 32/PK

1 each $ $

233 081133586 COMFORT FOAM BIMINI BLUE 18X16X2 1 each $ $

234 081281740 EDEMA GLOVE OPEN FINGER XS RT (1) 1 each $ $

081613645 MEDICAL SHORTS, LARGE/EXTRA LARGE, 50

COUNT

1 each $ $

081298314 TEMPER FOAM R-LITE FOAM BLOCKS, BLUE

MEDIUM 32/PK

1 each $ $

237 081081645 THUMB SPICA LINR 2" X 16" SHORT 10/CS 1 each $ $

238 081279033 LACURA Q GEL CUSHION 16X16X2 1 each $ $

239 081675040 READYWRAP FOOT RIGHT L BK 1 each $ $

081576792 Nylon Gait Belt with Quick Release Buckle.

54" 1 each $ $

241 081281815 EDEMA GLOVE OPEN FINGER LG LF (1) 1 each $ $

242 081238351 ULTRA-SOFT HEEL CUSHIONS, PAIR 1 each $ $

243 081045863 THERMOSKIN ELASTIC ELBOW XL 1 each $ $

244 081063650 CANDO TWIST-N-BEND BAR, BLUE 1 each $ $

245 081063627 CANDO TWIST-N-BEND BAR, YELLOW 1 each $ $

246 081624626 REPLACEMENT ARM PAD FOR WC - DESK 1 each $ $

081234772 THERABAND 25 YARD, LATEX FREE, LEVEL 4,

BLUE, EXTRA HEAVY

1 each $ $

248 081325109 DORSAL CARPAL TUNNEL SPLT R SM 1 each $ $

249 081325059 DORSAL CARPAL TUNNEL SPLT L SM 1 each $ $

250 081247931 EPITRAIN ELBOW SUPPORT, SIZE 6 BLACK 1 each $ $

251 081685247 HG80 PREMIUM KNEE STABILIZER XL 1 each $ $

252 081452085 VELCRO LOOP N/A 2"X25YD WHITE 1 each $ $

253 081437623 ERGOWRITER 1 each $ $

254 081622125 PELVIWAND LA 1 each $ $

255 081170877 SURE-GRIP SUPPOSITORY INSERTER 1 each $ $

081234780 THERABAND 25 YARD, LATEX FREE, LEVEL 5,

BLACK, SPECIAL HEAVY

1 each $ $

257 081045830 THERMOSKIN ELASTIC ELBOW SM 1 each $ $

081540939 SAMMONS PRESTON SUPER SLING PLUS

COMPLETE MEDIUM

1 each $ $

259 081281773 EDEMA GLOVE OPEN FINGER SM LFT (1) 1 each $ $

260 081675255 READYWRAP KNEE M BK 1 each $ $

261 081098060 THERMOSKIN KNEE WRAP STABLZ 5X 1 each $ $

262 081098045 THERMOSKIN KNEE WRAP STABLZ 3X 1 each $ $

263 081050483 DLX TRACT GLOVE+THUMB,SM-MD,L1 1 each $ $

264 081050475 DLX TRACT GLOVE+THUMB,SM-MD,R1 1 each $ $

265 081235639 GIVMOHR HEMI SLING, LARGE 1 each $ $

266 081050491 DLX TRACT GLOVE+THUMB,L-XL,R 1 1 each $ $

267 081200732 UNIVERSAL BATH BENCH W/BACK 1 each $ $

268 081063643 CANDO TWIST-N-BEND BAR, GREEN 1 each $ $

269 081063635 CANDO TWIST-N-BEND BAR, RED 1 each $ $

270 081449727 GLOBOPED HEEL RELIEF SHOE SMALL 1 each $ $

271 081050145 RIBBED KNIT DIGITAL CAPS L/XL 6/PK 1 each $ $

272 081620939 NEUTRAL THUMB RESTING SPLINT S-R 1 each $ $

273 081335389 THERMOSKIN CARP TUNNEL GLV LXL 1 each $ $

274 081335371 THERMOSKIN CARP TUNNEL GLV LL 1 each $ $

275 081335447 THERMOSKIN CARP TUNNEL GLV RXL 1 each $ $

276 0813435454 THERMOSKIN CARP TUNNEL GLV R2X 1 each $ $

277 081335439 THERMOSKIN CARP TUNNEL GLV RL 1 each $ $

278 081335397 THERMOSKIN CARP TUNNEL GLV L2X 1 each $ $

279 081048206 MINI VIBRATOR 1 each $ $

081694058 SWEDE-O ARTHRITIC GLOVES, PAIR, LRG

70904 1 each $ $

081694066 SWEDE-O ARTHRITIC GLOVES, PAIR, 1XL

70905 1 each $ $

081234749 THERABAND 25 YARD, LATEX FREE, LEVEL 1,

YELLOW, THIN

1 each $ $

283 081186998 WRIST/HAND SPLINT LINER 10/PK 1 each $ $

081437508 THIGH HI RELIEF 20-30 CLTOE MD

LEGWEAR,CLOSED TOE,BG,MEDIUM

1 each $ $

081298231 TEMPER FOAM R-LITE FOAM BLOCKS,

YELLOW EXTRA SOFT 32/PK

1 each $ $

081234764 THERABAND 25 YARD, LATEX FREE, LEVEL 3,

GREEN, HEAVY

081714369 LACURA GELFOAM HALFAND HALF

CUSHION 20X18X1

1 each $ $

288 081675172 READYWRAP CALF L TALL BK 1 each $ $

081100320 Innovator Post-Op Knee Braces. Premium-

24". Regular.

1 each $ $

290 081192954 JOBST SHEER THIGH HIGH 20-30 M 1 each $ $

081054568 SPENCO ORTH ARCH SUP FULL SZ 2 PAIR

FULL LENGTH

1 each $ $

081054576 SPENCO ORTH ARCH SUP FULL SZ 3 PAIR

FULL LENGTH

1 each $ $

081054584 SPENCO ORTH ARCH SUP FULL SZ 4 PAIR

FULL LENGTH

1 each $ $

294 081244177 ADJUST-A-LIFT SMALL 1 each $ $

295 081672336 EXOSTRONG THIGH HIGH M SHORT BG SILI 1 each $ $

296 081672906 ExoStrong Thigh High. Black. Large. Regular 1 each $ $

297 081281807 EDEMA GLOVE OPEN FINGER LG RT (1) 1 each $ $

298 081187087 COLD SPRAY 6 OZ, CS/12 1 each $ $

299 081186980 THUMB SPICA SPLINT LINER 10/PK 1 each $ $

300 081281799 EDEMA GLOVE OPEN FINGER MED LF (1) 1 each $ $

081234756 THERABAND 25 YARD, LATEX FREE, LEVEL 2,

RED, MEDIUM

1 each $ $

302 081229228 WALK-EASY CRUTCHES,YOUTH BLACK 1 each $ $

303 081160498 HEAVY DUTY STEEL CRUTCHES, TALL 1 each $ $

304 081281765 EDEMA GLOVE OPEN FINGER SM RT (1) 1 each $ $

081440130 "BENIK W711, FRARM RAD NERV SPLINT, L-

M/L 1 each $ $

081438571 "BENIK W711, FRARM RAD NERV SPLINT, R-

SM

1 each $ $

081439066"BENIK W711, FRARM RAD NERV SPLINT, R-

M/L 1 each $ $

308 081451111 CUBITAL COMFORT BRACE LONG 1 each $ $

309 081104603 SOFTPRO WHFO CHAMP M RT 1 each $ $

310 081244185 ADJUST-A-LIFT MEDIUM 1 each $ $

311 081675370 READYWRAP THIGH M TALL BK 1 each $ $

312 081281781 EDEMA GLOVE OPEN FINGER MED RT (1) 1 each $ $

313 081187004 WRIST/HAND THUMB LINER 10/PK 1 each $ $

081533371 DYCEM SUPER BULK ROLL-8"X16YD-

YELLOW

1 each $ $

315 081451103 CUBITAL COMFORT BRACE SHORT 1 each $ $

081063486 MCKENZIE EARLY COMPLIANCE LUMBAR

ROLL

1 each $ $

317 081196344 SILIPOS HEEL SPUR CUSHION MED 1 each $ $

318 081295260 PADDED COMMODE TRANSFER BENCH (1) 1 each $ $

319 081045848 THERMOSKIN ELASTIC ELBOW MED 1 each $ $

320 081196351 SILIPOS HEEL SPUR CUSHION LG 1 each $ $

321 081576842 NONIN ONYX VANTAGE 9590 BLACK 1 each $ $

322 081190099 NEOPRENE WRIST WRAP, BLACK 1 each $ $

323 081246081 THERMOSKIN PAT TRACK STABLZ MD 1 each $ $

324 081183334 LOW PROFILE CUSHION 16X16X2 1 each $ $

325 081707587 CURADRAPE 1/8X18X24 SOLID 4 1 each $ $

326 081561794 DAYS QUAD CANE, NARROW BASE 1 each $ $

327 081294008 MCKENZIE LUMBAR ROLL FIRM (1) 1 each $ $

328 081014091 PATHWAY RECTAL EMG/STIM 1 each $ $

329 081014000 PATHWAY VAGINAL EMG/STIM 1 each $ $

330 081174556 SP LUMBAR ROLL STANDARD NAVY 1 each $ $

331 081246099 THERMOSKIN PAT TRACK STABLZ LG 1 each $ $

332 081504745 EASI-CARE GAIT BELT 60" 1 each $ $

333 081678606 BARIATRIC STOOL, BLACK 1 each $ $

081576974 UNIVERSAL SEAT HEIGHT ALUMINUM

ROLLATOR

1 each $ $

335 081561752 Days Hemi Walker 1 each $ $

336 081709260 SP DELUXE GELFOAM CUSHION 16X16X3 1 each $ $

337 081709278 SP DELUXE GELFOAM CUSHION 16X16X2 1 each $ $

338 081708742 LACURA NONSKID SOLID SEAT INSERT 16X16 1 each $ $

339 081708536 SP GELFOAM CUSHION 16X16X2 1 each $ $

340 081708569 SP GELOAM CUSHION 18X16X2 1 each $ $

146-10301F-4 Small Base Quad Cane McKesson Steel 30 to 39 Inch Height Chrome; Each 1 each $ $

342 081561661 DAYS LIGHTWEIGHT ALUMINUM ROLLATOR 1 each $ $

343 081561893 Homecraft Shower Chair; Each 1 each $ $

344 12202KD-4 Drive Shower Chair case of 1 each $ $

345 081443803Gel Mate Silicone Gel; 5 per pack 1 each $ $

FOB: Destination

TOTAL = $

Contractor

Representative:

Print Name

SAM UEI #

Signature & Date