price list & product catalog | · pdf fileeffective date 7/1/11 3 i. general terms and...

Price List & Product Catalog | 2011

AL05121W

C O N T E N T ST E r m S a N d C O N d i T i O N S O f S a l E

Baxter’s Renal Business Unit develops, manufactures and markets a comprehensive selection of PRODUCTS and services used in the treatment of kidney disease.

Directory of Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2General Terms and Conditions of Sale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Warranties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6Order/Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10Billing/Payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Returned Goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12APD EQUIPMENT Rental Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-14

P E r i T O N E a l d i a lY S i SDianeal PD Solution, UltraBag System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PD1Dianeal PD Solution, Single Bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PD2 – PD3extraneal (icodextrin) PD Solution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PD4HomeCHoiCe Pro Automated Peritoneal Dialysis System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PD5 – PD6HomeCHoiCe Automated Peritoneal Dialysis System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PD5 – PD6APD Drain Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PD6APD Miscellaneous Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PD6Disconnect Y-Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PD7Miscellaneous CAPD Supplies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PD7Assist Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PD7Transfer Sets, Catheter Supplies, Disconnect Caps, and Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PD8 Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PDTM

a C U T E d i a lY S i SDialysis Solutions for CRRT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AC1 Acute PD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AC1 Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ACTM

H E m O d i a lY S i S Hemavision Disposable Blood Chamber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HD1Dialyzers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HD2 – HD3Blood Tubing Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HD4Fistula Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HD5 – HD6Disposable Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HD7Concentrates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HD8 Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HDTM

S O f T W a r E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SO1Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SOTM

a N C i l l a r i E SSponges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AN1Dressings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AN1Tape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AN2Antiseptics/Chemicals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AN3Gloves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AN3Blood Pressure Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AN4Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AN4Permanent Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AN4Miscellaneous Ancillary Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AN5 Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ANTM

P r E S C r i P T i O N f O r m S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PF1 – PF3

Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PFTM

N U m E r i C a l i N d E x . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IN1 – IN3

Prices stated here are applicable to the U.S. only.Baxter may, at its sole discretion, revise or amend this price list and product catalog without prior notice to the customer.

Effective July 1, 2011

d i r E C T O rY O f S E r v i C E S

HomeCare Services / Order Entry (HOME PATIENTS) 1-800-284-4060

Hours: 7:00 am - 6:00 pm CST Fax: 1-800-666-8457

Customer Service / Order Entry (Hospitals & Centers) 1-888-229-0001

Hours: 7:00 am - 6:00 pm CST Fax: 1-888-229-0020

NOTE: Hospital and Center orders are required to be placed electronically.

Electronic Commerce 1-877-334-2298

http://ecomm.baxter.com

Sales Inquiries 1-888-736-2543

PARTS and EQUIPMENT Service 1-800-553-6898

Hemodialysis On-site Service

Hours: 8:00 am - 5:00 pm local time

Emergency On-site Service (7 days a week)

Hours: 8:00 am -10:00 pm EST

Global Technical Services 1-800-553-6898

Peritoneal Dialysis Operational Support (24/7/365 days a year)

Hemodialysis Technical Support

Hours: 8:30 am - 5:00 pm EST

Clinical Support 1-888-736-2543

PRODUCT Surveillance 1-888-736-2543

Hardware Billing 1-800-553-6898

Credit and Collections 1-888-270-3189

Hours: 7:00 am - 5:00 pm CST

DIRECTACCESS 1-800-284-4060

https://homecareservices.baxter.com/

Pharmacy Services 1-888-736-2543

Effective Date 7/1/11 2

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i . G E N E r a l T E r m S a N d C O N d i T i O N S O f S a l E

ALL SALES ARE SUBJECT TO AND EXPRESSLY CONDITIONED UPON THE TERMS AND CONDITIONS CONTAINED HEREIN, WHICH ARE ACCEPTED BY THE CUSTOMER UPON PLACING OF AN ORDER FOR PRODUCT WITH BAXTER WHICH ORDER IS CONFIRMED BY BAXTER. NO VARIATION OF THESE TERMS AND CONDITIONS WILL BE BINDING UPON BAXTER UNLESS AGREED TO IN WRITING AND SIGNED BY AN AUTHORIZED EMPLOYEE OF BAXTER, OR UNLESS A SEPARATE DIALYSIS PRODUCT PURCHASE AGREEMENT OR OTHER APPLICABLE SALES DOCUMENT HAS BEEN SIGNED, IN WHICH CASE, SUCH SALES DOCUMENT SHALL GOVERN IN THE EVENT OF AN EXPRESS CONFLICT WITH THESE TERMS AND CONDITIONS. THESE TERMS AND CONDITIONS CAN ALSO BE FOUND AT:

http://www.baxter.com/downloads/patients_and_caregivers/therapies/renal/bplpc.pdf

Baxter reserves the right at any time to amend these Terms and Conditions. It is CUSTOMER’S responsibility to review these Terms and Conditions prior to submitting each order. Baxter has no responsibility to notify CUSTOMER of any changes prior to the effective date of the changes. CUSTOMER shall be deemed to accept such amended Terms and Conditions by ordering PRODUCT after the date of such amendment.

No Reselling, Transfer or Export CUSTOMER agrees that PRODUCT purchased from Baxter is not for: a) resale, transfer, barter or trade to any entity or person, b) use in the further processing, packaging or filling of other drugs, therapies or devices, or c) export. Neither CUSTOMER nor HOME PATIENT shall transfer any PRODUCT to any other person or entity except to the person for whom the prescription is written. Any unused PRODUCT, once dispensed or delivered to HOME PATIENT or CUSTOMER, cannot be transferred to any other patients and must be destroyed in accordance with applicable state or local regulations or returned to Baxter per the guidelines outlined in the Returned Goods section of these Terms and Conditions.

Drug and Service State Licensing Requirements CUSTOMER agrees to maintain all state-mandated licenses and/or permits required to purchase, use, and dispense Baxter PRODUCT. CUSTOMER shall provide all applicable license and permit information to Baxter promptly upon request.

Tax, Tax-Exempt Status and Other Fees CUSTOMER agrees to pay all applicable federal, state, and local taxes (including property taxes); license and registration fees; and all other fees and costs based on CUSTOMER’S lease, rental, purchase, possession or use of PRODUCT. A CUSTOMER that is exempt from taxation is required to provide valid certification of its exempt status to Master Data Center of Excellence

(1-877-329-0003; Fax 1-847-948-2540).

No Prohibited Use of PRODUCT CUSTOMER will not knowingly use, resell, transfer or distribute any PRODUCT directly or indirectly for the development, production or proliferation of weapons of mass destruction, or missile delivery systems and/or for any terrorist activities.

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4 Effective Date 7/1/11

i i . d E f i N i T i O N S

The following definitions apply to these Terms and Conditions:

CUSTOMER shall mean the legal entity purchasing PRODUCT, for the provision of Automated Peritoneal Dialysis (“APD”), Continuous Ambulatory Peritoneal Dialysis (“CAPD”), or Hemodialysis (“HD”) therapy. Such entities include, but are not limited to: hospitals and their affiliated outpatient dialysis clinics (“Hospitals”) and other licensed, outpatient dialysis centers (“Centers”).

DIRECTACCESS is an on-line tool to allow Hospitals and Centers to manage HOME PATIENT transactions. Key functions include: new patient set-up, status change, and prescription management. This is the preferred vehicle for CUSTOMER to manage HOME PATIENT transactions with Baxter.

DISPOSABLE shall mean any PRODUCT manufactured or sold by Baxter, other than EQUIPMENT or PARTS.

EQUIPMENT shall mean durable medical devices, hardware, instruments and instrumentation used primarily for dialysis which is manufactured or sold by Baxter for its intended use.

EXPEDITED ORDER shall mean any order placed for delivery with less lead time than outlined in the Lead Time section of these Terms and Conditions.

FORCE MAJEURE shall mean supply shortage of raw materials, manufacturing problems, delivery or labor problems, discontinuation of PRODUCT line, acts of regulatory or other governmental or quasi-governmental entities, terrorist activities, acts of hostility by foreign or domestic parties, acts of nature (including fire, flood, earthquake, storm, hurricane or other natural disaster), or unforeseen events or causes beyond Baxter’s control.

HOME PATIENT shall mean an individual for which CUSTOMER holds an active prescription and is providing CAPD, APD or HD therapy in the patient’s home.

PART shall mean a component manufactured or sold by Baxter for EQUIPMENT.

PRODUCT shall mean DISPOSABLE, EQUIPMENT, PART or any combination thereof.

RE-DELIVERY shall mean a situation in which previous delivery arrangements have been made and agreed to by HOME PATIENT and a second delivery is made after an unsuccessful first attempt to deliver has been made.

SCHEDULED DELIVERY shall mean an order placed for delivery to an established address on an established date per the established delivery schedule.

OFF-SCHEDULE DELIVERY shall mean an order placed for delivery to an established address on a date that varies from the established delivery date.

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i i i . Wa r r a N T i E S

General Warranty Baxter warrants that PRODUCT manufactured by Baxter, when used in accordance with the directions on the labeling, is fit for the purposes and indications described on the labeling. The applicable manufacturer under the manufacturer’s warranty will cover PRODUCT not manufactured by Baxter, and Baxter provides no warranty for PRODUCT not manufactured by Baxter.

The warranty does not apply to any PRODUCT that is misused, abused, neglected, tampered with or damaged intentionally, by accident, flood, water, fire or other hazard. If PRODUCT is not used in accordance with manufacturer’s instructions, PRODUCT warranties are void and of no effect. There are no other express or implied warranties, including any warranty of merchantability or fitness for a particular purpose. Baxter shall not be liable for proximate, incidental, or special damages.

All warranties in these Terms and Conditions shall be construed to comply with the warranty Safe Harbor found at 42 C.F.R. 1001.952(g).

THE WARRANTY IN THIS SECTION SHALL BE IN LIEU OF ANY OTHER WARRANTY EXPRESSED, OR IMPLIED OR STATUTORY, RESPECTING PRODUCT, AND BAXTER MAKES NO IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. CUSTOMER”S SOLE AND EXCLUSIVE REMEDY IN CONTRACT, TORT OR UNDER ANY OTHER THEORY AGAINST BAXTER WITH RESPECT TO PRODUCT AND ITS USE SHALL BE THE REPLACEMENT OR REPAIR OF THE PRODUCT AND NO OTHER REMEDY (INCLUDING, WITHOUT LIMITATION, CONSEQUENTIAL DAMAGES) SHALL BE AVAILABLE TO CUSTOMER. BAXTER SHALL HAVE NO FURTHER OBLIGATION OR LIABILITY WITH RESPECT TO PRODUCT, OR ITS SALE, OPERATION AND USE, AND BAXTER NEITHER ASSUMES, NOR AUTHORIZES THE ASSUMPTION OF, ANY OBLIGATION OR LIABILITY IN CONNECTION WITH SUCH PRODUCT.

EQUIPMENT Warranty Baxter warrants to CUSTOMER that EQUIPMENT delivered is free from defects in material or workmanship for the periods specified in the appropriate Operator’s and Technician’s manual (which outlines the complete warranty), provided EQUIPMENT is used and maintained in accordance with the manufacturer’s operating instructions. PARTS installed which have been purchased from vendors other than Baxter shall void all applicable warranties.

Warranty for EQUIPMENT Service Repair Service is subject to a thirty (30) day conditional warranty.

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Limitation to Warranty for EQUIPMENT and Service The warranty does not apply to any EQUIPMENT or PART that is subjected to abnormal or unusual electrical or fluid stress, improperly installed or operated, serviced by anyone other than a Baxter authorized representative or not maintained in accordance with the routine maintenance schedule set forth in the Operator’s and Technician’s manual for EQUIPMENT. Periodic preventative maintenance required to maintain proper EQUIPMENT operation is not covered under the warranty. These services can be purchased by calling 1-800-553-6898 and selecting the prompt for PARTS or on-site Service. Requests for service or replacement outside of Baxter’s normal working hours will be subject to additional charges. Warranty does not provide replacement DISPOSABLE or any other compensation during the period that CUSTOMER”S EQUIPMENT is inoperative. Baxter’s sole obligation and CUSTOMER’S exclusive remedy shall be limited to repair or replacement, at Baxter’s option and expense of the defective PART or EQUIPMENT, using new or reconditioned PARTS and/or subassemblies for a period of one hundred eighty (180) days, except for the HomeChoice or the HomeChoice Pro system which shall be for a period of ninety (90) days, following the date of initial delivery. Such repair or replacement shall be made without cost to CUSTOMER and Baxter reserves the right to determine the location at which the repair or replacement will be accomplished.

Indemnification CUSTOMER agrees to indemnify, defend and hold harmless Baxter, its affiliates and subsidiaries, and the officers, directors, employees, agents and insurers of each of them, from and against any and all third party claims, demands, actions, damages, expenses, costs, claims, judgments and liabilities (including, without limitation, interest, penalties and reasonable attorneys’ fees and investigative costs) incurred by Baxter, arising from, in connection with or as a consequence of a) any negligent, or wrongful act or omission by CUSTOMER; and/or b) CUSTOMER’S transfer, use or sale of PRODUCT, except to the extent that such suit or demand arises out of the failure of PRODUCT to meet Baxter’s express warranty(ies); and/or c) CUSTOMER’S possession, operation, maintenance, delivery or return of PRODUCT. Such protection shall include, without limitation, claims for personal injury or death or property damage arising out of any act or omission of CUSTOMER or its patients.

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i v. O r d E r / d E l i v E rY

Orders All orders shall be subject to these Terms and Conditions and shall not be subject to the terms, conditions, or provisions of any order confirmation, except to the extent that such confirmation specifies quantities.

Baxter will use commercially reasonable efforts to fill orders, but Baxter shall not be liable for non-performance or delays caused by a FORCE MAJEURE event. CUSTOMER agrees that in any and all such events, Baxter may allocate PRODUCT among CUSTOMERS without liability or other negative outcome with CUSTOMER.

All orders, with the exception of warranty orders or EQUIPMENT service orders covered under a service agreement, require a purchase order, supply contract or credit card authorization.

When using a purchase order form, any modification by CUSTOMER regarding pricing, terms of sale or any other terms or conditions shall not be effective unless accepted in advance and in writing by an authorized representative of Baxter. Only the list and quantity of PRODUCT and any specific shipping instructions shall be applicable to said sale.

Selling Unit of Measure Order quantities must be in the selling unit of measure indicated. Pack factors are noted for ease of ordering.

Prescription Requirement BAXTER WILL NOT ACCEPT ANY ORDER FOR HOME PATIENT WITHOUT A PRESCRIPTION SIGNED AND DATED BY A PHYSICIAN, which lists PRODUCT codes, quantities and the allowable refill period, not to exceed one (1) year. All new APD HOME PATIENT prescriptions must also include either a HomeChoice or HomeChoice Pro rental. Prescriptions should be managed and e-signed through DIRECTACCESS.

CUSTOMER may obtain copies of prescriptions at no charge through DIRECTACCESS. All other manner of requests shall be subject to a forty dollar ($40.00) processing fee.

Lead Time Peritoneal dialysis PRODUCT and HD DISPOSABLE orders require a five (5) business day lead time. HD EQUIPMENT orders require a sixty (60) business day lead time. EQUIPMENT and PART orders requiring expedited delivery at CUSTOMER’S request are subject to an expedited processing and delivery charge quoted at the time of the order placement. Orders must be placed no later than 12:00 pm local time in the time zone of CUSTOMER’S local Baxter distribution center to be deemed placed on that business day. Orders placed after 12:00 pm local time will be deemed placed on the following business day.

Freight and Distribution Published prices for DISPOSABLES include regular processing and distribution charges provided the order is placed five (5) business days prior to the SCHEDULED DELIVERY date. Inside delivery is standard for HOME PATIENT. Delivery to a Hospital or Center receiving or loading dock is standard while inside delivery is an additional service and may result in additional charges.

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Published prices for EQUIPMENT and PARTS do not include delivery, handling and installation. These charges will be arranged and billed separately, if applicable.

CUSTOMER is responsible for all freight and distribution charges for all PRODUCT when expedited order processing and delivery is required, unless specifically provided in these Terms and Conditions.

All shipments are considered “contiguous USA only” unless otherwise mutually agreed to in writing by CUSTOMER and Baxter. EQUIPMENT shall be sold FOB Origin. All other PRODUCT shall be sold FOB Destination; provided that PRODUCT is delivered in accordance with these Terms and Conditions.

Minimum Order Charge All orders that are less than two hundred fifty dollars ($250.00) will be subject to a charge of forty dollars ($40.00). Exemptions will be permitted only for:

• deliveries required to correct Baxter error

• new HOME PATIENT orders

SCHEDULED DELIVERY Hospitals and Centers: Recognizing that Hospitals and Centers have unique delivery and service requirements, Baxter and CUSTOMER may negotiate a mutually agreeable delivery, which in no event shall be more frequent than once weekly.

HOME PATIENT: Upon initiation of a new HOME PATIENT account, Baxter will establish a delivery schedule. HOME PATIENT delivery days shall be set according to this schedule. SCHEDULED DELIVERY will occur approximately once every four (4) weeks or thirteen (13) times per year.

Delivery frequency and scheduling will be maintained in Baxter’s transaction management system and will be used to determine if an order represents a SCHEDULED DELIVERY or OFF-SCHEDULE DELIVERY. HOME PATIENT’S will receive a calendar indicating their ordering days and SCHEDULED DELIVERY days. Effective July 1, 2011, clinicians requiring a copy of HOME PATIENT’S order and delivery schedule must utilize DIRECTACCESS to obtain a copy. Please contact HomeCare Services at 1-800-284-4060 for details or to set-up a DIRECTACCESS account.

HOME PATIENT orders must be placed no later than 12:00 pm local time, five (5) business days prior to the SCHEDULED DELIVERY date established on the routing calendar. Orders may be placed by telephone or by fax. Any order received less than five (5) business days prior to the SCHEDULED DELIVERY date will be considered an EXPEDITED ORDER and will be subject to expediting fees.

Should Baxter initiate a modification in delivery schedules due to route realignment, holiday shipping schedules, or pre-negotiated accelerated orders or special orders, CUSTOMER shall not incur freight charges for the shipment of these items.

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OFF-SCHEDULE DELIVERY All OFF-SCHEDULE DELIVERY will be assessed a one hundred fifty dollar ($150.00) service fee. Exemptions will be permitted only for: a) prescription changes authorized and documented by the physician; b) usage changes called in by the clinician; c) deliveries required to correct Baxter error; d) domestic travel orders subject to the Vacation Supply Deliveries section; and e) New HOME PATIENT Orders.

HOME PATIENT RE-DELIVERY Orders requiring RE-DELIVERY are subject to a charge of seventy-five dollar ($75.00).

EXPEDITED ORDERS EXPEDITED ORDERS at CUSTOMER’S request are subject to an expedited processing charge.

The expedited processing charge for Hospitals or Center orders is one hundred fifty dollars ($150.00) if placed during normal business hours and two hundred fifty dollars ($250.00) if placed outside of normal business hours plus actual freight charges.

If an extra delivery is required that can ship ground a fifty dollar ($50.00) extra delivery fee is applied. If order placed after cut-off but can meet CUSTOMER’S SCHEDULED DELIVERY a fifty dollar ($50.00) late fee is applied.

All Will Call (customer pickup) orders will be assessed a one hundred fifty dollar ($150.00) EXPEDITED ORDER charge regardless of time of request.

Expedited processing charges for HOME PATIENTS are:

*When and where available

• EXPEDITED ORDERS to Alaska and Hawaii residents are subject to the expedited processing charge PLUS an additional charge to be quoted at the time of the order

• Orders placed after normal business hours or on weekends are subject to the expedited processing charge PLUS an additional charge of one hundred twenty-five dollars ($125.00), PLUS any applicable OFF-SCHEDULE DELIVERY and Minimum Order Charges

Same Business Day*

Next Business Day*

Second Business Day*

Third Business Day*

Fourth Business Day*

$95.00 $65.00 $45.00 $35.00 $25.00

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Vacation Supply Deliveries Travel orders for destinations within the continental U.S. (excluding all cruises regardless of departure port) require a lead time of fourteen (14) business days. Less lead time will result in EXPEDITED ORDER charges of one hundred dollars ($100.00) as outlined in the previous section.

Through the Global Destinations Program, peritoneal dialysis HOME PATIENTS can successfully continue their therapy while travelling outside of the continental U.S., including Alaska and Hawaii and cruises from any port, domestic or international. Customer is responsible for the shipping and handling costs associated with the order delivery. The handling cost for a standard order (>30 days notice) is one hundred dollars ($100.00) while an EXPEDITED ORDER (<30 days) is two hundred dollars ($200.00). Shipping fees vary and are calculated based on travel destination. To place an order through the Global Destinations Program, call 1-800-284-4060.

APD EQUIPMENT A one-time cycler delivery charge of two hundred dollars ($200.00) will apply for new orders.

CUSTOMER assumes the entire risk of loss, damage or failure to return the cycler. In such cases, CUSTOMER will be invoiced a fee of four thousand dollars ($4,000.00) to cover the costs of such a loss. In the event the cycler is not returned according to the Returned Goods section of these Terms and Conditions within thirty (30) days, the fee will be invoiced and be payable to Baxter immediately.

Receipt and Verification CUSTOMER or HOME PATIENT should verify deliveries to ensure that all items ordered and shipped are received. All deliveries must be verified within two (2) business days from receipt in order to be eligible for credit for shortages or to have PRODUCT replaced without incurring delivery charges.

Proof of Delivery The Baxter invoice and packing list must be retained as proof of delivery. Subject to availability and within thirty (30) days following the date of shipment, requests for additional documentation of delivery (e.g., carrier delivery logs) will be subject to a service charge of forty dollars ($40.00).

HD EQUIPMENT Services and Charges Global Technical Services provides the scheduling and actual on-site service of HD EQUIPMENT by qualified service engineers. HD EQUIPMENT field service will be performed during Baxter’s normal business hours at Baxter’s then current standard labor rate. Field service performed after Baxter’s normal business hours and on weekends and holidays will be charged at a premium labor rate.

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Terms of Sale All orders are subject to credit approval and acceptance at Baxter’s home office. Standard payment terms are net thirty (30) from the date of invoice. Payment terms are in effect as of the date of the order. Payment is made to the “remit to” address indicated on the invoice. Credit card payments are subject to approval by Credit and Collections.

Invoices that are not paid according to the payment terms of each sale shall bear interest at the lesser of 18% per annum or the highest rate allowed by applicable law. Additionally, Baxter reserves the right to require payment in advance of shipment.

Prices PRODUCT is priced at the amount indicated for the selling unit of measure ordered. Prices and specifications are subject to change without notice. All shipments are billed at the price in effect on the date of the order. PRODUCT is billed upon shipment.

Published PRODUCT prices are exclusive of all taxes.

EQUIPMENT service and separately billable PRODUCT processing and delivery charges are priced as described in these Terms and Conditions.

Discount Disclosure Statement CUSTOMER and Baxter intend that all purchases of PRODUCT and services made by CUSTOMER shall be administered in accordance with the provisions of the federal Anti-Kickback Statute (42, U.S.C. § 1320a-7b(b)). Any discounts and rebates received by CUSTOMER with respect to PRODUCT may be considered “discounts or other reductions in price” under the Anti-Kickback Statute, Section 1128B(b)(3)(A) of the Social Security Act [42 U.S.C. § 1320a-7b(b)(3)(A)].

To the extent required by the Anti-Kickback Statute or the Discount Safe Harbor regulations, 42 C.F.R § 1001.952(h) et seq., CUSTOMER shall fully and accurately disclose such discounts and other reductions in price in accordance with the applicable state or federal cost reporting requirements, including, without limitation, disclosing and accurately reflecting where appropriate, and as appropriate, to the applicable reimbursement methodology. Baxter will provide CUSTOMER with sales and discount information to allow CUSTOMER to comply with this Section and the Discount Safe Harbor regulation, including sufficient rebate and pricing information to enable CUSTOMER to accurately report its actual costs for all purchases of PRODUCT and services. The total charges for PRODUCT and services purchased by CUSTOMER shall be the contract price less any such discounts, including rebates.

Credit and Disputes Only amounts which are disputed in good faith may be withheld from payment pending resolution. Any portion of an invoice not in dispute must be remitted within the payment terms of each sale. All disputes must be submitted in writing to Credit and Collections within thirty (30) days from the date of invoice. All disputes or rights are waived unless the CUSTOMER’S complaint has been received by Baxter within such thirty (30) day period.

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DISPOSABLES and PARTS DISPOSABLES and PARTS that have not been stored in a sanitary manner and in accordance with the package insert cannot be returned or credited. Verification of proper storage may be required for credit. DISPOSABLES and PARTS must be returned in the original, unopened and undamaged carton or package to be eligible for credit.

CUSTOMER must notify Baxter and obtain a return goods authorization (“RGA”) number prior to returning DISPOSABLES and PARTS. DISPOSABLES and PARTS will not be eligible for credit without prior approval of the return and unless returned in accordance with this Returned Goods section. Approval to return DISPOSABLES and PARTS does not guarantee credit. Baxter does not assume liability for DISPOSABLES and PARTS returned without prior approval. Credit will be issued to the original purchaser only. DISPOSABLE and PARTS provided at no charge are not eligible for credit but remain subject to the terms of this Returned Goods section.

A ninety-five dollar ($95.00) pick-up charge will be applied against any credit due on DISPOSABLE returns, excluding Baxter order/delivery errors. Any portion of the charge that exceeds the credit will be invoiced separately.

Baxter order/delivery errors must be reported within two (2) business days of receipt and, when applicable, returned within thirty (30) days of receipt to be eligible for one hundred percent (100%) credit. Examples include shortages, damages, order entry errors and delivery errors. DISPOSABLES and PARTS returned after thirty (30) days but within ninety (90) days of receipt may be eligible for credit as excess stock.

CUSTOMER or HOME PATIENT order errors must be reported within two (2) business days of receipt and returned within thirty (30) days of receipt to be eligible for fifty percent (50%) credit. Peritoneal dialysis solutions returned from HOME PATIENT are not eligible for credit. DISPOSABLES with a 5K or 5Q prefix are not returnable.

DISPOSABLES and PARTS returned after thirty (30) days but within ninety (90) days of receipt may be eligible for credit as excess stock. Excess stock must be returned within ninety (90) days of receipt to be eligible for fifty percent (50%) credit. Excess stock shall not be eligible for credit under the following circumstances:

• returned after ninety (90) days from receipt• returned with less than three (3) months remaining to expiration• returned from HOME PATIENT• returns with a 5K or 5Q prefix• returns sold on a no return basis

EQUIPMENT Purchased EQUIPMENT is not returnable unless shipped in error by Baxter. Leased, rental, trade-in, and/or evaluation EQUIPMENT may be returned as governed by the terms of this section.

EQUIPMENT returns are at CUSTOMER’S expense, and EQUIPMENT must be in the same condition as when delivered to CUSTOMER, normal wear and tear expected. CUSTOMER shall deliver the EQUIPMENT to such place or on board such carrier, packed for shipping, as Baxter may specify. CUSTOMER is responsible for return of EQUIPMENT including all associated charges with the exception of return due to EQUIPMENT shipped in error by Baxter. CUSTOMER shall give Baxter prior written notice that it is returning EQUIPMENT.

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Commencement and Monthly Fee The rental program shall begin on the date that is five (5) days after the date of shipment (“EQUIPMENT Effective Date”) and shall continue until EQUIPMENT is returned to Baxter. CUSTOMER may terminate the rental program at any time by giving notice to Baxter and returning EQUIPMENT to Baxter. Rental fees will be billed monthly. If EQUIPMENT Effective Date is any day other than the first of the month, the first monthly rental fee shall be prorated. Thereafter, full monthly rental fees shall be due for each month through the month in which the rental program terminates. CUSTOMER is responsible for all rental fees until such time as the EQUIPMENT is returned to Baxter.

The rental program for EQUIPMENT delivered to CUSTOMER for evaluation purposes only (“Evaluator EQUIPMENT”) is governed by these Terms and Conditions except that the rental program shall begin on the forty-fifth (45th) day after Baxter provides the first in-service for the Evaluator EQUIPMENT (“Evaluator Rental Commencement Date”).

Warranties All applicable warranties in the Warranties section extend to EQUIPMENT.

Customer Obligation CUSTOMER shall use EQUIPMENT only for the purposes and according to the instructions indicated in the labeling as well as those included with EQUIPMENT. CUSTOMER shall not make modifications, alterations, or additions to EQUIPMENT without prior written consent of Baxter. EQUIPMENT shall remain personal property at all times regardless of how it is attached or installed. Baxter shall have the right, during normal business hours, to enter CUSTOMER’S premises or any EQUIPMENT site to inspect EQUIPMENT. Title to EQUIPMENT remains with Baxter. CUSTOMER assumes the risk of loss of, and has responsibility for, damage to EQUIPMENT from any cause.


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Default The following shall constitute events of default:

• CUSTOMER fails to pay monthly rental fee according to the terms stated on the invoice

• CUSTOMER fails to perform any of its other obligations under the rental program and such failure continues for thirty (30) calendar days after Baxter gives CUSTOMER written notice of such failure

• A petition in bankruptcy is filed by CUSTOMER or CUSTOMER makes an assignment for the benefit of creditors, or consents to the appointment of a trustee or receiver, or a trustee or receiver is appointed by CUSTOMER for any parts of EQUIPMENT or for a substantial part of CUSTOMER’S assets without its consent and is not dismissed within a period of thirty (30) calendar days, or bankruptcy, reorganization, or insolvency proceedings are instituted against CUSTOMER and are not dismissed within thirty (30) calendar days thereafter

Upon the happening of any event of CUSTOMER default, Baxter may, at its sole option: a) take immediate possession of any or all of EQUIPMENT, and, for such purposes, enter upon CUSTOMER’S premises or site where EQUIPMENT is located and remove it, without liability for so doing, or b) require CUSTOMER, at its expense, to return EQUIPMENT to Baxter as provided in the Returned Goods section.

EQUIPMENT Services and Charges Global Technical Services provides the scheduling and replacement of APD EQUIPMENT. Replacement of APD EQUIPMENT will be performed on a next day basis, subject to availability. Expedited replacements are those requiring same day delivery. Expedited replacements are subject to an additional processing and delivery charge quoted at the time service is requested.


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Effective Date 7/1/11 PD1

P E R I T O N E A L D I A L Y S I S diaNEal Pd Solution, UlTraBaG System

diaNEal low Ca lc ium Pd So lu t ion

Product Dextrose Fill Volume (mL) Container Size (mL) Pack Factor Price/Case

5B9765P 1.5% 1500 2000 8/case $264.63 5B9775P 2.5% 1500 2000 8/case $271.94 5B9795P 4.25% 1500 2000 8/case $274.00 5B9766 1.5% 2000 2000 6/case $185.50 5B9776 2.5% 2000 2000 6/case $206.97 5B9796 4.25% 2000 2000 6/case $208.86 5B9768P 1.5% 2500 3000 5/case $171.58 5B9778P 2.5% 2500 3000 5/case $176.45 5B9798P 4.25% 2500 3000 5/case $180.23 5B9757 1.5% 3000 5000 4/case $151.825B9758 2.5% 3000 5000 4/case $155.18 5B9759 4.25% 3000 5000 4/case $159.92

diaNEal Pd-2 Pd So lu t ion

5B9866 1.5% 2000 2000 6/case $185.50 5B9876 2.5% 2000 2000 6/case $206.97 5B9896 4.25% 2000 2000 6/case $208.86 5B9868P 1.5% 2500 3000 5/case $171.58 5B9878P 2.5% 2500 3000 5/case $176.45 5B9898P 4.25% 2500 3000 5/case $180.235B9857 1.5% 3000 5000 4/case $151.82 5B9858 2.5% 3000 5000 4/case $155.18 5B9859 4.25% 3000 5000 4/case $159.92

Na Ca Mg Cl LactateDianeal Low Calcium PD Solution (mEq/L) 132 2.5 0.5 95 40Dianeal PD-2 PD Solution (mEq/L) 132 3.5 0.5 96 40

DIANEAL PD-2 and Low Calcium peritoneal dialysis solutions in UltraBag containers are indicated for use in chronic renal failure patients being maintained on continuous ambulatory peritoneal dialysis when nondialytic medical therapy is judged to be inadequate.

Important Risk Information for Dianeal Solutionsn Not for Intravenous Injection.n Use aseptic technique. Contamination of connector may result in

peritonitis.n Adverse reactions to peritoneal dialysis include mechanical and

solution related problems as well as the results of contamination of equipment.

n Solution-related adverse reactions may include peritonitis, electrolyte and fluid imbalances, hypovolemia, hypervolemia, hypotension, hypertension, disequilibrium syndrome, allergic symptoms, and muscle cramping.

n Please see full prescribing information. DIANEAL Low Calcium PD Solution in ULTRAbAg Product Insert DIANEAL PD-2 PD Solution in ULTRAbAg Product Insert

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http://www.baxter.com/downloads/patients_and_caregivers/products/dianeal_ultralow.pdf

http://www.baxter.com/downloads/patients_and_caregivers/products/dianeal_ultrapd2.pdf

PD2 Effective Date 7/1/11

P E R I T O N E A L D I A L Y S I S diaNEal Pd Solution, Single Bag (amBU-flEx Container)

d iaNEal low Ca lc ium Pd So lu t ion , Sp ike (amBU-flEx i i i Conta iner )


5B4825 1.5% 2000 2000 6/case $110.63 5B9727 2.5% 2000 3000 6/case $133.59 5B9747 4.25% 2000 3000 6/case $134.93 5B9901 1.5% 3000 3000 4/case $127.995B9902 2.5% 3000 3000 4/case $130.615B9903 4.25% 3000 3000 4/case $133.595B4826 1.5% 5000 5000 2/case $68.815B5202 2.5% 5000 5000 2/case $70.64 5B5203 4.25% 5000 5000 2/case $72.385B9770 1.5% 6000 6000 2/case $82.595B9771 2.5% 6000 6000 2/case $84.76 5B9772 4.25% 6000 6000 2/case $86.85

diaNEal low Ca lc ium Pd So lu t ion , luer (amBU-flEx i i Conta iner ) *


L5B4825 1.5% 2000 3000 6/case $117.38L5B9727 2.5% 2000 3000 6/case $140.70 L5B9747 4.25% 2000 3000 6/case $142.46 L5B9901 1.5% 3000 3000 4/case $134.33L5B9902 2.5% 3000 3000 4/case $136.21L5B9903 4.25% 3000 3000 4/case $139.14L5B4826 1.5% 5000 6000 2/case $71.99 L5B5202 2.5% 5000 6000 2/case $73.67L5B5203 4.25% 5000 6000 2/case $75.46 L5B9770 1.5% 6000 6000 2/case $86.03 L5B9771 2.5% 6000 6000 2/case $87.90 L5B9772 4.25% 6000 6000 2/case $90.33

*Baxter is pleased to introduce Luer connection for all DIANEAL solution in AMbU-FLEX containers. The conversion will be introduced in a phased roll out. Your Baxter Account Executive will provide specific information regarding timing in your area.


n Please see important safety information on page PD1.n Please see full prescribing information.

DIANEAL Low Calcium Peritoneal Dialysis Solution Product Insert

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http://www.baxter.com/downloads/patients_and_caregivers/products/dianeal_low_cal_single_bag_071960956.pdf


P E R I T O N E A L D I A L Y S I S diaNEal Pd Solution, Single Bag (amBU-flEx Container) (Cont.)

diaNEal P D - 2 P D S o l u t i o n , L u e r (amBU-flEx I I C o n t a i n e r ) *


L5B5163 1.5% 1000 1000 12/case $339.98 L5B5173 2.5% 1000 1000 12/case $354.71L5B5183 4.25% 1000 1000 12/case $365.62 L5B5166 1.5% 2000 3000 6/case $118.20L5B5177 2.5% 2000 3000 6/case $141.36 L5B5187 4.25% 2000 3000 6/case $143.73 L5B5169 1.5% 3000 3000 4/case $132.98 L5B5179 2.5% 3000 3000 4/case $135.84L5B5189 4.25% 3000 3000 4/case $139.59L5B5193 1.5% 5000 6000 2/case $71.99 L5B5194 2.5% 5000 6000 2/case $73.66 L5B5195 4.25% 5000 6000 2/case $75.28L5B9710 1.5% 6000 6000 2/case $85.37 L5B9711 2.5% 6000 6000 2/case $87.61 L5B9712 4.25% 6000 6000 2/case $89.86

*Baxter is pleased to introduce Luer connection for all DIANEAL solution in AMbU-FLEX containers. The conversion will be introduced in a phased roll out. Your Baxter Account Executive will provide specific information regarding timing in your area.

$295.76 $317.95 $316.86 $110.63 $133.59 $134.93 $127.99 $130.61 $133.59 $68.81 $70.64 $72.38 $82.59 $84.76 $86.85

$339.98 $354.71 $365.62 $118.20 $141.36 $143.73 $132.98 $135.84 $139.59 $71.99 $73.66 $75.28 $85.37 $87.61 $89.86

diaNEal P D - 2 P D S o l u t i o n , S p i k e (amBU-flEx I I I C o n t a i n e r )


5B5163 1.5% 1000 1000 12/case $295.76 5B5173 2.5% 1000 1000 12/case $317.955B5183 4.25% 1000 1000 12/case $316.86 5B5166 1.5% 2000 2000 6/case $110.63 5B5177 2.5% 2000 3000 6/case $133.59 5B5187 4.25% 2000 3000 6/case $134.93 5B5169 1.5% 3000 3000 4/case $127.99 5B5179 2.5% 3000 3000 4/case $130.615B5189 4.25% 3000 3000 4/case $133.59 5B5193 1.5% 5000 5000 2/case $68.81 5B5194 2.5% 5000 5000 2/case $70.64 5B5195 4.25% 5000 5000 2/case $72.38 5B9710 1.5% 6000 6000 2/case $82.59 5B9711 2.5% 6000 6000 2/case $84.76 5B9712 4.25% 6000 6000 2/case $86.85

n Please see important safety information on page PD1.n Please see full prescribing information.

DIANEAL PD-2 Peritoneal Dialysis Solution Product Insert


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http://www.baxter.com/downloads/patients_and_caregivers/products/dianeal_ambulexpd2.pdf


EXTRANEAL PD So lu t ion , ULTRABAG Sys tem

Product Icodextrin Fill Volume (mL) Container Size (mL) Pack Factor Price/Case

5B4984 7.5% 2000 2000 6/case per contract5B4986 7.5% 2500 3000 5/case per contract

EXTRANEAL PD So lu t ion , S ing le Bag , Sp ike (AMBU-FLEX I I I ) Conta iner


5B4974 7.5% 2000 2000 6/case per contract5B4976P 7.5% 2500 3000 5/case per contract

EXTRANEAL PD So lu t ion , S ing le Bag , Luer (AMBU-FLEX I I ) Conta iner *


L5B4974 7.5% 2000 2000 6/case per contractL5B4976 7.5% 2500 3000 5/case per contract

*Baxter is pleased to introduce Luer connection for all EXTRANEAL solution in AMBU-FLEX containers. The conversion will be introduced in a phased roll out. Your Baxter Account Executive will provide specific information regarding timing in your area.

Na Ca Mg Cl LactateExtraneal (icodextrin) PD Solution (mEq/L) 132 3.5 0.5 96 40

P e r i t o n e a l D i a l y s i s EXTRANEAL (icodextrin) PD Solution

Extraneal (icodextrin) Peritoneal Dialysis (PD) solution is indicated for a single daily exchange for the long (8 to16 hour) dwell during Continuous Ambulatory Peritoneal Dialysis (CAPD) or Automated Peritoneal Dialysis (APD) for the management of End-Stage Renal Disease (ESRD). Extraneal is also indicated to improve (compared to 4.25% dextrose) long-dwell ultrafiltration and clearance of creatinine and urea nitrogen in patients with high-average or greater transport characteristics, as defined using the Peritoneal Equilibration Test (PET).Important Risk Information

Dangerous Drug-Device Interaction Only use glucose-specific monitors and test strips to measure blood glucose levels in patients using Extraneal (icodextrin) Peritoneal Dialysis Solution. Blood glucose monitoring devices using glucose dehydrogenase pyrroloquinolinequinone (GDH-PQQ) or glucose-dye-oxidoreductase (GDO)-based methods must not be used. In addition, some blood glucose monitoring systems using glucose dehydrogenase flavin-adenine dinucleotide (GDH-FAD)-based methods must not be used. Use of GDH-PQQ, GDO, and GDH-FAD-based glucose monitors and test strips has resulted in falsely elevated glucose readings (due to the presence of maltose, see PRECAUTIONS/Drug/Laboratory Test Interactions). Falsely elevated glucose readings have led patients or health care providers to withhold treatment of hypoglycemia or to administer insulin inappropriately. Both of these situations have resulted in unrecognized hypoglycemia, which has led to loss of consciousness, coma, permanent neurological damage, and death. Plasma levels of Extraneal (icodextrin) and its metabolites return to baseline within approximately 14 days following cessation of Extraneal (icodextrin) administration. Therefore falsely elevated glucose levels may be measured up to two weeks following cessation of Extraneal (icodextrin) therapy when GDH-PQQ, GDO, and GDH-FAD-based blood glucose monitors and test strips are used.

Because GDH-PQQ, GDO, and GDH-FAD-based blood glucose monitors may be used in hospital settings, it is important that the health care providers of peritoneal dialysis patients using Extraneal (icodextrin) carefully review the product information of the blood glucose testing system, including that of test strips, to determine if the system is appropriate for use with Extraneal (icodextrin).

To avoid improper insulin administration, educate patients to alert health care providers of this interaction whenever they are admitted to the hospital.

The manufacturer(s) of the monitor and test strips should be contacted to determine if icodextrin or maltose causes interference or falsely elevated glucose readings. For a list of toll free numbers for glucose monitor and test strip manufacturers, please contact the Baxter Renal Clinical Help Line 1-888-RENAL-HELP or visit www.glucosesafety.com.

n Extraneal is contraindicated in patients with a known allergy to cornstarch or icodextrin, in patients with maltose or isomaltose intolerance, in patients with glycogen storage disease, and in patients with pre-existing severe lactic acidosis

n Extraneal PD solution is intended for intraperitoneal administration only. Not for intravenous injectionn Rarely, serious hypersensitivity reactions to Extraneal have been reported, such as toxic epidermal necrolysis, angioedema, serum sickness, erythema multiforme and

leukocytoclastic vasculitis. If a serious reaction is suspected, discontinue Extraneal and institute appropriate treatment as clinically indicatedn Patients with insulin-dependent diabetes may require modification of insulin dosage following initiation of treatmentn A patient’s volume status should be carefully monitored to avoid hyper- or hypovolemia and potentially severe consequences including congestive heart failure, volume

depletion and hypovolemic shock. An accurate fluid balance record must be kept and the patient’s body weight monitoredn In clinical trials, the most frequently reported adverse events occurring in ≥10% of patients, and more common in Extraneal PD solution patients than in control patients,

were peritonitis, upper respiratory infection, hypertension, and rash. The most common treatment-related adverse event for Extraneal PD solution patients was skin rash. Additional adverse reactions have been reported in the post-marketing setting and are detailed in the full prescribing information

General Peritoneal Dialysis-Relatedn Encapsulating peritoneal sclerosis (EPS) is a known, rare complication of peritoneal dialysis therapy. EPS has been reported in patients using peritoneal dialysis solutions

including Extraneal PD solution. Infrequent but fatal outcomes have been reportedn Aseptic technique should be used throughout the peritoneal dialysis procedure to reduce the possibility of infection, such as peritonitisn Fluid status, hematologic indices, blood chemistry, and electrolyte concentrations, including calcium, potassium, sodium, magnesium and bicarbonate, should be monitored

periodically. Abnormalities in any of these parameters should be treated promptly under the care of a physiciann Overinfusion of peritoneal dialysis solution volume into the peritoneal cavity may be characterized by abdominal distention, feeling of fullness and/or shortness of breath.

Treatment of overinfusion is to drain the peritoneal dialysis solution from the peritoneal cavityn Treatment should be initiated and monitored under the supervision of a physician knowledgeable in the management of patients with renal failuren Please see full prescribing information. Extraneal Product Insert and Extraneal Medication Guide.

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http://www.baxter.com/downloads/patients_and_caregivers/products/extraneal_med_guide.pdf

http://www.baxter.com/downloads/patients_and_caregivers/products/extraneal_pi.pdf

P E R I T O N E A L D I A L Y S I S S Y S T E m S

automated Peritoneal dialysis

HOmECHOiCE PrO and HOmECHOiCE automated Peritoneal Systems

Product Description Pack Factor Price

D e v i c e s

5C4471 HomeCHoiCe Automated PD System 1/each $17,203.56 5C8310 HomeCHoiCe Pro Automated PD System 1/each $19,661.22

HomeCHoiCe Pro System HomeCHoiCe System

S p i k e D i s p o s a b l e S e t s

5C4469C Automated PD Set with Cassette - 4 Prong 30/case $845.92 5C4531C Integrated APD Set 30/case $1,238.07 5C8302C Low Recirculation Volume APD Set with cassette 30/case $2,660.28

L u e r D i s p o s a b l e S e t s *

R5C4479C Automated PD Set with Cassette - 4 Prong 30/case $938.48 L5C4531 Integrated APD Set 30/case $1,265.81N5C8305C Low Recirculation Volume APD Set with cassette 30/case $2,705.67

nIntegrated APD Set has 3 supply lines, and 22’ patient and drain lines.nLow Recirculation Volume APD Set has in-line medication port, a shrouded patient connector, and a smaller internal

diameter and shorter patient line length. Recirculation volume 17mL.

*Baxter is pleased to introduce Luer connection for all APD Disposable Sets. The conversion will be introduced in a phased roll out. Your Baxter Account Executive will provide specific information regarding timing in your area.


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aPd drain Supplies

5C4145P 15 Liter Drainage Bag 30/case $294.60 5C4464P Sterile Drain Extension Line, 12 feet 30/case $165.99 5C4476 Effluent Sample Bag, 150mL 6/case $56.32 5C4512 APD Drain Manifold (Connects two 15 liter drain bags) 30/case $213.39

aPd miscellaneous Supplies

5C4462 Empty Sterile Bag, 3 Liter 48/case $592.36 5C4426 5 Prong Manifold Set with Connector Tube 30/case $405.45 5C4446 5-Prong Manifold Set (Spike) 15/case $222.04 L5C4446 5-Prong Manifold Set (Luer) 15/case $261.00 5C4971 QUietCoil Device 1/each $46.78


automated Peritoneal dialysis

HOmECHOiCE PrO and HOmECHOiCE automated Peritoneal Systems (Cont.)


D a t a C a r d s

R5C4522 HomeCHoiCe Pro Card 6/case $318.27 R5C4526 HomeCHoiCe Pro Patient Data Card Adapter 1/each $196.97 C a r r y i n g C a s e s

5C4406 Carrying Case 1/each $149.02 5C8346 Hard Carrying Case with Wheels 1/each $440.30 E x t e n s i o n L i n e s

5C4480C 12 Foot Patient Extension Line with easy-loCk Connector 30/case $239.42

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CaPd


D i s c o n n e c t Y- S e t s

5C4366P Ultraset Disposable Disconnect Y-Set (Spike) 60/case $536.51 L5C4366 Ultraset Disposable Disconnect Y-Set (Luer) 30/case $305.89 M i s c e l l a n e o u s C A P D S u p p l i e s

5C4530 Spike Protector II (protective cover for aseptic transfer set spikes) 48/case $569.77 5C4190 CAPD Drainage Bracket 1/each $106.61


assist devices

Cxd ii Compact Exchange device for aPd Patients

Product Description Pack Factor Price/Each

D e v i c e

5C4275 Compact Exchange Device (CXD II) 1/each $640.89 C a r r y i n g C a s e

5C4942 Compact Exchange Device Carrying Case 1/each $83.59


5C4505 EZ-Aide Assist Device 1/each $195.06

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P E R I T O N E A L D I A L Y S I S P a T i E N T C O N N E C T O l O G Y

Product Description Pack Factor Price/Case

Transfer Sets 5C4442 Extended Life easy-loCk Transfer Set (6”) 6/case $366.56 5C4449 miniCaP Extended Life PD Transfer Set (6”) with Roller Clamp 6/case $366.56 5C4482 miniCaP Extended Life PD Transfer Set (6”) with Twist Clamp 6/case $333.98 5C4483 miniCaP Extended Life PD Transfer Set Extra Short (4”) 6/case $349.89 with Twist Clamp 5C4160 Transfer Set with Spike Connector (48”) 12/case $241.33

5C4150A Transfer Set Change Kit for PD 20/case $258.20 Transfer Set adapters

5C4136 easy-loCk-to-Spike Adapter Set 12/case $106.69 5C4137 PD Spike-to-easy-loCk Adapter Set 12/case $106.69 5C4413 Spike/Syringe Adapter (connects spike on patient transfer set to luer-type syringe) 10/case $51.57 Transfer Sets for Straight line CaPd 5C4213P Connection Shield II-K with Povidone-Iodine Solution 60/case $276.83 5C4215P Locking Connection Shield 60/case $445.58 Catheter Supplies 5C4129 Locking Titanium Adapter (2 piece) 5/case $1,138.02 5C4169 Locking cap for Baxter PD Catheter Adapter 25/case $120.39 5C4319 Immobile catheter and transfer set stabilizing device 30/case $149.36 5C4381 immoBilizer catheter stabilizing device 30/case $463.09 disconnect Caps5C4212P Disconnect Cap (Walnut Cap) 60/case $365.20 5C4456 FlexiCaP Disconnect Cap for High Dose Therapy 30/case $91.77 5C4466P miniCaP Disconnect Cap 60/case $304.31 Clamps 5C4527 Outlet Port Clamp with Short Nose 12/case $76.58 5C4957 UltraClamP Clamp (not for use as outlet port clamp) 12/case $76.58

Locking Titanium Adapter

FlexiCaP Disconnect Cap

MiniCap Disconnect Cap

Outlet Port Clamp

UltraClamP Clamp

nConvenient kit includes everything necessary for a transfer set change except povidone iodine. 2 Masks, 10 Gauze pads, 1 Towel, 1 Catheter Clamp, 3 Pair Gloves, 1 Tray, 1 Drape, 1 Wrap.

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The following is a listing of trademarks of Baxter International Inc:

Ambu-Flex

Baxter

Dianeal

Easy-Lock

Extraneal

FlexiCap

HomeChoice

HomeChoice PRO

Immobilizer

MiniCap

QuietCoil

UltraBag

UltraClamp

UltraSet

T R A D E M A R K Sfor peritoneal dialysis products listed on pages Pd1-Pd8

Effective Date 7/1/11 PDTM

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Effective Date 7/1/11 AC1

CrrT - Continuous renal replacement Therapy - Critical Care Nephrology

A C U T E D I A L Y S I S


rENaflO ii Hemofilters 5M3121 HF400 Hemofilter 0.30m2 12/case $1,570.86 5M3122 HF700 Hemofilter 0.71m2 12/case $1,653.55 5M3123 HF1200 Hemofilter 1.25m2 12/case $1,736.23 5M3074 HF2000 Hemofilter 1.98m2 12/case $1,799.775M3134 Minifilter Plus Hemofilter 700cm2 4/case $918.65

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dialysis Solutions for CrrT

Bicarbonate Buffer SolutionProduct Description Pack Factor Price/Case5B9248 ACCUSOL Dialysis Solution 2.5L 35 Bicarbonate K4 4/case $101.72 5B9249 ACCUSOL Dialysis Solution 2.5L 35 Bicarbonate K2 4/case $101.725B9250 ACCUSOL Dialysis Solution 2.5L 35 Bicarbonate K0 0 Dextrose 4/case $101.725B9251 ACCUSOL Dialysis Solution 2.5L 30 Bicarbonate K2 4/case $101.725B9252 ACCUSOL Dialysis Solution 2.5L 30 Bicarbonate K2 0 Calcium 4/case $101.72

lactate Buffer Solution

5B7860 Premixed Dialysate for Hemodiafiltration-5 liter bag 2/case $80.12

Catheter Supplies

acute Pd


2C7565 INTERLINk System with Add-On bURETROL 48/case $529.92

disposable Sets

5C4446 5-Prong Manifold Set (Spike) 15/case $222.04


Accusol

Baxter

Buretrol

InterLink

The following is a listing of trademarks of Minntech Corporation:

Minifilter

Renaflo

T R A D E M A R K Sfor acute dialysis products listed on page aC1

Effective Date 7/1/11 ACTM

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Effective Date 7/1/11 HD1

HEmaviSiON disposable Blood Chamber


HCT1000B Hemavision Disposable Blood Chamber 288/case $1,817.96

H E M O D I A L Y S I S

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HD2 Effective Date 7/1/11

diCEa High Performance dialyzers, Cellulose Diacetate, High Efficiency


5M2591 DiCea 90 dialyzer (for single-use only) 24/case $1,084.955M2592 DiCea 110 dialyzer (for single-use only) 24/case $1,200.895M2593 DiCea 130 dialyzer (for single-use only) 24/case $1,245.925M2594 DiCea 150 dialyzer (for single-use only) 24/case $1,287.955M2595 DiCea 170 dialyzer (for single-use only) 24/case $1,360.925M2596 DiCea 210 dialyzer (for single-use only) 24/case $1,466.75

H E M O D I A L Y S I S d i a l Y z E r S

SiNGlE-USE

xENiUm xPH dialyzers, High Flux, Synthetic

ExElTra High flux dialyzers, Cellulose Triacetate


5M2119 exeltra 150 dialyzer (for single-use only) 24/case $1,365.61 5M2120 exeltra 170 dialyzer (for single-use only) 24/case $1,405.235M2121 exeltra 190 dialyzer (for single-use only) 24/case $1,450.225M2132 exeltra Plus 210 dialyzer (for single-use only) 24/case $1,485.52


5M6400 xeniUm 110 dialyzer (for single-use only) 24/case $748.225M6401 xeniUm 130 dialyzer (for single-use only) 24/case $793.565M6402 xeniUm 150 dialyzer (for single-use only) 24/case $888.465M6403 xeniUm 170 dialyzer (for single-use only) 24/case $943.005M6404 xeniUm 190 dialyzer (for single-use only) 24/case $1,006.965M6405 xeniUm 210 dialyzer (for single-use only) 24/case $1,085.00


H25601A xeniUm XPH 110 dialyzer (for single-use only) 24/case $748.22 H25602A xeniUm XPH 130 dialyzer (for single-use only) 24/case $793.56H25603A xeniUm XPH 150 dialyzer (for single-use only) 24/case $888.46H25604A xeniUm XPH 170 dialyzer (for single-use only) 24/case $943.00H25605A xeniUm XPH 190 dialyzer (for single-use only) 24/case $1,006.96H25606A xeniUm XPH 210 dialyzer (for single-use only) 24/case $1,085.00

xENiUm dialyzers, High Flux, Synthetic

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Ca-HP High Performance Cellulose diacetate Hollow fiber dialyzers, High Efficiency


5M2731 Ca-HP 90 dialyzer 24/case $1,084.95 5M2732 Ca-HP 110 dialyzer 24/case $1,200.89 5M2733 Ca-HP 130 dialyzer 24/case $1,245.92 5M2734 Ca-HP 150 dialyzer 24/case $1,287.95 5M2735 Ca-HP 170 dialyzer 24/case $1,360.925M2736 Ca-HP 210 dialyzer 24/case $1,466.75

H E M O D I A L Y S I S d i a l Y z E r S

rEUSE

CT Cellulose Triacetate Hollow fiber dialyzers, High Flux


5M1542 Ct 110G dialyzer 24/case $1,395.68 5M1546 Ct 190G dialyzer 24/case $1,504.45

Ca Cellulose acetate Hollow fiber dialyzers, Conventional


5M1729 Ca 50 dialyzer (for single-use only) 24/case $834.39 5M1730 Ca 70 dialyzer (for single-use only) 24/case $834.39

SiNGlE-USE

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H E M O D I A L Y S I S B l O O d T U B i N G S E T S

Blood tubing with pre-attached transducer protectors and priming set with needleless access port


*5M9634 8 mm pump segment, pre-pump pillow, post-pump arterial chamber 24/case $207.77*A201V801 1/4” pump segment, pre-pump arterial chamber 24/case $207.77*A203V801 8 mm pump segment, pre-pump arterial chamber 24/case $207.77*A204V801 8 mm pump segment, post-pump arterial chamber 24/case $207.77A209YV803 8 mm pump segment, pre-pump arterial chamber, Y-port saline set 24/case $207.77 A210V803 8 mm pump segment, post-pump arterial chamber 24/case $207.77 A217YV806 8 mm pump segment, post-pump arterial chamber, Y-port saline set 24/case $207.77

NiPrO SET Blood Tubing Sets by Nipro Corporation

*These tubing sets are compatible with selected Baxter Hemodialysis Instruments.

Please refer to the Recommended Blood Tubing Set Matrix for Baxter Hemodialysis Instruments. Baxter cannot recommend using sets outside the sets listed in the matrix. Please also refer to the Blood Tubing Set-up Guide for proper set-up for each recommended blood tubing set. For a copy of either the Blood Tubing Set Matrix or the Blood Tubing Set-up Guide please contact Renal Technical Support at 1-800-553-6898, Select 1 for English, Prompt 4, Option 1.


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H E M O D I A L Y S I S f i S T U l a N E E d l E S

Nipro’s SafETOUCH ii Safety fistula Needle, Single Needle Set with Back-Eye


FS1425BC Safety Fistula 14G x 1”, fixed hub 500/case $876.52FS1525BC Safety Fistula 15G x 1”, fixed hub 500/case $876.52FS1525BCR Safety Fistula 15G x 1”, rotating hub 500/case $904.65 FS1532BC Safety Fistula 15G x 11⁄4”, fixed hub 500/case $876.52FS1625BC Safety Fistula 16G x 1”, fixed hub 500/case $876.52FS1625BCR Safety Fistula 16G x 1”, rotating hub 500/case $904.65 FS163230BC Safety Fistula 16G x 11⁄4”, fixed hub 500/case $876.52 FS1725BC Safety Fistula 17G x 1”, fixed hub 500/case $876.52 FS173230BC Safety Fistula 17G x 11⁄4”, fixed hub 500/case $876.52

Nipro’s SafETOUCH ii Safety fistula Needle, Twin Pack Needle Set, arterial Needle with Back-Eye, venous Needle without Back-Eye


FS142530TP Safety Fistula 14G x 1”, fixed hub 250 pair/case $876.52 FS142530TPR Safety Fistula 14G x 1”, rotating hub 250 pair/case $904.65FS152530TP Safety Fistula 15G x 1”, fixed hub 250 pair/case $876.52FS152530TPR Safety Fistula 15G x 1”, rotating hub 250 pair/case $904.65FS162530TP Safety Fistula 16G x 1”, fixed hub 250 pair/case $876.52 FS162530TPR Safety Fistula 16G x 1”, rotating hub 250 pair/case $904.65 FS172530TP Safety Fistula 17G x 1”, fixed hub 250 pair/case $876.52 FS172530TPR Safety Fistula 17G x 1”, rotating hub 250 pair/case $904.65

Nipro’s BiOHOlE dull Needles


FD152530BC 15G x 1” Fixed Hub w/Backeye 50/case $93.06


Nipro’s TUliP Safety fistula Needle, Single Needle Set with Back-Eye


FT152530BC TULIP 15G x 1” Fixed Hub w/Backeye 300/case $525.91 FT153230BC TULIP 15G x 11/4” Fixed Hub w/Backeye 300/case $525.91 FT162530BC TULIP 16G x 1” Fixed Hub w/Backeye 300/case $525.91 FT152530BCR TULIP 15G x 1” Rotating Hub w/Backeye 300/case $543.22 FT162530BCR TULIP 16G x 1” Rotating Hub w/Backeye 300/case $543.22

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H E M O D I A L Y S I S f i S T U l a N E E d l E S

Nipro’s TUliP Safety fistula Needle, Twin Pack Needle Set, arterial Needle with Back-Eye, venous Needle without Back-Eye


FT142530TP TULIP 14G x 1” Fixed Hub Twin Pack 120 pair + 10 singles/case $438.25 FT152530TP TULIP 15G x 1” Fixed Hub Twin Pack 120 pair + 10 singles/case $438.25FT162530TP TULIP 16G x 1” Fixed Hub Twin Pack 120 pair + 10 singles/case $438.25 FT172530TP TULIP 17G x 1” Fixed Hub Twin Pack 120 pair + 10 singles/case $438.25


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H E M O D I A L Y S I S d i S P O S a B l E S U P P l i E S

Nipro’s disposable dOSE-SavEr Syringes

miscellaneous Nipro Supplies


JD01D2238 Disposable DOSE-SAvER Syringe 1cc 22G x 1 1/2” 1000/case $541.06 JD01D2516 Disposable DOSE-SAvER Syringe 1cc 25G x 5/8” 1000/case $557.29 JD03D2238 Disposable DOSE-SAvER Syringe 3cc 22G x 1 1/2” 1000/case $546.47


TPSURE1 Transducer Protector 1000/case $1,113.95 PS01 Priming Set 200/case $200.19

intravenous injections in viaflEx Plastic Containers (Saline) Sodium Chloride Injections

Product Description Container Size (mL) Pack Factor Price/Case

2B1321 0.9% Sodium Chloride Injection, USP 150 36/case $193.322B1322Q 0.9% Sodium Chloride Injection, USP 250 36/case $193.322B1323Q 0.9% Sodium Chloride Injection, USP 500 24/case $128.882B1324X 0.9% Sodium Chloride Injection, USP 1000 14/case $81.34

irrigation Solutions in Plastic Containers

Product Description Container Size (mL) Pack Factor Price/Case

2F7112 Sterile Water For Irrigation, USP 250 24/case $146.642F7115 Sterile Water For Irrigation, USP 1500 9/case $87.932F7122 0.9% Sodium Chloride Irrigation, USP 250 24/case $153.122F7124 0.9% Sodium Chloride Irrigation, USP 1000 12/case $89.882F7125 0.9% Sodium Chloride Irrigation, USP 1500 9/case $91.80


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Bicarbonate Concentrate (B-Side) by minntech renal Systems

T h r e e S t r e a m


5M7828 Bicarbonate Concentrate Powder for Conventional Proportioning Systems - 2.5 gal 20 packets/case $104.97 5M7829 Liquid Bicarbonate Concentrate for use with Conventional Proportioning Systems 4/case $58.43 (1 gal; 3.78 liters) C O B E ( B - S i d e )


5M7905 Bicarbonate Concentrate Powder for CoBe Proportioning Systems (2.1 gal: 8 liters) 20 packets/case $104.97 5M7906 Liquid Bicarbonate Concentrate for use with CoBe (45x) Proportioning Systems 4/case $58.43 (1 gal; 3.78 liters)

H E M O D I A L Y S I S C O N C E N T r a T E S

acid Concentrate (a-Side) by minntech renal Systems

T h r e e S t r e a m ( C o n v e n t i o n a l ) P r o p o r t i o n i n g S y s t e m s ( 3 6 . 8 3 x d i l u t i o n ) Final dialysate composition approximates mEq/L when diluted with purified water and any B-side Bicarbonate product listed below

Product Na k Ca Mg Cl Acetate Dextrose bicarbonate Pack Price/Case Factor

5M7818 140 1.00 2.50 1.00 105.50 4.0 200 35.0 4/case $45.45 5M7820 139 2.00 3.50 1.00 106.50 4.0 200 35.0 4/case $45.45 5M7821 139 1.00 3.50 1.00 105.50 4.0 200 35.0 4/case $45.45 5M7822 143 2.00 3.00 1.00 110.00 4.5 200 35.5 4/case $45.455M7823 140 0.00 2.50 1.00 104.50 4.0 200 35.0 4/case $45.455M7824 139 2.00 2.50 1.00 105.50 4.0 200 35.0 4/case $45.455M7825 139 3.00 3.00 1.00 107.00 4.0 200 35.0 4/case $45.455M7856 139 0.00 0.00 1.00 101.00 4.0 200 35.0 4/case $45.455M7857 139 3.00 2.50 0.75 106.25 4.0 200 35.0 4/case $45.45 COBE P r o p o r t i o n i n g S y s t e m s ( 4 5 x d i l u t i o n )

Product Na k Ca Mg Cl Acetate Dextrose bicarbonate Pack Price/Case Factor

5M7901 137 0.00 2.25 0.75 103.00 5.0 200 32.0 4/case $49.78 5M7902 137 2.00 2.50 0.75 105.25 4.0 200 33.0 4/case $49.78 5M7903 137 1.00 3.00 0.75 104.75 4.0 200 33.0 4/case $49.785M7904 137 2.00 3.00 0.75 105.75 4.0 200 33.0 4/case $49.785M7909 137 1.00 2.25 0.75 104.00 5.0 200 32.0 4/case $49.78 5M7911 137 3.00 3.00 0.75 106.75 4.0 200 33.0 4/case $49.78


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Baxter

CA

CA-HP

CT

Dicea

Exeltra

Hemavision

Viaflex

Xenium

The following is a listing of trademarks of VascA, Inc:

LifeSite

The following is a listing of trademarks of Cardian NBCT, Inc:

COBE

The following is a listing of trademarks of Nipro Corporation:

Dose-Saver

SafeTouch II

Tulip

T R A D E M A R K Sfor hemodialysis products listed on pages Hd1-Hd8

Effective Date 7/1/11 HDTM

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S O F T W A R E

renal Software Suite (for use with HOmECHOiCE PrO automated Pd System)

Product Description Pack Factor

5M5730 Renal Software Suite, Single User License 1/each5M5730U Renal Software Suite, User License Upgrade 1/each

rENalSOfT Clinical Software - medical record, CKd, Pd, Hd modules

RENLSFT renalsoFt Clinical Software 1/each Contact your Baxter representative for more information

renal Software interface

5M5720 Renal Software Interface CD 1/each Contact your Baxter representative for more information

Effective Date 7/1/11 SO1

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SOTM Effective Date 7/1/11


Baxter

HomeChoice PRO

RenalSoft

T R A D E M A R K Sfor software products listed on page SO1

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Effective Date 7/1/11 AN1

Sponges

Product Description Pack Factor Price/box5K7458P sorB-it IV Sponge (split) 2” x 2” 6-ply Sterile 35/box $16.97 5K7407P exCilon Drain Sponge (split) 4” x 4” 6-ply Sterile 25/box $37.58 5K7424P CUrity Gauze Sponge 2” x 2” 8-ply Sterile 50/box $8.965K7505P CUrity Gauze Sponge 4” x 4” 8-ply Sterile 25/box $10.11 5K7416P CUrity Gauze Sponge 4” x 4” 12-ply Sterile 25/box $11.125K7426P CUrity Gauze Sponge 2” x 2” 12-ply Non-Sterile 200/box $11.43 5K7425P CUrity Gauze Pad 2” x 2” 12-ply Sterile 100/box $27.53 5K7567P versalon All Purpose Sponge 2” x 2” 4-ply Sterile 25/box $4.31 5K7559P versalon All Purpose Sponge 3” x 3” 4-ply Sterile 25/box $7.98 5K7589P versalon All Purpose Sponge 4” x 4” 4-ply Sterile 25/box $10.44 5K7428P CUrity Cover Sponge 4” x 3” Sterile 25/box $11.58 5K7543P CUrity Cover Sponge 4” x 4” Sterile 25/box $12.96 5K7427P CUrity Cover Sponge 3” x 3” Non-Sterile 100/box $10.05 5K7525P CUrity Cover Sponge 4” x 3” Non-Sterile 100/box $13.93 5K7430P CUrity Cover Sponge 4” x 4” Non-Sterile 100/box $19.21

A N C I L L A R I E S

Gauze Sponge

IV Sponge

dressings

Product Description Pack Factor Price/box5K7401P Coverlet Adhesive Bandage, Flexible 1” x 3” 100/box $23.785K7479P BioPatCH Antimicrobial Dressing - 1” disk w/7.0 mm center hole 10/box $175.47 5K7538P PrimaPore Adhesive Dressing 4” x 31/8” Sterile 20/box $46.15 5K7548P PrimaPore Adhesive Dressing 6” x 31/8” Sterile 20/box $50.37 5K7568P PrimaPore Adhesive Dressing 8” x 4” Sterile 20/box $64.43 5K7532P telFa Adhesive Island Dressing 2” x 31/2” Sterile 50/box $21.07 5K7588P telFa Adhesive Island Dressing 4” x 5” Sterile 25/box $80.58 5K7522P viasorB Wound Dressing 2” x 3” Sterile 20/box $106.095K7523P viasorB Wound Dressing 4” x 6” Sterile 20/box $146.83 5K7459P oPsite Post Op Dressing 61/8” x 33/8” Sterile 20/box $85.33 5K7580P tegaDerm Transparent Dressing 23/8” x 23/4” Sterile 100/box $121.33 5K7579P tegaDerm Transparent Dressing 4” x 43/4” Sterile 50/box $189.62 5K7578P tegaDerm Transparent Dressing 6” x 8” Sterile 10/box $86.39

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AN2 Effective Date 7/1/11

Cloth Tape

Paper Tape

Plastic Tape


Tape

Product Description Pack Factor Price/box5K7624 Cloth Tape 1” x 10 yds 1/ea $2.17 5K7630 Cloth Tape 2” x 10 yds 1/ea $4.79 5K7639 Soft Cloth Tape 2” x 10 yds 1/ea $20.30 5K7615 Paper Tape 1” x 10 yds 1/ea $1.84 5K7617 Paper Tape 2” x 10 yds 1/ea $3.52 5K7660 Paper Tape 1” x 10 yds w/Dispenser 1/ea $1.82 5K7667 Paper Tape 2” x 10 yds w/Dispenser 1/ea $3.66 5K7619 Plastic Tape 1” x 10 yds 1/ea $2.98 5K7627 Plastic Tape 2” x 10 yds 1/ea $6.77

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antiseptics/Chemicals


5K4075 manUgel 85 Antiseptic Hydroalcoholic Gel, 500 mL with Pump 1 ea $21.62 5K4227 Cal stat PlUs Hand Rub No Rinse - 4 oz. 1 ea $10.84 5K4070 Liquid Soap Antimicrobial - 16 oz. w/pump 1 ea $9.09 5K4066 exsePt PlUs Skin Antiseptic 500 mL 1 ea $30.06 5K4054P sHUr-Clens Skin Wound Cleanser - 20 mL 25/box $93.62 5K4005 alCavis 50 - 500 mL 1 ea $19.93 5K4027 BetasePt Surgical Scrub 4% - 32oz. with Pump 1 ea $24.78 5K4001 Alcohol Isopropyl 70% - 16oz. 1 ea $3.58 5K4172P Alcohol Prep Medium 21/4” x 11/4” 2-ply 200/box $7.74 5K4012P Povidone-Iodine Swab-aid 13/4” x 11/4” 100/box $21.79 5K4013P Povidone-Iodine Swabstick 3/pk 25/box $22.02 5K8148P skin-PreP Protective Dressing 50/box $24.33 5K8058P Adhesive Remover Pad 100/box $28.91 5K4033P Hemastix Reagent Strips 50/box $75.32 5K4265P serim Cholorine Residual Test Kit 1 ea $151.63 5K4291P Bleach Wipes 50/box $61.735K4226 aCtril Cold Sterilant for Machine and Surface Disinfectant - Gallon 1 ea $46.05 5K4225P aCtril Residual Test Strips 100/bottle $69.33 5K4285 minnCare Cold Sterilant for use on RO Membranes - Quart 1 ea $84.46 5K4286P minnCare Residual Test Strip 100/box $86.12 5K4077 Conductivity Standard Solution 14.0 M/HHOS - 32oz. 1 ea $52.06


Surgical Scrub

Gloves

Product Description Pack Factor Price/box

5K7742P Latex Exam Glove. Non-sterile. Powder Free. Small 100/box $16.715K7743P Latex Exam Glove. Non-sterile. Powder Free. Medium 100/box $16.715K7744P Latex Exam Glove. Non-sterile. Powder Free. Large 100/box $16.715K7797P Latex Free Exam Glove. Non-sterile. Powder Free. Small 100/box $26.015K7798P Latex Free Exam Glove. Non-sterile. Powder Free. Medium 100/box $26.015K7799P Latex Free Exam Glove. Non-sterile. Powder Free. Large 100/box $26.01

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Blood Pressure Units


5K3966 Digital Auto Inflate Blood Pressure Unit w/medium cuff (arm girth 9.4” - 14.2”) 1/each $181.32 5K3967 Digital Auto Inflate Blood Pressure Unit w/small cuff (arm girth 6.3” - 9.4”) 1/each $175.11 5K3968 Digital Auto Inflate Blood Pressure Unit w/large cuff (arm girth 14.2” - 17.7”) 1/each $197.09

Scales


5K3517 Scale Pediatric Digital (Capacity: 44 lbs x 1/2 oz / 20 kg x 0.01 kg) 1/each $543.28 5K3545 Scale Digital w/detachable display (Capacity: 400 lbs x 0.2 lbs / 180 kg x 0.1 kg) 1/each $324.21 5K3575 Scale Digital 1-1/2” Display (Capacity: 400 lbs x 0.1 lbs / 180 kg x 0.05 kg) 1/each $112.72 5K3582 Scale Spring (5000 gm x 100 gm) 1/each $20.47 5K3585 Scale Spring Pediatric (250 gm x 10 gm) 1/each $20.05

Permanent Equipment


5K3961 Heating Pad - King Size 3 Heat Setting 1/each $81.17 5Q3810 I.V. Pole Double-Hook Free Standing 47” x 84” 1/each $113.98 5K3572 Thermometer, Digital 1/each $13.46 5K3826 Dialysis Bath Conductivity Meter 1/each $397.00 5K8100 PD Simulator and Case “Dummy Tummy” 1/each $1,174.10


AN4 Effective Date 7/1/11

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miscellaneous ancillary Supplies


5K7444P Underpad Plastic Lined 17” x 24” 100/box $20.26 5K7402P Sterile Field 18” x 26” 50/box $47.31 5K4500 Beta-CaP Clamp 1 ea $5.38 5K3739 Forcep 41⁄4” Blue Plastic Dravon A-Clamp Smooth Jaw 1 ea $5.86 5K7406P Cotton-Tipped Applicator Sterile 6” Long - 2/pkg 100/box $22.13 5K8123P Face Mask White Paper Pleated 50/box $7.80 5K8070P Face Mask - Yellow Pleated 50/box $14.97 5K8032P Face Mask - Blue Molded Fluid Resistant 50/box $26.78 5K8065P Can Liner, 33 Gal, Black 250/box $76.21


Face Mask


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The following is a listing of trademarks of Alcavis HDC, LLC: Alcavis Exsept Plus Manugel

The following is a listing of trademarks of Bayer Healthcare LLC: Hemastix

The following is a listing of trademarks of BSN Medical gmbh Corporation: Coverlet

The following is a trademark of Covidien AG: Beta-Cap Viasorb

The following is a listing of trademarks of E-Med Corporation: IV Strip

The following is a trademark of E.R. Squibb & Sons, LLC: Shur-Clens

The following is a listing of trademarks of Johnson & Johnson Corporation: BioPatch

The following is a listing of trademarks of Minntech Corporation: Actril Minncare

The following is a trademark of Nitto Denko Corp.: Xtrata

The following is a listing of trademarks of Purdue Frederick Company: Betasept

The following is a listing of trademarks of Serim Research Corporation: Serim

The following is a listing of trademarks of Smith & Nephew Medical Limited: Opsite Primapore Skin-Prep

The following is a trademark of Steris Inc.: Cal-Stat

The following is a listing of trademarks of Tyco Healthcare Group LP Curity Excilon Sorb-It Telfa Versalon

The following is a trademark of 3M Company: Tegaderm

T R A D E M A R K Sfor ancillary products listed on pages aN1-aN5

ANTM Effective Date 7/1/11

Anci

llarie

s

Pro

duct

%

Dex

trose

Fi

ll

Cont

. Pa

ck

Ord

M

ax C

ode

Vo

l Si

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Fact

or

Qty

Qty

Dia

neal

: Lo

wCa

l PD

II 5

B 1.

5%

L L

5B

L

L

5

B 2.

5%

L L

5B

L

L

5

B 4.

25%

L

L

5

B

L L

5B

extr

anea

l PDI

I L

L

5

B ex

tran

eal P

DII

L L

Hom

eCHo

iCe:

5

C831

0 Ho

meC

HoiC

e Pr

o Cy

cler

1

5

C447

1 Ho

meC

HoiC

e Cy

cler

1

5

C440

6 Ho

meC

HoiC

e Ca

se

1

5

C446

9C

4-Pr

ong

Cycl

er S

et

30

5C4

531C

In

tegr

ated

Cyc

ler S

et

30

5C4

466P

M

iniC

ap

60 5

C452

7 Ou

tlet P

ort C

lam

p

12

5C4

480C

12

” Pa

tient

Ext

ensi

on L

ine

30

D

rain

opt

ion:

5

C446

4P

12’ D

rain

Ext

ensi

on L

ine

30

5

C414

5P

15 L

iter D

rain

age

Bag

30

Pro

duct

Pack

Or

d M

ax C

ode

Desc

riptio

n Fa

ctor

Qty

Qt

y a

ntis

eptic

s/Cl

eans

ers:

5K4

027

Surg

ical

Scr

ub 3

2 oz

. with

Pum

p 1

Wip

es:

5K4

075

man

ugel

85

Antis

eptic

1

Per

man

ent e

quip

(as

need

ed):

5K3

961

Heat

ing

Pad,

Kin

g Si

ze

1 5

Q381

0 “R

ams

Horn

” IV

Pol

e 1

5K3

582

Sprin

g Sc

ale

1 5

K396

6 Bl

ood

Pres

sure

Uni

t 1

5K3

572

Ther

mom

eter

-Dig

ital

1 5

K357

5 Sc

ale,

Dig

ital,

11 /2 ” Di

spla

y 1

5C4

275

Com

pact

Exc

hang

e De

vice

(CXD

II)

1 o

ther

(if n

eede

d):

Pro

duct

Pack

Or

d M

ax C

ode

Desc

riptio

n Fa

ctor

Qty

Qt

y D

ress

ings

: 5

K741

6P

Gauz

e Sp

onge

4”

x 4”

12-

ply

25 5

K745

8P

IV S

pong

e 2”

x 2

” 6-

ply

35 u

nder

pad:

5

K744

4P

Unde

rpad

Pla

stic

Lin

ed 1

7” x

24”

10

0 F

ace

mas

ks:

5K8

123P

Fa

ce M

asks

, Whi

te, P

leat

ed P

aper

50

Tap

e:

5K7

615

Pape

r Tap

e 1”

1

5K7

619

Plas

tic T

ape

1”

1 5

K762

4 Cl

oth

Tape

1”

1

Patie

nt N

ame

Phon

e

DOB

Addr

ess

City

Stat

e

Zip

Alte

rnat

e Co

ntac

t

Phon

eES

RD P

atie

nt S

elec

tion:

Bill

sup

plie

s to

:

(b

illing

com

pany

nam

e)Da

te S

elec

tion

Sign

ed

/

/

Ap

plie

d fo

r Med

icar

e:

Yes

D

ate

Appl

ied

/

/

N

oM

edic

are

#

/

/

Effe

ctive

Dat

e

/

/

If Ba

xter

will

hold

the

Assi

gnm

ent o

f Ben

efits

, the

follo

win

g fo

rms

are

requ

ired:

HCFA

-150

0 Fo

rm

Sel

ectio

n (H

CFA-

382)

For

m

Hea

lth In

sura

nce

Form

Clin

ic/H

ospi

tal

Ph

one

Addr

ess

City

St

ate

Zi

pCo

ntac

t

PO

#If

Diab

etic

cho

ose

type

:

Typ

e 1

Insu

lin D

epen

dent

T

ype

2 In

sulin

Dep

ende

nt

Typ

e 2

Non

Insu

lin D

epen

dent

Da

ys re

serv

e:__

____

____

____

Max

imum

Sol

utio

n Ca

se Q

uant

ity p

er 2

8 Da

y cy

cle

___

____

Ex

chan

ges/

Day

___

____

Li

ters

/Day

___

____

one

Year

reF

ill

unle

ss o

ther

wis

e no

ted

___

____

____

rena

l Div

isio

n B

axte

r Hea

lthca

re C

orpo

ratio

n, 1

620

Wau

kega

n Ro

ad, M

PGR-

A1S,

McG

aw P

ark,

IL 6

0085

-673

0 F

AX: 8

00 6

66 8

457

Hom

eCar

e Se

rvic

es

AP

D P

re

sc

rip

tio

n F

or

m PF1

USE

AS D

IREC

TED

For

New

Yor

k St

ate

Pres

crip

tions

Onl

y:PR

ESCR

IPIT

ON

S W

ILL

BE F

ILLE

D G

ENER

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LY

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SS P

RESC

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IN T

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BOX

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ense

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Writ

ten

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eSr

D or

eSr

D an

d Di

abet

ic p

atie

nt h

as b

een

trai

ned

in H

ome

Perit

onea

l Dia

lysi

s an

d w

ill r

equi

re th

e su

pplie

s lis

ted

belo

w.

Phys

icia

n:

Sign

atur

e (S

ubst

itutio

n Pe

rmitt

ed)

Date

(D

ispe

nse

as W

ritte

n)

Phys

icia

n Na

me

Prin

ted

Pres

crip

tion

Form

s

Pro

duct

%

Dex

trose

Fi

ll

Cont

. Pa

ck

Ord

M

ax C

ode

Vo

l Si

ze

Fact

or

Qty

Qty

Dia

neal

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raBa

g:

Low

Cal

PD

II

5B

1.5%

L

L

5

B

L L

5B

2.5%

L

L

5

B

L L

5B

4.25

%

L L

5B

L

L

5

B ex

tran

eal P

DII

L L

5B

extr

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l PDI

I L

L

D

evic

es:

5C4

466P

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iniC

ap

60 5

C421

2P

Disc

onne

ct C

ap

60

5C4

527

Outle

t Por

t Cla

mp

12 5

C495

7 ul

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lam

P

12

Patie

nt N

ame

Phon

e

DOB

Addr

ess

City

Stat

e

Zip

Alte

rnat

e Co

ntac

t

Phon

eES

RD P

atie

nt S

elec

tion:

Bill

sup

plie

s to

:

(b

illing

com

pany

nam

e)Da

te S

elec

tion

Sign

ed

/

/

Ap

plie

d fo

r Med

icar

e:

Yes

D

ate

Appl

ied

/

/

N

oM

edic

are

#

/

/

Effe

ctive

Dat

e

/

/

If Ba

xter

will

hold

the

Assi

gnm

ent o

f Ben

efits

, the

follo

win

g fo

rms

are

requ

ired:

HCFA

-150

0 Fo

rm

Sel

ectio

n (H

CFA-

382)

For

m

Hea

lth In

sura

nce

Form

Clin

ic/H

ospi

tal

Ph

one

Addr

ess

City

St

ate

Zi

pCo

ntac

t

PO

#If

Diab

etic

cho

ose

type

:

Typ

e 1

Insu

lin D

epen

dent

T

ype

2 In

sulin

Dep

ende

nt

Typ

e 2

Non

Insu

lin D

epen

dent

Da

ys re

serv

e:__

____

____

____

Max

imum

Sol

utio

n Ca

se Q

uant

ity p

er 2

8 Da

y cy

cle

___

____

Ex

chan

ges/

Day

___

____

Li

ters

/Day

___

____

one

Year

reF

ill

unle

ss o

ther

wis

e no

ted

___

____

____

rena

l Div

isio

n B

axte

r Hea

lthca

re C

orpo

ratio

n, 1

620

Wau

kega

n Ro

ad, M

PGR-

A1S,

McG

aw P

ark,

IL 6

0085

-673

0 F

AX: 8

00 6

66 8

457

Hom

eCar

e Se

rvic

es

CA

PD

P

re

sc

rip

tio

n F

or

m PF2

Phys

icia

n:

Sign

atur

e (S

ubst

itutio

n Pe

rmitt

ed)

Date

(D

ispe

nse

as W

ritte

n)

Phys

icia

n Na

me

Prin

ted

This

eSr

D or

eSr

D an

d Di

abet

ic p

atie

nt h

as b

een

trai

ned

in H

ome

Perit

onea

l Dia

lysi

s an

d w

ill r

equi

re th

e su

pplie

s lis

ted

belo

w. P

rodu

ct

Pa

ck

Ord

Max

Cod

e De

scrip

tion

Fact

or Q

ty

Qty

ant

isep

tics/

Clea

nser

s: 5

K402

7 Su

rgic

al S

crub

32

oz. w

ith P

ump

1 W

ipes

: 5

K407

5 m

anug

el 8

5 An

tisep

tic

1

P

erm

anen

t equ

ip (a

s ne

eded

): 5

K396

1 He

atin

g Pa

d, K

ing

Size

1

5Q3

810

“Ram

s Ho

rn”

IV P

ole

1 5

K358

2 Sp

ring

Scal

e 1

5K3

966

Bloo

d Pr

essu

re U

nit

1 5

K357

2 Th

erm

omet

er-D

igita

l 1

5K3

575

Scal

e, D

igita

l, 11 /2 ”

Disp

lay

1

oth

er (i

f nee

ded)

: US

E AS

DIR

ECTE

DFo

r N

ew Y

ork

Stat

e Pr

escr

iptio

ns O

nly:

PRES

CRIP

ITO

NS

WIL

L BE

FIL

LED

GEN

ERIC

ALLY

UN

LESS

PRE

SCRI

BER

WRI

TES

“daw

” IN

THE

BO

X BE

LOW

Disp

ense

As

Writ

ten

Pro

duct

Pack

Or

d M

ax C

ode

Desc

riptio

n Fa

ctor

Qty

Qt

y D

ress

ings

: 5

K741

6P

Gauz

e Sp

onge

4”

x 4”

12-

ply

25 5

K745

8P

IV S

pong

e 2”

x 2

” 6-

ply

35 u

nder

pad:

5

K744

4P

Unde

rpad

Pla

stic

Lin

ed 1

7” x

24”

10

0 F

ace

mas

ks:

5K8

123P

Fa

ce M

asks

, Whi

te, P

leat

ed P

aper

50

Tap

e:

5K7

615

Pape

r Tap

e 1”

1

5K7

619

Plas

tic T

ape

1”

1 5

K762

4 Cl

oth

Tape

1”

1

Pres

crip

tion

Form

s

Pro

duct

Pack

Or

d M

ax C

ode

Desc

riptio

n Fa

ctor

Qty

Qt

y 2

B Sa

line

____

____

____

5

M

Acid

Con

c __

____

____

____

_

5

M

Bica

rb C

onc

____

____

_

5

M

Bica

rb P

wdr

___

____

____

5M

Di

alyz

er _

____

____

____

____

Fi

stul

a _

___

Gx _

___”

Bl

ood

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et

Tr

ansd

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Pro

tect

or

5M

4110

Pr

imin

g Se

t

5

K407

7 Co

nduc

tivity

STD

Sol

14.

0 1

5K4

226

ACTR

IL M

ach

Disi

nfec

t Gal

1

5

K400

1 Al

coho

l 70%

16o

z.

1

Pro

duct

Pack

Or

d

Max

Cod

e De

scrip

tion

Fact

or Q

ty

Qty

5K4

033P

HE

MAS

TIX

Strip

s 50

5K4

225P

AC

TRIL

Tes

t Stri

p 10

0

5K4

027

Surg

ical

Scr

ub 3

2 oz

. with

Pum

p 1

5K4

075

MAN

UgEL

85

Antis

eptic

1

5K4

Al

coho

l Pre

p Pa

d 10

0 5

k401

2P

PVP

Prep

Pad

10

0 5

K401

3P

PVP

Swab

stick

s 3/

pkg

25

Per

man

ent E

quip

men

t (as

nee

ded)

: 5

K382

6 Co

nduc

tivity

Met

er

1 5

K357

5 Sc

ale,

Dig

ital,

11 / 2” D

ispl

ay

1 5

K396

6 Bl

ood

Pres

sure

Uni

t 1

5K3

739

Forc

eps

41 / 4”

1

Pro

duct

Pack

Or

d M

ax C

ode

Desc

riptio

n Fa

ctor

Qty

Qt

y g

uaze

/Spo

nge:

5K7

416P

Ga

uze

Spon

ge 4

”x4”

12-

ply

25 5

K745

8P

IV S

pong

e 2”

x2”

6-pl

y 35

Tap

e:

5K7

615

Pape

r Tap

e 1”

1

5K7

619

Plas

tic T

ape

1”

1 5

K762

4 Cl

oth

Tape

1”

1

Und

erpa

ds:

5K7

444P

Un

derp

ad P

last

ic L

ined

17”

x 2

4”

100

glo

ves:

5

K77_

__

Glov

es

100

Fac

e M

asks

: 5

K812

3P

Face

Mas

ks, W

hite

, Ple

ated

Pap

er 5

0

Patie

nt N

ame

Phon

e

DOB

Addr

ess

City

Stat

e

Zip

Alte

rnat

e Co

ntac

t

Phon

eES

RD P

atie

nt S

elec

tion:

bill

sup

plie

s to

:

(b

illing

com

pany

nam

e)Da

te S

elec

tion

Sign

ed

/

/

Ap

plie

d fo

r Med

icar

e:

Yes

D

ate

Appl

ied

/

/

N

oM

edic

are

#

/

/

Effe

ctive

Dat

e

/

/

If Ba

xter

will

hold

the

Assi

gnm

ent o

f Ben

efits

, the

follo

win

g fo

rms

are

requ

ired:

HCFA

-150

0 Fo

rm

Sel

ectio

n (H

CFA-

382)

For

m

Hea

lth In

sura

nce

Form

Clin

ic/H

ospi

tal

Ph

one

Addr

ess

City

St

ate

Zi

p

Cont

act

PO#

If Di

abet

ic c

hoos

e ty

pe:

T

ype

1 In

sulin

Dep

ende

nt

Typ

e 2

Insu

lin D

epen

dent

T

ype

2 No

n In

sulin

Dep

ende

nt

ONE

YEAR

REF

ILL

unle

ss o

ther

wis

e no

ted

___

____

____

# Tr

eatm

ents

per

wee

k: _

____

____

____

Rena

l Div

isio

n B

axte

r Hea

lthca

re C

orpo

ratio

n, 1

620

Wau

kega

n Ro

ad, M

PGR-

A1S,

McG

aw P

ark,

IL 6

0085

-673

0 F

AX: 8

00 6

66 8

457

Hom

eCar

e Se

rvic

es

HE

mO

Pre

sc

rip

tio

n f

orm PF3

Phys

icia

n:

Sign

atur

e (S

ubst

itutio

n Pe

rmitt

ed)

Date

(D

ispe

nse

as W

ritte

n)

Phys

icia

n Na

me

Prin

ted

USE

AS D

IREC

TED

For

New

Yor

k St

ate

Pres

crip

tions

Onl

y:PR

ESCR

IPIT

ON

S W

ILL

BE F

ILLE

D G

ENER

ICAL

LY

UNLE

SS P

RESC

RIBE

R W

RITE

S “d

aw”

IN T

HE

BOX

BELO

W

Disp

ense

As

Writ

ten

Pres

crip

tion

Form

s

The following is a listing of trademarks of Baxter International Inc.:

Baxter

Dianeal

Extraneal

HomeChoice

HomeChoice PRO

MiniCap

UltraBag

UltraClamp

The following is a listing of trademarks of Minntech Corporation:

Actril

The following is a listing of trademarks of Bayer Healthcare LLC:

Hemastix

The following is a listing of trademarks of Alcavis HDC,LLC:

Manugel

T R A D E M A R K SFor prescription forms listed on pages PF1-PF3

Effective Date 7/1/11 PFTM

Pres

crip

tion

Form

s

N U M E R I C A L I N D E X

2B1321 HD7

2B1322Q HD7

2B1323Q HD7

2B1324X HD7

2C7565 AC1

2F7112 HD7

2F7115 HD7

2F7122 HD7

2F7124 HD7

2F7125 HD7

5B4825 PD2

5B4826 PD2

5B4974 PD4

5B4976P PD4

5B4984 PD4

5B4986 PD4

5B5163 PD3

5B5166 PD3

5B5169 PD3

5B5173 PD3

5B5177 PD3

5B5179 PD3

5B5183 PD3

5B5187 PD3

5B5189 PD3

5B5193 PD3

5B5194 PD3

5B5195 PD3

5B5202 PD2

5B5203 PD2

5B7860 AC1

5B9248 AC1

5B9249 AC1

5B9250 AC1

5B9251 AC1

5B9252 AC1

5B9710 PD3

5B9711 PD3

5B9712 PD3

5B9727 PD2

5B9747 PD2

5B9757 PD1

5B9758 PD1

5B9759 PD1

5B9765P PD1

5B9766 PD1

5B9768P PD1

5B9770 PD2

5B9771 PD2

5B9772 PD2

5B9775P PD1

5B9776 PD1

5B9778P PD1

5B9795P PD1

5B9796 PD1

5B9798P PD1

5B9857 PD1

5B9858 PD1

5B9859 PD1

5B9866 PD1

5B9868P PD1

5B9876 PD1

5B9878P PD1

5B9896 PD1

5B9898P PD1

5B9901 PD2

5B9902 PD2

5B9903 PD2

5C4129 PD8

5C4136 PD8

5C4137 PD8

5C4145P PD6

5C4150A PD8

5C4160 PD8

5C4169 PD8

5C4190 PD7

5C4212P PD8

5C4213P PD8

5C4215P PD8

5C4275 PD7

5C4319 PD8

5C4366P PD7

5C4381 PD8

5C4406 PD6

5C4413 PD8

5C4426 PD6

5C4442 PD8

5C4446 PD6, AC1

5C4449 PD8

5C4456 PD8

5C4462 PD6

5C4464P PD6

5C4466P PD8

5C4469C PD5

5C4471 PD5

5C4476 PD6

5C4480C PD6

5C4482 PD8

5C4483 PD8

5C4505 PD7

5C4512 PD6

5C4527 PD8

5C4530 PD7

5C4531C PD5

5C4942 PD7

5C4957 PD8

5C4971 PD6

5C8302C PD5

5C8310 PD5

5C8346 PD6

5K3517 AN4

5K3545 AN4

5K3572 AN4

5K3575 AN4

5K3582 AN4

5K3585 AN4

5K3739 AN5

5K3826 AN4

5K3961 AN4

5K3966 AN4

5K3967 AN4

5K3968 AN4

5K4001 AN3

5K4005 AN3

5K4012P AN3

5K4013P AN3

5K4027 AN3

5K4033P AN3

5K4054P AN3

5K4066 AN3

5K4070 AN3

5K4075 AN3

5K4077 AN3

5K4172P AN3

5K4225P AN3

5K4226 AN3

5K4227 AN3

5K4265P AN3

5K4285 AN3

5K4286P AN3

5K4291P AN3

5K4500 AN3

5K7401P AN1

5K7402P AN5

5K7406P AN5

5K7407P AN1

5K7416P AN1

5K7424P AN1

5K7425P AN1

5K7426P AN1

5K7427P AN1

5K7428P AN1

5K7430P AN1

5K7444P AN5

5K7458P AN1

5K7459P AN1

5K7479P AN1

5K7505P AN1

5K7522P AN1

5K7523P AN1

5K7525P AN1

5K7532P AN1

5K7538P AN1

5K7543P AN1

5K7548P AN1

5K7559P AN1

5K7567P AN1

5K7568P AN1

5K7578P AN1

5K7579P AN1

5K7580P AN1

5K7588P AN1

5K7589P AN1

5K7615 AN2

5K7617 AN2

5K7619 AN2

Code Page Code Page Code Page Code Page

Effective Date 7/1/11 IN1

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IN2 Effective Date 7/1/11

5K7624 AN2

5K7627 AN2

5K7630 AN2

5K7639 AN2

5K7660 AN2

5K7667 AN2

5K7742P AN3

5K7743P AN3

5K7744P AN3

5K7797P AN3

5K7798P AN3

5K7799P AN3

5K8032P AN5

5K8058P AN3

5K8065P AN5

5K8070P AN5

5K8100 AN4

5K8123P AN5

5K8148P AN3

5M1542 HD3

5M1546 HD3

5M1729 HD3

5M1730 HD3

5M2119 HD2

5M2120 HD2

5M2121 HD2

5M2132 HD2

5M2591 HD2

5M2592 HD2

5M2593 HD2

5M2594 HD2

5M2595 HD2

5M2596 HD2

5M2731 HD3

5M2732 HD3

5M2733 HD3

5M2734 HD3

5M2735 HD3

5M2736 HD3

5M3074 AC1

5M3121 AC1

5M3122 AC1

5M3123 AC1

5M3134 AC1

5M5720 SO1

5M5730 SO1

5M5730U SO1

5M6400 HD2

5M6401 HD2

5M6402 HD2

5M6403 HD2

5M6404 HD2

5M6405 HD2

5M7818 HD8

5M7820 HD8

5M7821 HD8

5M7822 HD8

5M7823 HD8

5M7824 HD8

5M7825 HD8

5M7828 HD8

5M7829 HD8

5M7856 HD8

5M7857 HD8

5M7901 HD8

5M7902 HD8

5M7903 HD8

5M7904 HD8

5M7905 HD8

5M7906 HD8

5M7909 HD8

5M7911 HD8

5M9634 HD4

5Q3810 AN4

A201V801 HD4

A203V801 HD4

A204V801 HD4

A209YV803 HD4

A210V803 HD4

A217YV806 HD4

FD152530BC HD5

FS1425BC HD5

FS142530TP HD5

FS142530TPR HD5

FS1525BC HD5

FS1525BCR HD5

FS1532BC HD5

FS152530TP HD5

FS152530TPR HD5

FS1625BC HD5

FS1625BCR HD5

FS162530TP HD5

FS162530TPR HD5

FS163230BC HD5

FS1725BC HD5

FS172530TP HD5

FS172530TPR HD5

FS173230BC HD5

FT152530BC HD5

FT153230BC HD5

FT162530BC HD5

FT152530BCR HD5

FT162530BCR HD5

FT142530TP HD6

FT152530TP HD6

FT162530TP HD6

FT172530TP HD6

H25601A HD2

H25602A HD2

H25603A HD2

H25604A HD2

H25605A HD2

H25606A HD2

HCT1000B HD1

JD01D2238 HD7

JD01D2516 HD7

JD03D2238 HD7

L5B4825 PD2

L5B4826 PD2

L5B4974 PD4

L5B4976 PD4

L5B5163 PD3

L5B5166 PD3

L5B5169 PD3

L5B5173 PD3

L5B5177 PD3

L5B5179 PD3

L5B5183 PD3

L5B5187 PD3

L5B5189 PD3

L5B5193 PD3

L5B5194 PD3

L5B5195 PD3

L5B5202 PD2

L5B5203 PD2

L5B9710 PD3

L5B9711 PD3

L5B9712 PD3

L5B9727 PD2

L5B9747 PD2

L5B9770 PD2

L5B9771 PD2

L5B9772 PD2

L5B9901 PD2

L5B9902 PD2

L5B9903 PD2

L5C4366 PD7

L5C4446 PD6

L5C4531 PD5

N5C8305C PD5

R5C4479C PD5

PS01 HD7

R5C4522 PD6

R5C4526 PD6

RENLSFT SO1

TPSURE1 HD7

N u m e r i c A L i N d e x

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Baxter Healthcare CorporationRenal Business Unit1620 Waukegan RoadMcGaw Park, IL 600851-888-736-2543www.baxter.com

AL05121W 7/11

price list & product catalog | · pdf fileeffective date 7/1/11 3 i. general terms and...

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