Supply Formulary. Omni Medical Supply, Inc. (800) (248) Fax: (248)

Transcription

1 Supply Formulary General Medical Supplies Urological Supplies Omni Medical Supply, Inc. (800) (248) Fax: (248) Rev. 6/16/14 Assess Prevent Clean Fill Cover Secure Wound Care

2 General Medical Supplies Gloves BX VSM221 GLOVES, VINYL PF SMALL DYNAREX, 100/BX (10BX/CS) $3.50 BX VMD221 GLOVES, VINYL PF MEDIUM DYNAREX, 100/BX (10BX/CS) $3.50 BX VLG221 GLOVES, VINYL PF LARGE DYNAREX, 100/BX (10BX/CS) $3.50 BX LSM100 GLOVES, LATEX PWD SMALL DYNAREX, 100/BX (10BX/CS) $5.40 BX LMD100 GLOVES, LATEX PWD MEDIUM DYNAREX, 100/BOX (10BX/CS) $5.40 BX LLG100 GLOVES, LATEX PWD LARGE DYNAREX, 100/BOX (10BX/CS) BX 1501-IMC GLOVES, LATEX PF SMALL DYNAREX, 100/BOX (10BX/CS) $6.20 BX 1502-IMC GLOVES, LATEX PF MEDIUM DYNAREX, 100/BOX (10BX/CS) $6.20 BX 1503-IMC GLOVES, LATEX PF LARGE DYNAREX, 100/BOX (10BX/CS) $6.20 BX 2501-IMC GLOVES, NITRILE PF SMALL DYNAREX, 100/BOX (10BX/CS) $5.95 BX 2502-IMC GLOVES, NITRILE PF MEDIUM DYNAREX, 100/BOX (10BX/CS) $5.95 BX 2503-IMC GLOVES, NITRILE PF LARGE DYNAREX, 100/BOX (10BX/CS) $5.95 $5.40 Miscellaneous AMS CP PR DRESSING CHANGE KIT WITH CHLORAPREP (20/CS) HEEL PROTECTOR, WHITE SYNTHETIC FOAM, PAIR $3.45 $ PVP SOLUTION 10%, 4OZ, CH $ STAPLE REMOVER KIT, CH $ SUTURE REMOVAL KIT, CH $0.85 PK TOWEL, MULTI-FOLD WHITE, 250/PK (16PK/CS) $2.05 1

3 Needles & Syringes BX BX Nurse Bag Supplies BX TCBSYR10L SYRINGE, 10CC LL, 100/BX $10.65 BX JD+03L SYRINGE, 3CC LL, 100/BX $7.20 BX TCBSYR60C-30 SYRINGE, 60CC CATH TIP, 25/BX $13.15 NEEDLE, BUTTERFLY 23GX 3/4" 12", WITH REMOVABLE LUER ADAPTER 50/BX NEEDLE, BUTTERFLY 25GX 3/4" 12", WITH REMOVABLE LUER ADAPTER 50/BX BX B16400 ADHESIVE REMOVER WIPES, 100/BOX $3.95 BX 5750 ALCOHOL PREPS, MEDIUM 200/BX $ ANTIBACTERIAL SOAP, 4OZ, CH $ XZ BP CUFF, LARGE ADULT, 13" TO 20", CH $ Z BP CUFF, STANDARD ADULT, 11" TO 16.4", CH $11.10 BX 4305 COTTON TIP SWAB, 6" STERILE, 2'S, 100 PACKS/BOX $ CPR MASK, MICROSHIELD, CH $ GAIT BELT WITH BUCKLE, 60", CH $ HAND SANITIZER GEL, GELRITE, 4 OZ, CH (24/CS) $0.75 $62.00 $62.00 General Medical Supplies LISTER BANDAGE SCISSORS, 5.5", $ HOME HLTH SHOULDER BAG, WATERPROOF NYLON, NAVY, 14X11X7 $31.25 RMI- P0X2D PULSE OXIMETER, FINGER CLIP-ON $59.95 BX SLN240 SAFETY LANCET, 22G 2.2MM, 100/BX $12.95 TB Q89072 SANICLOTH DISINFECTANT WIPES, 6X6.75, 160/TUB $ SHARPS CONTAINER, 1 QT RED, CH $ SPILL KIT, EMERGENCY RESPONSE $ STETHOSCOPE, NURSE, 30" BLACK $ THERMOMETER, DIGITAL 5 LONG, CH $3.55 BX THERMOMETER PROBE COVERS, 100/BOX $3.20 BX 4314 TONGUE BLADES, STERILE 6", 100/BOX $ UNDERPAD, 23X36.TENDERSORB W/ PB CH $0.25 2

4 General Medical Supplies Urological Supplies Protective Wear S301CS GOGGLES, PROTECTIVE EYEWR, CH $1.99 PK 2141BG ISOLATION GOWN (5/PK) $ D MASK, FACE R LOOP, BLUE, CH, ( 50/BX) $0.20 OM900 MRSA KIT, CHILD SPHYG, CH $19.95 OM901 MRSA KIT, ADULT SPHYG, CH $19.95 OM902 MRSA KIT, LG ADULT SPHYG, CH $19.95 BOX SHOE COVERS, NON SKID, UNIVERSAL, BX, (50 PAIR/BOX) $7.95 Urological Supplies 5290 CATH, CONDOM FREEDOM MED CLR LS, CH 28MM $ CATH, 12FR SELF/STRAIGHT COUDE TIP, CH (20/BX) $ CATH, 12FR STRAIGHT COUDE 100% SILICONE, CH (30/BX) $ CATH, 12FR STRAIGHT CLR VINYL (ROBINSON) 16" $ CATH, 14FR STRAIGHT COUDE 100% SILICONE, CH (30/BX) $ CATH, 14FR STRAIGHT CLR VINYL (ROBINSON) 16" $ CATH, 16FR STRAIGHT COUDE 100% SILICONE, CH (30/BX) $ CATH, 16FR STRAIGHT SELF RED RUBBER ROBINSON (12/BX) $ CATH, 18FR STRAIGHT COUDE 100% SILICONE, CH (30/BX) $ A CATH, 14FR 5CC FOLEY SILICONE COATED, CH (12/BX) $ A CATH, 16FR 5CC FOLEY SILICONE COATED, CH (12/BX) $ A CATH, 16FR 30CC FOLEY SILICONE COATED, CH (12/BX) $ A CATH, 18FR 5CC FOLEY SILICONE COATED, CH (12/BX) $ A CATH, 18FR 30CC FOLEY SILICONE COATED, CH (12/BX) $ CATH, 18FR 30CC FOLEY 100% SILICONE, CH 12/BX $ A CATH, 20FR 5CC FOLEY SILICONE COATED, CH (12/BX) $ A CATH, 20FR 30CC FOLEY SILICONE COATED, CH (12/BX) $ A CATH, 22FR 5CC FOLEY SILICONE COATED, CH (12/BX) $ EXT TUBING, 18" X 8.5MM FOR LEG BAG, NS, CH $ INSERTION TRAY, 30CC BZK SWABSTICKS, CH (20/CS) $ INSERTION TRAY, 30CC PVP SWABSTICKS, CH (20/CS) $ IRRIGATION KIT 60CC SYRINGE, 1200CC TRAY, CH (20/CS) $ LEG BAG, MED LF W/STRAPS 17OZ 500ML, CH (50/CS) $ LEG BAG, LRG LF W/STRAPS 25OZ 730ML, CH (50/CS) $ BAG, ANTI-REFLUX ECONO DRAIN BAG, 2000CC CH $ LEG STRAP, 2 WIDE DALE STRETCH W/VELCO, CH $ LEG STRAP, FOR CATHETER, FOAM W/ADJ, VELCRO, 30", CH $ LUBRICATING JELLY,DYNALUBE 4 OZ TUBE, CH (12/BX) $1.30 BX 1250D LUBRICATING JELLY, DYNALUBE 2.7 GRAM FOIL PACK, 144/BX $6.35 *** Prices subject to change without notice*** 3

5 Measuring Guides ROLL Skin Wellness: Barrier Films & Creams CALMOSEPTINE OINTMENT W/ZINC OXIDE 4OZ, CH $ GH-50 CH PF DME CH 1335 GUIDE, WOUND MSURING, BULLSEYE, CIRCULAR, 50/ROLL MSURE DEVICE, WOUND FOAM TIPPED STERILE 50/BOX TAPE MSURE, PAPER DISPOSABLE, 36", CH LOTION, HAND AND BODY WITH ALOE VERA 7.5 OZ ( 48/CS) $ TRIPLE ANTIBIOTIC OINTMENT 1OZ CH $ ZINC OXIDE OINTMENT, 1 OZ, CH $0.75 BX S41350 SWABSTICK, BETADINE PVP 1 S 50/BOX $6.85 BX 6560 WIPE, SKIN PREP, 50/BX, 20BX/CS $6.65 BX 3344 WIPE, CAVILON NO STING FILM BARRIER 25/BX $16.50 BX WIPE, STING FREE PADS, 50/BX (10BX/CS) $8.00 Irrigation $5.05 $0.80 $ SODIUM CHLORIDE.9%, 100 ML SCREW TOP, CH, (48/CASE) $ SODIUM CHLORIDE.9%, 250 ML SCREW TOP, (24/CASE) $1.60 Cleansers CLNSER, SAFE WASH WOUND, 7.1 OZ AEROSOL, CH (12/CS) $ CLNSER, PRIMADERM, 4.15 OZ SQUIRT TOP, CH (12/CS) $ WOUND CLNSER, DERMA KLENZ, 8 OZ BOTTLE $4.98 Hydrocolloid Wound Paste MEDIHONEY WOUND GEL WITH APPLICATOR, 1.5 OZ, (CH, 12/CS) $16.00 Wound Care Assess Prevent Clean Fill Hydrogel Wound Dressing DH-03 DERMAGRAN AMORPHOUS WOUND GEL, 3 OZ, CH (12/CS) $ DERMASYN/AG WOUND GEL WITH SILVER, 1.5 OZ, CH (12/CS) $

6 Wound Care Fill Cover Packing Strips GAUZE PACKING STRIP 1/4"X5YD PLAIN, CH JAR (12/CS) $ GAUZE PACKING STRIP 1/2"X5YD PLAIN, (12/CS) $ GAUZE PACKING STRIP, IODOFORM 1/4"X5YDS STERILE, CH $ GAUZE PACKING STRIP, IODOFORM 1/2"X5YDS STERILE, CH $ GAUZE PACKING STRIP, IODOFORM 2"X5YDS STERILE, CH $5.35 Non-Adhering Dressings DKC77042 DRESSING, OIL EMULSION 3X8, CH (24/BX, 6BXS/CS) $0.70 DKC20068 DRESSING, XEROFORM PETROLATUM, 5X9, CH (50/BX, 200/CS) $0.80 BX 6017 DRESSING, TELFA PAD 2X3 W/ADH 100/BX $ DRESSING, TELFA, 3X4, 1'S (100/BOX) $ DRESSING, TELFA, 3X8, 1 S (50/BOX) $ DRESSING, TELFA ISLAND 4X5, STERILE 1 S (25/BOX) $ DRESSING, MEDIPORE PLUS PAD 3.5 X 4 CLOTH 25/BOX $ DRESSING, TEGADERM PLUS PAD 2X2 3/4, TRANSPARNT 50/BX $ DRESSING, TEGADERM PLUS PAD 3 1/2" x 4", TRANSPARNT 25/BX $1.08 Foam Dressings FOAM, TEGADERM NON-ADHESIVE 4 X25 ROLL, CH 6/CS) $ B FOAM, 4X4 COPA ISLAND ADHESIVE, (2X2 PAD), CH (10/BX, 50/CS) $ B FOAM, 6X6 COPA ISLAND ADHESIVE, (4X4 PAD), CH (10/BX, 50/CS) $ P FOAM, 4X4 COPA PLUS, NON-ADHESIVE, CH (10/BX, 50/CS) $ P FOAM, 2X2COPA PLUS, NON-ADHESIVE, CH (25/BX, 100/CS) $ FOAM, 4X4 TEGADERM NON-ADHESIVE NON-ADHERENT 10/BX (MEPILEX ALT) $ FOAM, TEGADERM 4X4 BORDERED (2⅜X2⅜ PAD) SILICONE 10/BX (MELIPEX ALT) $ FOAM, TEGADERM 6X6 BORDERED (4⅛X4⅛ PAD) SILICONE 10/BX (MEPILEX ALT) $7.50 Film Dressings 1626 FILM, TEGADERM, TRANSPARENT, 4 X 4 3/4, (50/BX) $ W FILM, TEGADERM, TRANSPARENT, 2 3/8 X 2 3/4, (100/BX) $ FILM, TEGADERM TRANSPARENT, 6 X 8, (10/BX) $ FILM, TEGADERM TRANSPARENT, 8 X 12 (10/BX) $3.25 5

7 Hydrocolloid/Acrylic Clear Dressings HYDROCOLLOID, TEGADERM ABSORBENT CLR ACRYLIC 3 X 3¾, OVAL PAD = 1½ X 2¼ 5/BX *NEW CLR HYDROCOLLOID* (TACAD) $3.75 HYDROCOLLOID, TEGADERM ABSORBENT CLR ACRYLIC 4⅜ X 5, OVAL PAD = 2⅜ X 3 5/BX *NEW CLR HYDROCOLLOID* (TACAD) $5.00 HYDROCOLLOID, TEGADERM ABSORBENT CLR ACRYLIC 5⅞ X 6, SQUARE PAD = 3⅞ X 4 5/BX *NEW CLR HYDROCOLLOID* (TACAD) $5.60 HYDROCOLLOID, TEGADERM ABSORBENT CLR ACRYLIC 5⅝ X 6¼, OVAL PAD = 3⅜ X 4¼ 5/BX *NEW CLR HYDROCOLLOID* (TACAD) $8.25 HYDROCOLLOID, TEGADERM ABSORBENT CLR ACRYLIC 6⅝ X 7½, SACRAL PAD = 5⅞ X 6 5/BX *NEW CLR HYDROCOLLOID* (TACAD) 9801 HYDROCOLLOID, ULTEC, NON-ADH 4X4, CH, 5/BX 50/CS $3.85 HCT101 HYDROCOLLOID, NU-DERM THIN 4X4, CH (10/BX) $ HYDROCOLLOID, ULTEC, BORDERED 4X4, CH, 5/BX 50/CS $ FOAM, TEGADERM ELBOW/HEEL 5½ X 5½ FOAM ADH 5/BX $7.50 Alginate/Collagen/Silver Dressings Gauze Dressings & ABD Pads $ ALGINATE, CURASORB CALCIUM ALGINATE 4X4, STERILE, 10/BX $ ALGINATE, CURASORB CALCIUM ALGINATE 12" ROPE, 5/BX $ ALGINATE AG, ALGICELL AG SILVER, 4.25X4.25, CH (10/BX) $8.00 BX ALGINATE AG, TEGADERM ALGINATE AG SILVER ROPE 12 5/BOX $46.65 PG004 COLLAGEN, PROMAGRAN 4X4, CELLULOSE/COLLAGEN, $11.65 MA028 COLLAGEN AG, PRISMA 4.34 SQ, CELLULOSE/COLLOGEN W/SILVER, $14.00 BX GAUZE, 2X2 8PLY STERILE, DERMAC, 100/BX $1.39 BG GAUZE, 2X2 12PLY NON-STERILE, DERMAC, 200/BG $1.19 BG BX GAUZE, 4X4 8PLY NON- ST 200/BAG (20BGS/CS) GAUZE, 4X4 STERILE 2'S 12PLY 25/BOX (24BX/CS) KERLIX, GENERIC GAUZE, 4.5"X4.1" STERILE, FLUFF-E RL CH (60/CS) $ D PAD, ABD 5X9 STERILE 36/BOX (12 BX/CS) $ PAD, ABD 5X9 NON-STERILE 576/CS $ D PAD, ABD 8X10 STERILE 18/BOX (12BX/CS) $0.22 TR SPONGE, DRAIN SPLIT 4X4 6PLY, STERILE 2'S 25/TRAY (12TR/CS) $3.99 TR SPONGE, DRAIN SPLIT 2X2 6PLY, STERILE 2'S 35/TRAY (20TR/CS) $1.40 $2.40 $2.05 Wound Care Cover 6

8 Wound Care Secure Bandages Compression Tubular Tape 3664D BANDAGE, 4" ACE ELASTIC W/CLIP, CH (10/BX) $ BANDAGE, 6" ACE ELASTIC W/CLIP, CH (10/BX) $ BANDAGE, CONFORM 4"X4.1YDs, CH 12/BX (8BX/CS) $0.55 BX 3601D BANDAID, 3/4 X 3, 100/BOX $ T/ CO-FLEX 3"X 5YDS-TAN ROLL (24/CS) $ T/ CO-FLEX 4"X 5YDS-TAN ROLL (18/CS) $1.60 Qty U/M Item# Description Price 2094 COBAN 2 LAYER COMPRESSION SYSTEM, CH $ UNNA BOOT 3 X 10 YDS, W/ZINC OXIDE, CH (12/CASE) $ D UNNA BOOT 4 X 10 YDS, W/ZINC OXIDE, CH (12/CASE) $5.25 GL-300-1C UNNA BOOT 3 X 10 YDS, W/CALAMINE, CH (12/CASE) $4.60 GL-400-1C UNNA BOOT 4 X 10 YDS, W/CALAMINE, CH (12/CASE) $ TENSOGRIP TUBULAR SUPPORT BANDAGE, SZ D 3"X 11 YDS, $ TENSOGRIP TUBULAR SUPPORT BANDAGE, SZ E, 3.5"X 11 YDS, $ TENSOGRIP TUBULAR SUPPORT BANDAGE, SZ F 4"X 11 YDS, $32.00 BX R1546 STERI-STRIPS 1/4 X 4 50PK/BX $38.00 BX R1547 STERI-STRIPS 1/2 X 4 50PK/BX $ TAPE, DURAPORE 1", (SILK) 3M CH (12/BX) $ TAPE, DURAPORE 2", (SILK) 3M CH (6/BX) $ TAPE, MEDIPORE 2", (CLOTH) 3M CH (6/BX) $ TAPE, MICROPORE 1", (PAPER) 3M CH (12/BX) $ TAPE, MICROPORE 2", (PAPER) 3M CH (6/BX) $ TAPE, MICROPORE 3", (PAPER) 3M CH (4/BX) $ TAPE, TRANSPORE 1" X 10YD, (PLASTIC) 3M, CH (12/BX) $ TAPE, TRANSPORE 2" X 10YD, (PLASTIC) 3M, CH (6/BX) $ TAPE, ULTRAFIX (HYPAFIX) 2" X10.9YDS, ROLL $ TAPE, ULTRAFIX (HYPAFIX) 4" X10.9YDS, ROLL $ TAPE, ULTRAFIX (HYPAFIX) 6" X10.9YDS, ROLL Rev. 6/16/14