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Clinical Services Contract Crib Sheet

September 12, 2011 through September 26, 2011

Our contract crib sheets are a checklist of recent clinical contract announcements from Premier. For more detail and archived Crib Sheets go to or refer to Supply Chain Advisor at .

Surgical Services – announcement of new agreements for Video Laryngoscopes. These laryngoscopes use digital technology such as video camera mounted on a laryngoscope blade to view the anatomical structures of the larynopharynx.

Effective October 1, 2011 through September 30, 2014

|Supplier |New contract number |Expiring contract number |

|Ambu |PP-OR-781 |New |

|King Systems |PP-OR-782 |New |

Surgical Services – announcement that Cook Medical (PP-OR-687) is discontinuing Biodesign (Surgisis) 8-Layer Tissue Graft. This product will no longer be available as of October 3, 2011. This product will be transitioned to Biodesign Hernia Graft and Biodesign Incision Graft.

Laboratory – announcement of new agreements for General Laboratory Products, Equipment and Service with Helmer Inc. The current agreement with Fisher Healthcare (PP-LA-241) expires December 31, 2011.

Effective January 1, 2012 through December 31, 2014

|Supplier |New contract number |Expiring contract number |

|Helmer* |PP-LA-302 |New |

|*Small Business Enterprise (SBE) |

Agreement Highlights:

• Helmer requires electronic price activation (PA) or a Participating Member Designation Form (PMDF) for Tier 2 and higher.

• Aggregation is allowable for this portfolio.

• Pricing is firm for the term of the agreement.

• Helmer has 3 tiers based on the number of SKU’s purchased per order.

• Helmer offers additional warranty options. See Supplier Tiers for more detail.

• Value adds offered include:

o Discounts for large dollar volume thresholds

o Waived fee for immediate shipping

• Agreements are available to acute and continuum of care members.

Cardiology – announcement that two Cook’s (PP-CA-168) Bird’s Nest filters (G50686/G50687) have been discontinued and replaced by the two BNF’s (G06451, G06452) already on the current agreement. The main difference between the two is the non-contracted have a “crank” style deployment, while the two on the contract have the new Push Button delivery system.

Surgical Services CORRECTIVE ACTION – announcement that Olympus America Inc. (PP-OR-529) has initiated a corrective action for their ViziShot Single Use Aspiration needles. This action is due to complaints reported for users regarding the ability to wipe material from the needle’s stylet and the presence of material in the patient cytology samples obtained by the needle following endobronchial ultrasound fine needle aspiration of a lesion.

Catalog numbers include:

NA-201SX-4022 22 gauge needle

NA-201SX-4021 21 gauge needle

Surgical Services – announcement that new suppliers Amendia and Zimmer have been added to the Spinal Implants and Related Products agreements.

Agreement History:

• Original award effective July 1, 2009

• Original awarded suppliers: Aesculap Implant Systems Inc. (PP-OR-545), DePuy (PP-OR-544) and Medtronic (PP-OR-546)

• Contract cancelations: DePuy (PP-OR-544), December 2010; and Medtronic (PP-OR-546), April 2011.

• Suppliers added March 1, 2011, in addition to Aesculap: CareFusion (PP-OR-736), Lanx (PP-OR-737) and Stryker (PP-OR-738).

Update to launch September 15, 2011:

Amendia (PP-OR-779) and Zimmer U.S., Inc. (PP-OR-776) have been added to the spinal implants and related products portfolio. Effective dates are August 1, 2011 for Amendia and September 12, 2011 for Zimmer. These contracts will be coterminous with the existing Spinal Implants and Related Products agreements and will end on June 30, 2012.

Amendia: Products offered are cervical metal implants as well as devices for posterior, transforaminal, anterior and oblique lumbar interbody fusion.

Zimmer: Products include a full offering of cervical and thoracolumbar metal implants with minimally invasive surgery and trabecular metal offerings. A wide portfolio of interbody fusion devices made from PEEK and titanium are also included.

The Category Update document attached in Supply Chain Advisor has been revised to include product, contract, and financial information for Amendia and Zimmer. All information for Aesculap, CareFusion, Lanx and Stryker remains the same.

Spinal Implants and Related Products agreements effective through June 30, 2012

|Category |Supplier |New | |

| | |contract numbers |Previous |

| | | |contract numbers |

|Spinal Implants |Aesculap |PP-OR-545 |PP-OR-291 |

|and Related Products | | | |

| |Amendia |PP-OR-779 |New |

| |CareFusion |PP-OR-736 |New |

| |Lanx |PP-OR-737 |New |

| |Stryker |PP-OR-738 |New |

| |Zimmer |PP-OR-776 |New |

Materials Management – announcement that MD Buyline has been added to the Healthcare Technology Assessment Resources agreement. Any current MD Buyline customers must sign a new Subscription Agreement to be included under the Premier agreement.

|Supplier |New contract numbers |Previous contract numbers |Effective |

| ECRI Institute |PP-MM-127 |PP-MM-046 |6.01.11 to 5.31.14 |

|Winifred S. Hayes, Inc. DBA Hayes Inc.* |PP-MM-128 |New |6.01.11 to 5.31.14 |

|MD Buyline Inc.** |PP-MM-129 |New |9.15.11 to 5.31.14 |

Imaging – announcement that GE Healthcare has added the Vscan pocket-size visualization tool to PP-IM-124, hand-carried ultrasound agreement. The Vscan incorporates ultrasound technology to enhance the physical exam experience by providing immediate visual validation and the clues needed to determine the best course of diagnosis and treatment for patients.

Cardiology – announcement that Boston Scientifics’ Coyote Balloon Dilatation Catheter was added to the Diagnostic and Interventional Cardiology Products contract (PP-CA-176) effective August 1, 2011. The Coyote is available in Over the Wire (OTW) and Monorail (MR) platforms and in several diameters and lengths.

Nursing RECALL – announcement that Hospira (PP-IV-035) is conducting a voluntary recall on 1 lot of 5% Dextrose Injection, USP 250mL, NDC 0409-7922-02 Lot 95-067-JT. Lot 95-067-JT has been identified to have potential for solution to leak from a tear near the perimeter seal and the hanger slot. The affected lot was distributed between December 2010 and July 2011. Hospira has not received any reports of adverse events resulting from this issue.

Suggested action steps:

• Please contact Hospira customer care at 1.877.946.7747 or your Hospira account manager to obtain replacement product.

• Please check your inventory and immediately quarantine any effective product.

• Complete the reply form in its entirety and fax it to Stericycle at 1.877.523.9110, even if you do not have the affected product.

Imaging – announcement that GE Healthcare has added the Optima MR430s to Premier agreement PP-IM-085 for Magnetic Resonance Imaging.  The Optima 430s is the industry’s only 1.5T MRI system designed to scan extremities only and therefore features a much smaller and lighter footprint than a typical whole body MRI system.

Imaging – announcement that GE Healthcare has added the Optima CT660 to its Computed Tomography agreement, PP-IM-084. The Optima 660 platform is scalable from 32 to 128 slices, incorporates GE’s unique ASiR dose reduction technology, and features an environmentally friendly design for refurbishment and end-of-life recycling, along with electronics innovations that cut power consumption by 60 percent using the energy saving mode. Please see the product brochure posted on the contract detail page in Supply Chain Advisor

Imaging – Afga Healthcare (PP-IM-131) Computed Radiography is offering a promotion from September 15, 2011 through December 31, 2011.

a. Six cassette/plate sets in our DX-G Pack 2 Musica 2 GenRad package at no additional cost. These will be three 35x43 and three 24x30 sizes. This represents a savings of up to $5,477.16 depending on the respective tier discount. To take advantage of this offer, use product code 60+00092641.

b. Agfa also offers a new DX-G package that includes the six cassette/plates and a user station (CRUS) in a package price. For this option use 60+00092661.

The following specifics apply:

• All orders must be placed by December 31, 2011.

• Normal tier discounts apply.

Contact Frank McGrain, Corporate Healthcare at 949.493.4629.

Distribution – announcement that all medical/surgical product distribution contracts have been extended 12 months and are effective through December 31, 2012.

American Medical Depot PP-DS-035

Buffalo Hospital Supply Co. Inc. PP-DS-036

Cardinal Health 200 Inc. PP-DS-037

Claflin Company PP-DS-038

DeKroyft-Metz PP-DS-039

Kreisers Inc. PP-DS-040

McKesson Medical-Surgical Inc. ("MMS") PP-DS-041

Medical Specialties Distributors LLC PP-DS-042

Medline Industries Inc. PP-DS-043

Midwest Medical Supply Co. LLC PP-DS-044

Owens & Minor Distribution Inc. PP-DS-045

Professional Hospital Supply Inc. PP-DS-046

Seneca Medical Inc. PP-DS-047

Van Zandt Distributing SD-DS-004

Cardiology – announcement of new agreements for electrophysiology products. These agreements have been awarded to incumbents. The products included in this category are used in electrophysiology pacing studies and are generally disposable products. This category includes both diagnostic/therapeutic catheters and the connector cables used to connect the catheters to the monitoring equipment.

Effective December 1, 2011 through November 30, 2014

|Supplier |New contract number |Expiring contract number |

|Bard |PP-CA-190 |PP-CA-135 |

|Boston Scientific |PP-CA-191 |PP-CA-136 |

Nursing RECALL – announcement that Hospira is conducting a voluntary recall on 1 lot of 5% Dextrose Injection, USP 250ml, NDC 0409-7922-22 Lot 95-067-JT. This product could have the potential for solution to leak from a tear near the perimeter seal and the hanger slot. This lot was distributed between December 2010 and July 2011.

Materials Management – Effective September 1, 2011 Hill-Rom will take a 1.27 price increase in aggregate on beds, mattresses and therapeutic surfaces-purchases, (PP-MM-082).

Nursing – announcement of a new SEEDS agreement in the Safety Hypodermics category with Unilife Medical Solutions Inc.

Nursing – announcement of new agreements for arterial blood gas kits to incumbent Smiths Medical ASD Inc. The agreement is effective December 1, 2011, through November 30, 2014.

The current agreement with Vital Signs Inc. (PP-NS-530) expires November 30, 2011. This category includes products packaged in kits used to obtain arterial blood samples (ABS) for determination of a patient’s oxygen level, carbon dioxide level, pH level, bicarbonate level and oxygen saturation in the blood.

This category does not include single-packaged, non-kit arterial catheters or central venous access catheters.

Surgical Services – announcement of new SEEDS agreement for Marpac, Inc. in the Tracheostomy tubes and related products category.

Imaging – announcement that a new agreement for cardiac ultrasound contrast media has been awarded to incumbent. Cardiac ultrasound contrast media, an injectable form of perflutren microspheres, is used in echocardiographic studies of patients with suboptimal echocardiograms. The agent allows the heart borders to be seen more clearly.

Effective December 1, 2011 through November 30, 2014

|Supplier |New Contract |Expiring Contract |

|Lantheus |PP-IM-161 |PP-IM-122 |

Cardiology – announcement that Boston Scientific drug eluting stent (PP-CA-166) prices will be reduced by $50 for all contracted tiers on September 1, 2011.

Surgical Services – announcement of a new product category – Skin Adhesives – Butyl Cyanacrylate. Skin adhesive is a liquid adhesive used in place of sutures or staples to close and seal wounds caused by lacerations or surgical incisions. These adhesives are a butyl cyanoacrylate based product.

The Skin Adhesives- Butyl Cyanoacrylate category will be coterminous with the Endomechanical Products, Suture Products and Topical Wound Sealant categories.

Effective August 15, 2011 through March 31, 2012

|Supplier |New contract number |Expiring contract number |

|Aesculap |PP-OR-763 |New |

|Cardinal |PP-OR-764 |New |

|SkinStitch |PP-OR-766 |New |

|TissueSeal |PP-OR-767 |New |

Women’s and Children – announcement for a new agreement for Radio Frequency Band Adult Infant Security Systems. These systems (also known as anti-abduction systems) are patient security systems utilized in various healthcare settings to prevent the abduction of children ranging in age from neonate through youth. The category also includes equipment to locate patients and prevent elopement or wandering in the older teen and geriatric populations.

Effective December 1, 2011 through November 30, 2014

| Supplier |New contract number |Expiring contract number |

|RF Technologies* |PP-WC-084 |PP-WC-027 |

Agfa’s agreement is effective September 1, 2011, through August 31, 2014. FUJIFILM’s agreement is effective September 1, 2011, through August 31, 2012. FUJIFILM’s agreement is for one year with the option of two one-year extensions.

Nursing Contract Termination – Digitcare Corporation has terminated their Exam Glove agreement, PP-NS-596, effective October 3, 2011. Termination is due to mid-cycle price changes.

Surgical Services – announcement of new agreements for Liquid Medical Waste Management Systems. Category offers both canister and cart-based systems with products including disposable canisters, smoke evacuators, docking stations, reusable collectors, wall mounted units, and disinfectant and enzymatic cleaners.

Effective November 1, 2011 through October 31, 2014

|Supplier |New contract number |Expiring contract number |

|DeRoyal |PP-OR-768 |PP-OR-489 |

|Dornoch |PP-OR-769 |New |

|Stryker |PP-OR-770 |PP-OR-488 |

Nursing – announcement of new agreements in Dialysis Products and Accessories. This product category assists patients whose kidneys are not able to perform normal duties. Subcategories include:

|Dialysis consumable products |Hemodialysis machines |

|Dialysis capital equipment |Peritoneal dialysis (PD) products |

|Dialysis access catheters |Continuous renal replacement therapy (CRRT) |

Effective November 1, 2011 through October 31, 2014

|Supplier |New contract |Expiring contract |

|AngioDynamics |PP-NS-692 |New |

|B. Braun |PP-NS-693 |PP-NS-532 |

|Covidien |PP-NS-690 |PP-NS-531 |

|Hemosphere |PP-NS-694 |New |

|Medical Components |PP-NS-691 |PP-NS-533 |

Cardiology – announcement of new agreements for Intra-Aortic Balloon Catheters and Pumps.

Intra-aortic balloon catheters and pumps (IABP) are circulatory assist devices placed inside the heart to reduce how hard the heart needs to work. The device inflates a small balloon right after the heart pumps and deflates it just before the heart beats again. It can reduce the heart’s workload by up to 30 percent.

Effective November 1, 2011 through October 31, 2014

|Supplier |New Contract |Expiring Contract |

|Arrow |PP-CA-193 |PP-CA-127 |

|Maquet |PP-CA-192 |PP-CA-126 |

| | |(DataScope)* |

|* Datascope was acquired by Maquet Cardiovascular in 2008 after the launch of the current agreement. |

BAXTER COLLEAGUE WITHDRAWAL

As previously communicated, the FDA Final Order for the Baxter Colleague Withdrawal was on July 13, 2010. That order stated, “Baxter shall continue to provide services, including the servicing of Colleague pumps sent to the Baxter for maintenance, that are identified in a completed CN, for the purpose of maintaining  and/or restoring the Colleague infusion pumps now in use to currently labeled operating parameters until the date that is twenty four months after the date of this final order, or until the customer is able to transition to an FDA approved or cleared alternative to the Colleague pump, whichever comes first.”  We now find ourselves with that date less than one year away. 

Based on Premier’s analysis, only 26% of their national members have completed or are in the process of completing the conversion to an alternative device. GNYHA Services and Premier have growing concerns that the demand WILL NOT be able to be met if members continue to wait.  Premier suppliers are working diligently with the 15% of members who are in the selection process or who have NOT committed to an implementation date.

There appears to be a large number of our members have not initiated the conversion process. Please work with your Client Service Executive to move this forward.

o Abbott Vascular (PP-CA-165) is a low-cost supplier at access tier and top tier.

o Boston Scientific (PP-CA-166) is a low-cost supplier at top tier.

o Medtronic (PP-CA-167) is a low-cost supplier at access tier and with inclusion of value-adds.

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