[*] CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT, MARKED BY
BRACKETS, HAS BEEN OMITTED AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE
COMMISSION.
EXHIBIT 10.118
[BAXTER LOGO]
Medication Delivery Division
Purchase Agreement
Coram, Inc.
October 15, 2003
Coram, Inc. Xxxxxx Healthcare Corporation
0000 Xxxxxxxx, Xxxxx 000 Xxxxxxx Xxxxxx Xxxxxxxx 0-0X
Xxxxxx, XX 00000 Route 120 and Xxxxxx Road
Account #: 00000000 Xxxxx Xxxx, XX 00000
Attention: Xxxxx Xxxxxx Attention: Xxx Xxxxx
and
Curaflex Health Services, Inc.
0000 Xxxxxxxx, Xxxxx 000
Xxxxxx, XX 00000
Hereinafter together referred to as "Coram" Hereinafter referred to as "Baxter"
INTRODUCTION
Coram and Xxxxxx are entering into this Contract in good faith, expecting to be
bound by it for the term stated below. Xxxxxx agrees to supply Coram's Homecare
Facilities ("Owned Facilities") with the Xxxxxx products listed in Schedule A
("Products") and Xxxxxx agrees to update Schedule A periodically as new Products
are made available. Coram agrees to buy such quantities of these Products as
determined by Coram in its sole discretion for its and its subsidiaries own use
from Xxxxxx subject to the following:
1. TERM OF PURCHASE AGREEMENT
This Contract is for a term commencing fifteen (15) calendar days from
the date on which Xxxxxx signs this Contract ("Commencement Date") and
ending on November 30, 2008. The "Anniversary Date" of this Contract
shall be December 1. Should Owned Facilities choose to purchase
Products through an authorized distributor, Owned Facilities
acknowledge that distributors may require up to forty-five (45)
additional calendar days to adjust the pricing in their billing system
and to notify Owned Facilities of adjusted pricing. Owned Facilities
understand that the prices a distributor bills Owned Facilities for
Products are at the distributor's discretion. Purchases by Coram
reported by authorized distributors will count, at the prices set forth
in this Agreement, toward Coram's Requirements (as defined below).
2. SALE OF PRODUCTS TO FACILITIES
Xxxxxx shall make the products listed on the attached Schedule A (the
"Products") available to Owned Facilities as indicated on the attached
Exhibit B. Additional Owned Facilities in the United States may be
added to Exhibit B upon written notice by Coram and with Xxxxxx'x
consent, which consent shall not be unreasonably withheld. The
effective date of pricing for new Facilities will be [*] days after
Xxxxxx consents to adding such Facility.
3. REQUIREMENTS
Coram, on its behalf and on behalf of all its present and additional
Owned Facilities listed and to be listed on Exhibit B, commits to
purchase from Xxxxxx during each Year of this Contract, the types of
products listed on Schedule A with aggregate purchases in the following
amounts (the "Minimum Committed Volume"): (a) [*] purchases of frozen
products (b) [*] of Multi-Vitamin Requirements (measured by dollar
amount of purchases) (c) [*] of Needleless Requirements (measured by
dollar amount of purchases), and (d) [*] in Nutrition products.
Confidential
On each Anniversary Date Coram shall provide to Xxxxxx a written
summary of all purchases of products similar to the types of Products
described in the Schedules purchased from other vendors during the year
just ended in order for Xxxxxx to determine compliance with the Minimum
Committed Volume. Xxxxxx shall keep such information confidential and
shall use the information solely for the purpose of evaluating
compliance under this Contract. For purposes of this Contract,
"purchases" shall mean the net invoice price for each Product ordered
and invoiced less any returns or credits.
Should a shortfall in purchases occur due to a material reduction in
the patient population at Coram's Owned Facilities other than as a
result of a sale, divestiture or other transfer of Coram's business, or
if a shortfall occurs due to a change in therapy, and (in either case)
Coram demonstrates that competitive product was not purchased, Xxxxxx
shall reduce the volume commitment without penalty. Coram will provide
information, reasonably satisfactory to Xxxxxx, which clarifies the
reduction in Coram's patient population. If the shortfall is caused by
Xxxxxx'x inability to deliver, Xxxxxx shall reduce the required number
of units.
4. PRICING
The prices which the Owned Facilities shall pay to Xxxxxx for Products
are those specified on the Net Price List attached as Schedule A ("Base
Prices"). Prices on Schedule A shall become effective on the
Commencement Date and shall expire November 30, 2004. If Coram does not
purchase from Xxxxxx (a) [*] of its Multi-Vitamin Requirements; (b) [*]
of its Needleless Requirements; (c) at least [*] in Nutrition products
(excluding Multi-Vitamins), then the price increase for the following
twelve months shall be [*] for the product category not met. [*] The
CPI-U percent used shall be the unadjusted percentage change for the
previous twelve-month period (ending four months prior to the
Anniversary Date) published in the Consumer Price Index for all Urban
Consumers, by the U.S. Department of Labor, Bureau of Labor Statistics.
5. PRICING TIERS
Xxxxxx is pleased to offer the following Pricing Tiers to Coram for
Vancocin and Rocephin. Xxxxxx shall review Coram's purchases of Frozen
Drug products every December 1 and June 1 of each year. Based upon
Coram's purchases during the preceding six-month period, Coram's
pricing shall be adjusted to the applicable tier for purchases during
the next period to become effective on January 1 and July 1.
VANCOCIN PRICING TIER
Vancocin 6 months product usage 500mg Vancocin (2G3551) 1g Vancocin (2G3552)
Tier 1 [*] [*] [*]
Tier 2 [*] [*] [*]
Tier 3 [*] [*] [*]
Tier 4 [*] [*] [*]
Initial pricing for Vancocin shall be at the Tier 2 level.
ROCEPHIN PRICING TIER
Frozen Drug Products 6 month usage
Minimum Dollars Purchased 1g Rocephin (2G3524) 2g Rocephin (2G3525)
Tier 0 [*] [*] [*]
Tier 1 [*] [*] [*]
Tier 2 [*] [*] [*]
Tier 3 [*] [*] [*]
Tier 4 [*] [*] [*]
Tier 5 [*] [*] [*]
Tier 6 [*] [*] [*]
Tier 7 [*] [*] [*]
Initial pricing for Rocephin shall be at the Tier 0 level.
Confidential
MULTI-VITAMIN PRICING TIER
Xxxxxx shall provide Infuvite Multi-Vitamin (2A9018) at [*] as long as
Coram meets its Minimum Committed Volume as referenced in Paragraph 3.
If Coram fails to comply with this portion of the Contract, the
Infuvite Multi-Vitamin (2A9018) shall be adjusted to Base Price at [*]
plus any applicable price increases under Paragraph 4 after the first
twelve months of this Contract.
6. EQUIPMENT
Xxxxxx shall continue to provide to Owned Facilities the use of
Freezers currently in place for the Owned Facilities use during the
term of this Contract. Coram shall be required to execute and return
the attached Schedule D to Xxxxxx for any additional Freezers
requested, and Xxxxxx agrees to provide such Freezers.
7. PAYMENT TERMS
Payment terms are [*] from invoice date for payments made by check,
cash, or wire transfer. A service charge of 1-1/2% per month (or the
highest amount allowed by law, if lower) shall be added to all amounts
past due.
8. TERMS AND CONDITIONS
The terms and conditions listed in the Xxxxxx Terms and Conditions of
Sale in the Xxxxxx Medication Delivery Product Catalog in effect on the
date of shipment apply to all purchases, except in the event of a
conflict with the terms hereof, in which case the terms hereof shall
govern and control. Xxxxxx may discontinue any Product at anytime
without further liability to Coram or its Owned Facilities. In the
event of such discontinuation, the Minimum Committed Volume will be
permanently reduced by the dollar amount of purchases of the
discontinued product made by Coram in the twelve months prior to the
discontinuation.
9. DISCLOSURES
Any products and services not paid for by Coram and received by Coram
from Xxxxxx under this Contract, including the Equipment, are
discounts. All discounts, rebates or other reductions in price received
by Coram from Xxxxxx under this Contract are "discounts or other
reductions in price" to Coram under Section 1128b(b) (3) (A) of the
Social Security Act [42 U.S.C. 1320a-7b (b) (3) (A)]. Coram and its
Owned Facilities shall appropriately reflect such discounts, rebates or
other reductions in price as required by that provision or regulations
promulgated thereunder.
10. WAIVER
A waiver of any of the provisions of this Contract shall not constitute
a waiver of any other provision nor shall it constitute a continuing
waiver.
11. ENTIRE AGREEMENT
If Xxxxxx and Coram are parties to any other agreements covering the
same Products covered by this Contract, then, with regard to such
Products, this Contract shall supersede such other agreements, except
where Coram has an agreement which provides for the purchase of
disposable products covered by this Contract in connection with Coram's
use of non-disposable equipment supplied by Xxxxxx or an affiliate
thereof ("Equipment Agreement"). This exception applies only while such
Equipment Agreement is in effect.
12. PROMOTIONS
In the event that Xxxxxx offers a product promotion that Coram may be
eligible for, Coram gives Xxxxxx permission to notify it of the
promotion via facsimile, telephone, electronic mail, regular mail, or
any other commercially reasonable method of providing such
notifications.
13. CONFIDENTIALITY
Xxxxxx respects the confidentiality of contractual relationships.
Except as provided in Paragraph 10, Coram agrees to respect this
relationship by not disclosing any information regarding this Agreement
to any other party without Xxxxxx'x prior written consent. If either
Party is required by law to publicly disclose
Confidential
this Agreement, the Parties shall mutually agree upon a redacted
version of the agreement that may be so disclosed.
14. ASSIGNMENT
This Agreement is assignable only with the written consent of both
parties, which shall not be unreasonably withheld.
15. MISCELLANEOUS
Xxxxxx agrees to indemnify and hold harmless Coram, its subsidiaries,
affiliates, successors and permitted assigns and their directors,
officers, employees and agents (the "Coram Indemnified Parties") from
and against any and all liabilities, damages and claims (including,
without limitation, expenses of litigation, investigations and
attorneys' fees, settlements and damages) asserted by persons other
than the Coram Indemnified Parties arising from or related to defects
in materials and/or workmanship of, or failure to meet the
specifications applicable to, the Products or Pumps, except to the
extent such damages or injuries are caused by the negligent or wrongful
acts or omissions of Coram. Coram agrees to indemnify and hold harmless
Xxxxxx, its subsidiaries, affiliates, successors and permitted assigns
and their directors, officers, employees and agents (the "Xxxxxx
Indemnified Parties") from and against any and all liabilities, damages
and claims (including, without limitation, expenses of litigation,
investigations and attorneys' fees, settlements and damages) asserted
by persons other than the Xxxxxx Indemnified Parties arising from or
related to Coram's selection, possession, operation and use of the
Products or Pumps, except to the extent such damages or injuries are
caused by the negligent or wrongful acts or omissions of Xxxxxx.
This Contract is not valid until signed by Xxxxxx at its home office. No changes
in this Contract, including any conflicting or additional terms contained in any
purchase order or other document submitted by Coram, shall be valid unless
approved in writing by Xxxxxx at its home office.
IN WITNESS WHEREOF, the undersigned duly authorized representatives of the
parties have executed this Contract on the date below.
CORAM, INC. XXXXXX HEALTHCARE CORPORATION
BY: /s/ Xxxxx Xxxxxx By: /s/ Xxxxxxx Xxxxxxxxx
------------------------- -------------------------------
NAME: Xxxxx Xxxxxx NAME: Xxxxxxx Xxxxxxxxx
TITLE: Senior Vice President, MM TITLE: Sales Contract Administrator
DATE: 12/23/2003 DATE: 01-05-04
CURAFLEX HEALTH SERVICES, INC.
BY: /s/ Xxxxx Xxxxxx
-------------------------
NAME: Xxxxx Xxxxxx
TITLE: Senior Vice President, MM
DATE: 12/23/2003
Confidential
EXHIBIT B
XXXXXX HEALTHCARE CORPORATION
CONTRACT FACILITY LIST AND STATEMENT
FACILITIES OWNED OR CONTROLLED BY PURCHASER
* SEE ATTACHED MEMBER ROSTER
STATEMENT
Coram agrees that the Products purchased under the Contract between Coram and
Xxxxxx Healthcare Corporation are for the exclusive use of the above facilities
and their patients only. Neither Coram, itself, nor through any affiliate or
agent, shall export or otherwise transfer outside the United States Products
acquired under this Agreement. Coram represents that it, and each of the above
Facilities, have all required local, state and federal licensed applicable to
the sale and use of the Products.
CORAM, INC.
Signature: /s/ Xxxxx Xxxxxx
----------------------
Printed Name: Xxxxx Xxxxxx
TITLE: Senior Vice President, MM
DATE: 12/23/2003
Confidential
NAME / DBA ADDRESS SUITE /FL CITY
---------- ------- --------- ----
Coram Healthcare Corporation of Alabama 000 Xxxxxxxxxx Xxxxxxxx Xxxx Xxxxx 000 Xxxxxxxxxx
Coram Alternate Site Services, Inc. 0000 Xxxx Xxxxx Xxxxxx ** Tempe
Coram Alternate Site Services, Inc. 0000 Xxxxx Xxxxxxxx Xxxxxx Xxxxx 000 Xxxxxx
Coram Alternate Site Services, Inc. 0000 Xxxxxx Xxxxxx ** San Xxxxx
Xxxxx Healthcare Corporation of Northern California 3160 Corporate Place ** Xxxxxxx
Xxxxx Healthcare Corporation of Northern California 0000 Xxxxxxx Xxxx Xxxxx X Sacramento
Coram Healthcare Corporation of Southern California 0000 Xxxxx Xxxxxxx Xxxxxx ** Glendale
Coram Healthcare Corporation of Southern California 0000 Xxxx Xxxxxx Xxxxxx Xxxxx X Xxxxxxx
Coram Healthcare Corporation of Southern California 0000 Xxx Xxxxxx Xxxxx 000 Tustin
Coram Healthcare Corporation of Southern California 6483 Calle Real Units A-C Goleta
Xxxx Home Health Resources dba Coram Healthcare 0000 Xxxxxxx Xxxxxx #000 Xxxxxxxxxxx
Coram Alternate Site Services, Inc. 0000 Xxxxx Xxxxxx Xxxxxxx Xxxxx 000 Centennial
Coram Alternate Site Services, Inc. 0 Xxxxxx Xxxxxxxxxx Xxxx Xxxx ** Wallingford
Coram Alternate Site Services, Inc. 0000 Xxxxxxxx Xxxxxxx Xxxxx 000 Xxxxxxxxxxxx
Coram Healthcare Corporation of Florida 0000 Xxxxxxxx Xxxx Xxxxx 000 Xxxxx
Coram Healthcare Corporation of Southern Florida 10021 Pines Blvd Suite 102 Pembroke Pines
Coram Alternate Site Services, Inc. 0000 Xxxxxxxxx Xxxxxxx Xxxxx 000 Xxxxxxxx
Home Care Hawaii L.L.P 00-000 Xxxx Xxxxxx ** Waipahu
Coram Alternate Site Services, Inc. 0000 Xxxx Xxxxx ** Xxxxxxxxx
Coram Alternate Site Services, Inc. 0000 Xxxxxxx Xxxxxx ** Boise
Coram Alternate Site Services, Inc. 0000 Xxxxxxxx Xxxxxx Xxxxx Xxxxx 000 Mt. Prospect
Coram Alternate Site Services, Inc. 0000 Xxxxxxxx Xxxxxxx Xxxxx 000 Xxxxxxxxxxxx
Xxxxx Alternate Site Services, Inc. 000 Xxxxxxxx Xxxxxx ** Fort Xxxxx
Xxxxx Healthcare Corporation of Indiana 0000 Xxxxxxxxx Xxxxx, Xxxxx X ** Crown Point
Coram Alternate Site Services, Inc. 0000 Xxxx Xxxx #000 Xxxxxxx
Coram Alternate Site Services, Inc. 8013 Flint ** Lenexa
Coram Alternate Site Services, Inc. 000 Xxxxx Xxxxx Xxxx #000, Xxxxxxxx One St. Xxxx
Xxxxx Healthcare Corporation of Massachusetts 000 Xxxxx Xxxxxx ** Hopkinton
Coram Healthcare Corporation of Greater D.C 0000 Xxxxxxxx Xxxxxxx Xxxxx Xxxxx X Xxxxxxxx
Coram Alternate Site Services, Inc. 00000 Xxxx Xxxxxx ** Plymouth
Coram Alternate Site Services, Inc. 0000 00xx Xxxxxx, XX Xxxxx 000 Xxxxx Xxxxxx
Coram Healthcare Corporation of Michigan 0000 Xxxxxx Xxxxx ** Lansing
Coram Alternate Site Services, Inc. 0000 Xxxxxx Xxxxx ** Mendota Heights
Coram Homecare of Minnesota, Inc. 0000 Xxxxxx Xxxxx ** Mendota Heights
Coram Alternate Site Services, Inc. 000 Xxxx Xxxxxx Xxxxxx ** Moorhead
Coram Alternate Site Services, Inc. 00000 Xxxxxxxxx Xxxxx ** Earth City
NAME / DBA ST ZIP PHONE FAX
---------- -- --- ----- ---
Coram Healthcare Corporation of Xxxxxxx XX 00000 (205) 995-8117 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (480) 968-1199 (000) 000-0000
Coram Alternate Site Services, Inc. AZ 85719- (520) 881-4053 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (858) 576-6969 (000) 000-0000
Xxxxx Xxxxxxxxxx Xxxxxxxxxxx xx Xxxxxxxx Xxxxxxxxxx XX 00000 (510) 732-8800 (000) 000-0000
Xxxxx Xxxxxxxxxx Xxxxxxxxxxx xx Xxxxxxxx Xxxxxxxxxx XX 00000 (916) 565-7233 (000) 000-0000
Coram Healthcare Corporation of Xxxxxxxx Xxxxxxxxxx XX 00000 (818) 543-5169 (000) 000-0000
Coram Healthcare Corporation of Xxxxxxxx Xxxxxxxxxx XX 00000 (909) 605-0010 (000) 000-0000
Coram Healthcare Corporation of Xxxxxxxx Xxxxxxxxxx XX 00000- (714) 665-1121 (000) 000-0000
Coram Healthcare Corporation of Xxxxxxxx Xxxxxxxxxx XX 00000- (805) 692-1130 (000) 000-0000
Xxxx Home Health Resources dba Xxxxx Xxxxxxxxxx XX 00000 (661) 325-8326 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (303) 799-0093 (000) 000-0000
Coram Alternate Site Services, Inc. CT 06492- (203) 284-8558 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (904) 363-3089 (000) 000-0000
Coram Healthcare Corporation xx Xxxxxxx XX 00000 (813) 884-6987 (000) 000-0000
Coram Healthcare Corporation of Xxxxxxxx Xxxxxxx XX 00000- (954) 430-3216 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (770) 952-3021 (000) 000-0000
Xxxx Xxxx Xxxxxx X.X.X XX 00000-0000 (000) 000-0000 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (563) 386-3220 (000) 000-0000
Coram Alternate Site Services, Inc. ID 83706 (208) 323-0303 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (847) 294-6422 (000) 000-0000
Coram Alternate Site Services, Inc. IN 46268 (317) 297-9600 (000) 000-0000
Coram Alternate Site Services, Inc. IN 46805 (260) 484-4442 (000) 000-0000
Coram Healthcare Corporation of Indiana IN 00000- (000) 000-0000 (000) 000-0000
Coram Alternate Site Services, Inc. XX 00000 (316) 683-9414 (000) 000-0000
Coram Alternate Site Services, Inc. XX 00000 (913) 599-1090 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (504) 466-5932 (000) 000-0000
Coram Healthcare Corporation xx Xxxxxxxxxxxxx XX 00000- (508) 435-7180 (000) 000-0000
Coram Healthcare Corporation of Xxxxxxx X.X XX 00000 (410) 720-6501 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (734) 454-0800 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (616) 940-1961 (000) 000-0000
Coram Healthcare Corporation xx Xxxxxxxx XX 00000- (517) 394-0106 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (651) 452-5600 (000) 000-0000
Coram Homecare of Xxxxxxxxx, Xxx. XX 00000- (651) 452-5600 (000) 000-0000
Coram Alternate Site Services, Inc. MN 56560-2657 (000) 000-0000 (000) 000-0000
Coram Alternate Site Services, Inc. MO 63045- (314) 656-5110 (000) 000-0000
NAME / DBA ADDRESS SUITE /FL CITY
---------- ------- --------- ----
SSM Infusion Services, LLC 0000 Xxxxxxxxx Xxxxxxxx Xxxxxx Xxxxx ** Overland
Coram Healthcare Corporation of Mississippi 0 Xxx Xxxxx Xxxxx Suite M Xxxxxxx
Xxxxx Alternate Site Services, Inc. 0000 Xxxxxxxxx Xxxx Xxxxx Xxxxx 000 Xxxxxxxxxxx
Coram Alternate Site Services, Inc. 0000-X Xxxxxxxx Xxxx Xxxx. ** Xxxxxxxxx
Xxxxx Alternate Site Services, Inc. 0 Xxxxxxxxxxxxxx Xxxx Xxxxx X-0 Asheville
Coram Alternate Site Services, Inc. 0000 Xxxx Xxxx Xxxx ** Winston-Salem
Coram Alternate Site Services, Inc. 0000 Xxxxx 000xx Xxxxxx ** Omaha
Coram Alternate Site Services, Inc. 00 X Xxxxxxxx Xxx ** Totowa
Coram Alternate Site Services, Inc. 0000 X Xxxxxxxxxx XX ** Albuquerque
Coram Healthcare Corporation of Nevada 0000 Xxxx Xxxxxx Xxxxx #000 Sparks
Coram Healthcare Corporation of Nevada 000 Xxxxx Xxxxx Xxxx Xxxxx 000-000 Xxx Xxxxx
Coram Healthcare Corporation of Greater New York 45 South Service Road ** Plainview
Coram Healthcare Corporation of Greater New York 2700 Bellevue Avenue ** Syracuse
Coram Healthcare Corporation of Greater New York 0000 Xxxxxx Xxxx. Xxxxx 000 Xxxx Park
Xxxxx Healthcare Corporation of New York 1 Xxxxxxx Boulevard ** Guilderland
Coram Healthcare Corporation of New York 000 Xxxxx Xxxxxx Xxxx Xxxxx 000 Amherst
Coram Alternate Site Services, Inc. 00 Xxxxxx Xxxxxxx Drive ** Cincinnati
Coram Healthcare Corporation of Kentucky 00 Xxxxxx Xxxxxxx Xxxxx ** Cincinnati
Coram Alternate Site Services, Inc. 0000 Xxxxxxxxxxx Xxxxxxx Unit P Warrensville Heights
Coram Alternate Site Services, Inc. 000 Xxxxx XxxXxxxxx Xxxxxxxxx Xxxxx 000 Xxxxxxxx Xxxx
Coram Pharmacy Limited 000 Xxxxxxx Xxxxxx Xxxxx 00 Xxxxx Xxxx
Coram Alternate Site Services, Inc. 0000 X. X. Xxxxxx Xxxx ** Portland
Coram Alternate Site Services, Inc. 0 Xxxxxx Xxxx Xxxxx ** Malvern
Coram Hemophilia Services 0 Xxxxxx Xxxx Xxxxx ** Malvern
Coram Alternate Site Services, Inc. 000 Xxxxxxxxx Xxxxx Xxxxx 000 Xxxxxxxxx Xxxxxxxx
Xxxxx Healthcare Corporation of Massachusetts 000 Xxxxxxxxx Xxxxxxxxx Xxxxx X Warwick
Coram Healthcare Corporation of Rhode Island 000 Xxxxxxxxx Xxxxxxxxx Xxxxx X Warwick
Coram Healthcare Corporation of South Carolina 0000 Xxxxxx Xxxx Xxxxx 000XX Xxxxxxxxxx
Xxxxx Xxxxxxxxxx/Xxxxxxxx Home Therapeutics 000 Xxxxxxx Xxxx Xxxxx 000 Xxxxxxxx
Coram Alternate Site Services, Inc. 0000 Xxxxxxx Xxxxxx Xxxxxxx Xxxxx 00 Memphis
Coram Alternate Site Services, Inc. 000 Xxxxxxxxx Xxxx Xxxxx Xxxxx 0 Xxxxxxxxx
Coram Alternate Site Services, Inc. 0000 Xxxx Xxxxxx Xxxxx 0 Xxxxxxx Xxxx
Coram Alternate Site Services, Inc. 0000 Xxxxxxxxx Xxxxx Xxxxx 000 Xxxxxx
Xxxxx Alternate Site Services, Inc. 0000 Xxxxxxxxxx Xxxx Xxxxx 0000 Xxxxxxx
Coram Alternate Site Services, Inc. 0000 Xxxxxx Xxxxxx Suite A-102 El Paso
Coram Healthcare Corporation of North Texas 0000 Xxx Xxxx Xxxxx 000 Xxxxxx
NAME / DBA ST ZIP PHONE FAX
---------- -- --- ----- ---
SSM Infusion Services, LLC MO 63114- (314) 428-0365 (000) 000-0000
Coram Healthcare Corporation of Xxxxxxxxxxx XX 00000 (601) 353-0097 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (919) 481-2885 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (704) 523-7731 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (828) 258-1150 (000) 000-0000
Coram Alternate Site Services, Inc. NC 27103- (336) 765-3680 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (402) 330-5482 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (973) 812-9100 (000) 000-0000
Coram Alternate Site Services, Inc. NM 87107- (505) 344-0900 (000) 000-0000
Coram Healthcare Corporation xx Xxxxxx XX 00000- (775) 323-1667 (000) 000-0000
Xxxxx Xxxxxxxxxx Xxxxxxxxxxx xx Xxxxxx XX 00000 (702) 453-4546 (000) 000-0000
Coram Healthcare Corporation of Greater Xxx Xxxx XX 00000 (516) 753-5330 (000) 000-0000
Coram Healthcare Corporation of Greater Xxx Xxxx XX 00000- (315) 425-8028 (000) 000-0000
Coram Healthcare Corporation of Greater Xxx Xxxx XX 00000- (718) 730-9122 (000) 000-0000
Coram Healthcare Corporation of Xxx Xxxx XX 00000 (518) 869-6613 000-000-0000
Coram Healthcare Corporation of Xxx Xxxx XX 00000 (716) 691-3000 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (513) 874-1161 (000) 000-0000
Coram Healthcare Corporation of Xxxxxxxx XX 00000- (513) 874-1161 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (216) 591-0900 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (405) 495-2273 (000) 000-0000
Coram Pharmacy Limited ON (000) 000-0000 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (503) 684-3046 (000) 000-0000
Coram Alternate Site Services, Inc. PA 19355- (610) 296-4446 (000) 000-0000
Coram Hemophilia Services PA 19355- (610) 578-1687 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (724) 772-3701 (000) 000-0000
Coram Healthcare Corporation xx Xxxxxxxxxxxxx XX 00000- (401) 436-6604 (000) 000-0000
Xxxxx Xxxxxxxxxx Xxxxxxxxxxx xx Xxxxx Xxxxxx XX 00000- (401) 463-6604 (000) 000-0000
Xxxxx Xxxxxxxxxx Xxxxxxxxxxx xx Xxxxx Xxxxxxxx XX 00000 (843) 769-5544 (000) 000-0000
Coram Healthcare/Carolina Home Xxxxxxxxxxxx XX 00000 (803) 731-5076 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (901) 386-3738 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (615) 832-9366 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (423) 434-0110 (000) 000-0000
Coram Alternate Site Services, Inc. TX 78758- (512) 338-9600 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (713) 667-4010 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (915) 833-0140 (000) 000-0000
Coram Healthcare Corporation of Xxxxx Xxxxx XX 00000- (214) 443-9966 (000) 000-0000
NAME / DBA ADDRESS SUITE /FL CITY
---------- ------- --------- ----
Coram Alternate Site Services, Inc. 0000 Xxxxx Xxxxx Xxxxxxx Xxxxx 000 San Xxxxxxx
Xxxxx Healthcare Corporation of Utah 0000 Xxxx 0000 Xxxxx Xxxxx X Xxxx Xxxx Xxxx
Coram Healthcare Corporation of Greater D.C 0000 Xxxxxxxx Xxxxxx Xxxxx Xxxxx 000 Chantilly
Coram Alternate Site Services, Inc. 0000 000xx Xxxxxx XX Xxxxx 000 Xxxxxxxx
Coram Alternate Site Services, Inc. 00000 X. Xxxxxx Xxxx ** New Berlin
Wisconsin I.V. Affiliates, LLC 0000 Xxxx Xxxxxx ** Xxxxxxx Xxxxx
Xxxxxxxxx I.V. Affiliates, LLC 0000 Xxxxxxx Xxxxx Xxxxx 0 Xxxxxxxxxxx
Xxxxxxxxx I.V. Affiliates, LLC 000 X. Xxxxx Xxxxxx ** Marshfield
Wisconsin IV Affiliates, LLC 0000 Xxxxxxxx Xxxxx Xxxx X Xxxxxx
XXXX-Xxx Xxxxxx, LLC 0000 Xxxxxxxx Xxxxx Xxxxx X Neenah
Coram Alternate Site Services, Inc. 000 Xxxxxxxx Xxxxxxxx Xxxx ** Xxxxxx
Xxxxx Healthcare of Wyoming, LLC 000 X. Xxxxxx Xxxxxx Xxxxx 000 Casper
NAME / DBA ST ZIP PHONE FAX
---------- -- --- ----- ---
Coram Alternate Site Services, Inc. TX 78238- (210) 523-0125 (000) 000-0000
Xxxxx Xxxxxxxxxx Xxxxxxxxxxx xx Xxxx XX 00000 (801) 973-9797 (000) 000-0000
Coram Healthcare Corporation of Xxxxxxx X.X XX 00000 (703) 631-1611 (000) 000-0000
Coram Alternate Site Services, Inc. XX 00000 (425) 450-0076 (000) 000-0000
Coram Alternate Site Services, Inc. WI 53151- (262) 785-9318 (000) 000-0000
Wisconsin I.V. Affiliates, LLC WI 54481- (715) 343-5440 (000) 000-0000
Wisconsin I.V. Affiliates, LLC WI 54501- (715) 362-2870 (000) 000-0000
Wisconsin I.V. Affiliates, XXX XX 00000 (715) 387-9815 (000) 000-0000
Wisconsin IV Affiliates, LLC WI 54956- (920) 832-8836 (000) 000-0000
WIVA-Fox Valley, LLC WI 54901- (920) 735-8100 (000) 000-0000
Xxxxx Xxxxxxxxx Xxxx Xxxxxxxx, Xxx. XX 00000 (304) 768-1241 (000) 000-0000
Coram Healthcare of Wyoming, LLC XX 00000 (307) 235-8665 (000) 000-0000
EXHIBIT C
NON-BAXTER BILLED DRUGS
PRODUCT ORDERED
PREMIXED DRUG NDC NUMBER CODE THROUGH: BILLED BY: PHONE #: FAX #:
--------------------------------------------------------------------------------------------------------------------------
AGGRAST 0000-0000-00 2J1400 Merck Merck 000-000-0000 000-000-0000
0000-0000-00 2J1401
AZACTA 0000-0000-00 2G3527 Xxxxxx Xxxx 000-000-0000 000-000-0000
0000-0000-00 2G3528 888-229-0001
CEFIZOX 0469-7220-01 2G3514 Baxter Fujisawa 000-000-0000 000-000-0000
0000-0000-00 2G3515 888-229-0001
CEFOTAN 0000-0000-00 2G3561 Baxter AstraZeneca 000-000-0000 000-000-0000
0000-0000-00 2G3562 888-229-0001
CIPRO 0026-8527-36 2B0078 Bayer Bayer 000-000-0000 000-000-0000
0000-0000-00 2B0079
CLEOCIN 0000-0000-00 2G3414 Pharmacia Pharmacia 000-000-0000 000-000-0000
0000-0000-00 2G3415
0000-0000-00 2G3416
DIFLUCAN 0000-0000-00 2B3433 Pfizer Pfizer 000-000-0000 000-000-0000
0000-0000-00 2B3434
0000-0000-00 2B3435
FORTAZ 0000-0000-00 2G3535 Baxter GlaxoSmithKlin 000-000-0000 000-000-0000
0000-0000-00 2G3536 888-229-0001
MEFOXIN 0000-0000-00 2G3506 Baxter Merck 000-000-0000 000-000-0000
0000-0000-00 2G3507 888-229-0001
PEPCID 0000-0000-00 0X0000 Xxxxx Xxxxx 000-000-0000 000-000-0000
TIMENTI 0000-0000-00 2G3545 GlaxoSmithKline GlaxoSmithKlin 000-000-0000 000-000-0000
ZINACEF 0000-0000-00 2G3546 Baxter GlaxoSmithKlin 000-000-0000 000-000-0000
0000-0000-00 2G3547 888-229-0001
ZOSYN 0000-0000-00 2G3572 Xxxxxx Xxxxx 000-000-0000 000-000-0000
0000-0000-00 2G3573 000-000-0000
0000-0000-00 2G3574
Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
------------------------------------------------------------------------------------------------------------------
U 044050 FINAL ASSY., INTERMATE SV 50, 48 [*] [*]
U 044120 INTERMATE, 100 ML/HR 48 [*] [*]
U 044220 INTERMATE, 200 ML/HR 48 [*] [*]
U 049002 INTERMATE, LV2, 2 ML/HR 6 [*] [*]
U 049050 INTERMATE, LV50, 50 ML/HR 24 [*] [*]
U 049100 FINAL ASSY., INTERMATE LV 100, 24 [*] [*]
U 049250 FINAL ASSY., XXXXXXXXX XX 000, 00 [*] [*]
1A0014 2.5% DEXTROSE INJ, USP 6 [*] [*]
1A0062 5% DEXTROSE INJ, USP 12 [*] [*]
1A0063 5% DEXTROSE INJ, USP 12 [*] [*]
1A0213 20% DEXTROSE INJECTION, USP-5 12 [*] [*]
1A0253 50% DEXTROSE INJECTION, USP-50 12 [*] [*]
1A0294 70% DEXTROSE INJECTION, USP-10 6 [*] [*]
1A0303 STERILE WATER FOR INJ, USP, 50 12 [*] [*]
1A0692 25MG NITROGLYCERIN IN 5% DEXTR 12 [*] [*]
1A0694 50MG NITROGLYCERIN IN 5% DEXTR 12 [*] [*]
1A0696 100MG NITROGLYCERIN IN 5% DEXT 12 [*] [*]
1A1322 0.9% SOD CHL INJ, USP 12 [*] [*]
1A1323 0.9% SOD CHL INJ, USP 12 [*] [*]
1A1833 5% SOD BICARBONATE INJ, USP 12 [*] [*]
1A2023 HALF-STRENGTH LACTATED RINGER' 12 [*] [*]
1A2554 PLASMA-LYTE R&5%DEX INJ MULT E 6 [*] [*]
1A3007 13.4 MEQ (26.8 MEQ/L) POT CHL 12 [*] [*]
1A3059 5% DEX, 0.11% SOD CHL INJ, USP 6 [*] [*]
1A3079 10% DEX&ELECT #48 INJ MULTI EL 12 [*] [*]
1A3080 10% DEX & 0.2% SOD CHL INJ, US 12 [*] [*]
1A3098 10% DEXTROSE IN 0,2% SOD CHL I 12 [*] [*]
1A3113 5 MEQ (20 MEQ/L) POT CHL IN 10 12 [*] [*]
U 1A3114 10% DEXTROSE AND 0.12% SOD CHL 12 [*] [*]
1A4034 MULTIPLE ELECTROLYTES AND 5% T 6 [*] [*]
1A4254 MULTIPLE ELECTROLYTES AND 10% 6 [*] [*]
U 1A6000 490-11 INTRALIPID 10% IV FAT E 10 [*] [*]
U 1A6001 490-21 INTRALIPID 20% IV FAT E 10 [*] [*]
U 1A6003 490-16 INTRALIPID 10% IV FAT E 15 [*] [*]
U 1A6004 490-26 INTRALIPID 20% IV FAT E 10 [*] [*]
1A6012 490-13 INTRALIPID 10% IV FAT E 10 [*] [*]
1A6013 490-15 INTRALIPID 10% IV FAT E 10 [*] [*]
U 1A6018 490-12 INTRALIPID 10% IV FAT E 10 [*] [*]
U 1A6019 490-10 INTRALIPID 10% IV FAT E 10 [*] [*]
1A6022 490-23 INTRALIPID 20% IV FAT E 10 [*] [*]
1A6023 490-25 INTRALIPID 20% IV FAT E 10 [*] [*]
1A6024 INTRALIPID 20% IN ONE LITER GL 6 [*] [*]
1A6028 490-22 INTRALIPID 20% IV FAT E 10 [*] [*]
1A6029 490-20 INTRALIPID 20% IV FAT E 10 [*] [*]
U = Limited inventory available Page 1 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
------------------------------------------------------------------------------------------------------------------
1A6053 INTRALIPID 30% A 30% IV FAT EM 10 [*] [*]
U 1A6624 10% TRAVASOL (AMINO ACID) INJE 6 [*] [*]
U 1A6626 10% TRAVASOL (AMINO ACID) INJ. 6 [*] [*]
1A8501 EVACUATED CONTAINER-150 ML 12 [*] [*]
1A8502 EVACUATED CONTAINER-250 ML 12 [*] [*]
1A8503 EVACUATED CONTAINER-500 ML 12 [*] [*]
1A8504 EVACUATED CONTAINER - 1000 ML 6 [*] [*]
1A8506 EVACUATED CONTAINER - 2000 ML 6 [*] [*]
1B6623 10% TRAVASOL (AMINO ACID) INJ. 24 [*] [*]
1B6624 10% TRAVASOL (AMINO ACID) INJ 12 [*] [*]
U 1B6626 10% TRAVASOL (AMINO ACID) INJ, 4 [*] [*]
1B6626P 10% TRAVASOL (AMINO ACID) INJ. 6 [*] [*]
U 1C8012 HOMEPRO (R) PUMP SET 48 [*] [*]
1C8029 Y-TYPE BLOOD SOLUTION SET 48 [*] [*]
U 1C8039 HOMEPRO SET 48 [*] [*]
U 1C8046 VENTED HOMEPRO(R) PUMP SET 48 [*] [*]
1C8047 Y-BLOOD SET PUMP 48 [*] [*]
U 1C8050 BASIC SOLUTION SET, 60 48 [*] [*]
1C8051 Y-TYPE EXTENSION SET 48 [*] [*]
1C8061 Y-EXTENSION SET 48 [*] [*]
1C8072 EXTENSION SET 48 [*] [*]
1C8073 BASIC SET 48 [*] [*]
1C8075 BASIC SET 48 [*] [*]
1C8082 EXTENSION SET 48 [*] [*]
1C8083 BASIC SOLN SET 10 Y SITE FB 96 48 [*] [*]
1C8084 VENTED BASIC SOLN XXX 00 XX 00 00 [*] [*]
1C8086 MINIVOLUME EXTENSION SET NO AD 48 [*] [*]
U 1C8087 4 LEAD MASS INFUSION SET 12 [*] [*]
1C8090 EXTENSION SET, ROLLER CLAMP, 3 48 [*] [*]
1C8091 EXTENSION SET 48 [*] [*]
1C8092 EXTENSION SET 48 [*] [*]
U 1C8095 SOLN SET 60 INJ SITE FB 72" 48 [*] [*]
1C8098 EXTENSION SET 48 [*] [*]
1C8101 BASIC SET, 10 48 [*] [*]
U 1C8102 BASIC SET 48 [*] [*]
1C8103 BASIC SET, 60 48 [*] [*]
U 1C8107 CONTINU-FLO(R) SET, 10 48 [*] [*]
U 1C8108 CONTINU-FLO(R) SET, 10 48 [*] [*]
1C8109 BASIC SET, 10 48 [*] [*]
U 1C8110 SECONDARY MEDICATION SET 48 [*] [*]
U 1C8111 BASIC SET, 10 48 [*] [*]
U 1C8115 Y-BLOOD SET 48 [*] [*]
1C8117 Y-BLOOD SET 48 [*] [*]
1C8123 Y-EXTENSION SET 48 [*] [*]
U = Limited inventory available Page 2 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
--------------------------------------------------------------------------------------------------------------------
1C8124 Y-EXTENSION SET 48 [*] [*]
1C8127 BURETROL SOLN SET 12 [*] [*]
1C8130 EXTENSION SET 48 [*] [*]
1C8133 EXTENSION SET 48 [*] [*]
1C8159 PHARM-AIDE(TM) FLUID DISPENSIN 12 [*] [*]
1C8160 BASIC SET 48 [*] [*]
U 1C8187 MINIVOLUME EXT SET 48 [*] [*]
1C8189 EXTENSION SET 48 [*] [*]
U 1C8196 HOMEPRO (R) PUMP SET 48 [*] [*]
U 1C8203 Y-TYPE BLOOD SET 48 [*] [*]
1C8212 CONTINU-FLO (R) SOLUTION SET 48 [*] [*]
1C8242 SPECIAL DECANTING SET 48 [*] [*]
U 1C8255 2-LEAD FILTER LEG SET 48 [*] [*]
1C8259 NEEDLE*LOCK(TM) DEVICE 48 [*] [*]
1C8267 EXTENSION SET 48 [*] [*]
U 1C8319 TRANSFER SET-CAREMARK 288 [*] [*]
1C8333 BLOOD BAG SPIKE 48 [*] [*]
U 1C8355 VENTED BASIC SOLN SET 48 [*] [*]
1C8363 EXTENSION SET 48 [*] [*]
U 1C8393 VOLUMETRIC PUMP SET 12 [*] [*]
1C8400 MINIVOLUME EXTENSION SET 48 [*] [*]
1C8401 MINIVOLUME Y-EXTENSION SET 48 [*] [*]
1C8419 BASIC SOLUTION SET 48 [*] [*]
U 1C8452 SECONDARY MEDICATION SET, INTE 48 [*] [*]
1C8454 MINIVOLUME EXTENSION SET 48 [*] [*]
1C8455 MINIVOLUME EXTENSION SET 48 [*] [*]
1C8457 BIFURCATED BASIC SOLUTION SET 48 [*] [*]
U 1C8491 CONTINU-FLO (R) SET-CAREMARK 48 [*] [*]
U 1C8492 CONTINU-FLO (R) SET-CAREMARK 48 [*] [*]
1C8526 SOLUTION SET 48 [*] [*]
U 1C8545 STRAIGHT TYPE BLOOD SETS 48 [*] [*]
U 1C8597 STRAIGHT TYPE BLOOD SET 12 [*] [*]
1C8600 BURETROL SOLUTION SET 12 [*] [*]
U 1C8604 CONTINU-FLO SOLUTION SET 48 [*] [*]
U 1C8605 CONTINU-FLO SOLUTION SET 48 [*] [*]
U 1C8608 qOLUMETRIC PUMP SOLUTION SET 12 [*] [*]
U 1C8610 EXTENSION SET, VOL. 1.5 ML 48 [*] [*]
U 1C8611 CATHETER EXTENSION SET 48 [*] [*]
1C8614 SOLUTION SET 48 [*] [*]
U 1C8617 SOLUTION SET 48 [*] [*]
1C8624 BLOOD COLLECTION SET 48 [*] [*]
1C8687 BLOOD BAG SPIKE ADAPTER 48 [*] [*]
1D4192 15% POTASSIUM CHLORIDE INJ. 25 12 [*] [*]
1M8450 24" MICRO VOLUME INFUSION SET 30 [*] [*]
U = Limited inventory available Page 3 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
---------------------------------------------------------------------------------------------------
1M8451 42" MICRO VOLUME INFUSION SET 30 [*] [*]
1M8463 42" SUB-Q-SET 30 [*] [*]
1M8472 24" SUB-Q-SET 30 [*] [*]
U 1M8505 VASCULAR IMPLANT ACCESS NDL SE 10 [*] [*]
U 1M8507 VASCULAR IMPLANT ACCESS NDL SE 10 [*] [*]
U 1M8508 VASCULAR IMPLANT ACCESS NDL SET 10 [*] [*]
U 1M8512 VASCULAR IMPLANT ACCESS NDL SE 10 [*] [*]
U 1M8513 VASCULAR IMPLANT ACCESS NDL SE 10 [*] [*]
U 1M8514 VASCULAR IMPLANT ACCESS NDL SE 10 [*] [*]
U 1T0206 BLOOD WARMER STANDARD FLOW DIS 10 [*] [*]
U 1T0207 BLOOD WARMER HIGH FLOW DISPOSA 10 [*] [*]
2A0138 23.4% (4 MEQ/ML) SODIUM CHLORI 12 [*] [*]
2A0139 16.4% SODIUM ACETATE INJECTION 12 [*] [*]
U 2A0604 5% DEX, 5% ALCOHOL INJ 6 [*] [*]
2A6173 8% HEPATASOL (AMINO ACID) INJE 12 [*] [*]
2A6222 RENAMIN (R) (AMINO ACID) INJEC 12 [*] [*]
2A6223 RENAMIN (R) (AMINO ACID) INJEC 12 [*] [*]
U 2A6283 AMINESS 5.2% ESSINTIAL AMINO A 10 [*] [*]
U 2A6323 478-27 NOVAMINE 11.4% AMINO AC 10 [*] [*]
U 2A6324 478-30 NOVAMINE 11.4% AMINO AC 6 [*] [*]
2A6333 480-27 NOVAMINE 15% AMINO ACID 10 [*] [*]
U 2A6483 5.5% TRAVASOL (AMINO ACID) INJ 12 [*] [*]
2A6484 5.5% TRAVASOL (AMINO ACID) INJ 6 [*] [*]
U 2A6486 5.5% TRAVASOL(AMINO ACID) INJ. 6 [*] [*]
U 2A6604 5.5% TRAVASOL R (AMINO ACID) I 6 [*] [*]
U 2A6616 8.5% TRAVASOL (AMINO ACID) INJ 6 [*] [*]
U 2A6736 CERNEVIT IV MULTIVITAMIN PREPA 100 [*] [*]
U 2A9005 MULTI 12 - MULTIPLE VITAMIN FO 100 [*] [*]
2A9008 INFUVITE PEDIATRIC MULTIPLE VI 100 [*] [*]
2A9018 INFINITE ADULT MULTIPLE VITAMI 100 [*] [*]
2B0009 10% PREMASOL SULFITE-FREE 12 [*] [*]
2B0010 10% PREMASOL SULFITE-FREE 6 [*] [*]
2B0011 6% PREMASOL SULFITE-FREE 24 [*] [*]
2B0040 5% DEX INJ, USP, 50ML IN MINI- 80 [*] [*]
2B0041 5% DEX INJ, USP, 100 ML IN MIN 80 [*] [*]
2B0042 0.9% SOD CHL INJ, USP, 50ML IN 80 [*] [*]
2B0043 0.9% NACL INJ USP, 100ML IN Ml 80 [*] [*]
2B0061 5% DEX INJ USP 150ML 36 [*] [*]
2B0062Q 5% DEXTROSE INJ USP 250 ML 36 [*] [*]
2B0063Q 5% DEXTROSE INJ USP 500 ML 24 [*] [*]
2B0064 5% DEXTROSE INJ USP 1000ML 12 [*] [*]
2B0080 5% DEXTROSE INJ USP (5% DEXTRO 48 [*] [*]
2B0081 5% DEXTROSE INJ USP 50 ML 96 [*] [*]
2B0082 5% DEXTROSE INJ USP 100 ML 96 [*] [*]
U = Limited inventory available Page 4 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
---------------------------------------------------------------------------------------------------
2B0086 5% DEXTROSE INJ USP 50 ML 96 [*] [*]
2B0087 5% DEXTROSE INJ USP 100 ML 96 [*] [*]
2B0088 5% DEXTROSE INJ USP 50 ML 96 [*] [*]
2B0089 5% DEXTROSE INJ USP 100 ML MIN 96 [*] [*]
2B0104 60% DEXTROSE INJ. USP -500ML I 12 [*] [*]
2B0114 70% DEX INJ (500 ML IN 1000 ML 12 [*] [*]
2B0124P 20% DEXTROSE INJECTION USP - 5 16 [*] [*]
2B0126P 20% DEXTROSE INJECTION USP - 1 10 [*] [*]
2B0134P 30% DEXTROSE INJECTION USP - 5 16 [*] [*]
2B0136P 30% DEXTROSE INJECTION USP - 1 10 [*] [*]
2B0154P 40% DEXTROSE INJECTION USP - 16 [*] [*]
2B0156P 40% DEXTROSE INJECTION USP- 10 10 [*] [*]
2B0162Q 10% DEXTROSE INJ USP 250 ML 36 [*] [*]
2B0163Q 10% DEXTROSE INJ USP 500ML 24 [*] [*]
2B0164 10% DEXTROSE INJ USP 1000ML 12 [*] [*]
2B0174P 10% DEXTROSE INJECTION USP - 5 16 [*] [*]
2B0176P 10% DEXTROSE INJECTION USP - 1 10 [*] [*]
U 2B0256 50% DEX INJ (2000 ML) USP 6 [*] [*]
2B0256H 50% DEXTROSE INJECTION (2000ML 6 [*] [*]
2B0264P 50% DEXTROSE INJECTION USP - 5 16 [*] [*]
2B0266P 50% DEXTROSE INJECTION USP - 1 10 [*] [*]
U 2B0296 70% DEX INJ (2000 ML) USP 6 [*] [*]
2B0296H 70% DEXTROSE INJECTION (2000ML 6 [*] [*]
2B0304 STERILE WATER FOR INJ. USP 100 12 [*] [*]
2B0306 STER WATER FOR INJ. USP 2000 6 [*] [*]
2B0307 STERILE WATER FOR INJ. USP 4 [*] [*]
2B0791 DOBUTAMINE HYDROCHLORIDE IN 5% 18 [*] [*]
2B0792 DOBUTAMINE HYDROCHLORIDE IN 5% 18 [*] [*]
2B0793 DOBUTAMINE HYDROCHLORIDE IN 5% 18 [*] [*]
2B0795 DOBUTAMINE HYDROCHLORIDE IN 5% 12 [*] [*]
2B0796 DOBUTAMINE HYDROCHLORIDE IN 5% 12 [*] [*]
2B0807 HEPARIN SOD 20,000 UNITS IN 5% 18 [*] [*]
2B0822 POTASSIUM CHLORIDE INJ, 20 MEQ 24 [*] [*]
2B0823 POTASSIUM CHLORIDE INJ, 30 MEQ 24 [*] [*]
2B0824 POTASSIUM CHLORIDE INJ.40 MEQ 24 [*] [*]
2B0826 POTASSIUM CHLORIDE INJ, 10 MEQ 24 [*] [*]
2B0827 POTASSIUM CHLORIDE INJ,20 MEQ 24 [*] [*]
2B0832 200MG DOPAMINE HCL IN 5% DEX I 18 [*] [*]
2B0833 400 MG DOPAMINE HCL IN 5% DEX 12 [*] [*]
2B0842 400MG DOPAMINE HCL IN 5% DEX I 18 [*] [*]
2B0843 800 MG DOPAMINE HCL IN 5% DEX 12 [*] [*]
2B0846 800 MG DOPAMINE HCL IN 5% DEX 18 [*] [*]
U 2B0850 ISOTONIC GENTAMICIN SULFATE IN 24 [*] [*]
2B0851 ISOTONIC GENTAMICIN SULFATE IN 24 [*] [*]
U = Limited inventory available Page 5 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
---------------------------------------------------------------------------------------------------
2B0852 ISOTONIC GENTAMICIN SULFATE IN 24 [*] [*]
2B0853 ISOTONIC GENTAMICIN SULFATE IN 24 [*] [*]
2B0861 ISOTONIC GENTAMICIN SULFATE IN 24 [*] [*]
2B0862 ISOTONIC GENTAMICIN SULFATE IN 24 [*] [*]
2B0863 ISOTONIC GENTAMICIN SULFATE IN 24 [*] [*]
2B0864 ISOTONIC GENTAMICIN SULFATE IN 24 [*] [*]
2B0872 THEOPHYLLINE 800 IN 5% DEX INJ 24 [*] [*]
2B0873 THEOPHYLLINE 800 MG IN 5% DEXT 18 [*] [*]
2B0874 THEOPHYLLINE 800 MG IN 5% DEXT 12 [*] [*]
2B0882 THEOPHYLLINE 400 MG IN 5% DEX 24 [*] [*]
2B0883 THEOPHYLLINE 400 MG IN 5% DEXT 18 [*] [*]
2B0887 THEOPHYLLINE 400 MG IN 5% DEXT 24 [*] [*]
2B0896 THEOPHYLLINE 200 MG IN 5% DEXT 24 [*] [*]
2B0897 THEOPHYLLINE 200 MG IN 5% DEXT 24 [*] [*]
2B0944 HEPARIN SODIUM 2000 UNITS & 0. 12 [*] [*]
2B0953 HEPARIN SODIUM 1000 UNITS & 0. 18 [*] [*]
2B0962 0.8% LIDOCAINE HCL & 5% DEX IN 24 [*] [*]
2B0972 0.4% LIDOCAINE HCL & 5% DEX IN 24 [*] [*]
2B1023Q 2.5% DEX AND 0.45% SOD CHL INJ 24 [*] [*]
2B1024 2.5% DEX AND 0.45% SOD CHL INJ 12 [*] [*]
2B1062Q 5% DEX AND 0.9% SOD CHL INJ, U 36 [*] [*]
2B1063Q 5% DEX AND 0.9% SOD CHL INJ, U 24 [*] [*]
2B1064 5% DEX AND 0.9% SOD CHL INJ, U 12 [*] [*]
2B1072Q 5% DEXTROSE AND 0.45% SOD. CHL 36 [*] [*]
2B1073Q 5% DEX AND 0.45% SOD CHL INJ, 24 [*] [*]
2B1074 5% DEX AND 0.45% SOD CHL INJ, 12 [*] [*]
2B1082Q 5% DEX AND 0.33% SOD CHL INJ, 36 [*] [*]
2B1083Q 5% DEX AND 0.33% SOD CHL INJ, 24 [*] [*]
2B1084 5% DEX AND 0.33% SOD CHL INJ, 12 [*] [*]
2B1092Q 5% DEX AND 0.2% SOD CHL INJ, U 36 [*] [*]
2B1093Q 5% DEX AND 0.2% SOD CHL INJ, U 24 [*] [*]
2B1094 5% DEX AND 0.2% SOD CHL INJ, U 12 [*] [*]
2B1124 10 MEQ POT CHL IN 5% DEX INJ-U 12 [*] [*]
2B1134 20 MEQ POT CHL IN 5% DEX INJ-U 12 [*] [*]
U 2B1163Q 10% DEX AND 0.9% SOD CHL INJ, 24 [*] [*]
2B1164 10% DEX AND 0.9% SOD CHL INJ, 12 [*] [*]
2B1174 30 MEQ POT CHL IN 5% DEX INJ-U 12 [*] [*]
U 2B1263Q 20 MEQ POT CHL IN 5% DEX INJ - 24 [*] [*]
2B1300 0.9% SOD CHL INJ IN 25 ML MINI 48 [*] [*]
2B1301 0.9% NACL INJ USP 50ML MINI-BA 96 [*] [*]
2B1302 0.9% NACL INJ USP, 100ML MINI- 96 [*] [*]
2B1306 0.9% NACL INJ USP 50 ML MINI-B 96 [*] [*]
2B1307 0.9% NACL INJ. USP 100 ML MINI 96 [*] [*]
2B1308 0.9% NACL INJ USP 50ML MINI-BA 96 [*] [*]
U = Limited inventory available Page 6 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
---------------------------------------------------------------------------------------------------
2B1309 0.9% SOD CHL 100ML MINI-BAG VI 96 [*] [*]
2B1313Q 0.45% SODIUM CHLORIDE INJ USP 24 [*] [*]
2B1314 0.45% SODIUM CHLORIDE INJECTIO 12 [*] [*]
2B1321 0.9% SOD CHL INJ, USP 36 [*] [*]
2B1322Q 0.9% SOD CHL INJ, USP 36 [*] [*]
2B1323Q 0.9% SOD CHL INJ, USP 24 [*] [*]
2B1324 0.9% SOD CHL INJ, USP 12 [*] [*]
2B1353Q 3% SODIUM CHLORIDE INJ, USP 24 [*] [*]
2B1355 0.45% SODIUM CHLORIDE INJ. 96 [*] [*]
2B1356 0.45% SODIUM CHLORIDE INJ, 24 [*] [*]
2B1357 20MEQ POTASSIUM CHLORIDE IN 12 [*] [*]
2B1373Q 5% SODIUM CHLORIDE, INJ USP 24 [*] [*]
2B1473Q 10MEQ POT CHL IN 5% DEX&0.33% 24 [*] [*]
2B1474 20MEQ POT CHL IN 5% DEX&0.33% 12 [*] [*]
2B1484 30 MEQ POT CHL IN 5% DEX & 0.3 12 [*] [*]
2B1494 40 MEQ POT CHL IN 5% DEX & 0.3 12 [*] [*]
2B1604 10MEQ POT CHL IN 5% DEX&0.2% S 12 [*] [*]
2B1613Q 10 MEQ POT CHL IN 5% DEX&0.2% 24 [*] [*]
2B1614 20 MEQ POT CHL IN 5% DEX & 0.2 12 [*] [*]
2B1624 30 MEQ POT CHL IN 5% DEX & 0.2 12 [*] [*]
2B1634 40 MEQ POT CHL IN 5% DEX & 0.2 12 [*] [*]
2B1644 10 MEQ POT CHL IN 5% DEX&0.45% 12 [*] [*]
2B1653Q 10 MEQ POT CHL IN 5% DEX 0.45% 24 [*] [*]
2B1654 20 MEQ POT CHL IN 5% DEX & 0.4 12 [*] [*]
2B1664 30MEQ POT CHL IN 5% DEX&0.45% 12 [*] [*]
2B1674 40 MEQ POT CHL IN 5% DEX&0.45% 12 [*] [*]
2B1764 20 MEQ POT CHL IN 0.9% SOD CHL 12 [*] [*]
U 2B1803Q SODIUM LACTATE INJ, USP M/6 24 [*] [*]
2B1804 SODIUM LACTATE INJ, USP M/6 12 [*] [*]
2B1984 40 MEQ POT CHL IN 0.9% SOD CHL 12 [*] [*]
2B2063Q RINGER'S AND 5% DEXTROSE INJEC 24 [*] [*]
2B2064 RINGER'S AND 5% DEXTROSE INJEC 12 [*] [*]
2B2073Q LACTATED RINGER'S AND 5% DEXTR 24 [*] [*]
2B2074 LACTATED RINGERS AND 5% DEXTRO 12 [*] [*]
2B2102Q 5% DEXTROSE & ELECTROLYTE #48 36 [*] [*]
2B2103Q 5% DEXTROSE AND ELECTROLYTE NO 24 [*] [*]
2B2104 5% DEXTROSE W/ELECTROLYTE #48 12 [*] [*]
2B2112Q 5% DEXTROSE AND ELECTROLYTE NO 36 [*] [*]
2B2113Q 5% DEXTROSE AND ELECTROLYTE NO 24 [*] [*]
2B2114 5% DEXTROSE AND ELECTROLYTE NO 12 [*] [*]
2B2224 20 MEQ POT CHL IN LACTATED RIN 12 [*] [*]
2B2303Q RINGER'S INJECTION, USP 24 [*] [*]
2B2304 RINGER'S INJECTION, USP 12 [*] [*]
2B2322Q LACTATED RINGER'S INJ, USP 36 [*] [*]
U = Limited inventory available Page 7 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
---------------------------------------------------------------------------------------------------
2B2323Q LACTATED RINGER'S INJ, USP 24 [*] [*]
2B2324 LACTATED RINGER'S INJ, USP 12 [*] [*]
2B2434 20MEQ POT CHL IN 5% DEX&0.9% S 12 [*] [*]
2B2454 40 MEQ POT CHL IN 5% DEX&0.9% 12 [*] [*]
2B2504 PLASMA-LYTE R INJ (MULT.ELEC.I 12 [*] [*]
2B2524 PLASMA-LYTE 56 INJ (MULTIPLE E 12 [*] [*]
2B2533Q PLASMA-LYTE 148 INJ (MULTI ELE 24 [*] [*]
2B2534 PLASMA-LYTE 148 INJ(MULT ELEC 12 [*] [*]
2B2543Q PLASMA-LYTE A INJECTION PH 7.4 24 [*] [*]
2B2544 PLASMA-LYTE A INJECTION PH 7.4 12 [*] [*]
U 2B2563Q PLASMA-LYTE M AND 5% DEXTROSE 24 [*] [*]
2B2564 PLASMA-LYTE M AND 5% DEXTROSE 12 [*] [*]
2B2573Q PLASMA-LYTE 56 AND 5% DEXTROSE 24 [*] [*]
2B2574 PLASMA-LYTE 56 AND 5% DEXTROSE 12 [*] [*]
2B2583Q PLASMA-LYTE 148 AND 5% DEXTROS 24 [*] [*]
2B2584 PLASMA-LYTE 148 AND 5% DEXTROS 12 [*] [*]
2B3421 METRONIDAZOLE INJ,500MG/100ML 24 [*] [*]
U 2B3520 CEFOBID-CEFOPERAZONE SOD INJ-1 24 [*] [*]
U 2B3521 CEFOBID-CEFOPERAZONE SOD INJ-2 24 [*] [*]
2B5013Q 6% XXXXXXX 00 (XXXXXXX 00) &0. 24 [*] [*]
2B5043Q 10% GENTRAN 40 & 0.9% SODIUM C 24 [*] [*]
2B5053Q 10% GENTRAN 40 & 5% DEXTROSE I 24 [*] [*]
2B6153 4% BRANCHAMIN (BRANCHED CHAIN 18 [*] [*]
2B6186 20% PROSOL - SULFITE-FREE (AMI 6 [*] [*]
2B6189 15% CLINISOL SULFITE-FREE (AMI 6 [*] [*]
U 2B6336 NOVAMINE 15%-SULFITE-FREE (AMI 4 [*] [*]
U 2B6336P NOVAMINE 15%-SULFITE-FREE (AMI 6 [*] [*]
2B6433P 8.5% TRAVASOL (AMINO ACID) INJ 24 [*] [*]
2B6434 8.5% TRAVASOL (AMINO ACID) INJ 12 [*] [*]
U 2B6436 8.5% TRAVASOL (AMINO ACID) INJ 4 [*] [*]
2B6436P 8.5% TRAVASOL (AMINO ACID) INJ 6 [*] [*]
U 2B6483 5.5% TRAVASOL (AMINO ACID) INJ 12 [*] [*]
2B6483P 5.5% TRAVASOL (AMINO ACID) INJ 24 [*] [*]
2B6484 5.5% TRAVASOL (AMINO ACID) INJ 12 [*] [*]
U 2B6486 5.5% TRAVASOL (AMINO ACID) INJ 4 [*] [*]
2B6486P 5.5% TRAVASOL (AMINO ACID) INJ 6 [*] [*]
U 2B6553 3.5% TRAVASOL (AMINO ACID) INJ 12 [*] [*]
2B6553P 3.5% TRAVASOL (AMINO ACID) INJ 24 [*] [*]
2B6554 3.5% TRAVASOL (AMINO ACID) INJ 12 [*] [*]
2B6603 5.5% TRAVASOL (AMINO ACID) INJ 24 [*] [*]
U 2B6603P 5.5% TRAVASOL (AMINO ACID) INJ 12 [*] [*]
2B6613 8.5% TRAVASOL R (AMINO ACID) I 24 [*] [*]
U 2B6613P 8.5% TRAVASOL R (AMINO ACID) I 12 [*] [*]
2B6614 8.5% TRAVASOL (AMINO ACID) INJ 12 [*] [*]
U = Limited inventory available Page 8 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
---------------------------------------------------------------------------------------------------
U 2B6720 8.5% TRAVASOL - 50% DEX PAREN 3 [*] [*]
U 2B6721 8.5% TRAVASOL W/ELEC - 50% DEX 3 [*] [*]
2B6746 5.5% TRAVASOL 500ML/20% DEX. US 6 [*] [*]
U 2B6748 5.5% TRAVASOL 500ML/10% DEX. US 6 [*] [*]
2B6758 8.5% TRAVASOL 500ML/10% DEX. US 6 [*] [*]
2B7114 STERILE WATER FOR IRRIG, USP 10 12 [*] [*]
2B7116 STER WATER FOR IRRIG USP, 2000 6 [*] [*]
2B7117 STERILE WATER FOR IRRIG. USP. 4 [*] [*]
2B7119 STERILE WATER FOR IRRIG. U.S.P. 2 [*] [*]
2B7124 0.9% SOD CHL IRRIG, USP 1000 M 12 [*] [*]
2B7126 0.9% NACL IRRIG USP 2000 ML UR 6 [*] [*]
2B7127 0.9% SOD.CHL.IRRIG. USP 3000ML 4 [*] [*]
2B7176 0.45% NACL IRRIG USP 2000 ML U 6 [*] [*]
2B7207 0.9% SOD CHL PROCESSING SOL, 3 4 [*] [*]
2B7231 0.9% SOD CHL IRRIGATION, USP I 6 [*] [*]
2B7233 LACTATED RINGER'S IRR IN BAXTE 6 [*] [*]
2B7317 1.5% GLYCINE FOR IRRIG USP, 30 4 [*] [*]
2B7319 1.5% GLYCINE 5000 ML UROMATIC 2 [*] [*]
2B7357 3% SORBITOL IN WATER, 3000 ML 4 [*] [*]
2B7359 3% SORBITOL 5000 ML UROMATIC C 2 [*] [*]
2B7474 0.9% SOD CHL IRRIG, USP, 1000 12 [*] [*]
2B7477 0.9% SOD CHL IRRIG, USP, 3000 4 [*] [*]
2B7479 0.9% SOD GHL IRRIG, USP, 5000 2 [*] [*]
2B7487 LACTATED RINGERS IRRIG, 3000 M 4 [*] [*]
2B7489 LACTATED RINGERS IRRIG, 5000 M 2 [*] [*]
2B7634 TIS-U-SOL (PENTALYTE IRRIGATIO 12 [*] [*]
2B7701 CLINIMIX 2.75/5 (2.75% AA IN 5 4 [*] [*]
2B7704 CLINIMIX 4.25/5 (4.25% AA IN 5 4 [*] [*]
2B7705 CLINIMIX 4.25/10 (4.25% AA IN 4 [*] [*]
2B7706 CLINIMIX 4.25/20 (4.25% AA IN 4 [*] [*]
2B7707 CLINIMIX 4.25/25 (4.25% AA IN 4 [*] [*]
2B7709 CLINIMIX 5/15 (5% AA IN 15% DE 4 [*] [*]
2B7710 CLINIMIX 5/20 (5% AA IN 20% DE 4 [*] [*]
2B7711 CLINIMIX 5/25 (5% AA IN 25% DE 4 [*] [*]
2B7713 CLINIMIX E 2.75/5(2.75% AA W/L 4 [*] [*]
2B7714 CLINIMIX E 2.75/10 (2.75% AA W 4 [*] [*]
2B7716 CLINIMIX E 4.25/5(4.25% AA W/L 4 [*] [*]
2B7717 CLINIMIX E 4.25/10 (4.25% AA W 4 [*] [*]
2B7719 CLINIMIX E 4.25/25(4.25% AA W/ 4 [*] [*]
2B7721 CLINIMIX E 5/15 (5% AA W/LYTES 4 [*] [*]
2B7722 CLINIMIX E 5/20 (5% AA W/LYTES 4 [*] [*]
2B7723 CLINIMIX E 5/25 (5% AA W/LYTES 4 [*] [*]
2B7725 CLINIMIX 2.75/5 SULFITE-FREE 6 [*] [*]
2B7726 CLINIMIX 4.25/5 SULFITE-FREE 6 [*] [*]
U = Limited inventory available Page 9 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
---------------------------------------------------------------------------------------------------
2B7727 CLINIMIX 4.25/10 SULFITE-FREE 6 [*] [*]
2B7728 CLINIMIX 4.25/20 SULFITE-FREE 6 [*] [*]
2B7729 CLINIMIX 4.25/25 SULFITE-FREE 6 [*] [*]
2B7730 CLINIMIX 5/15 SULFITE-FREE 6 [*] [*]
2B7731 CLINIMIX 5/20 SULFITE-FREE 6 [*] [*]
2B7732 CLINIMIX 5/25 SULFITE-FREE 6 [*] [*]
2B7735 CLINIMIX E 2.75/5 SULFITE-FREE 6 [*] [*]
2B7736 CLINIMIX E 2.75/10 SULFITE-FRE 6 [*] [*]
2B7737 CLINIMIX 4.25/5 SULFITE-FREE 6 [*] [*]
2B7738 CLINIMIX E 4.25/10 SULFITE-FRE 6 [*] [*]
2B7739 CLINIMIXE 4.25/25 SULFITE-FREE 6 [*] [*]
2B7740 CLINIMIX E 5/15 SULFITE-FREE 6 [*] [*]
2B7741 CLINIMIX E 5/20 SULFITE-FREE 6 [*] [*]
2B7742 CLINIMIX E 5/25 SULFITE-FREE 6 [*] [*]
2B7744 CLINIMIX E 5/35 SULFITE-FREE 6 [*] [*]
2B8004 EMPTY VIAFLEX BAG W/ATTACHED Y 48 [*] [*]
2B8007 3L, EMPTY VIAFLEX W/ATTACHED Y 24 [*] [*]
2B8011 XXXXXXXX EMPTY CONTAINER (150 48 [*] [*]
U 2B8011E VIAFLEX EMPTY CONTAINER (150ML 48 [*] [*]
2B8012 XXXXXXXX EMPTY CONTAINER (250 48 [*] [*]
U 2B8012E VIAFLEX EMPTY CONTAINER (250 M 48 [*] [*]
2B8013 XXXXXXXX EMPTY CONTAINER (500 48 [*] [*]
2B8013E VIAFLEX EMPTY CONTAINER (500 M 48 [*] [*]
2B8014 EMPTY XXXXXXXX CONTAINER (1000 48 [*] [*]
2B8019 XXXXXXXX EMPTY CONT (50 ML) (G 48 [*] [*]
U 2B8019E VIAFLEX EMPTY CONTAINER (50 ML 48 [*] [*]
2B8031 VIAFLEX SHELF PACK 50 [*] [*]
2B8032 VIAFLEX SHELF PACK, EXPANDABLE 50 [*] [*]
U 2B8033 FREEZER TRAY 24 [*] [*]
2B8043 HAND SEALER TOOL 1 [*] [*]
2B8044 LARGE HAND SEALER CLIPS 1000 [*] [*]
2B8045 SMALL HAND SEALER CLIPS 1000 [*] [*]
2B8064 RECONSTITUTION DEVICE W/BLISTE 400 [*] [*]
2B8066 VIAFLEX ADDITIVE CAP, BULK PAC 900 [*] [*]
U 2B8070 RECONSTITUTION DEVICE 200 [*] [*]
2B8071 VIAL-MATE RECONSTITUTION DEVIC 200 [*] [*]
2B8082 VIAFLEX EMPTY CONTAINER (250 M 48 [*] [*]
2B8083 VIAFLEX EMPTY CONTAINER (500 M 48 [*] [*]
2B8084 VIAFLEX EMPTY CONTAINER (1000) 48 [*] [*]
2B8086 VIAFLEX EMPTY CONTAINER (2000 24 [*] [*]
2B8087 VIAFLEX EMPTY CONTAINER (3000) 24 [*] [*]
U 2B8102 ALL-IN-ONE EMPTY CONT. W/CONN 48 [*] [*]
2B8112 ALL-IN-ONE EMPTY CONT. W/CONN 48 [*] [*]
2B8114 ALL-IN-ONE EMPTY CONT. (1000ML 20 [*] [*]
U = Limited inventory available Page 10 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
---------------------------------------------------------------------------------------------------
U 2B8114N ALL-IN-ONE EMPTY CONT. (1000ML 20 [*] [*]
U 2B8117 ALL-IN-ONE EMPTY CONTAINER (15 24 [*] [*]
2B8122 ALL-IN-ONE EMPTY CONTAINER WIT 24 [*] [*]
U 2B8122N EMPTY ALL-IN-ONE CONTAINER W/ 24 [*] [*]
U 2B8122T ALL-IN-ONE EMPTY CONTAINER WIT 24 [*] [*]
2B8124 ALL-IN-ONE EMPTY CONT. (2000ML 15 [*] [*]
U 2B8124N ALL-IN-ONE EMPTY CONT. (2000ML 15 [*] [*]
2B8132 ALL-IN-ONE EMPTY CONTAINER W/C 24 [*] [*]
2B8132N EMPTY ALL-IN-ONE CONTAINER W/ 24 [*] [*]
U 2B8132T ALL-IN-ONE EMPTY CONTAINER W/C 24 [*] [*]
2B8134 ALL-IN-ONE EMPTY CONT. (3000ML 15 [*] [*]
U 2B8134N ALL-IN-ONE EMPTY CONT. (3000ML 15 [*] [*]
2B8142 ALL-IN-ONE EMPTY CONTAINER W/C 24 [*] [*]
U 2B8142N ALL-IN-ONE EMPTY CONTAINER W/C 15 [*] [*]
2B8144 ALL-IN-ONE EMPTY CONT. (4000ML 15 [*] [*]
U 2B8144N ALL-IN-ONE EMPTY CONT. (4000 M 15 [*] [*]
2B8147 ALL-IN-ONE 2 CHAMBER CONT.(3 28 [*] [*]
2B8148 ALL-IN-ONE 2 CHAMBER CONTAINER 28 [*] [*]
2B8149 ALL-IN-ONE 2 CHAMBER CONTAINER 28 [*] [*]
2B8152 ALL-IN-ONE EMPTY CONT. W/CONN 48 [*] [*]
2B8172 250ML EMPTY ALL IN ONE AUTOMIX 48 [*] [*]
2B8954 VIAFLEX CONTAINER 1000 ML 112 [*] [*]
2B8956 VIAFLEX CONTAINER 2000 ML 98 [*] [*]
2B8957 VIAFLEX CONTAINER 3000 ML 98 [*] [*]
2C0410 ADD-A-CAP CLOSURE FOR 28 MM I. 400 [*] [*]
U 2C0411 IV ADDITIVE CAP, BULK PACKED, 1000 [*] [*]
2C0415 SOLUTION TRANSFER SET WITH NEE 48 [*] [*]
U 2C0435 SOLUTION TRANSFER SET W/15 GA 48 [*] [*]
2C0443 AUTOMIX COMPOUNDER TRANSFER SE 24 [*] [*]
U 2C0443S AUTOMIX COMPOUNDER TRANSFER SE 24 [*] [*]
2C0445 AUTOMIX COMPOUNDER ADAPTER 100 [*] [*]
2C0463 SOLUTION TRANSFER SET LARGE BO 48 [*] [*]
2C0471 VENTED SPIKE ADAPTER 48 [*] [*]
2C0477 AUTOMIX 3+3 COMPOUNDER TRANSFE 12 [*] [*]
U 2C0477S AUTOMIX 3+3 COMPOUNDER TRANSFE 12 [*] [*]
U 2C0478 MICROMIX COMPOUNDER VENTED SPI 48 [*] [*]
2C0479 MICROMIX COMPOUNDER WEIGHING C 12 [*] [*]
2C0480 TRANSFER SET FOR MICROMIX COMP 12 [*] [*]
U 2C0480B MICROMIX TRANSFER SET 12 [*] [*]
U 2C0480S TRANSFER SET FOR MICROMIX COMP 12 [*] [*]
2C0487 AUTOMIX VENTED SPIKE ADAPTER 48 [*] [*]
2C0488 AUTOMIX COMPOUNDER Y-ADAPTER S 48 [*] [*]
U 2C1031 VOLUMETRIC PUMP SOLN SET, TWO 24 [*] [*]
U 2C1031N VOLUMETRIC PUMP SOLUTION SET 2 24 [*] [*]
U = Limited inventory available Page 11 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
---------------------------------------------------------------------------------------------------
U 2C1032 VENTED VOLUMETRIC PUMP SOLN SE 24 [*] [*]
U 2C1033 VOLUMETRIC PUMP ADMIN SET W/FL 24 [*] [*]
U 2C1034 VOLUMETRIC PUMP ADMIN SET W/IA 24 [*] [*]
U 2C1035 BURETROL BURETTE VOL PUMP ADM. 12 [*] [*]
U 2C1036 BURETROL VOL PUMP ADM. SET W/I 12 [*] [*]
U 2C1041 Y-TYPE VOL PUMP BLD SOLN 80 MI 12 [*] [*]
U 2C1042 VENTED VOLUMETRIC PUMP NITRO S 24 [*] [*]
U 2C1045 BURETROL VOLUMETRIC PUMP SOLN 12 [*] [*]
U 2C1047 FG8000 SERIES PUMP, BASIC INFU 48 [*] [*]
U 2C1053 SECONDARY MED ST, NEEDLE*LOCK W 48 [*] [*]
2C1054 VENTED SECONDARY MED ST, NEEDLE 48 [*] [*]
U 2C1058 SEC MED SET 18 G NEEDLE W/HANG 48 [*] [*]
U 2C1059 VENTED SEC MEDICATION SET 18G 48 [*] [*]
U 2C1064 FINAL ASSEMBLY, INTERMATE XLV. 12 [*] [*]
2C1064K CE INTERMATE XLV 250, 12 PACK 12 [*] [*]
U 2C1071K CD SINGLE DAY INFUSO, 2ML/HR, 6 [*] [*]
2C1071KJ INFUSORS 6 [*] [*]
U 2C1073K HALF DAY INFUSOR, 5ML/HR, PACK 6 [*] [*]
2C1073KJ INFUSOR 5ML/HR 6 [*] [*]
U 2C1075K TWO DAY INFUSOR 6 [*] [*]
2C1075KJ TWO DAY INFUSOR 6 [*] [*]
2C1079K CE INFUSOR PATIENT CONTROL MOD 12 [*] [*]
2C1079Q INFUSOR PATIENT CONTROL MODULE 12 [*] [*]
U 2C1080K MULTIDAY INFUSOM, 0.5 ML/HR, P 6 [*] [*]
2C1080KJ MULTIDAY INFUSOR 0.5 ML/HR, P 6 [*] [*]
U 2C1082K SEVENDAY INFUSOR, 0.5 ML/HR, P 4 [*] [*]
2C1082KJ CE SEVEN DAY INFUSOR 0.5 ML/HR 4 [*] [*]
U 2C1087 FINAL ASSY., INFUSOR LV 1.5, 6 6 [*] [*]
2C1087K CE INFUSOR, LV 1.5, 6 PACK 6 [*] [*]
U 2C1089 INFUSOR CLOTH WEAR ACCESSORIES 48 [*] [*]
2C1100 BELT BAG 6 [*] [*]
2C1103 1.2 MICRON EXTENSION SET 50 [*] [*]
2C1105 MAXIDRIP VENTED FAT EMULSION A 48 [*] [*]
2C1106 MINIDRIP VENTED FAT EMULSION A 48 [*] [*]
U 2C1187 LARGE BORE EXTENSION SET FOR M 24 [*] [*]
2C1730K CE INTERMATE SV 50, 48 PACK, 5 48 [*] [*]
2C1732K CE XXXXXXXXX XX 000, 00 PACK, 48 [*] [*]
2C1734K CE XXXXXXXXX XX 000, 00 PACK, 48 [*] [*]
2C1740K CE INTERMATE LV 50, 24 PACK, 5 24 [*] [*]
2C1742K CE XXXXXXXXX XX 000, 00 PACK, 24 [*] [*]
2C1744K CE XXXXXXXXX XX 000, 00 PACK, 24 [*] [*]
2C2164 MASS INFUSION SET/W LUER LOCK 12 [*] [*]
2C4003 CONTINUANCE BLADDER IRRIG SET 48 [*] [*]
2C4004 CATHETER ADAPTER, 3-WAY 48 [*] [*]
U = Limited inventory available Page 12 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
---------------------------------------------------------------------------------------------------
2C4005 Y-TYPE TUR IRRIGATION SET 12 [*] [*]
2C4006 UROMATIC TUR SERIES SET 12 [*] [*]
2C4010 IRRIGATION CAP ASSEMBLY 60 [*] [*]
2C4013 4 LEAD TUR IRRIGATION SET 12 [*] [*]
2C4014 DECANTING SET 48 [*] [*]
2C4020 IRRIGATION CAP W/SYRINGE TIP 120 [*] [*]
2C4023 CYSTOSCOPY SET 48 [*] [*]
2C4030 2 LEAD ARTHROSCOPIC IRRIGATION 12 [*] [*]
2C4031 4 LEAD ARTHROSCOPIC IRRIGATION 12 [*] [*]
2C4032 SINGLE LEAD DIAGNOSTIC ARTHROS 12 [*] [*]
2C4040 CYSTO/BLADDER IRRIGATION SET 48 [*] [*]
2C4041 Y-TYPE TUR-BLADDER IRRIGATION 12 [*] [*]
2C4110 Y-TYPE DIANEAL ADMIN SET W/PER 12 [*] [*]
U 2C4112 OBS 5/98 DIANEAL PERITONEAL DI 12 [*] [*]
U 2C5401 SOLUTION SET FLASHBALL DEVICE 48 [*] [*]
U 2C5402 BASIC SOLUTION SET FLASHBALL D 48 [*] [*]
U 2C5403 BASIC SOLN SET INJ SITE FLASHB 48 [*] [*]
U 2C5404 BASIC SOLN SET INJ SITE FLASHB 48 [*] [*]
U 2C5405 BASIC SOLN SET INJ SITE FLASHB 48 [*] [*]
2C5407 Y-TYPE BASIC SOLN SET FLASHBAL 48 [*] [*]
2C5409 HYPODERMOCLYSIS SET 2 FLSB DEV 48 [*] [*]
2C5411 NONVENTED BASIC SOLN SET 10DPM 48 [*] [*]
2C5412 NONVENTED BASIC SOLN SET 60DPM 48 [*] [*]
U 2C5413 VENTED BASIC SOLN SET 10DPM, ND 48 [*] [*]
2C5417 BASIC SOLN SET INJ SITE 10 DPM 48 [*] [*]
2C5418 BASIC SOLN SET INJ SITE 60 DPM 48 [*] [*]
2C5419 VENTED BASIC SOLUTION SET INJ 48 [*] [*]
2C5423 BASIC SOLUTION SET 2 INJ SITES 48 [*] [*]
2C5424 BASIC SOLN SET 2 INJ SITES 60 48 [*] [*]
2C5427 BASIC SOLN SET 2 INJ SITES 10 48 [*] [*]
2C5430 VENTED BASIC SOLN INJ SITE 60 48 [*] [*]
2C5431 BASIC SOLN SET INJ SITE L/L AD 48 [*] [*]
2C5433 VENTED BASIC SOLN SET INJ SITE 48 [*] [*]
2C5435 VENTED BASIC SOLN SET INJ SITE 48 [*] [*]
2C5439 BASIC SOLN SET 2 INJ SITES XXX 48 [*] [*]
2C5441 BASIC SOLUTION SET 3 INJ SITES 48 [*] [*]
U 2C5442 BASIC SOLN SET 3 INJ SITES XXX 48 [*] [*]
2C5443 VENTED BASIC SOLN SET 2 INJ SI 48 [*] [*]
2C5444 VENTED BASIC SOLN SET 2 INJ SI 48 [*] [*]
U 2C5451 BASIC SOLN SET 0.22 MICRON FIL 48 [*] [*]
U 2C5453 BASIC SOLN SET 0.22 MICRON FIL 48 [*] [*]
U 2C5455 BASIC SOLN SET 5 MICRON FILTER 48 [*] [*]
U 2C5456 BASIC SOLN SET 5 MICRON FILTER 48 [*] [*]
U 2C5463 VENTED BASIC SOLN SET 0.22 MIC 48 [*] [*]
U = Limited inventory available Page 13 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
---------------------------------------------------------------------------------------------------
U 2C5464 VENTED BASIC SOLN SET 0.22 MIC 48 [*] [*]
U 2C5469 SOLN SET W/MICROBORE XXX 0 XXX 00 [*] [*]
U 2C5471 BASIC SOLN SET 0.22 MICRON FIL 48 [*] [*]
U 2C5472 BASIC SOLN SET 0.22 MICRON FIL 48 [*] [*]
2C5487 BASIC SOLN SET 0.22 MICRON 72 48 [*] [*]
2C5488 BASIC SOLN SET 0.22 MICRON FLT 48 [*] [*]
2C5489 VENTED BASIC SOLN SET 0.22 MIC 48 [*] [*]
2C5493 BASIC SOLN SET 0.22 MICRON DOW 48 [*] [*]
U 2C5501 CONTINU-FLO SOLN SET 2 INJ SIT 48 [*] [*]
U 2C5512 CONTINU-FLO SOLN SET W/MICROBO 48 [*] [*]
2C5519 CONTINU-FLO SOLN SET 2 INJ SIT 48 [*] [*]
2C5521 CONTINU-FLO SOLUTION SET 3 INJ 48 [*] [*]
2G5522 VENTED CONTINU-FLO SOLN SET 2 48 [*] [*]
2C5523 VENTED CONTINUED-FLO SOLN SET 2 48 [*] [*]
2C5526 CONTINU-FLO SOL SET 3 INJ SITE 48 [*] [*]
2C5527 CONTINU-FLO SOLN SET 3 INJ SIT 48 [*] [*]
2C5531 CONTINU FLO SOLN SET 2 INJ SIT 48 [*] [*]
2C5535 CONTINU-FLO SET W/3 INJ SITES 48 [*] [*]
2C5541 VENTED CONTINU-FLO SOLN SET 3 48 [*] [*]
U 2C5542 VENTED CONTINU FLO SOLN SET 3 48 [*] [*]
2C5543 VENTED CONTINU-FLO SOLN SET 2 48 [*] [*]
2C5545 CONTINU FLO SOLN SET 3 INJ SIT 48 [*] [*]
2C5546 CONTINU FLO SOLN SET 3 INJ SIT 48 [*] [*]
U 2C5547 CONTINU-FLO SOLN SET 3 INJ SIT 48 [*] [*]
2C5548 CONTINU FLO SOL SET RESTRICTIV 48 [*] [*]
U 2C5551 CONTINU-FLO SOLN SET 0.22 MICR 48 [*] [*]
U 2C5552 CONTINU-FLO SOLN SET 0.22 MICR 48 [*] [*]
U 2C5555 CONTINU FLO SOLN SET 5 MICRON 48 [*] [*]
U 2C5556 CONTINU FLO SOLN SET 5 MICRON 48 [*] [*]
U 2C5557 CONTINU-FLO SOLN SET 48 [*] [*]
U 2C5561 CONTINU FLO SOLN SET 0.22 MICR 48 [*] [*]
U 2C5562 CONTINU FLO SOLN SET 0.22 MICR 48 [*] [*]
U 2C5571 CONTINU-FLO SOLN SET 0.22 MICR 48 [*] [*]
U 2C5572 CONTINU-FLO SOLN SET 0.22 MICR 48 [*] [*]
U 2C5585 Y-TYPE CONTINU FLO SOLN SET 0. 48 [*] [*]
2C5587 CONTINU-FLO SOLN SET 0.22 MICR 48 [*] [*]
2C5588 CONTINU-FLO SOLN SET 0.22 MICR 48 [*] [*]
2C5589 VENTED CONTINU-FLO SOLN SET 0. 48 [*] [*]
U 2C5590 VENTED CONTINU FLO SOLN SET 0. 48 [*] [*]
2C5593 CONTINU-FLO SOLN SET 0.22 MICR 48 [*] [*]
U 2C5594 CONTINU-FLO SOLN SET 0.22 MICR 48 [*] [*]
U 2C5595 VENTED CONT-FLO SOLN SET 0.22 48 [*] [*]
2C5600 3-WAY STOPCOCK W/ROTATING MALE 48 [*] [*]
2C5601 4-WAY STOPCOCK W/ROTATING MALE 48 [*] [*]
U = Limited inventory available Page 14 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
--------------------------------------------------------------------------------------------------------------
2C5602 3-WAY STOPCOCK WITH EXT TBG LU 48 [*] [*]
2C5603 3-WAY STOPCOCK WITH EXT TBG LU 48 [*] [*]
2C5612 EXTENSION SET 2 INJ. SITES XXX 48 [*] [*]
U 2C5615 EXTENSION SET 2 INJ. SITES, FL 48 [*] [*]
2C5620 EXTENSION SET 48 [*] [*]
2C5625 20"L EXT SET W/NO CLAMP, STER P 48 [*] [*]
2C5627 35"L EXT SET W/NO CLAMP, STER 48 [*] [*]
2C5628 EXTENSION SET 48 [*] [*]
2C5630 EXTENSION SET 2 INJ. SITES 48 [*] [*]
U 2C5632 EXTENSION SET W/2 Y INJ. SITES 48 [*] [*]
2C5641 EXT SET 7"X X/LUER LOCK ADAPTE 48 [*] [*]
2C5643 EXTENSION SET LUER LOCK ADAPTE 48 [*] [*]
2C5645 EXTENSION SET LUER LOCK ADAPTE 48 [*] [*]
2C5647 STERILE POUCH Y-TYPE EXTENSION 48 [*] [*]
U 2C5662 EXTENSION SET W/0.22 MICRON AI 48 [*] [*]
U 2C5664 EXTENSION SET 0.22 MICRON FILT 48 [*] [*]
2C5668 EXTENSION SET 48 [*] [*]
2C5671 EXTENSION SET W/.22 MICRON AE 48 [*] [*]
2C5681 MINI VOLUME EXTENSION SET W/T- 48 [*] [*]
2C5683 PEDIATRIC EXT SET 8"L 48 [*] [*]
2C5685 PEDIATRIC EXTENSION SET 38" LO 48 [*] [*]
2C5687 PEDIATRIC EXTENSION SET 74" LG 48 [*] [*]
2C5689 MINIVOLUME EXTENSION SET LUER 48 [*] [*]
2C5691 MINIVOLUME EXTENSION SET 48 [*] [*]
2C5693 MINIVOLUME EXT SET W/0.22 MICR 48 [*] [*]
2C6201 ELCAM THREE-WAY LARGE BORE POL 50 [*] [*]
2C6202 ELCAM THREE-WAY LARGE BORE POL 50 [*] [*]
2C6205 ELCAM FOUR-WAY LARGE BORE POLY 50 [*] [*]
U 2C6207 THREE WAY STANDARD BORE STOPCO 50 [*] [*]
U 2C6209 FOUR WAY STANDARD BORE STOPCOC 50 [*] [*]
U 2C6210 ONE WAY STANDARD BORE STOPCOCK 50 [*] [*]
X 0X0000 0 XXX XX STOCKCOCK W/EXT TUBIN 50 [*] [*]
2C6217 2 4 WAY LRGE BORES W/ROTATING 50 [*] [*]
U 2C6220 NON-VENTED PORT PROTECTORS 240 [*] [*]
U 2C6220A P510 NON-VENTED PORT PROTECTOR 400 [*] [*]
2C6223 EXTENSION SET WITH LUER LOCK A 50 [*] [*]
2C6224 EXTENSION SET WITH LUER SLIP A 50 [*] [*]
2C6225 EXTENSION SET WITH LUER SLIP A 50 [*] [*]
2C6226 EXTENSION SET WITH LUER LOCK A 50 [*] [*]
2C6244 ONE WAY STOPCOCK W/ROTATING MA 50 [*] [*]
2C6250 DUAL LUER LOCK CAP, PACKAGED - 504 [*] [*]
2C6251 4 WAY LARGE BORE STOPCOCK W/EX 50 [*] [*]
2C6252 4 WAY LARGE BORE STOPCOCK W/EX 50 [*] [*]
2C6254 CLEARLINK SYSTEM CONTINU-FLO 48 [*] [*]
U = Limited inventory available Page 15 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
---------------------------------------------------------------------------------------------------------------
2C6255 CLEARLINK SYSTEM CONTINU-FLO 48 [*] [*]
2C6301 RESERVOIR WITH 100ML BAG AND 5 36 [*] [*]
2C6302 RESERVOIR WITH 100 ML AND 100M 36 [*] [*]
2C6303 RESERVOIR WITH 100ML BAG AND 2 36 [*] [*]
2C6304 100 ML/HR RESERVOIR FOR MAXX 1 36 [*] [*]
2C6305 30" EXTENSION SET, 50 ML/HR FO 36 [*] [*]
2C6306 30" EXTENSION SET, 100 ML/HR F 36 [*] [*]
2C6307 30" EXTENSION SET, 200 ML/HR F 36 [*] [*]
2C6308 100-300 MAXX 100 CARRYING BAG 1 [*] [*]
2C6309 P00-001 MAXX 100 POLE MOUNT 1 [*] [*]
2C6310 RESERVOIR WITH 250 ML BAG AND 36 [*] [*]
2C6311 RESERVOIR WITH 250ML BAG AND 1 36 [*] [*]
2C6312 RESERVOIR WITH 250ML BAG AND 2 36 [*] [*]
2C6313 250-130 MAXX 250 CARRYING BAG 1 [*] [*]
2C6315 38" BAG SPIKE SET 50 ML/HR 36 [*] [*]
2C6316 38" BAG SPIKE SET 100 ML/HR 36 [*] [*]
2C6317 38" BAG SPIKE SET 200 ML/HR 36 [*] [*]
2C6318 000-120 MAXX INFUSION SYSTEM P 1 [*] [*]
2C6319 000-110 MAXX INFUSION SYSTEM O 1 [*] [*]
2C6390 MICRO VENTED LUER SPIKE 48 [*] [*]
2C6401 INTERLINK SYSTEM BASIC SOLN SE 48 [*] [*]
2C6402 INTERLINK SOLN SET INJ. SITE L 48 [*] [*]
2C6424 INTERLINK BASIC SET 90" 48 [*] [*]
2C6425 INTERLINK BASIC SOLN SET 2 INJ 48 [*] [*]
2C6519 INTERLINK CONTINU-FLO SOLN SET 48 [*] [*]
2C6520 INTERLINK SYSTEM CONTINU-FLO S 48 [*] [*]
2C6521 INTERLINK CONTINU-FLO SOLN SET 48 [*] [*]
2C6525 INTERLINK SYSTEM CONTINU-FLO S 48 [*] [*]
2C6537 INTERLINK(TM)CONTINU-FLO SOLN 48 [*] [*]
U 2C6537W INTERLINK CONTINU FLO SOLUTION 48 [*] [*]
2C6541 VENTED CONTINU-FLO SOLN SET 3 48 [*] [*]
2C6546 INTERLINK (TM) CONTINU FLO SOL 48 [*] [*]
2C6571 INTERLINK CONTINU-FLO SOLN SET 48 [*] [*]
2C6572 INTERLINK CONTINU-FLO SOLN SET 48 [*] [*]
2C6606 INTERLINK EXTENSION SET 2 INJ 48 [*] [*]
2C6612 INTERLINK EXTENSION SET 2 INJ 48 [*] [*]
2C6632 INTERLINK SYSTEM EXTENSION SET 48 [*] [*]
2C6671 INTERLINK EXT SET 2/.22 MICRON 48 [*] [*]
2C6700 IL STRAIGHT BLOOD SET/STANDARD 48 [*] [*]
2C6750 I/L TYPE BLOOD SOLN SET 48 [*] [*]
U 2C6757 INTERLINK Y-TYPE BLD SOLN SET 48 [*] [*]
2C6890 INTERLINK EXTENSION SET W/CONT 48 [*] [*]
2C6891 INTERLINK EXTENSION SET W/CONT 48 [*] [*]
2C6895 INTERLINK CONTINU-FLO SOLN SET 48 [*] [*]
U = Limited inventory available Page 16 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
--------------------------------------------------------------------------------------------------------------
U 2C7415 VENTED SECONDARY MEDICATION SE 48 [*] [*]
U 2C7417 SEC. MED. SET DETACHED 18G NEE 48 [*] [*]
U 2C7418 SECONDARY MEDICATION SET DETAC 48 [*] [*]
2C7431 SECONDARY MED ST, PROTECTIVE N 48 [*] [*]
2C7432 VENTED SECONDARY MED ST,NEEDLE 48 [*] [*]
U 2C7441 SECONDARY MED SET, INTERLINK Y 48 [*] [*]
U 2C7442 VENTED SECONDARY MED SET, INTE 48 [*] [*]
2C7451 SECONDARY MED SET, INTERLINK L 48 [*] [*]
2C7452 INTERLINK VENTED SECONDARY MED 48 [*] [*]
2C7461 CL SEC MED SET 35" W/LL&HANGER 48 [*] [*]
2C7462 CL SECONDARY MED SET, LUERLOCK 48 [*] [*]
2C7505 BURETROL ADD-ON SET 150ML VALV 48 [*] [*]
U 2C7512 BURETROL SOLN SET 150ML XXXXXX 00 [*] [*]
2C7524 BURETROL SOLN SET 150ML BURETT 48 [*] [*]
U 2C7532 BURETROL SOLN SET 150ML BURETT 48 [*] [*]
2C7534 BURETROL SOLN SET 150ML BURETT 48 [*] [*]
2C7542 BURETROL SOLN VALVELESS 3 INJ 12 [*] [*]
2C7546 BURETROL (R) SOLN SET 150ML BU 48 [*] [*]
2C7552 VENTED NITRO SET PVC TBG SEGME 48 [*] [*]
2C7554 BASIC SOLN SET FOR EPIDUAL ADM 48 [*] [*]
2C7564 INTERLINK SYSTEM BURETROL SOLN 48 [*] [*]
2C7590 EXTENSIONSET 48 [*] [*]
2C7591 EXTENSION SET 48 [*] [*]
2C7592 BASIC SET, 60, C.A.F. 48 [*] [*]
2C7594 BASIC SET 48 [*] [*]
U 2C7600 STRAIGHT TYPE BLOOD SET STANDA 48 [*] [*]
U 2C7604 STRAIGHT TYPE BLOOD SET STANDA 48 [*] [*]
U 2C7605 STR TYPE BLD SET STD BLOOD FLT 48 [*] [*]
U 2C7606 STRAIGHT TYPE BLOOD SET W/PRES 48 [*] [*]
U 2C7607 Y-TYPE BLOOD / SOLUTION SET ST 48 [*] [*]
U 2C7610 Y-TYPE BLD/SOL SET, STANDARD B 48 [*] [*]
U 2C7613 Y-TYPE BLOOD SOLUTION SET WITH 48 [*] [*]
U 2C7614 Y-TYPE BLOOD/SOLUTION SET LARG 48 [*] [*]
U 2C7617 Y-TYPE BLOOD SOLN SET 80 MICRO 48 [*] [*]
U 2C7619 BLOOD COLLECTION SET DETACHED 48 [*] [*]
U 2C7620 Y-TYPE BLOOD SOLUTION SET 48 [*] [*]
2C7831 NEEDLE*LOCK DEVICE PROTECTIVE 200 [*] [*]
2C7833 NEEDLE*LOCK DEVICE PROTECTIVE 200 [*] [*]
2C8401 XXXXXX LAV SOLUTION SET Y 6" 48 [*] [*]
2C8402 SOLN SET, LUER ACTIVATED VALVE 48 [*] [*]
2C8419 VENTED SOLN. SET LUER ACTIVATE 48 [*] [*]
2C8425 CLEARLINK BASIC SOLUTION SET - 48 [*] [*]
2C8515 CONTINU-FLO SOLN SET W/1 CL Y 48 [*] [*]
2C8519 CL CONTINU-FLO SOLN SET, 2 LAV 48 [*] [*]
U = Limited inventory available Page 17 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
---------------------------------------------------------------------------------------------------------------
2C8537 CONTINU-FLO SOLN. SET, 3 LUER 48 [*] [*]
2C8541 CLEARLINK DUO-VENT C-FLO SET 48 [*] [*]
2C8548 CLEARLINK VENTED MINIDRIP 48 [*] [*]
2C8571 CLEARLINK SYSTEM CONTINU-FLO 48 [*] [*]
2C8593 CLEARLINK C-FLO SET, 10DPM NV 48 [*] [*]
2C8606 CL SYSTEM EXT SET 2 LUER ACT 48 [*] [*]
2C8610 CL SYSTEM EXT SET LUER ACT 48 [*] [*]
2C8612 CLEARLINK EXTENSION SET, 2INJ 48 [*] [*]
2C8632 CL SYSTEM EXT SET/LUER 48 [*] [*]
2C8634 EXT. SET, LUER ACTIVATED VALVE 48 [*] [*]
2C8671 CLEARLINK SYSTEM EXT SET .22 48 [*] [*]
2C8720 CLEARLINK SYSTEM Y-TYPE BLOOD/ 48 [*] [*]
2C8750 CLEARLINK SYSTEM Y-TYPE BLOOD/ 48 [*] [*]
2C8819 CL BURETROL W/BALL VALVE DRIP 20 [*] [*]
2C8851 CL VENTED NITRO SET W/DUO VENT 48 [*] [*]
2C8857 VENTED PACLITAXEL SET W/POLY 48 [*] [*]
2C8860 CLEARLINK BURETROL SOLUTION 48 [*] [*]
2C8864 CLEARLINK BURETROL SOLUTION 48 [*] [*]
2C8865 CLEARLINK SYSTEM BURETROL ADD- 48 [*] [*]
2C8891 CLEARLINK SYSTEM EXTESION SET 48 [*] [*]
2C8895 CL CONTINU-FLO SOLN SET W/ 48 [*] [*]
2C9201 MICROBORE EXTENSION SET 60 [*] [*]
2C9203 MICROBORE EXTENSION SET 60 [*] [*]
2C9204 MICROBORE EXTENSION SET 60 [*] [*]
2C9293 AUTOMIX 3+3/AS COMPOUNDER XXXX 12 [*] [*]
U 2C9892 SECONDARY MED SET, LL, 37", 10 48 [*] [*]
U 2C9901 XXXXXX LAV SOLUTION SET, Y 6", 48 [*] [*]
U 2C9902 SOLN SET, LUER ACTIVATED VALVE 48 [*] [*]
U 2C9903 VENTED SOLN. SET LUER ACTIVATE 48 [*] [*]
U 2C9904 EXT. SET LUER ACTIVATED VALVE 48 [*] [*]
U 2C9905 CONTINU-FLO SOLN. SET, 3 LUER 48 [*] [*]
2C9906 CONTINU FLO SOLN SET 3LUER ACT 48 [*] [*]
U 2C9907 CONTINU FLO SOLN SET,2 LAVS L/ 48 [*] [*]
U 2C9908 EXT SET LUER ACTIVATED VALVE 48 [*] [*]
U 2C9909 EXT SET 2 LUER ACTIVATED VALVE 48 [*] [*]
U 2C9910 EXT. SET LUER ACTIVATED VALVE 48 [*] [*]
2D5604 5% OSMITROL INJ (5% MANNITOL I 12 [*] [*]
2D5613Q 10% OSMITROL INJ (10% MANNITOL 24 [*] [*]
2D5614 10% OSMITROL INJ (10% MANNITOL 12 [*] [*]
2D5623Q 15% OSMITROL INJ (15% MANNITOL 24 [*] [*]
2D5632Q 20% OSMITROL INJ (20% MANNITOL 36 [*] [*]
2D5633Q 20% OSMITROL INJ (20% MANNITOL 24 [*] [*]
2F7112 STERILE WATER FOR IRRIGATION, 24 [*] [*]
2F7113 STERILE WATER FOR IRRIGATION U 18 [*] [*]
U = Limited inventory available Page 18 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
-------------------------------------------------------------------------------------------------------------
2F7114 STERILE WATER FOR IRRIGATION, 12 [*] [*]
2F7115 STERILE WATER FOR IRRIGATION, 9 [*] [*]
2F7122 0.9% SODIUM CHLORIDE IRRIGATIO 24 [*] [*]
2F7123 0.9% SODIUM CHLORIDE IRRIGATIO 18 [*] [*]
2F7124 0.9% SODIUM CHLORIDE IRRIG SOL 12 [*] [*]
2F7125 0.9% SODIUM CHLORIDE IRRIGATIO 9 [*] [*]
2F7144 TIS-U-SOL SOLUTION 12 [*] [*]
2F7154 LACTATED RINGERS IRRIGATION 12 [*] [*]
2F7164 RINGER'S IRRIGATION, USP 12 [*] [*]
2F7184 0.25% ACETIC ACID IRRIGATION, 12 [*] [*]
U 2F7304 IRRIGATING SOLUTION G 12 [*] [*]
2G3424 FAMOTIDINE INJECTION IN GALAXY 48 [*] [*]
2G3502 500MG CEFAZOLIN INJ, ISO-OSMOTI 24 [*] [*]
2G3503 1G CEFAZOLIN INJ, ISO-OSMOTIC 24 [*] [*]
2G3518 1G CLAFORAN (CEFOTAXIME SOD IN 24 [*] [*]
2G3519 2G CLAFORAN (CEFOTAXIME SOD IN 24 [*] [*]
U 2G3520 1G CEFOBID (CEFOPERAZONE SOD I 24 [*] [*]
U 2G3521 2G CEFOBID (CEFOPERAZONE SOD I 24 [*] [*]
2G3524 1G CEFTRIAXONE SOD INJ, 50ML I 24 [*] [*]
2G3525 2G CEFTRIAXONE SOD INJ, 50ML IS 24 [*] [*]
2G3538 1G BACTOCILL(OXACILLIN SOD INJ 24 [*] [*]
2G3539 2G BACTOCILL(OXACILLIN SOD INJ 24 [*] [*]
2G3540 1G NALLPEN(NAFCILLIN SOD INJ)I 24 [*] [*]
2G3542 1MU PENICILLIN G POTASSIUM INJ 24 [*] [*]
2G3543 2MU PENICILLIN G POTASSIUM INJ 24 [*] [*]
2G3544 3MU PENICILLIN G POTASSIUM INJ 24 [*] [*]
2G3551 VANCOCIN HCL (VANCOMYCIN INJEC 12 [*] [*]
2G3552 VANCOCIN HCL (VANCOMYCIN INJEC 6 [*] [*]
U 2G3553 1G/50ML TAZICEF (CEFTAZIDIME S 24 [*] [*]
U 2G3554 2G/50ML TAZICEF (CEFTAZIDIME S 24 [*] [*]
2G3556 2G IN 100ML NAFCILLIN SODIUM I 12 [*] [*]
2H6519 IL NON-DEHP SOL SET 48 [*] [*]
2H6480 IL NON-DEHP SOL SET 10 DPM .22 48 [*] [*]
2H7451 IL NON-DEHP SEC. MED SET 48 [*] [*]
2H7462 CL NON-DEHP SEC. MED SET LUER 48 [*] [*]
2H7463 CL NON-DEHP SEC MED SET 60DPM 48 [*] [*]
2H8401 CL NON-DEHP SOLUTION SET 10DPM 48 [*] [*]
2H8480 CL NON-DEHP SOL SET 10 DPM .22 48 [*] [*]
2H8519 CLEARLINK SYSTEM XXX-XXXX 00 [*] [*]
2H8603 CLEARLINK 1.2 MICRON EXTENSION 48 [*] [*]
2J0900 MILRINONE LACTATE 20MG/100ML 10 [*] [*]
2J0901 MILRINONE LACTATE 40MG/200ML 10 [*] [*]
2J8002 NON-DEHP FLUID PATH XXXXXXXX 48 [*] [*]
2J8003 NON-DEHP FLUID PATH XXXXXXXX 48 [*] [*]
U = Limited inventory available Page 19 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
--------------------------------------------------------------------------------------------------------------
2K0903 0.9% SOD CHLORIDE FLUSH SYR 180 [*] [*]
2K0905 0.9% SOD CHLORIDE FLUSH SYR 180 [*] [*]
2K0906 0.9% SOD CHLORIDE FLUSH SYR 180 [*] [*]
2K6026 10U/ML HEPARIN LOCK FLUSH SYRI 180 [*] [*]
2K6030 10U/ML HEPARIN LOCK FLUSH SYRI 180 [*] [*]
U 2K6046 100U/ML HEPARIN LOCK FLUSH SYR 180 [*] [*]
2K6049 100 U/ML HEPARIN 3ML FILL IN A 180 [*] [*]
2K6050 100 U/ML HEPARIN LOCK FLUSH SY 180 [*] [*]
2L3257 2L3257, RESERVOIR, DRUG 250 ML 10 [*] [*]
2L3260 CISATRACURIUM SMART LABEL 1 [*] [*]
U 2L3267 REMIFENTIANIC-PEDIACTRIC DOSE 1 [*] [*]
2L3506 ANTI-REFLEC Y-SET 8" 50 [*] [*]
2L9352 LOCK BOX - HOLDS PUMP & UP TO 1 [*] [*]
2M8074 5-INCH LABELS FOR USE WITH AUT 3000 [*] [*]
2M8171 BARD MINI-INFUSER 300 XL PUMP 1 [*] [*]
U 2N1102 QUIK-CATH CATHETER W/SYRINGE, 200 [*] [*]
U 2N1103 QUIK-CATH CATHETER W/SYRINGE 2 200 [*] [*]
U 2N1104 QUIK-CATH CATHETER W/SYRINGE, 200 [*] [*]
U 2N1106 QUIK-CATH CATHETER W/SYRINGE, 200 [*] [*]
U 2N1107R QUIK-CATH CATHETER W/SYRINGE, 200 [*] [*]
U 2N1110 QUIK CATH CATHETER W/LUER PLUG 200 [*] [*]
U 2N1111 QUIK-CATH CATHETER W/LUER PLUG 200 [*] [*]
2N1112 QUIK-CATH CATHETER W/LUER PLUG 200 [*] [*]
U 2N1113 QUIK-CATH CATHETER W/LUER PLUG 200 [*] [*]
U 2N1114 QUIK-CATH CATHETER W/LUER PLUG 200 [*] [*]
U 2N1115 QUIK-CATH CATHETER W/LUER PLUG 200 [*] [*]
U 2N1116 QUIK-CATH CATHETER W/LUER PLUG 200 [*] [*]
U 2N1117R QUIK-CATH CATHETER W/LUER PLUG 200 [*] [*]
U 2N1144 WINGLESS QUIK CATH 18 GA X 1-1 200 [*] [*]
U 2N1145 WINGLESS QUIK CATH 20 GA X 1-1 200 [*] [*]
U 2N1171 FLASH-CATH CATHETER W/LUER PLU 200 [*] [*]
U 2N1174 FLASH-CATH CATHETER W/LUER PLU 200 [*] [*]
U 2N1175 FLASH-CAIH CATHETER W/LUER PLU 200 [*] [*]
U 2N1176 FLASH-CATH CATHETER W/LUER PLU 200 [*] [*]
U 2N1177 FLASH CATH CATHETER W/LUER PLU 200 [*] [*]
U 2N1178 FLASH-CATH W/LUER PLUG 20 GA X 200 [*] [*]
2N1190 I.V. CATHETER EXTENSION SET/MA 50 [*] [*]
2N1191 Y-TYPE CATHETER EXTENSION SET/ 50 [*] [*]
2N1192 I.V. CONN LOOP/MALE LUER SLIP 50 [*] [*]
2N1194 I.V. CATHETER EXT XXX/XXXX XXX 00 [*] [*]
U 2N1198 INJECTION SITE, LONG LUER LOCK 200 [*] [*]
U 2N1199 INJECTION SITE, LUER LOCK 200 [*] [*]
2N1201 IV CATH EXT SET/MALE LUER ADAP 50 [*] [*]
U 2N1221 QUIKKIT/NO CATH I, I V START K 100 [*] [*]
U = Limited inventory available Page 20 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
--------------------------------------------------------------------------------------------------------------
U 2N1224 QUIK KIT/NO CATH IV IV START K 100 [*] [*]
2N3326 INTERLINK T-CON EXT SET/MICRO- 200 [*] [*]
2N3327 INTERLINK T-CON EXT SET/MACRO- 200 [*] [*]
2N3328 INTERLINK T-CON EXT SET/MICRO- 200 [*] [*]
2N3334 THREE-WAY CONNECTOR 200 [*] [*]
2N3335 3-LEAD EXTENSION SET INTERLINK 50 [*] [*]
2N3339 INTERLINK RETRACTABLE T-CONN EXT 200 [*] [*]
2N3341 3 LEAD EXTENSION SET W/INTERLI 200 [*] [*]
2N3345 36" MICRO VOLUME EXTENSION SET 50 [*] [*]
2N3347 36" MICRO VOLUME EXT. SET 0.22 50 [*] [*]
2N3348 60" MICRO VOLUME EXTENSION SET 50 [*] [*]
2N3349 60" HIGH FLOW RATE EXTENSION S 50 [*] [*]
2N3350 60" MICRO VOLUME EXT. SET 0.22 50 [*] [*]
2N3351 INTERLINK SYSTEM 60" MICRO VOL 50 [*] [*]
2N3370 INTERLINK I.V. CATH. EXT SET/M 200 [*] [*]
2N3371 Y TYPE MICRO EXT SET 200 [*] [*]
2N3372 INTERLINK I.V. CONN LOOP/MALE 200 [*] [*]
2N3374 INTERLINK I.V. CATHETER EXT SE 200 [*] [*]
2N3375 INTERLINK IV CATH EXT SET/MALE 200 [*] [*]
2N3379 INTERLINK TM INJECTION SITE 800 [*] [*]
2N3394 INTERLINK VIAL ADAPTER 200 [*] [*]
2N3395 MULTIDSE VIALADAPTOR 2X120/CT 240 [*] [*]
2N3399 INTERLINK INJECTION SITE 200 [*] [*]
2N3400 INTERLINK SYSTEM ADAPTER FOR 240 [*] [*]
2N3700 XXXXX NEEDLE EXTENSION SET - M 25 [*] [*]
2N3706 XXXXX NEEDLE EXTENSION SET WIT 25 [*] [*]
2N3707 XXXXX NEEDLE EXTENSION SET WIT 25 [*] [*]
2N3708 XXXXX NEEDLE EXTENSION SET WIT 25 [*] [*]
2N3709 XXXXX NEEDLE EXTENSION SET 25 [*] [*]
2N3710 XXXXX NEEDLE EXTENSION SET WIT 25 [*] [*]
2N3712 XXXXX NEEDLE EXTENSION SET 25 [*] [*]
2N3714 XXXXX NEEDLE EXTENSION SET WIT 25 [*] [*]
2N3716 XXXXX NEEDLE EXTENSION SET WIT 25 [*] [*]
2N8300 CL SYS. NDL LOCK DEV PROTECTIV 200 [*] [*]
2N8334 CL 3-PORT ADAPTER 200 [*] [*]
2N8371 CLEARLNK SYSTEM Y-TYPE CATH SE 200 [*] [*]
2N8373 CLEARLINK NON-DEHP I.V. CONN/ 200 [*] [*]
2N8374 CL SYSTEM CATHETER EXT SET/XXX 50 [*] [*]
2N8377 CL SYSTEM Y-TYPE CATH. EXT 50 [*] [*]
0X0000 XX XXXXXXXX XXX XXX/XXXX XXX. 50 [*] [*]
2N8395 CLEARLINK UNIVERSAL VIAL 200 [*] [*]
2N8399 LUER ACTIVATED VALVE FOR IV 200 [*] [*]
2N9050 POSIFLOW ACCESS DEVICE FOR IV 200 [*] [*]
2N9051 POSIFLOW CATH EXT SET, LL, 6" 50 [*] [*]
U = Limited inventory available Page 21 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
---------------------------------------------------------------------------------------------------------------
2N9052 POSIFLOW CATH EXT SET, LS, 6" 50 [*] [*]
2N9053 IV CATH EXT SET/MALE LL ADAPTE 50 [*] [*]
2N9054 Y TYPE CATH EXT SET/MALE WITH 50 [*] [*]
2N9055 MINIVOLUME EXT-SET W/POSIFLOW 48 [*] [*]
2N9057 POSIFLOW T-CONNECTOR EXTENSION 50 [*] [*]
2N9106 CHEMO PIN W/FEMALE LUER 50 [*] [*]
U 2N9182 LUER ACTIVATED VALVE FOR IV 200 [*] [*]
X 0X0000 XXXXXXXX XXX SET W/LUER ACTIVA 50 [*] [*]
X 0X0000 XXXXXXXX XXX SET /LUER XXXXXXX 00 [*] [*]
X 0X0000 X XXXX XXXX XXX SET/LUER ACTIV 50 [*] [*]
2N9193K STATLOCK PEDIATRIC CATH EXT 25 [*] [*]
2N9194K XXXXXXXX XXXX XXX SET W/ 25 [*] [*]
2N9195K STATLOCK MICROBORE CATH EXT 25 [*] [*]
2N9196K XXXXXXXX XXXXXX XXXX XXX SET 25 [*] [*]
2N9197K STATLOCK TANDEM MICROBORE CATH 25 [*] [*]
2N9198K STATLOCK MICROBORE T-CONNECTOR 25 [*] [*]
2N9199K STATLOCK TANDEM MICROBORE T- 25 [*] [*]
2N9200K STATLOCK TANDEM MICROBORE CATH 25 [*] [*]
2N9201K STATLOCK TANDEM EXT SET, 1 IL 25 [*] [*]
2N9202K STATLOCK TANDEM EXT SET W/2 IL 25 [*] [*]
2N9203K STATLOCK TANDEM MICROBORE EXT 25 [*] [*]
4C6772 I/L Y-TYPE BLD/SOL SET 48 [*] [*]
4C7700 FENWAL 20 MICRON HIGH CAPACITY 24 [*] [*]
U 4C7701 FNEWAL 20 MICRON PEDIATRIC TRA 48 [*] [*]
U 4C7702 FENWAL 20 MICRON PEDIATRIC TRA 24 [*] [*]
U 4C7704 FENWAL STR TYPE BLD SET HCAP 2 12 [*] [*]
U 4C7709 FENWAL BLOOD SET 12 [*] [*]
U 4C7712 FENWAL Y-TYPE BLD/SOL SET X/XX 00 [*] [*]
U 4C7740 FENWAL LG. 80 MICRON TRANSFUSI 48 [*] [*]
U 4C7744 FENWALL STRAIGHT TYPE BLOOD SE 48 [*] [*]
4C7750 FENWAL ADD-ON LARGE STD BLOOD 48 [*] [*]
U 4C7752 FENWAL Y-TYPE BLD/SOL SET W/80 48 [*] [*]
U 4C7753 FENWAL VENT Y-TYPE BLD/SOL SET 48 [*] [*]
U 4C7762 FENWAL STRAIGHT TYPE BLOOD SET 48 [*] [*]
U 4C7772 FENWAL Y-TYPE BLD/SOL SET W/LA 48 [*] [*]
U 4C7773 FENWAL VENTED Y-TYPE BLD/SOL S 48 [*] [*]
U 4C7774 FENWAL Y-TYPE BLD/SOL SET W/LG 48 [*] [*]
U 4C7776 Y-TYPE BLD/SOLN SET W/LG BORE 48 [*] [*]
4C7776A FENWAL Y-TYPE BLD/SOLN SET W/L 48 [*] [*]
U 4C7784 FENWAL 3 LEAD BLOOD/SOLN SET W 48 [*] [*]
U 4C7789 BLOOD WARMING COIL EXTENSION S 48 [*] [*]
4C8030 FENWAL 40/150 MICRON DUAL SCRE 48 [*] [*]
4C8032 FENWAL STRAIGHT BLOOD W/ 40/15 48 [*] [*]
4C8038 FENWAL Y-TYPE BLD SET W/DUAL S 48 [*] [*]
U = Limited inventory available Page 22 of 23 Confidential
CORAM, INC. XXXXXX HEALTHCARE OCTOBER 1, 0000
XXXXXX, XX MEDICATION DELIVERY DIVISION
34251865 PURCHASE AGREEMENT
PRODUCT CODE DESCRIPTION P/F EACH PRICE CASE PRICE
----------------------------------------------------------------------------------------------------------------
4C8723 CL FENWAL BLOOD SET Y-TYPE 48 [*] [*]
HL100 HUBERLOC XXXXX NEEDLE REMOVAL 100 [*] [*]
U PC1071K SINGLE-DAY INFUSOR 6 [*] [*]
U PC1073 INFUSOR, 5 ML/HR, PACKAGED 6 [*] [*]
U PC1073K INFUSOR 65 ML 5ML/HR 6 [*] [*]
U PC1075K TWO DAY INFUSOR 6 [*] [*]
U PC1080 MULTIDAY INFUSOR, 0.5 ML/HR, P 6 [*] [*]
U PC1080K MULTI-DAY INFUSOR 6 [*] [*]
U PC1082 SEVENDAY INFUSOR, 0.5 ML/HR, P 4 [*] [*]
U PC1082K SEVEN-DAY INFUSOR 4 [*] [*]
U PC1954 BASAL/BOLUS INFUSOR, 0.5 X 0.5 6 [*] [*]
U PC1955 BASAL/BOLUS INFUSOR, 0.5 X 2 ( 6 [*] [*]
U PC1955K BASAL BOLUS INFUSOR 15 MIN 6 [*] [*]
U RAS0512 XXXXX 0.9% SODIUM CHLORIDE 120 [*] [*]
UMC5400 BASIC SOLUTION SET, 20 DPM 50 [*] [*]
U = Limited inventory available Page 23 of 23 Confidential
[XXXXXX LOGO]
Schedule D
Coram, Inc.
Homecare Facility
Freezer Agreement
HEADQUARTERS: Coram, Inc. FACILITY SHIP TO:
ADDRESS: 0000 Xxxxxxxx Xxxxxx, Xxxxx 000 XXXXXXX:
Xxxxxx, XX 00000
ACCOUNT #: 00000000 ACCOUNT #:
ATTENTION: Xxxxx Xxxxxx ATTENTION:
Xxxxxx and Coram, Inc. ("Coram") entered into a Purchase Agreement dated October
15, 2003 ("Purchase Agreement"), under which Coram on behalf of its Owned
Facilities ("Facility") agreed to purchase products ("Products") from Baxter.
This
Freezer Agreement ("Schedule D") dated__, is between Xxxxxx Healthcare
Corporation, a Delaware Corporation, on behalf of itself and its affiliates,
("Baxter") and Xxxxx on behalf of the Facility. Subject to the provisions of
this Schedule D, Xxxxxx shall provide to Facility the Freezer equipment listed
("Freezer" or "Freezers").
1. DATES
The Effective Date of this Agreement shall be fifteen (15) calendar days from
the date that Xxxxxx countersigns this Agreement ("Commencement Date"), and
ending on September 30, 2006. The "Anniversary Date" of this Agreement shall be
October 1.
2. REQUIREMENTS
Xxxxxx and Facility acknowledge that Facility must store the Product below
certain temperature levels in order to maintain the Product's integrity, as
required by the Food and Drug Administration ("FDA"). Based upon Coram's
purchasing commitments in the Purchase Agreement, Xxxxxx will provide Facility
with the Freezer(s) listed in this Schedule D with the understanding that each
Freezer will be used solely to store and maintain the Product in accordance with
FDA requirements. Facility acknowledges the value of each Freezer as stated.
Facility further acknowledges that this dollar value is a "discount or other
reduction in price" on the Product under Section 1128B(b)(3)(A) of the Social
Security Act (42 U.S.C. 1320-a-7b(b)(3)(A)). Facility shall appropriately
reflect the discount or other reduction in price as required by that provision
or regulations promulgated thereunder.
MODEL NUMBER FREEZER DESCRIPTION DIMENSIONS VALUE
_________ DHF29-23SD One Door Freezer [*] [*]
_________ MV30-6UCF Under-the-Counter Freezer [*] [*]
3. OWNERSHIP OF FREEZER
Xxxxxx is the owner of the Freezer and Facility will sign informational UCC
filings if Xxxxxx wishes to file such to give notice of Xxxxxx'x ownership. Upon
expiration of this Agreement, title to the Freezer will transfer to Facility,
and the UCC filings shall be terminated by Xxxxxx and, if it fails to do so,
Coram is authorized to do so.
4. TAXES AND OTHER CHARGES
Facility agrees to pay all federal, state, and local taxes, license and
registration fees, freight and transportation charges and all similar costs
based on Facility's use of the Freezer, unless Facility is exempt from paying
any or all taxes that apply to this Freezer, in which case Facility must provide
Xxxxxx with the proper exemption certificates prior to the Effective Date of
this Agreement. Xxxxxx will pay all property taxes based on the Freezer to the
appropriate taxing authority and Facility will reimburse Xxxxxx for all such
payments promptly on request.
5. DISCLAIMER OF WARRANTIES
Xxxxxx warrants that the Freezer will conform to its published specifications
and be in good working order when delivered. XXXXXX MAKES NO OTHER WARRANTIES,
EXPRESS OR IMPLIED, INCLUDING ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR
PARTICULAR PURPOSE. XXXXXX SHALL HAVE NO LIABILITY TO FACILITY FOR CONSEQUENTIAL
Confidential
PAGE 1 OF 2
INCIDENTAL OR SPECIAL DAMAGES IN CONNECTION WITH FACILITY'S USE OF THE FREEZER.
Products distributed by Xxxxxx are warranted by their manufacturer.
6. LOCATION AND USE OF FREEZER
From the date of receipt of the Freezer, Facility agrees to use the Freezer only
for the purposes and according to the instructions indicated on the labeling or
otherwise included with the Freezer, and only for storage of Product.
Facility shall not modify the Freezer without Xxxxxx'x prior written consent,
and the Freezer shall remain personal property at all times, regardless of how
it is attached or installed. Facility shall be responsible for all consequences
of transfer or possession of the Freezer to any other party and for the
continued performance of all its obligations under this Agreement after any such
transfer.
7. LOSS OF FREEZER
From the date of receipt of Freezer until title transfers to Facility pursuant
to the terms of this Agreement, in the event of loss, theft, or destruction of
the Freezer, Facility will be charged a replacement cost.
8. INSURANCE
Facility agrees, at Facilities own cost and expense, to keep the Freezer fully
insured against loss from the date of receipt of the Freezer until title
transfers to Facility pursuant to the terms of this Agreement and to have Xxxxxx
named as loss payee on all such policies.
9. ASSIGNMENT
Facility has no right to sell, transfer, assign or sublease the Freezer or this
Agreement without Xxxxxx'x prior written consent, which shall not be
unreasonably withheld. Xxxxxx may sell, assign, encumber, or transfer this
Agreement to another party without consent from Facility.
10. RESPONSIBILITY
Facility acknowledges that the selection, possession, operation and use of the
Freezer are solely the Facility's responsibility. Therefore, Facility shall be
responsible for all liabilities, costs and expenses, including, but not limited
to, loss of Product, lawsuits and claims for personal injury and property damage
to the extent of, and arising out of, Facilities selection, possession,
operation or use of the Freezer. Facility agrees to hold Xxxxxx harmless against
any and all damages or injury associated with the selection, possession,
operation and use of the Freezer.
11. MISCELLANEOUS.
This Agreement is the entire agreement between Xxxxxx and Facility relating to
the Freezer and, in the event of conflict, supersedes all prior agreements, all
purchase orders, acknowledgment forms or other written documents submitted by
Facility, and all invoices of Xxxxxx related to the Freezer. It shall not be
changed or amended except by written agreement executed by both parties and this
Agreement shall not be valid or binding unless approved and accepted by Xxxxxx
at its home office. This Agreement shall be governed by and interpreted in
accordance with
Illinois law.
IN WITNESS WHEREOF, the undersigned duly authorized representatives of the
parties have executed this Agreement on the date below.
CORAM, INC. XXXXXX HEALTHCARE CORPORATION
By: /s/ Xxxxx Xxxxxx By: /s/ Xxxxxxx Xxxxxxxxx
------------------------------ -------------------------------
Print Name: Xxxxx Xxxxxx Print Name: Xxxxxxx Xxxxxxxxx
Title: Senior Vice President, MM Title: Sales Contract Administrator
Date: 12/23/2003 Date: 01-05-04
PAGE 2 OF 2
