Clinical Contract Crib Sheet

Clinical Contract Crib Sheet

January 10, 2011

Our contract crib sheets are a checklist of recent clinical contract announcements from Premier. For more detail, refer to Supply Chain Advisor or

Imaging/Materials Management – announcement that effective March 14, 2011, Philips Medical will begin charging for technical support of products not covered by warranty or support agreement.

Laboratories – announcement that Cepheid, PP-LA-226, is offering a promotion on PCR Molecular Diagnostic instruments and assays.

Promotion end date: March 31, 2011 / June 30, 2011

CURRENT
GeneXpert Customers
Price/test: $28.00/test
Minimum kit purchase: 5 kits
Program offer expires: March 31, 2011
Non-GeneXpert customers*
Price/test: $30.00/test
Minimum kit purchase: 30 kits
GeneXpert 16/4 provided with signed Instrument Loan Agreement and Reagent PO: March 31, 2011
Program offer expires: System buy-out or return by June 31, 2011

Contact name and phone number or hotline number for member inquiries:

Ken Gordon, director, corporate accounts, 609.284.5876

Surgical Services – announcement of new agreements for Vascular Grafts.

The existing contracts with Atrium (PP-OR-448), Maquet (PP-OR-449), Terumo (PP-OR-450) and W.L. Gore (PP-OR-451) expire March 31, 2011.

Effective April 1, 2011 though March 31, 2014

Supplier / New contract number / Expiring contract number
Atrium / PP-OR-723 / PP-OR-448
Maquet / PP-OR-724 / PP-OR-449
Terumo / PP-OR-725 / PP-OR-450
WL Gore / PP-OR-726 / PP-OR-451

Laboratories – announcement that Cepheid (PP-LA-226) is offering a promotion for PCR Molecular Diagnostic Instruments and Assays. Contact Ken Gordon, director, corporate accounts at 609.284.5876.

Laboratories – announcement of a Breakthroughs Award for Open Channel Reagnets: HIV Ag/Ab Assay Technology.

The agreement with Abbott Laboratories Inc. will be effective January 1, 2011,through March 31, 2013, making all contracts in the Open Channel Reagents category co-terminus. This new assay was determined by the Premier member Clinical Laboratory Services Committee to be unique in the marketplace. The assay is a combination test that detects HIV-1 antibodies, HIV-2 antibodies, and HIV-1 p24 antigen, allowing complete sensitivity across multiple strains and earlier detection of HIV infection.

Open Channel Reagents

Supplier / Contract number /
Effective dates
Abbott Laboratories Inc. / PP-LA-286 / 1/1/11 – 3/31/13
Siemens Healthcare Diagnostics Inc. / PP-LA-258 / 4/1/10 – 3/31/13

Laboratories RECALL – announcement that Abbott Point of Care (PP-LA-236) has initiated a recall on the specific lots of Cardiac Marker Control Levels 1, 2, 3 and Cardiac Marker Control Calibration Verification Sets. Lots M102081, M102082, M102083, M10208.

Abbott Point of Care has determined that for the above listed Cardiac Marker Controls and Calibration Verification fluid lots, results may be generated above the upper value assignment range for some vials. Internal studies have determined that the cause of the issue is CO2 emitted by dry ice, which penetrates into the vials (head space) during the shipment process that is the cause of the high results. Venting of the vials prior to thawing prevents the occurrence of high results.

Abbott Point of Care recommends that prior to thawing the vials from the lots listed above:

• Remove cap from vial.
• Squeeze vial 10 times, IMMEDIATELY when the vials are taken out of the freezer.
• The vial must be squeezed 10 times before the thawing process.
• Replace cap on vial.
• Follow remaining steps for use as outlined in section 14-12 of the iSTAT 1 System Manual (ART: 714376-00K).

Women and Children – announcement of a new agreement for BreastPump Equipment and Accessories.

Agreements effective April 1, 2011 through March 31, 2014

Evenflo / PP-WC-057 / PP-WC-007
Limerick (WBE)* / PP-WC-058 / New
Medela / PP-WC-056 / PP-WC-008

Women and Children – announcement that SmileMakers has cancelled/terminated their Premier agreement, effective January 31, 2011.

Surgical Services RECALL – announcement that ConMed Linvatec (PP-OR-639) has issued a recall of a Micro Sagittal Blade, catalog # 5032-138. These products may have a breach in the seal between the Tyvek lid and tray, which could potentially comprise the sterility of the device.

Surgical Services RECALL – announcement that Integra Surgical (PP-OR-611) has issued a voluntary recall of specific part numbers of the Jarit Secure-Cut Reposable Scissors.

Effective immediately, members should cease using all products with the affected associated product codes. The impacted product codes are 625-050 and 625-051. This recall has been initiated as Integra Surgical has received reports instances where the outer shaft sheath has advanced forward during reprocessing and thus occluded access to the threads where the disposable scissor tips would attach. Tip part numbers 625-060, 625-061, 625-062, 625-063 are rendered obsolete and discontinued due to the handle recall.

This recall is being conducted with the knowledge of the U.S. Food and Drug Administration. Members who have been shipped product from any of the affected lots have been notified of this recall.

Surgical Services – announcement that Prestige Ameritech as added it new ProGear N95 Respirator to agreement PP-OR-705. This N95 respirator has the highest fluid-resistance rating available.

Surgical Services – reminder that Angiodynamics (PP-OR-728) has been added to the Implantable Infusion Ports agreement, effective December 1, 2010. PMDF or price activation is required.

Nursing – announcement of new agreements for Negative Pressure Wound Therapy. Clinical Field Guide is available upon request. Call your Client Services Executive to request.

Agreements effective March 1, 2011 – May 31, 2013

Supplier / New Contract / Expiring Contract
KCI / PP-NS-651 / PP-NS-438
Smith & Nephew / PP-NS-652 / PP-NS-437

Nursing – announcement that Baxter Healthcare Corporation has notified Premier that they will be implementing an annual inflation price increase. Increases involve IV therapy agreements (PP-IV-013, PP-IV-023, PP-IV-033, PP-IV-043), effective February 1, 2011. Tiers 1 through 5 will have a 4 percent increase and pricing will increase by 3 percent in Tiers 6-8. The total in aggregate impact of this price increase to the membership is 3.3 percent.

Nursing – announcement that KCI V.A.C. VIA therapy system has be added to the Negative Pressure Wound Therapy agreement PP-NS-438, effective November 15, 2010. This seven-day disposable system offers portable therapy and allows for earlier patient discharge by reducing or eliminating the need for insurance authorizations.

As a special introduction, KCI will provide a rebate for each VPC card submitted the day after the patient placement of $50 for fax or phone submissions and $100 for KCI Express submissions. The offer ends December 31, 2011. Please reference Exhibits P-1 and P-2 in Supply Chain Advisor® for details.

Nursing – announcement that Edwards Lifesciences has announced a new kitting and distribution agreement with Centurion Medical Products. Products are available through Premier agreements PP-NS-508 Invasive Hemodynamic Monitoring Products and Accessories and PP-NS-526 Central Venous Access Products. This transition of products to Centurion affects the Access product

portfolio, which includes the following Edwards products: Multi-Med™, Vantex™, Introflex™, and AVA Advanced Venous Access.

Order placement is now with Centurion. Please call 800.248.4058 for all Access orders as well as fax, GHX and all other EDI orders. Distribution customers may continue to contact their distributors as usual.

Laboratories – announcement of new agreements for Quality Control Material.

Agreements effective April 1, 2011, through March 31, 2014

Supplier / New
contract number /
Previous
contract number
Bio-Rad Laboratories Inc. / PP-LA-284 / PP-LA-224
Randox Laboratories Ltd. / PP-LA-285 / NEW

Laboratories – announcement of a new agreement for Platelet Function, Analyzers, Reagents, Consumable and Services. The new contract provides savings over the expiring agreement for both reagents and instruments.

Agreements effective April 1, 2011, through March 31, 2014

Supplier / New
contract number /
Previous
contract number
Siemens Healthcare Diagnostics Inc. / PP-LA-283 / PP-LA-223

Imaging – announcement of a new contract category, Radiation Therapy. The Suppliers in this category offer products used to capture the equivalent does for individual exposed to radiation such as occupational personnel, patients and emergency response teams.

Agreements effective January 1, 2011, through December 31, 2013

Supplier / New
contract number / Previous
contract number
Landauer Inc. / PP-IM-152 / NEW
Radiation Detection Company* / PP-IM-153 / NEW

Surgical Services – announcement that Premier has been notified by Integra LifeSciences (PP-OR-478) of their intention to implement an annual price increase of 3% effective January 1, 2011

Recall Surgical Services – announcement that Covidien (PP-OR-664), formerly Valleylab) has issued a voluntary recall of specific lot numbers of their Ligasure Blunt tip Laparoscopic Sealer/Divider.

Effective immediately, members should cease using all products with the affected lot numbers and associated product codes. The impacted product codes 188856, 190048, 190107,190307 and 193333. This recall has been initiated as Covidien has received reports that during surgical procedures, the device may energize when clamping without pushing the activation button.

This recall is being conducted with the knowledge of the U.S. Food and Drug Administration. Customers who have been shipped product from any of the affected lots have been notified of this recall.

Suggested actions:

• Stop using affected product immediately.
• Quarantine and remove all stock on hand.
• Arrange for product returns.
• Complete the Domestic Response Form.

Surgical Services – announcement that Davol Inc. (PP-OR-673) will increase Tier 1 prices for their Surgical Mesh effective January 1, 2011. The increase will be 3% for all but 9 products.

Surgical Services – announcement of new agreements for Arthroscopy Fluid Waste Management has been awarded, effective March 1, 2011 through February 28, 2014.

Supplier / New contract number / Expiring contract number
Aspen / PP-OR-719 / PP-OR-441
ConMed / PP-OR-720 / PP-OR-440
LDI Corporation / PP-OR-721 / New

These products included in this category include suction devices, accessories and absorbent floor pads. These devices are used to remove fluid from the operating room floor during the surgical procedure. These products keep the area dry, prevent equipment damage, keep the area free of contamination, and help prevent staff falls on wet floors. The suction devices tubing is purchased separately and attaches to the suction canister.

Surgical Services – announcement that Davol Inc. has added Ventalight ST surgical mesh to agreement PP-OR-673. This offering for those surgeons who clinically support the need for lighter weight mesh (below 52 grams per metered square) for the repair of ventral hernias.

Surgical Services – announcement that B. Braun has been added to the Regional Anesthesia Trays and Related Products agreement effective November 22, 2010 along with Arrow International, BD and Company and Smith Medical. All agreements expire January 31, 2013.

Surgical Services – announcement that B. Braun has been added to the Pain Management – Local Anesthesia agreement effective November 22, 2010 along with Curlin Medical, I-Flow Corp, MPS Acacia and Stryker instruments. All agreements expire in May 31, 2010.

Surgical Services – announcement that AngioDynamics Inc., PP-OR-728, has been added to the Implantable Infusion Port agreement along with Bard

Access Systems, Medical Components, Navilyst Medical and Smith Medical. These agreements are effective through October 31, 2013.

Nursing – announcement that the Kimberly-Clark KimVent 24-Hour Oral Care q2 and q4 kits with CHG have now been added to Premier agreements PP-NS-604 effective December 1, 2010. The Kimberly-Clark KimVent 24-Hour Oral Care q2 and q4 kits with CHG are comprehensive, flexible, easy-to-use systems that contain everything needed to clean, debride, suction and moisturize

Nursing – announcement that the Compression Therapy Concepts (CTC) VasoPress Supreme Mini pump model VP500DM has been added to agreement PP-NS-576, effective October 1, 2010. This product allows for portability and versatility of transport in a smaller battery pump.

RECALL Nursing – announcement of a SIGMA Spectrum Infusion Pump Model 35700Recall.

The SIGMA Spectrum Infusion Pump is intended for the delivery of fluids, solutions, drugs, agents, nutritionals, electrolytes, blood and blood products via parenteral, enteral, intravenous, intra-arterial, subcutaneous, epidural, or irrigation routes of administration.

These units may fail suddenly causing inaccurate flow conditions during use, ranging from back flow to over-infusion, including free flow. The pump does not issue an alarm when this occurs. These conditions could result in serious injury or death. For further details, please visit FDA's website.

Surgical Services – announcement that Ecolab Inc. (PP-OR-534) will discontinue ENDURE 450 Waterless Hand Scrub. This will immediately affect the following product codes:

• Item # 61094501: Endure 450 6-1000mL
• Item # 61094510: Endure 450 72-4oz
• Item # 61094520 : Endure 450 6-1000mL (bag)

There are several viable alternatives on Premier agreements. Refer to the Cross Reference in Supply Chain Advisor.

Surgical Services – announcement that Covidien Price Protection on previous surgical energy agreement ends November 30, 2010. Effective December 1, 2010, pricing at Tier 1 will change and will be subject to future price increases.

Pricing is firm for the first two years, with a 2 percent increase in the third year. The agreement allows for a 5 percent increase for Tier 1 and a 3 percent increase for Tiers 2-4 in the fourth year. Today, some products at Tier 1 pricing will be lower than the higher tiers. There are no changes to Tier 2, Tier 3 and Tier 4 prices in the new surgical energy agreement, PP-OR-664.

Surgical Services – announcement that Surgical and Specialty Blades agreements are transitioning away from BD.

In a letter dated June 8, 2010, Becton, Dickinson and Company (BD) announced its intent to sell certain assets of the BD Medical segment, including its surgical and specialty blades platforms. The surgical and specialty blades business has now been sold to Roundtable Healthcare Partners. Two of Roundtable’s subsidiaries, Aspen Surgical Products and Beaver-Visitec International, will assume contracts PP-OR-653 (surgical blades) and PP-OR-468 (ophthalmology) in full with no changes in terms. The contract assignment to Aspen Surgical for PP-OR-653 has been completed and the assignment to Beaver-Visitec for PP-OR-468 will be completed. Members should continue to operate as normal in regards to both agreements.

What to expect during the transition:

• BD will continue servicing both agreements until the other entities assume full operation.
• Distribution orders should remain seamless.
• This primarily pertains to direct orders.

Current Becton, Dickinson and Company (PP-OR-468 and PP-OR-653) details are available in Premier’s electronic catalog.

Nursing – announcement that Teleflex has added the ArrowEVOLUTION PICC to Premier agreement PP-NS-527. This new peripherally inserted catheter (PICC) is designed to provide an initial burst of chlorhexidine after insertion to protect the subcutaneous tract.

Nursing – announcement of new agreements for Adhesive Skins Closures effective February 1, 2011. Products in this category include adhesive tape-like strips for use in supporting the closure of a skin wound/laceration such as Steri-StripTM and Butterfly strips. It also includes Tincture of Benzoin, which is often applied to skin before applying tape or other adhesive bandages

Nursing – announcement of new agreements for Tape products and CohesiveBandages. Tape products are strips of a variety of strong woven fabric or other materials used to bind and hold bandages in place. Cohesive bandages are self-

adherent elastic wraps that function like tape but stick to themselves and not the skin.

Effective February 1, 2011 through January 31, 2014

Supplier / New Contract / Previous Contract
3M Company / PP-NS-641 / PP-NS-467
Andover Healhcare Inc. (SBE) / PP-NS-642 / NEW

Nursing – announcement of new agreements for Transparent Dressings. This category includes dressings that are used predominantly to cover catheter sites and secure devices to the skin while allowing visibility of the site. These dressing provide a bacterial and viral barrier over the site.

Effective February 1, 2011 through January 31, 2014

Supplier / New Contract / Previous Contract
3M Company / PP-NS-639 / PP-NS-469
AMD-Ritmed Inc. (SBE) / PP-NS-640 / NEW

Recall Surgical Services – announcement that Arrow International has issued a voluntary recall for certain single shot epidural kits, basic venous access kits and arterial line kits. Some of the outer trays used in the packaging of the above products were found to have cracks. Therefore, the packaging may have been compromised, and sterility of the product cannot be guaranteed. If non-sterile product is issued, there is a potential for infection to occur. Contact your Sales Representative for details regarding lot numbers.

Materials Management – announcement of a new agreement for Peak Use Rental Equipment with incumbent Universal Hospital Services Inc. (UHS).

The agreement is effective December 1, 2010 through November 30, 2010.

Supplier / New contract number / Expiring contract number
UHS / PP-MM-125 / PP-MM-031

Imaging – announcement that Rays (PP-IM-134) is offering promotional discounts off professional fees for teleradiology services, effective November 9, 2010 through March 1, 20ll.

Surgical Services – announcement that Alliant has added new products to its open heart disposable supply agreement (PP-OR-379). Please refer to Supply Chain Advisor for details.

Surgical Services – announcement of new agreements for Sterile Reprocessing have been awarded to the current incumbents, effective February 1, 2011 through January 31, 2014.

Supplier / New contract number / Expiring contract number / Effective dates
Ascent / PP-OR-712 / PP-OR-434 / February 1, 2011 -
January 31, 2014
SterilMed / PP-OR-713 / PP-OR-433