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ICU Medical Contact and Product List (EXHIBIT A) ICU MEDICAL CONTACT LIST Effective February 27, 2017 Need Assistance For Call Us Email Us FAX Healthcare providers’ inquiries, questions or issues related to orders, shipping, discrepancy reports, requests for certificates, Safety Data Sheets, and sales representative request. Customer Care: 1-877-946-7747 Option 1, then prompt 1 Monday through Friday 7:00 a.m. to 6:00 p.m. CST [email protected] 262-577-6917 Medical/Surgical distributors’ and wholesalers’ inquiries related to order/shipping inquiries, discrepancy reports, requests for certificates, Safety Data Sheets, and sales representative request. Customer Care: 1-877-946-7747 Option 1, then prompt 2 Monday through Friday 7:00 a.m. to 5:00 p.m. CST [email protected] 262-577-6912 Infusion Systems pump orders, shipping questions, serial number tracking, warranty information and sales representative request. Customer Care: 1-877-946-7747 Option 1, then prompt 4 Monday through Friday 7:00 a.m. to 5:15 p.m. CST [email protected] 262-577-6914 Puerto Rico healthcare providers’ and Medical/Surgical distributors’ and wholesalers’ inquiries related to order/shipping inquiries, discrepancy reports. Customer Care: 1-888-833-6390 Option 1 Monday through Friday 8:30 a.m. to 3:30 p.m. CST [email protected] 888-833-6451 SetSource® inquiries, questions or issues. Customer Care: 1-877-946-7747 Option 1, then prompt 1 Monday through Friday 7:30 a.m. to 4:00 p.m. CST [email protected] 262-577-6917 Plant Delivery inquiries, questions or issues. Customer Care: 1-877-946-7747 Option 1, then prompt 6 Monday through Friday 7:00 a.m. to 3:30 p.m. CST [email protected] 262-577-6917 Government order requests and shipping inquiries. Customer Care: 1-877-946-7747 Option 1, then prompt 1 Monday through Friday 7:00 a.m. to 4:30 p.m. CST [email protected] 262-577-6917 Healthcare providers’ inquiries, questions or issue for solutions or consumable products in short supply. Allocations Team: 1-844-804-4677 Option 1 Monday through Friday 7:00 a.m. to 4:30 p.m. CST [email protected] 262-577-6917 e.Hospira issues or questions. Customer Care: 1-877-946-7747 Option 1, then prompt 5 Monday through Friday 7:00 a.m. to 4:30 p.m. CST [email protected] 262-577-6917

ICU Medical Contact and Product List (EXHIBIT A) Care Customer Letter_v… · ICU Medical Contact and Product List (EXHIBIT A) ICU MEDICAL CONTACT LIST . Effective February 27, 2017

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Page 1: ICU Medical Contact and Product List (EXHIBIT A) Care Customer Letter_v… · ICU Medical Contact and Product List (EXHIBIT A) ICU MEDICAL CONTACT LIST . Effective February 27, 2017

ICU Medical Contact and Product List

(EXHIBIT A)

ICU MEDICAL CONTACT LIST Effective February 27, 2017

Need Assistance For Call Us Email Us FAX

Healthcare providers’ inquiries, questions or issues related to orders, shipping, discrepancy reports, requests for certificates, Safety Data Sheets, and sales representative request.

Customer Care: 1-877-946-7747

Option 1, then prompt 1 Monday through Friday

7:00 a.m. to 6:00 p.m. CST

[email protected] 262-577-6917

Medical/Surgical distributors’ and wholesalers’ inquiries related to order/shipping inquiries, discrepancy reports, requests for certificates, Safety Data Sheets, and sales representative request.

Customer Care: 1-877-946-7747

Option 1, then prompt 2 Monday through Friday

7:00 a.m. to 5:00 p.m. CST

[email protected] 262-577-6912

Infusion Systems pump orders, shipping questions, serial number tracking, warranty information and sales representative request.

Customer Care: 1-877-946-7747

Option 1, then prompt 4 Monday through Friday

7:00 a.m. to 5:15 p.m. CST

[email protected] 262-577-6914

Puerto Rico healthcare providers’ and Medical/Surgical distributors’ and wholesalers’ inquiries related to order/shipping inquiries, discrepancy reports.

Customer Care: 1-888-833-6390

Option 1 Monday through Friday

8:30 a.m. to 3:30 p.m. CST

[email protected] 888-833-6451

SetSource® inquiries, questions or issues.

Customer Care: 1-877-946-7747

Option 1, then prompt 1 Monday through Friday

7:30 a.m. to 4:00 p.m. CST

[email protected] 262-577-6917

Plant Delivery inquiries, questions or issues.

Customer Care: 1-877-946-7747

Option 1, then prompt 6 Monday through Friday

7:00 a.m. to 3:30 p.m. CST

[email protected] 262-577-6917

Government order requests and shipping inquiries.

Customer Care: 1-877-946-7747

Option 1, then prompt 1 Monday through Friday

7:00 a.m. to 4:30 p.m. CST

[email protected] 262-577-6917

Healthcare providers’ inquiries, questions or issue for solutions or consumable products in short supply.

Allocations Team: 1-844-804-4677

Option 1 Monday through Friday

7:00 a.m. to 4:30 p.m. CST

[email protected] 262-577-6917

e.Hospira issues or questions.

Customer Care: 1-877-946-7747

Option 1, then prompt 5 Monday through Friday

7:00 a.m. to 4:30 p.m. CST

[email protected] 262-577-6917

Page 2: ICU Medical Contact and Product List (EXHIBIT A) Care Customer Letter_v… · ICU Medical Contact and Product List (EXHIBIT A) ICU MEDICAL CONTACT LIST . Effective February 27, 2017

Page 2 of 14

For reference a list of products are available at www.hospira.com ICU MEDICAL PRODUCT LIST

as of February 13, 2017

List Tuc Number Product Name Unit of Sale NDC 07730-36 0.45% Sodium Chloride Injection, USP 00409-7730-36

07730-37 0.45% Sodium Chloride Injection, USP 00409-7730-37

07985-02 0.45% Sodium Chloride Injection, USP 00409-7985-02

07985-03 0.45% Sodium Chloride Injection, USP 00409-7985-03

07985-09 0.45% Sodium Chloride Injection, USP 00409-7985-09

07985-25 0.45% Sodium Chloride Injection, USP 00409-7985-25

07983-02 0.9% Sodium Chloride Injection, USP 00409-7983-02

07983-03 0.9% Sodium Chloride Injection, USP 00409-7983-03

07983-09 0.9% Sodium Chloride Injection, USP 00409-7983-09

07983-25 0.9% Sodium Chloride Injection, USP 00409-7983-25

07983-53 0.9% Sodium Chloride Injection, USP 00409-7983-53

07983-55 0.9% Sodium Chloride Injection, USP 00409-7983-55

07983-61 0.9% Sodium Chloride Injection, USP 00409-7983-61

07984-06 0.9% Sodium Chloride Injection, USP 00409-7984-06

07984-11 0.9% Sodium Chloride Injection, USP 00409-7984-11

07984-13 0.9% Sodium Chloride Injection, USP 00409-7984-13

07984-20 0.9% Sodium Chloride Injection, USP 00409-7984-20

07984-23 0.9% Sodium Chloride Injection, USP 00409-7984-23

07984-36 0.9% Sodium Chloride Injection, USP 00409-7984-36

07984-37 0.9% Sodium Chloride Injection, USP 00409-7984-37

06138-03 0.9% Sodium Chloride Irrigation, USP 00409-6138-03

06138-22 0.9% Sodium Chloride Irrigation, USP 00409-6138-22

07138-09 0.9% Sodium Chloride Irrigation, USP 00409-7138-09

07138-36 0.9% Sodium Chloride Irrigation, USP 00409-7138-36

07972-05 0.9% Sodium Chloride Irrigation, USP 00409-7972-05

07972-07 0.9% Sodium Chloride Irrigation, USP 00409-7972-07

07972-08 0.9% Sodium Chloride Irrigation, USP 00409-7972-08

12627-01 1 Gang 1o2™ Manifold N/A

11241-03 100 mL Burette PlumSet™ HemoSet™, 170 Micron Filter, 105 Inch N/A

14923-65 100 mL Burette PlumSet™, Clave™ Y-Site, 122 Inch N/A

19231-12 150 mL Burette PlumSet™, Clave™ Y-Site, 0.2 Micron Filter, 124 Inch N/A

11944-02 150 mL Burette PlumSet™, Clave™ Y-Sites, 0.2 Micron Filter, 139 Inch N/A

12564-02 150 mL Burette PlumSet™, Clave™ Y-Sites, 114 Inch N/A

19356-02 150 mL Burette PlumSet™, Clave™ Y-sites, 123 Inch N/A

11948-02 150 mL Burette PlumSet™, Clave™ Y-Sites, 124 Inch N/A

11949-02 150 mL Burette PlumSet™, Prepierced Y-Sites, 0.2 Micron Filter, 139 Inch N/A

11980-03 150 mL Burette PlumSet™, Prepierced Y-Sites, 0.2 Micron Filter, 139 Inch N/A

11979-02 150 mL Burette PlumSet™, Prepierced Y-Sites, 114 Inch N/A

11670-02 150 mL Burette PlumSet™, Prepierced Y-Sites, 124 Inch N/A

Page 3: ICU Medical Contact and Product List (EXHIBIT A) Care Customer Letter_v… · ICU Medical Contact and Product List (EXHIBIT A) ICU MEDICAL CONTACT LIST . Effective February 27, 2017

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List Tuc Number Product Name Unit of Sale NDC 11710-02 150 mL Burette PlumSet™, Prepierced Y-Sites, 124 Inch N/A

11977-03 150 mL Burette PlumSet™, Prepierced Y-Sites, 124 Inch N/A

14270-28 150 mL Burette Set, Macrobore, Clave™ Y-Site, 78 Inch N/A

12728-65 150 mL Burette Set, Macrobore, Prepierced Y-Site, 78 Inch N/A

12425-01 150 mL Inline Burette Set, Macrobore, 18 Inch N/A

12725-65 150 mL Inline Burette Set, Macrobore, 18 Inch N/A

11302-01 18-Gauge Blunt Cannula N/A

12629-01 2 Gang 1o2™ Manifold with Inline Check Valve N/A

12628-01 3 Gang 1o2™ Manifold with Inline Check Valve N/A

12419-01 3-Port Adapter N/A

12630-01 4 Gang 1o2™ Manifold with Inline Check Valve N/A

20119-01 5 mL Vial Adapter with Clave™ Connector N/A

07924-02 5% Dextrose and 0.225% Sodium Chloride Injection, USP 00409-7924-02

07924-03 5% Dextrose and 0.225% Sodium Chloride Injection, USP 00409-7924-03

07924-09 5% Dextrose and 0.225% Sodium Chloride Injection, USP 00409-7924-09

07925-03 5% Dextrose and 0.3% Sodium Chloride Injection, USP 00409-7925-03

07925-09 5% Dextrose and 0.3% Sodium Chloride Injection, USP 00409-7925-09

07926-02 5% Dextrose and 0.45% Sodium Chloride Injection, USP 00409-7926-02

07926-03 5% Dextrose and 0.45% Sodium Chloride Injection, USP 00409-7926-03

07926-09 5% Dextrose and 0.45% Sodium Chloride Injection, USP 00409-7926-09

07941-03 5% Dextrose and 0.9% Sodium Chloride Injection, USP 00409-7941-03

07941-09 5% Dextrose and 0.9% Sodium Chloride Injection, USP 00409-7941-09

07922-02 5% Dextrose Injection, USP 00409-7922-02

07922-03 5% Dextrose Injection, USP 00409-7922-03

07922-09 5% Dextrose Injection, USP 00409-7922-09

07922-25 5% Dextrose Injection, USP 00409-7922-25

07922-53 5% Dextrose Injection, USP 00409-7922-53

07922-55 5% Dextrose Injection, USP 00409-7922-55

07922-61 5% Dextrose Injection, USP 00409-7922-61

07923-06 5% Dextrose Injection, USP 00409-7923-06

07923-11 5% Dextrose Injection, USP 00409-7923-11

07923-13 5% Dextrose Injection, USP 00409-7923-13

07923-20 5% Dextrose Injection, USP 00409-7923-20

07923-23 5% Dextrose Injection, USP 00409-7923-23

07923-36 5% Dextrose Injection, USP 00409-7923-36

07923-37 5% Dextrose Injection, USP 00409-7923-37

11374-05 50 mL Burette PlumSet™, Prepierced Y-Site, 0.2 Micron Filter, 101 Inch N/A

06446-03 50 mL Burette PlumSet™, Prepierced Y-Sites, 105 Inch N/A

06143-09 Acetic Acid Irrigation, USP 00409-6143-09

06143-22 Acetic Acid Irrigation, USP 00409-6143-22

04858-01 Additive Hinge Cap N/A

04196-05 Aminosyn® 3.5% M, Sulfite-Free 00409-4196-05

Page 4: ICU Medical Contact and Product List (EXHIBIT A) Care Customer Letter_v… · ICU Medical Contact and Product List (EXHIBIT A) ICU MEDICAL CONTACT LIST . Effective February 27, 2017

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List Tuc Number Product Name Unit of Sale NDC 04203-03 Aminosyn® 8.5% with Electrolytes, Sulfite-Free 00409-4203-03

04171-03 Aminosyn® II 8.5% with Electrolytes, Sulfite-Free 00409-4171-03

04162-03 Aminosyn® II, Sulfite-Free 00409-4162-03

04164-03 Aminosyn® II, Sulfite-Free 00409-4164-03

04164-05 Aminosyn® II, Sulfite-Free 00409-4164-05

07171-17 Aminosyn® II, Sulfite-Free 00409-7171-17

07172-17 Aminosyn® II, Sulfite-Free 00409-7172-17

04187-03 Aminosyn®, Sulfite-Free 00409-4187-03

04191-03 Aminosyn®, Sulfite-Free 00409-4191-03

04191-05 Aminosyn®, Sulfite-Free 00409-4191-05

04168-03 Aminosyn®-HBC 7%, Sulfite-Free 00409-4168-03

04179-05 Aminosyn®-PF 10% Sulfite-Free 00409-4179-05

04178-03 Aminosyn®-PF 7% Sulfite-Free 00409-4178-03

04166-03 Aminosyn®-RF 5.2% Sulfite-Free 00409-4166-03

20123-01 Bag Access Spike Closed System Transfer Set, Macrobore, Spiros™ Connector, 5 Inch N/A

13814-01 Bag Spike with Clave™ Additive Port and Dry Spike N/A

13815-01 Bag Spike with Clave™ Additive Port, 10 Units N/A

20126-01 Bag Spike with Integrated Clave™ Connector N/A

14211-28 Blood Administration PlumSet™, 200 Micron Filter, 110 Inch N/A

14212-28 Blood Administration PlumSet™, 200 Micron Filter, 110 inch N/A

12259-02 Blood Administration PlumSet™, Clave™ Y-Site, 210 Micron Filter, 122 Inch N/A

14220-28 Blood Administration PlumSet™, Macrobore, Clave™ Y-Site, 200 Micron Filter, 110 Inch N/A

16400-01 Blood Administration Sapphire™ Infusion Set, Clave™ Y-Site, 200 Micron Filter, 114.4 Inch N/A

12694-02 Blood Administration Set, 200 Micron Filter, Prepierced Y-Site, 80 Inch N/A

03039-48 Blood Administration Set, Macrobore, 170 Micron Filter, 105 Inch N/A

14949-28 Blood Administration Set, Macrobore, 170 Micron Filter, 27 Inch N/A

19209-48 Blood Administration Set, Macrobore, 170 Micron Filter, 80 Inch N/A

11349-20 Blood Administration Set, Macrobore, 170 Micron Filter, Blood Bulb Pump, 82 Inch N/A

14200-28 Blood Administration Set, Macrobore, 200 Micron Filter, 36 Inch N/A

14205-28 Blood Administration Set, Macrobore, 200 Micron Filter, 80 Inch N/A

11141-48 Blood Administration Set, Macrobore, 210 Micron Filter, 40 Inch N/A

12908-65 Blood Administration Set, Macrobore, Clave™ Y-Site, 170 Micron Filter, 79 Inch N/A

12435-01 Blood Administration Set, Macrobore, Clave™ Y-Site, 170 Micron Filter, Blood Bulb Pump, 80 Inch N/A

12436-02 Blood Administration Set, Macrobore, Clave™ Y-Site, 200 Micron Filter, 80 Inch N/A

14218-28 Blood Administration Set, Macrobore, Clave™ Y-Site, 200 Micron Filter, 80 Inch N/A

12435-02 Blood Administration Set, Macrobore, Clave™ Y-Site, 200 Micron Filter, Blood Bulb Pump, 80 Inch N/A

14219-28 Blood Administration Set, Macrobore, Clave™ Y-Site, 200 Micron Filter, Cylinder Pump, 80 Inch N/A

12436-01 Blood Administration Set, Macrobore, Clave™ Y-Site, 210 Micron Filter, 80 Inch N/A

19352-48 Blood Administration Set, Macrobore, Clave™ Y-Site, 210 Micron Filter, Blood Pump, 98 Inch N/A

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List Tuc Number Product Name Unit of Sale NDC

14603-65 Blood Administration Set, Macrobore, Clave™ Y-Sites, 210 Micron Filter, Blood Bulb Pump, 98 Inch N/A

19330-48 Blood Administration Set, Macrobore, Clave™ Y-Sites, 210 Micron Filter, Blood Pump, 100 Inch N/A

12731-65 Blood Administration Set, Macrobore, Prepierced Y-Site, 170 Micron Filter, 78.5 Inch N/A

12693-28 Blood Administration Set, Macrobore, Prepierced Y-Site, 170 Micron Filter, 79 Inch N/A

12730-65 Blood Administration Set, Macrobore, Prepierced Y-Site, 170 Micron Filter, Blood Bulb Pump, 78.5 Inch N/A

12720-65 Blood Administration Set, Macrobore, Prepierced Y-Site, 170 Micron Filter, Blood Bulb Pump, 81 Inch N/A

14217-28 Blood Administration Set, Macrobore, Prepierced Y-Site, 200 Micron Filter, 80 Inch N/A

12699-65 Blood Administration Set, Macrobore, Prepierced Y-Site, 210 Micron Filter, 80.5 Inch N/A

12719-65 Blood Administration Set, Macrobore, Prepierced Y-Site, 210 Micron Filter, 81 Inch N/A

19531-65 Blood Administration Set, Macrobore, Prepierced Y-Sites, 170 Micron Filter, Blood Bulb Pump, 115 Inch N/A

12718-02 Blood Administration Set, Macrobore, Prepierced Y-Sites, 200 Micron Filter, Blood Bulb Pump, 100 Inch N/A

11592-48 Blood Administration Set, Macrobore, Prepierced Y-Sites, 210 Micron Filter, Blood Pump, 100 Inch N/A

39009-01 Casters (Locking) for I.V. Stands N/A

12115-01 Clave™ IV Bag Access Device N/A

12114-01 Clave™ IV Bag Access Device with Backcheck Valve N/A

13813-01 Clave™ IV Bag Access Device, 10 Units N/A

11956-01 Clave™ Port Male Adapter Plug N/A

11075-48 Convertible Adapter Pin, 3 Inch N/A

07120-07 Dextrose Injection, USP 0409-7120-07

07918-19 Dextrose Injection, USP 0409-7918-19

07930-02 Dextrose Injection, USP 0409-7930-02

07930-03 Dextrose Injection, USP 0409-7930-03

07930-09 Dextrose Injection, USP 0409-7930-09

07935-19 Dextrose Injection, USP 0409-7935-19

07936-19 Dextrose Injection, USP 0409-7936-19

07937-19 Dextrose Injection, USP 0409-7937-19

07938-19 Dextrose Injection, USP 0409-7938-19

08004-15 Dextrose Injection, USP 0409-8004-15

12009-02 Double Female Connector N/A

13821-01 Double MicroClave™ Syringe Transfer Set N/A

12217-01 EffectIV Disinfectant Cap N/A

12201-01 EffectIV™-Cap for Needleless Valves N/A

07927-20 Empty Container N/A

07927-21 Empty Container N/A

07951-12 Empty Container N/A

07951-13 Empty Container N/A

07951-19 Empty Container N/A

07951-23 Empty Container N/A

06514-01 Extension LifeCare PCA™ Set, Microbore, Backcheck Valve, 10 Inch N/A

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List Tuc Number Product Name Unit of Sale NDC 14278-28 Extension LifeCare PCA™ Set, Microbore, Backcheck Valve, 10 Inch N/A

14277-28 Extension LifeCare PCA™ Set, Microbore, PAV, Backcheck Valve, 67 Inch N/A

14279-28 Extension LifeCare PCA™ Set, Minibore, PAV, Backcheck Valve, PCA Injector, 86 Inch N/A

14280-28 Extension LifeCare PCA™ Set, Minibore, PAV, PCA Injector, 80 Inch N/A

19098-48 Extension Macrobore PlumSet™, 12 Inch N/A

12655-28 Extension Set, Macrobore, 20 Inch N/A

14695-28 Extension Set, Macrobore, 29 Inch N/A

12656-28 Extension Set, Macrobore, 30 Inch N/A

12544-01 Extension Set, Macrobore, 5 Inch N/A

12646-28 Extension Set, Macrobore, 5 Inch N/A

12651-28 Extension Set, Macrobore, 5 Inch N/A

12645-28 Extension Set, Macrobore, 5.5 Inch N/A

20659-28 Extension Set, Macrobore, 5.9 Inch N/A

12333-28 Extension Set, Macrobore, 7 Inch N/A

12515-01 Extension Set, Macrobore, 7 Inch N/A

12519-01 Extension Set, Macrobore, 7 Inch N/A

12551-01 Extension Set, Macrobore, 7 Inch N/A

12654-28 Extension Set, Macrobore, 7 Inch N/A

12738-01 Extension Set, Macrobore, 7 Inch N/A

12660-28 Extension Set, Macrobore, 7.25 Inch N/A

14698-28 Extension Set, Macrobore, 71 Inch N/A

19141-30 Extension Set, Macrobore, 8.5 Inch N/A

19903-39 Extension Set, Macrobore, 9 Inch N/A

20710-01 Extension Set, Macrobore, Bifurcated, 8 Inch N/A

12518-01 Extension Set, Macrobore, Bifuse, 9 Inch N/A

20668-28 Extension Set, Macrobore, Clave™ Y-Site, 0.2 Micron Filter, 17 Inch N/A

12354-05 Extension Set, Macrobore, Clave™ Y-Site, 1.2 Micron Filter, 15 Inch N/A

20657-28 Extension Set, Macrobore, Clave™ Y-Site, 32 Inch N/A

20654-28 Extension Set, Macrobore, Clave™ Y-Site, 8 Inch N/A

20667-28 Extension Set, Macrobore, Clave™ Y-Site, Dial-A-Flo™ Flow Controller, 18 Inch N/A

12394-01 Extension Set, Macrobore, Clave™ Y-Site, Stopcock, 38 Inch N/A

12678-28 Extension Set, Macrobore, Clave™ Y-Sites, 32 Inch N/A

19116-28 Extension Set, Macrobore, Four-Way Stopcock, 32 Inch N/A

14929-28 Extension Set, Macrobore, High-Pressure, 7 Inch N/A

19715-01 Extension Set, Macrobore, High-Pressure, 7 Inch N/A

11716-28 Extension Set, Macrobore, Prepierced T-Site, 5 Inch N/A

12689-28 Extension Set, Macrobore, Prepierced Y-Site, 0.2 Micron Filter, 16.5 Inch N/A

11415-05 Extension Set, Macrobore, Prepierced Y-Site, 1.2 Micron Filter, 15 Inch N/A

14281-28 Extension Set, Macrobore, Prepierced Y-Site, 13 Inch N/A

11742-28 Extension Set, Macrobore, Prepierced Y-Site, Dial-A-Flo™ Flow Controller, 18 Inch N/A

12648-28 Extension Set, Macrobore, Prepierced Y-Sites, 32 Inch N/A

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List Tuc Number Product Name Unit of Sale NDC 04064-01 Extension Set, Macrobore, Y-Connector, 10 Inch N/A

06457-28 Extension Set, Microbore, 12 Inch N/A

12658-28 Extension Set, Microbore, 36 Inch N/A

12546-28 Extension Set, Microbore, 4 Inch N/A

12545-02 Extension Set, Microbore, 5 Inch N/A

12550-02 Extension Set, Microbore, 5 Inch N/A

12650-28 Extension Set, Microbore, 5.25 Inch N/A

12677-28 Extension Set, Microbore, 5.5 Inch N/A

12330-28 Extension Set, Microbore, 6 Inch N/A

12330-28 Extension Set, Microbore, 6 Inch N/A

12677-28 Extension Set, Microbore, 6 Inch N/A

20653-28 Extension Set, Microbore, 6 Inch N/A

12652-28 Extension Set, Microbore, 6.25 Inch N/A

13360-28 Extension Set, Microbore, 60 Inch N/A

12513-01 Extension Set, Microbore, 7 Inch N/A

12516-01 Extension Set, Microbore, 7 Inch N/A

12549-01 Extension Set, Microbore, 7 Inch N/A

12657-28 Extension Set, Microbore, 7 Inch N/A

12657-28 Extension Set, Microbore, 7 Inch N/A

19186-28 Extension Set, Microbore, 7 Inch N/A

12649-28 Extension Set, Microbore, 7.625 Inch N/A

06464-01 Extension Set, Microbore, 74 Inch N/A

12241-28 Extension Set, Microbore, 8 Inch N/A

12241-28 Extension Set, Microbore, 8 Inch N/A

12649-28 Extension Set, Microbore, 8 Inch N/A

12120-01 Extension Set, Microbore, Bifurcated, 5 Inch N/A

12547-01 Extension Set, Microbore, Bifurcated, 8 Inch N/A

20658-28 Extension Set, Microbore, Clave™ Y-Site, 8 Inch N/A

12514-01 Extension Set, Microbore, High-Pressure, 7 Inch N/A

12517-01 Extension Set, Microbore, High-Pressure, 7 Inch N/A

11549-28 Extension Set, Microbore, Prepierced Male Adapter Plug, Y-Type Set, 7 Inch N/A

11402-28 Extension Set, Microbore, Prepierced T-Site, 5 Inch N/A

12053-28 Extension Set, Microbore, Prepierced T-Site, 5 Inch N/A

02694-28 Extension Set, Microbore, Prepierced Y-Site, 0.2 Micron Filter, 10 Inch N/A

20655-28 Extension Set, Microbore, Removable Clave™ Connectors, 8 Inch N/A

14696-28 Extension Set, Minibore, 29 Inch N/A

14699-28 Extension Set, Minibore, 59 Inch N/A

14699-28 Extension Set, Minibore, 59 Inch N/A

14402-28 Extension Set, Minibore, 60 Inch N/A

14402-28 Extension Set, Minibore, 60 Inch N/A

04693-01 Extension, Irrigation Set, Urological Connector, 71 Inch N/A

20132-01 Genie Vial Access Device, 20 mm N/A

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List Tuc Number Product Name Unit of Sale NDC 13829-01 Genie™ Closed Vial Access Device, 10 Units N/A

13831-01 Genie™ Closed Vial Access Device, 28 mm N/A

13830-01 Genie™ Closed Vial Access Device, 5 Units N/A

07974-08 Glycine Irrigation, USP 0409-7974-08

13822-01 Graduated Adapter with Clave™ Connector N/A

39001-01 I.V. Pole N/A

11986-28 I.V. Syringe Adapter (Non-DEHP) N/A

39005-01 ICU Cart N/A

30003-01 Infusion Stand Hanger, 11 Inch N/A

07372-03 Ionosol® MB and 5% Dextrose Injection 0409-7372-03

07372-62 Ionosol® MB and 5% Dextrose Injection 0409-7372-62

06544-01 Irrigation Set, For Cystoscopy with Urological Connector, 77 Inch N/A

15239-01 Irrigation Set, Large Bore, 4-Lead, Urological Connector, 85 Inch N/A

06542-02 Irrigation Set, T-U-R System with Flow-Pouch™ Reservoir, 24 Inch N/A

06543-01 Irrigation Set, T-U-R, Urological Connector, 96 Inch N/A

06599-01 Irrigation Set, Urological Connector, 100 Inch N/A

07929-03 Lactated Ringer's and 5% Dextrose Injection, USP 0409-7929-03

07929-09 Lactated Ringer's and 5% Dextrose Injection, USP 0409-7929-09

07953-02 Lactated Ringer's Injection, USP 0409-7953-02

07953-03 Lactated Ringer's Injection, USP 0409-7953-03

07953-09 Lactated Ringer's Injection, USP 0409-7953-09

07828-08 Lactated Ringer's Irrigation 0409-7828-08

20709 LifeCare PCA™ Infusion System N/A

04831-48 LifeCare PCA™ Injector N/A

06021-03 LifeCare PCA™ Sterile Empty Vial and Injector N/A

12510-01 LifeShield™ Antimicrobial Clave™ MAP N/A

12575-01 LifeShield™ MicroClave™ Locking Blunt Connector N/A

12595-01 LifeShield™ Neutron™ Needlefree Catheter Patency Device N/A

39002-01 Lily Pad N/A

06892-03 Liposyn® III (Intravenous Fat Emulsion) 0409-6892-03

09790-02 Liposyn® III (Intravenous Fat Emulsion) 0409-9790-02

09790-03 Liposyn® III (Intravenous Fat Emulsion) 0409-9790-03

09791-02 Liposyn® III (Intravenous Fat Emulsion) 0409-9791-02

09791-03 Liposyn® III (Intravenous Fat Emulsion) 0409-9791-03

11952-01 Locking Blunt Cannula N/A

11955-01 Male Sterile Cap N/A

11477-01 Male/Female Sterile Cap N/A

07715-02 Mannitol Injection, USP 0409-7715-02

07715-03 Mannitol Injection, USP 0409-7715-03

06030-04 Meperidine Hydrochloride Injection, USP, CII (for use with PCA) (10 mg/mL) 0409-6030-04

12512-01 MicroClave™ Clear Connector N/A

12568-01 MicroClave™ Port Male Adapter Plug N/A

Page 9: ICU Medical Contact and Product List (EXHIBIT A) Care Customer Letter_v… · ICU Medical Contact and Product List (EXHIBIT A) ICU MEDICAL CONTACT LIST . Effective February 27, 2017

Page 9 of 14

List Tuc Number Product Name Unit of Sale NDC 02029-02 Morphine Sulfate Injection, USP Cll (Preservative-Free )(FOR PCA USE ONLY) 0409-2029-02

06028-04 Morphine Sulfate Injection, USP, CII, (Preservative-Free)(For PCA Use Only) 0409-6028-04

39007-01 Multi-Device Adapter N/A

12417-01 Multi-Dose Vial Adapter N/A

07965-03 Normosol®-M and 5% Dextrose Injection 0409-7965-03

07965-09 Normosol®-M and 5% Dextrose Injection 0409-7965-09

07967-09 Normosol®-R 0409-7967-09

07968-09 Normosol®-R and 5% Dextrose Injection 0409-7968-09

07670-03 Normosol®-R pH 7.4 0409-7670-03

07670-09 Normosol®-R pH 7.4 0409-7670-09

14499-01 Nurse Call Cable N/A

07914-01 Nutri-Clamp® Closure Device N/A

07915-01 Nutri-Clamp® Closure Device N/A

11172-01 Nutri-Clamp® Closure Device N/A

01968-48 Nutrimix® Macro® Vented Adapter Pin N/A

39006-01 Oxygen Tank Bracket N/A

06141-09 Physiosol™ Irrigation 0409-6141-09

30010 Plum 360™ Infusion System with Hospira MedNet™ N/A

12618 Plum A+3™ Infusion System N/A

20678 Plum A+3™ Infusion System with Hospira MedNet™ N/A

12096-01 Plum A+™ I.V. Mini Pole N/A

12391 Plum A+™ Infusion System N/A

20792 Plum A+™ Infusion System with Hospira MedNet™ N/A

12095-03 Plum A+™ Secondary Container Support N/A

13853-01 Plum360™ I.V. Mini Pole N/A

01513-02 Potassium Chloride for Injection Concentrate, USP 0409-1513-02

09257-39 Potassium Chloride in 0.45% Sodium Chloride Injection 0409-9257-39

07115-09 Potassium Chloride in 0.9% Sodium Chloride Injection, USP 0409-7115-09

07116-09 Potassium Chloride in 0.9% Sodium Chloride Injection, USP 0409-7116-09

07901-03 Potassium Chloride in 5% Dextrose and 0.225% Sodium Chloride Injection, USP 0409-7901-03

07901-09 Potassium Chloride in 5% Dextrose and 0.225% Sodium Chloride Injection, USP 0409-7901-09

07902-03 Potassium Chloride in 5% Dextrose and 0.45% Sodium Chloride Injection, USP 0409-7902-03

07902-09 Potassium Chloride in 5% Dextrose and 0.45% Sodium Chloride Injection, USP 0409-7902-09

07903-09 Potassium Chloride in 5% Dextrose and 0.45% Sodium Chloride Injection, USP 0409-7903-09

07904-09 Potassium Chloride in 5% Dextrose and 0.45% Sodium Chloride Injection, USP 0409-7904-09

07993-09 Potassium Chloride in 5% Dextrose and 0.45% Sodium Chloride Injection, USP 0409-7993-09

07107-09 Potassium Chloride in 5% Dextrose and 0.9% Sodium Chloride Injection, USP 0409-7107-09

07109-09 Potassium Chloride in 5% Dextrose and 0.9% Sodium Chloride Injection, USP 0409-7109-09

07905-09 Potassium Chloride in 5% Dextrose Injection 0409-7905-09

07111-09 Potassium Chloride in Lactated Ringer's and 5% Dextrose Injection, USP 0409-7111-09

07074-26 Potassium Chloride in Water for Injection 0409-7074-26

07075-14 Potassium Chloride in Water for Injection 0409-7075-14

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Page 10 of 14

List Tuc Number Product Name Unit of Sale NDC 07075-26 Potassium Chloride in Water for Injection 0409-7075-26

07077-14 Potassium Chloride in Water for Injection 0409-7077-14

07077-26 Potassium Chloride in Water for Injection 0409-7077-26

11391-01 Prepierced Reseal Male Adapter Plug-Long with Locking Luer N/A

11301-01 Prepierced Reseal Male Adapter Plug-Short with Locking Luer N/A

20122-01 Primary Closed System Transfer Set, Macrobore, Spiros™ Connector, 14 Inch N/A

20127-01 Primary Closed System Transfer Set, Macrobore, Spiros™ Connector, 40 Inch N/A

20121-01 Primary Closed System Transfer Set, Macrobore, Spiros™ Connector, 41 Inch N/A

14258-28 Primary PlumSet™, Air Filter, 40 mm Screw Cap, Enteral Adapter, 98 Inch N/A

12336-05 Primary PlumSet™, Clave™ Y-Site, 0.2 Micron Filter, 112 Inch N/A

14255-28 Primary PlumSet™, Clave™ Y-Site, 0.2 Micron Filter, PE-Lined Tubing, 104 Inch N/A

14687-28 Primary PlumSet™, Clave™ Y-Site, 103 Inch N/A

14242-28 Primary PlumSet™, Clave™ Y-Site, 104 Inch N/A

14247-28 Primary PlumSet™, Clave™ Y-Site, Distal Microbore Tubing, 104 Inch N/A

12339-12 Primary PlumSet™, Clave™ Y-Site, Orange PE-Lined Light-Resistant Tubing, 103 Inch N/A

12563-12 Primary PlumSet™, Clave™ Y-Sites, 0.2 Micron Filter, 112 Inch N/A

14253-28 Primary PlumSet™, Clave™ Y-Sites, 0.2 Micron Filter, 112 Inch N/A

12539-05 Primary PlumSet™, Clave™ Y-Sites, 1.2 Micron Filter, 104 Inch N/A

14243-28 Primary PlumSet™, Clave™ Y-Sites, 104 Inch N/A

14251-28 Primary PlumSet™, Clave™ Y-Sites, Backcheck Valve, 103 Inch N/A

14257-28 Primary PlumSet™, Enteral Adapter, 98 Inch N/A

14248-28 Primary PlumSet™, PE-Lined Tubing, 107 inch N/A

11373-05 Primary PlumSet™, Prepierced Y-Site, 0.2 Micron Filter, 112 Inch N/A

14256-28 Primary PlumSet™, Prepierced Y-Site, 0.2 Micron Filter, PE-Lined Light-Resistant Tubing, Distal Microbore Tubing, 104 Inch N/A

11893-05 Primary PlumSet™, Prepierced Y-Site, 1.2 Micron Filter, 104 Inch N/A

11003-78 Primary PlumSet™, Prepierced Y-Site, 104 Inch N/A

14679-28 Primary PlumSet™, Prepierced Y-Site, 104 Inch N/A

14246-28 Primary PlumSet™, Prepierced Y-Site, Distal Microbore Tubing, 104 Inch N/A

14252-28 Primary PlumSet™, Prepierced Y-Sites, 0.2 Micron Filter, 112 Inch N/A

14249-28 Primary PlumSet™, Prepierced Y-Sites, 104 Inch N/A

06440-13 Primary PlumSet™, Yellow-Striped Tubing, 107 Inch N/A

16363-01 Primary Sapphire™ Infusion Set, 0.2 Micron Filter, Yellow-Striped Tubing, 110.2 Inch N/A

16373-01 Primary Sapphire™ Infusion Set, 0.2 Micron Filter, Yellow-Striped Tubing, Backcheck Valve, 110.2 Inch N/A

16335-01 Primary Sapphire™ Infusion Set, 1.2 Micron Filter, 121.2 Inch N/A

16388-01 Primary Sapphire™ Infusion Set, 112.9 Inch N/A

16346-01 Primary Sapphire™ Infusion Set, 115.6 Inch N/A

16351-01 Primary Sapphire™ Infusion Set, Backcheck Valve, 110.2 Inch N/A

16364-01 Primary Sapphire™ Infusion Set, Backcheck Valve, 110.2 Inch N/A

16362-01 Primary Sapphire™ Infusion Set, Clave™ Y-Site, 0.2 Micron Filter, 119.1 Inch N/A

16391-01 Primary Sapphire™ Infusion Set, Clave™ Y-Site, 1.2 Micron Filter, 117.3 Inch N/A

16324-01 Primary Sapphire™ Infusion Set, Clave™ Y-Site, 1.2 Micron Filter, 82.7 Inch N/A

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Page 11 of 14

List Tuc Number Product Name Unit of Sale NDC 16387-01 Primary Sapphire™ Infusion Set, Clave™ Y-Site, 114.9 Inch N/A

16389-01 Primary Sapphire™ Infusion Set, Clave™ Y-Sites, 0.2 Micron Filter, Backcheck Valve, 120.2 Inch N/A

16390-01 Primary Sapphire™ Infusion Set, Clave™ Y-Sites, 0.2 Micron Filter, Microdrip, Backcheck Valve, 120.2 Inch N/A

16385-01 Primary Sapphire™ Infusion Set, Clave™ Y-Sites, Backcheck Valve, 117.9 Inch N/A

16386-01 Primary Sapphire™ Infusion Set, Clave™ Y-Sites, Backcheck Valve, 119.8 Inch N/A

16393-01 Primary Sapphire™ Infusion Set, Orange PE-Lined Light-Resistant Tubing, 115.8 Inch N/A

16339-01 Primary Sapphire™ Infusion Set, Yellow-Striped Tubing, 115.6 Inch N/A

16374-01 Primary Sapphire™ Infusion Set, Yellow-Striped Tubing, Backcheck Valve, 110.2 Inch N/A

14221-28 Primary Set, Macrobore, 100 Inch N/A

12661-28 Primary Set, Macrobore, Clave™ Y-Site, 100 Inch N/A

20670-28 Primary Set, Macrobore, Clave™ Y-Site, 100 Inch N/A

12642-48 Primary Set, Macrobore, Clave™ Y-Site, Dial-A-Flo™ Flow Controller, 79 Inch N/A

20669-28 Primary Set, Macrobore, Clave™ Y-Sites, 0.2 Micron Filter, Backcheck Valve, 101 Inch N/A

12662-28 Primary Set, Macrobore, Clave™ Y-Sites, Backcheck Valve, 100 Inch N/A

12664-28 Primary Set, Macrobore, Clave™ Y-Sites, Backcheck Valve, 100 Inch N/A

20671-28 Primary Set, Macrobore, Clave™ Y-Sites, Backcheck Valve, 100 Inch N/A

19320-48 Primary Set, Macrobore, Clave™ Y-Sites, Backcheck Valve, Four-Way Stopcock, 120 Inch N/A

19348-48 Primary Set, Macrobore, Clave™ Y-Sites, Backcheck Valve, Three-Gang Stopcock Manifold, 110 Inch N/A

19324-48 Primary Set, Macrobore, Clave™ Y-Sites, Backcheck Valve, Three-Port Manifold, 111 Inch N/A

19277-48 Primary Set, Macrobore, Clave™ Y-Sites, Backcheck Valve, Three-Port Manifold, 112 Inch N/A

12663-28 Primary Set, Macrobore, Clave™ Y-Sites, Microdrip, Backcheck Valve, 100 Inch N/A

14222-28 Primary Set, Macrobore, Prepierced Y-Site, 70 Inch N/A

12672-28 Primary Set, Macrobore, Prepierced Y-Site, 80 Inch N/A

19111-48 Primary Set, Macrobore, Prepierced Y-Site, Backcheck Prepierced Reseal Y-Site, Stopcock, Three-Port Manifold, 111 Inch N/A

12669-28 Primary Set, Macrobore, Prepierced Y-Site, Backcheck Prepierced Y-Site, 80 Inch N/A

14224-28 Primary Set, Macrobore, Prepierced Y-Sites, 100 Inch N/A

12717-65 Primary Set, Macrobore, Prepierced Y-Sites, Four-Way Stopcock, 123 Inch N/A

14235-28 Primary Set, Macrobore, Prepierced Y-Sites, Upper Backcheck Valve Prepierced Y-Site, 0.2 Micron Filter, 100 Inch N/A

12668-28 Primary Set, Macrobore, Prepierced Y-Sites, Upper Backcheck Valve Prepierced Y-Site, 100 Inch N/A

14227-28 Primary Set, Macrobore, Prepierced Y-Sites, Upper Backcheck Valve Prepierced Y-Site, 100 Inch N/A

12665-28 Primary Set, Macrobore, Upper Backcheck Valve Prepierced Y-Site, 80 Inch N/A

07982-09 Ringer's Injection, USP 0409-7982-09

06140-09 Ringer's Irrigation, USP 0409-6140-09

16395 SapphirePlus™ Infusion System N/A

16360-01 Sapphire™ Annual Certification Kit N/A

16354-01 Sapphire™ Battery N/A

16320-01 Sapphire™ Bolus Cord N/A

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List Tuc Number Product Name Unit of Sale NDC 16359-01 Sapphire™ CD User Manual - English N/A

16353-02 Sapphire™ Communications Cable N/A

16312 Sapphire™ Epidural Infusion Pump Kit N/A

16402-01 Sapphire™ External Battery Pack N/A

16318-01 Sapphire™ Infusion Pouch - 500 mL N/A

16316-01 Sapphire™ Large Backpack N/A

16411-01 Sapphire™ Lockbox 250 mL Strap & Pouch N/A

16313-01 Sapphire™ Mini Cradle & Splitter Kit N/A

16314-01 Sapphire™ Mini-Cradle N/A

16358-01 Sapphire™ Mini-Cradle Knob Key N/A

16311 Sapphire™ Multi-Therapy Infusion Pump Kit N/A

16365 Sapphire™ Multi-Therapy Infusion Pump with Bolus Handle N/A

16317-01 Sapphire™ PCA Lockbox - 100 mL Kit N/A

16394-01 Sapphire™ PCA Lockbox - 250 mL Kit N/A

16315-01 Sapphire™ PCA Lockbox - 500 mL Kit N/A

16414-01 Sapphire™ Power Supply N/A

16319-01 Sapphire™ Splitter N/A

16352-01 Sapphire™ Travel Case N/A

16382-01 Sapphire™ Triple Mount N/A

16361-01 Sapphire™ USB to 4-Port RS232 Adapter N/A

20124-01 Secondary Closed System Transfer Set, Macrobore, Spiros™ Connector, 30 Inch N/A

20131-01 Secondary Closed System Transfer Set, Macrobore, Spiros™ Connectors, 40 Inch N/A

12182-65 Secondary PlumSet™, 16.5 Inch N/A

20619-28 Secondary PlumSet™, 19 Inch N/A

11181-05 Secondary Plum™ Set, 0.2 Micron Filter, 40 Inch N/A

11831-05 Secondary Plum™ Set, 0.2 Micron Filter, PE-Lined Tubing, 40 Inch N/A

01783-02 Secondary Plum™ Set, 210 Micron Blood Filter, 36 Inch N/A

01139-48 Secondary Plum™ Set, 40 Inch N/A

40522-48 Secondary Plum™ Set, Green-Striped Tubing, 40 Inch N/A

11140-58 Secondary Plum™ Set, Orange PE-Lined Light-Resistant Tubing, 40 Inch N/A

40521-48 Secondary Plum™ Set, Orange-Striped Tubing, 40 Inch N/A

40524-48 Secondary Plum™ Set, Purple-Striped Tubing, 40 Inch N/A

04602-58 Secondary Set, Macrobore, 170 Micron Filter, 26 Inch N/A

14229-28 Secondary Set, Macrobore, 34 Inch N/A

14230-28 Secondary Set, Macrobore, Extension Hook, 34 Inch N/A

06541-01 Secondary, Irrigation Set, 26 Inch N/A

12397-01 Single Dose Vial Adapter N/A

07981-08 Sorbitol-Mannitol Irrigation 0409-7981-08

01721-48 Specialty Application Set, Decanting, Large Bore, Vented Piercing Pin, Air Filter, 14 Inch N/A

04510-58 Specialty Blood Set, Macrobore, 170 micron Non-Wettable Inline Filter, 14.5 Inch N/A

12338-28 Specialty PlumSet™, Clave™ Y-Sites, 76 Inch N/A

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List Tuc Number Product Name Unit of Sale NDC 02422-22 Specialty PlumSet™, Prepierced Y-Site, 76 Inch N/A

13818-01 Spinning Spiros™ Connector N/A

13832-01 Spinning Spiros™ Connector with Purple Cap and Priming Cap N/A

20130-01 Spinning Spiros™ Connector with Red Cap N/A

13820-01 Spinning Spiros™ Connector with Red Cap, 10 Units N/A

13819-01 Spinning Spiros™ Connector, 10 Units N/A

20120-01 Spiros™ Connector N/A

13817-01 Spiros™ Connector with Red Cap N/A

13816-01 Spiros™ Connector, 10 Units N/A

20115-01 Sterile Cap (single) N/A

20117-01 Sterile Priming Cap N/A

07118-07 Sterile Water for Injection, USP 0409-7118-07

07990-09 Sterile Water for Injection, USP 0409-7990-09

06139-03 Sterile Water for Irrigation, USP 0409-6139-03

06139-22 Sterile Water for Irrigation, USP 0409-6139-22

07139-09 Sterile Water for Irrigation, USP 0409-7139-09

07139-36 Sterile Water for Irrigation, USP 00409-7139-36

07973-05 Sterile Water for Irrigation, USP 0409-7973-05

07973-07 Sterile Water for Irrigation, USP 0409-7973-07

07973-08 Sterile Water for Irrigation, USP 0409-7973-08

SP21201 Supercath 5 IV Catheter, Non-Winged (14 g x 1.25") N/A

SP21001 Supercath 5 IV Catheter, Non-Winged (16 g x 1.25") N/A

SP20401 Supercath 5 IV Catheter, Non-Winged (18 g x 1.25") N/A

SP20601 Supercath 5 IV Catheter, Non-Winged (20 g x 1.25") N/A

SP20001 Supercath 5 IV Catheter, Non-Winged (22 g x 1.00") N/A

SP20201 Supercath 5 IV Catheter, Non-Winged (22 g x 1.25") N/A

SP20801 Supercath 5 IV Catheter, Non-Winged (24 g x 0.75") N/A

SP21301 Supercath 5 IV Catheter, Winged (14 g x 1.25") N/A

SP21101 Supercath 5 IV Catheter, Winged (16 g x 1.25") N/A

SP20501 Supercath 5 IV Catheter, Winged (18 g x 1.25") N/A

SP20701 Supercath 5 IV Catheter, Winged (20 g x 1.25") N/A

SP20101 Supercath 5 IV Catheter, Winged (22 g x 1.00") N/A

SP20301 Supercath 5 IV Catheter, Winged (22 g x 1.25") N/A

SP20901 Supercath 5 IV Catheter, Winged (24 g x 0.75") N/A

39011-01 T-Bar Accessory N/A

03232-01 Three-Way Stopcock N/A

03233-01 Three-Way Stopcock with Male Locking Luer Adapter N/A

03002-04 Two-Way Transfer Device N/A

20133-01 Universal Vial Access Device N/A

13823-01 Universal Vial Access Device, 10 Units N/A

20116-01 Vented Bag Spike with Clave™ Connector N/A

13824-01 Vented Vial Access Device, 13 mm N/A

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List Tuc Number Product Name Unit of Sale NDC 12007-01 Vial Adapter with Clave™ N/A

20125-01 Vial Adapter with Clave™ Connector N/A

10133-03 VisCap® Port Cover N/A

12006-01 Y-Connector N/A

19361-01 Yellow Cap for use with Hospira PCA Vial N/A