Clinical Services Contract Crib Sheet s1

Clinical Services Contract Crib Sheet March 8, 2011

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

 Surgical Services: Premier Contract Launch: Breast Implants, Tissue Expanders and Related Products – (this is in addition to the already existing GNYHA Direct Agreement with Allergan.)

IMPORTANT NOTE: this new Premier agreement is IN ADDITION to the existing GNYHA Direct agreement GNYHA OR-010. Work with your Client Service Executive to identify which program (or hybrid) would work best for you, based on facility product mix.

Premier is pleased to announce its new agreement with Breast Implants, Tissue Expanders and Related Products. The 35.5-month agreement has been awarded to Allergan USA Inc. and is effective February 15, 2011, through January 31, 2014.

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 Nursing: Price increase on IV glass bottles by Hospira; another product in this category discontinued

Hospira raised the price of three of the IV glass bottles available through Premier agreement PP-IV-045, effective January 1, 2011. The affected IV glass bottles are the 250 milliliter (01614-02), 500 milliliter (01614-03) and 1,000 milliliter (01614-05). The average price increase on these products is 41 percent. Hospira is also discontinuing the 150 milliliter version (0614-01 IV), with no substitute.

On July 9, 2009, Hospira requested Premier remove all of their IV glass bottles from the agreement or increase the price of the products but the request was rejected. In fall 2010, Premier reviewed the market information regarding the rising cost of hospital- grade glass and determined a price increase would be justified. Premier set an effective date of January 1, 2011.

 UPCOMING WEBINAR: Ingredients for Success: Incorporating Nutrition into Hospital Quality Improvement (HQI)

Date: March 4, 2011, 11:00 a.m. ET/10 a.m. CT/9 a.m. MT/8 a.m. PT Intended audience: Quality improvement, clinical nutrition managers, foodservice directors, wound care team leaders, case managers/discharge planners, infection control, risk management, nursing education, nurse managers

 Group Buy Program – Current Events (please refer to the Group Buy Website for details)

 Stretchers and related accessories (Stryker Corporation) 2/1/11 – 2/28/11

 Discounts begin at 4 percent off of the national agreement top tier but only for a limited number of days.  This exceptional group buy offers members an opportunity to aggregate volume thresholds to receive significant savings than those available on the national agreement.

 Physicist Services (Landauer) – Dates 1/1/11 – 9/30/11

Exceptional incentive tier pricing and services include:

 Imaging Physics Services – Physics support to help Premier members meet 2012 requirements for ACR accreditation. (CT, MRI, Nuclear Imaging, SPECT, PET, PET/CT)  Therapy Physics Services – Verifii QA Program. A fully independent performance review program of Premier members’ radiation oncology treatment delivery systems.  Commissioning Services - Board-certified/board-eligible physicists provide each client with a proven and proprietary commissioning process that expedites data collection while maintaining excellent data quality.

 Imaging Equipment (Toshiba) – Dates 1/1/11 -3/31/11

 Exceptional value from $6,000 to more than $600,000 above Premier contract pricing across five Imaging product categories: Computed Tomography, General Radiography, Cardiovascular Imaging, Ultrasound Radiology and Magnetic Resonance Imaging.  Additional value adds have also been included! Previous Updates

 High Level Disinfectants launch effective May 1, 2011

High-level disinfectants are chemicals that are capable of killing bacteria, viruses and bacterial spores when used in sufficient concentration under suitable conditions and are primarily used to disinfect semi critical items. Also included in this category are Intermediate-level disinfectant wipes which are used to disinfect patient care areas and equipment in between patient use.

Premier’s Nursing Committee is pleased to announce new agreements in High Level Disinfectants have been awarded to incumbents Metrex Research, LLC and Johnson & Johnson Health Care Systems Inc. (J&J); and new suppliers Certol International, Clorox Sales Company, and Professional Disposables

International, Inc. (PDI). Agreements are effective May 1, 2011, through April 30, 2014.

New Expiring Supplier Contract Contract Certol* PP-NS-659 New Clorox PP-NS-658 New Johnson PP-NS-657 PP-NS-498 Johnson Metrex PP-NS-655 PP-NS-499 PDI PP-NS-656 New *Certol is a Small Business Enterprise (SBE)

Agreement Highlights:

 Participating Member Designation Form (PMDF)/price activation (PA) is required for Tier 2 or higher on Certol, Clorox, Metrex, and PDI agreements.  Participating Member Designation Form (PMDF) is required by Johnson & Johnson, refer to exhibits A-1 and A-2 for more details.  Aggregation is allowed by Certol, Clorox, Metrex and PDI.  PDI is the low-cost quaternary ammonium chloride (Quat) wipes supplier.  Metrex is the low-cost OPA and Glutaraldehyde supplier.  Clorox Dispatch solution has new Clostridium difficile (C. diff.) 5-minute kill claim.

Value-added programs:

 Grandfather pricing for Metrex.  All suppliers offer no charge for brackets or installation.  All supplier offer conversion assistance, programs, education.

Questions:

For questions about these agreements, please contact your local Premier representative or the Premier Solution Center at 877.777.1552 or [email protected]. Pricing and other contract information may be accessed through Premier’s Supply Chain Advisor® catalog at www.premierinc.com.

 Sharps Disposal Containers effective May 1, 2011

Sharps Disposal Containers:

This category includes the canisters designed for the safe containment of sharps medical waste and the related accessories such as wall mountings and brackets. This category does not cover reusable containers or services for the removal or processing containers as those are covered under other categories.

The Awarded Suppliers:

Premier’s Nursing Committee is pleased to announce new agreements for Sharps Disposal Containers have been awarded to incumbent Tyco Healthcare Group LP (Covidien); and new supplier Becton Dickinson and Company (BD). Agreements are effective May 1, 2011 – April 30, 2014.

New Expiring Supplier Contract Contract BD PP-NS-654 New Covidien PP-NS-653 PP-NS-495

Agreement Highlights:

 Participating Member Designation Form (PMDF)/price activation (PA) required for designation of Tier 2 or higher.  Aggregation is possible for both agreements.  Covidien prices may increase due to raw material increase based on mutual consent.  BD pricing is firm for the term.  Value-added program includes but is not limited to the following:  BD will supply cabinets, brackets, and installation as requested.  BD will provide conversion allowances. Financial analysis reveals:

 BD’s new agreement provides savings in almost all comparisons against Covidien’s new agreement.  BD’s new agreement provides savings for top spend products when compared against Covidien’s new agreement.  Covidien’s new agreement pricing has increases across all tiers compared to their expiring agreement.  BD is currently the only supplier to offer a 100 percent recyclable product.

For questions about these agreements, please contact your Client Service Executive.

 Annual price increase on IV therapy products by Baxter Healthcare Corporation

Baxter Healthcare Corporation notified Premier of its right per the terms and conditions to implement an annual inflation price increase for the 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.

 Baxter issues urgent device correction on AUTOMIX compounder

In a letter dated January 27, 2011, Baxter Healthcare Corporation voluntarily notified its customers of a potential keypad issue with the AUTOMIX compounder, available through Premier agreement PP-IV-043. Baxter is investigating the cause of the issue described in the letter and will contact customers as a follow-up within 90 days. All personnel who use the compounder should verify data accuracy each time the keypad is used and notify Baxter’s global technical services at 1.800.626.2667 should they experience an incorrect admixture display.

Requested action:

Please complete and return the reply form by fax to 847.270.5457. The form is available in the attachment.

Please note: Due to its size, the referenced service bulletin is available in Supply Chain Advisor®.

Current Baxter Healthcare Corporation (PP-IV-043) details are available in Premier’s electronic catalog at http://www.premierinc.com. If you have questions, please contact your local Premier representative or Premier’s Solution Center at 877.777.1552 or [email protected].  Johnson & Johnson – Gas Plasma Sterilization

CONTRACT EXTENSION: The Gas Plasma Sterilization contract with Johnson & Johnson (PP-OR-526) has been extended until February 29, 2012. This contract was originally set to expire February 28, 2011. The extension includes a weighted average price increase to the consumables on this contract of 2.6 percent. The price on the capital equipment for this contract will not change. The overall weighted average price increase (capital and consumables) is 1.6 percent.

Category history: On March 1, 2009, a new portfolio of agreements began for Gas Plasma Sterilization with Steris (PP-OR-527) and Johnson & Johnson (PP-OR-526). The Johnson & Johnson agreement was a 12-month agreement with an option of two one- year extensions. The contract was extended once from February 28, 2010, to February 28, 2011. As the agreement was set to expire February 28, 2011, the decision to extend the agreement for an additional one-year term, through February 29, 2012, has been mutually agreed upon between Premier and Johnson & Johnson.

 Johnson & Johnson – Automated Endoscopic Reprocessors

CONTRACT EXTENSION: The Automated Endoscopic Reprocessors contract with Johnson & Johnson (PP-OR-537) has been extended until February 29, 2012. This contract was originally set to expire April 30, 2011. The extension includes a 2.2 percent price increase to two consumables on the contract (item #s 20398, 22591). The price on all other products will not change. The overall weighted average price increase to the contract (capital and consumables) is .7 percent.

Category history: On March 1, 2009, a new portfolio of agreements began for Automated Endoscopic Reprocessors with Minntech (PP-OR-517) and Steris (PP-OR- 516). The Johnson & Johnson agreement for this category began May 1, 2009, and was a 12-month agreement with an option of two one-year extensions. The agreement was extended once from April 30, 2010, to April 30, 2011. The decision to extend the agreement for an additional 10-month term, through February 29, 2012, has been mutually agreed upon between Premier and Johnson & Johnson. The 10-month extension will make the Johnson & Johnson agreement co-terminous with the other agreements in the category.

 Medi-tech offers “buy two, get one free” promotion of bandages and gauzes Supplier: Medi-Tech International Corp. Contract number: PP-NS-607 Product: MT Spandage, SpandaGrip and Meditube Promotion start date: February 1, 2011 Promotion end date: April 30, 2011

Promotion details:

Buy two of the same product and get the third box free.

Contact name and phone number or hotline number for member inquiries: Jennifer Porter, [email protected]

 Women and Children – announcement of a new contract category and launch for Cerebral and Regional Oximetry equipment. This equipment non-invasively measures the regional cerebral oxygen saturation in the intra-cranial microvasculature of the brain or soma.

The agreement is effective February 1, 2011 – January 31, 2014.

Supplier New Contract Nonin PP-WC-055

 Surgical Services – announcement of new agreements for Open Heart Disposable Supplies. Open heart disposable supplies are used during open heart surgeries such as coronary artery bypass grafting (CABG), valve procedures, and pediatric open heart procedures. The products include vein harvesting equipment, heart stabilizers, blower/misters, pacing wires, and accessories

May 1, 2011, through April 30, 2014.

Supplier New Contract Expiring Contract Alliant* PP-OR-733 PP-OR-379 Maquet PP-OR-734 New Oscor* PP-OR-731 New Sorin PP-OR-730 PP-OR-386

 Nursing RECALL – announcement that Smith Medical ASD Inc. (PP-IV-018) is conducting an urgent voluntary correction of a limited number of CADD-Solis ambulatory infusion pumps. This corrective action is due to increasing reports of the cassette lock mechanism on certain CADD-Solis pumps becoming stuck in the locked position, making it nearly impossible to remove the medication cassette reservoirs (or administration set). This urgent medical device correction only applies to the pump serial numbers listed in the attachment. While not all pumps on the list have experienced this issue, Smiths Medical is proactively providing this correction to all pumps on the list.

For the listing of serial numbers affected, go the Supply Chain Advisor

 Imaging – announcement that Rays (fks NightRays) PP-IM-134 is offering discount off professional fees for teleradiology services. Promotion ends March 1, 2011.

 Nursing – announcement that effective January 15, 2011 Centurion Medical Products, SorbaView Shield has been added to the Catheter Tube Securement and Stabilization Products agreement.

Supplier Contract number Effective dates

Centurion PP-NS-660 1/15/11– 8/31/11

Bard PP-NS-528 9/1/08 – 8/31/11

 Nursing Product Alert – announcement that Medical Action Industries Inc. (PP-NS-622) has issued a voluntary drug recall by the Triad Group for all lots of alcohol prep pads, alcohol swabs and alcohol swab sticks, both sterile and non-sterile. The following Triad Group items are used in Medical Action Industries kits or trays: 11SA01, 11SA03, and PL3536. Medical Action has implemented a field correction process and is working with distributors to ensure that all affected products are identified, removed and returned.

 Continuum of Care – announcement of new agreements for EMS Products. These agreements provide a comprehensive range of durable emergency medical service equipment to first responders and emergency personnel.

Agreements effective February 1, 2011, through January 31, 2014 New Supplier contract number AllCare Inc.* PP-AC-033 Midwest Medical Supply Company PP-AC-034 LLC** Southeastern Emergency Equipment PP-AC-035

 Materials Management – announcement that J & J has changed their business model for all Ethicon & Endo products. They have changed their payment terms with Distributors for all J & J Medical Division products. Distributors most likely will be passing this increase on their customers at a 1.5% - 2% price increase.

 J&J has changed their business model by now offering suture and endo direct and without a cost-plus mark up. Standard delivery for these products will be 2nd day delivery.  J&J will now offer the Harmonic Scalpel through distribution with same fees as Ethicon & Endo. Unfortunately, Harmonic Scalpel is not on a Premier contract.  J&J will now offer a growth incentive for Ethicon for both acute and non-acute distributors.  J&J indicates that these changes offer choice of channel for customers, as well as it offering a less expensive option for members to purchase direct vs distribution

 RECALL Surgical Services – announcement that Davol Inc. (PP-OR-688) has issued a voluntary recall of the XenMatrix Surgical Graft.

The affected products are:

Product code Description 1161015 10 x 15 cm Rectangle 1161520 15 x 20 cm Rectangle 1161928 19 x 28 cm Rectangle 1161935 19 x 35 cm Rectangle

The affected lots begin with the following four letters: HUTF, HUTI, HUTJ, HUTK, HUTL, HUUA, HUUB, HUUC, HUUD, HUUE, HUUF, HUUG, HUUH, HUUI, and HUUJ.

The voluntary recall has been initiated because testing cannot ensure that all units of the XenMatrix Surgical Graft are within FDA guidelines for endotoxin requirements. No patient injuries or complications have been reported that have been linked to elevated endotoxin levels.

 RECALL Surgical Services – announcement that ConMed Electrosurgery (PP-OR-665) has issued a recall on System 2450 Electrosurgical Generator. ConMed Electrosurgery has determined a component within the System 2450 may cease to perform properly, which may, given the completion of a number of events, result in an electrical burn to the ESU operator or patient.

The following devices are affected:

Catalog number Device name 60-2450-100 System 2450 100V 60-2450-120 System 2450 120V

 Nursing – announcement that Baxter Healthcare Corporation will discontinuation of the Ipump Pain Management System, which had been available through Premier agreement PP-IV-013. Baxter ceased the sale of Ipump, Product Code 2L3107, on December 31, 2010. Baxter will continue to repair and service parts for the Ipump for another year (through December 31, 2011), as long as components remain available through suppliers. A limited pool of loaner pumps will be available. Disposable administration sets and accessories used with the Ipump will continue to be available for sale.

 Nursing Price Increase – announcement that effective February 1, 2011 Baxa Corporation (PP-IV-041) will implement a 3.5% line item price increase on the non-TPN product line.

 Nursing Price Increase – announcement that effective February 1, 2011 Hospira Worldwide will implement a price increase. The price increase pertains to IV fluids (PP- IV-035), sets and tubing (PP-IV-025) and syringe pumps (PP-IV-015).

 Laboratories – announcement LifeScan (PP-LA-260) to exit hospital market for blood glucose in two years.

 Nursing/Continuum of Care – announcement of new agreements for Advanced Wound Care. These products are used to treat and protect wounds from bacteria and foreign material, are non-adherent to limit wound disruption.

Agreements are effective May 1, 2011- May 31, 2013

Supplier New Contract Expiring Contract 3M Company PP-NS-643 PP-NS-487 ConvaTec Inc PP-NS-644 PP-NS-488 Hartmann-USA PP-NS-645 New Hollister PP-NS-646 PP-NS-491 Incorporated Medline PP-NS-647 PP-NS-492 Molnlycke PP-NS-648 PP-NS-493 Health Care Smith & Nephew Inc Wound PP-NS-649 PP-NS-494 Management Division Systagenix Wound PP-NS-650 New Management

 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.

 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

New contract Expiring contract Supplier number 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 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 Maximum of 25 (ten-test) kits Program offer expires: March 31, 2011 Non-GeneXpert customers* Price/test: $30.00/test Maximum kit purchase: Up to 60 (ten-test) 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: Allison Bushard, director, corporate accounts, 720-431-6603

 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

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

 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

New Previous Supplier contract number 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

New Previous Supplier contract number contract number

Siemens Healthcare PP-LA-283 PP-LA-223 Diagnostics Inc.

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

 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.

New contract Expiring contract Supplier number 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 35700 Recall.

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 Cohesive Bandages. 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. PP-NS-642 NEW (SBE)

 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 PP-NS-639 PP-NS-469 Company AMD- Ritmed Inc. PP-NS-640 NEW (SBE)

 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). Agreement is effective December 1, 2010 through November 30, 2010.

New contract Expiring contract Supplier number number  Imaging – UHS PP-MM-125 PP-MM-031 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.

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