Philips Long Term Agreement.pdf - Polk County
Philips Long Term Agreement.pdf - Polk County
Philips Long Term Agreement.pdf - Polk County
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Exhibit A<br />
Whisperflow<br />
Part Number<br />
Respironics<br />
Part #<br />
Description<br />
Current List<br />
Price<br />
Discounted<br />
Price<br />
989803165271 4-100104-00<br />
WHISPERPAK (Includes Lg SealFlex Ribbed<br />
Cushion Mask, Full Cap Lg Headgear, 7.5<br />
cmH2O CPAP Valve, Bacterial Filter, 80” Smooth<br />
Inner Wall Hose) $475.00 $285.00<br />
989803165381 8-208570-00 Bacterial Filter, 22mm, Disposable (10/box)<br />
$58.00<br />
$34.80<br />
Isobaric Precision Valves (10/case)<br />
989803165321 8-208503-00<br />
2.5 cmH2O Isobaric CPAP Valve, 22mm<br />
Connector 108.00 $64.80<br />
989803165331 8-208505-00<br />
5.0 cmH2O Isobaric CPAP Valve, 22mm<br />
Connector 108.00 $64.80<br />
989803165341 8-208507-00<br />
7.5 cmH2O Isobaric CPAP Valve, 22mm<br />
Connector 108.00 $64.80<br />
989803165351 8-208510-00<br />
10.0 cmH2O Isobaric CPAP Valve, 22mm<br />
Connector 108.00 $64.80<br />
989803165361 8-208512-00<br />
12.5 cmH2O Isobaric CPAP Valve, 22mm<br />
Connector 108.00 $64.80<br />
Disposable Face Masks and Head Straps (10/case)<br />
989803164991 1029305 Small, WhisperFlow Soft Cushion Mask $140.00 $84.00<br />
989803165101 4-004999-00 Head Strap – “H” style, Silicone $86.00 $51.60<br />
989803165111 4-005500-00<br />
Adult-Large, AirSeal Inflated Cushion Mask<br />
without Inflation Valve, Multi-Head Strap Pack $140.00 $84.00<br />
989803165121 4-005501-00<br />
Adult-Medium, AirSeal Inflated Cushion Mask<br />
without Inflation Valve, Multi-Head Strap Pack $140.00 $84.00<br />
989803165131 4-005520-00<br />
Adult-Large, SealFlex Ribbed Cushion Mask,<br />
Multi-Head Strap pack $140.00 $84.00<br />
989803165141 4-005521-00<br />
Adult-Medium, SealFlex Ribbed Mask, Multi-<br />
Head Strap Pack, Extended Use $140.00 $84.00<br />
989803165151 4-005522-00<br />
Adult-Small, SealFlex Ribbed Mask, Multi-Head<br />
Strap Pack, Extended Use $140.00 $84.00<br />
989803165161 4-005527-00<br />
Adult-Medium, AirSeal Inflatable Cushion Mask<br />
with Inflation Valve $150.00 $90.00<br />
989803165171 4-005589-00 Y-Strap, White Cloth with Velcro, Size 0 $130.00 $78.00<br />
989803165401 8-209103-00 Head Strap - "H" style, Latex Free $130.00 $78.00<br />
Shipping: Shipping costs are included in all pricing. Rush shipping is available for an additional fee.<br />
Pricing: The above prices do not include applicable sales taxes. <strong>Philips</strong> <strong>Term</strong>s and Conditions of Sale are available upon<br />
request.<br />
Return Process: A Returned Goods Authorization (RGA) number is required for all returns and must be obtained prior to returning product to <strong>Philips</strong>. To obtain an<br />
RGA number, call Customer Service. The RGA number must appear on the outside of the box.<br />
Customer Service: (800) 934-7372 Fax (800) 947-3299<br />
<strong>Philips</strong> Medical Supplies: (800) 225-0230 or online at: shop.medical.philips.com<br />
Address: <strong>Philips</strong> Healthcare., 3000 Minuteman Rd., Andover MA 01810<br />
<strong>Polk</strong> <strong>County</strong> -LTDA458<br />
March 15, 2011<br />
Contract Manager: T. Archambault<br />
4 of 4<br />
Confidential<br />
Confidential<br />
Based on WhisperFlow Price List Effective 10/01/09<br />
Discount valid for the term of the agreement
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