13MS8713_AMA_Formulary.pdf - Henry Schein

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Transcript of 13MS8713_AMA_Formulary.pdf - Henry Schein

13MS8713

J O I N O U R C O M M U N I T Y

To Order: 1.800.P.SCHEIN (1.800.772.4346) 8am–9pm, etTo Fax: 1.800.329.9109 24 Hrswww.henryschein.com/ama

Proud to offer exclusive benefitsthrough the American MedicalAssociation MVP Program

• Purchasing Program Lowers AMAMembers Costs from 15% to 35%

• Mention Purchasing ProgramAMA90 when ordering to ensureSpecial Pricing!

13MS8713 AMA Formulary FC_BC_Layout 1 11/26/13 4:36 PM Page 1

economy. Cardiovascular disease accoun

ors with automated capture

ons that work.

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Best-in-Class Medical, Surgical & Pharmaceutical Purchasing ProgramWith the AMA’s exclusive Medical Supply Program, members have access to a comprehensive, high-quality,high-value portfolio of medical disposable, pharmaceutical, diagnostic, and equipment products.

Henry Schein’s Practice SolutionsTap into an unrivaled portfolio of solutions designed to help your practice improve patient care andoperational efficiency. Programs include free Rx Samples Service, DxRx Solutions, Privileges Rewards, and much more.

CPT® NetworkAs a member of the AMA you can obtain the most recent and accurate coding advice, including a databaseof over 5000 commonly asked coding questions, ability to search CPT codes/relative value by geographiclocation and receive six free coding inquires ($480 value)

National Managed Care DatabaseLearn how to analyze and negotiate contracts with insurers and ensure that managed care organizationscomply with state law and regulations that protect your practice against unfair business practices.

Attractive Benefits for You and Your Practice

www.henryschein.com/ama

page 4–5 page 9 page 28 page 35 page 37

Protecting People

In this issue

The AMA name and logo are trademarks of the American Medical Association and are used with its permission. All other trademarks are the property of theirrespective owners. Use of the AMA trademarks in no way constitutes an endorsement, express or implied of any product or company by the AMA.

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table of contentsdiagnostics

Diagnostic Equipment 8–10,�16,�36,�50–52

Diagnostic Testing7–15,�17–20,�52–54

Lab Equipment/Reagents12,�24,�25,�54–55

Laboratory Supplies26,�55–57

Equipment Exam Room27,�29,�37,�57–58

Disposable Exam Room Supplies45–47,�58–61,�97

Gloves32,�62–65

Hypodermic Supplies31,�65–70

Infection Control 35,�41,�70–74

IV Therapy30,�34,�75–77

Orthopedics38–39,�78–79

Practice Solutions 6,�23,�24,�40,�42�–44,�96–99

Improving Health Outcomes Series4–16,�21,�49,�98

Pharmaceuticals79–88

Surgical Instruments28,�48,�88

Surgical Supplies41,�48,�88–90

Vaccines & Biologicals21-22,�90–91

Wound Care48,�92

Wound Closure/Sutures48,�95–96

Trusted AdvisorOur knowledgeable Sales Consultants offer you the utmost attention and are specially trained to help identify ways to enhance your practice.

Price IntegrityWe are highly competitive with our pricing. We strive to maintain prices, develop purchasing plans, and deliver the best value for your practice.

Guaranteed Fast DeliveryOrders received by 5pm local time are shipped the same day. Your products arrive within 24–48 hours in most areas.

Vaccine, Pharmaceutical & Diagnostic SolutionsWe have relationships with major manufacturers and can supplyevery adult and pediatric vaccine recommended by the ACIP.

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In this issue

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The American Medical Association is committing its resources, expertise and reach to prevent heart disease, stroke and type 2 diabetes and to improve outcomes for those with these diseases. Physicians across all specialties and in all communities see patients with these conditions. The AMA is creating and strengthening clinical-community linkages to help physicians and patients improve outcomes. Visit ama-assn.org to learn more about this initiative and its role in the AMA’s commitment to improving the health of the nation.

The AMA chose to focus on cardiovascular disease and type 2 diabetes because these conditions impact millions of patients and

economy. Cardiovascular disease accounts for

one-third of all deaths in our nation and one-in-three adults could have diabetes by 2050 if current trends continue. The direct and indirect cost of cardiovascular disease and diabetes is more than $535 billion a year. With proper

be dramatically reduced, leading to a healthier nation and reducing health care spending. The

AMA is in a unique position to reach physicians in all practice settings and specialties and bring them together with communities and public and private sector organizations to prevent—and to achieve measurable improvements in health outcomes for—cardiovascular disease and diabetes.

The AMA will begin its work on improving

risk factors for cardiovascular disease and diabetes—namely high blood pressure and prediabetes. Despite the availability of therapies and prevention measures, a large proportion of the U.S. population—including those currently receiving clinical care—do not have their high blood pressure or prediabetes addressed adequately. Several health systems have succeeded in reducing these risk factors, but these examples have rarely been replicated. The AMA will collaborate with other organizations focused on addressing these risk factors to help develop new approaches to achieving better control of blood pressure and preventing progression of prediabetes to diabetes.

The AMA will help physicians connect their patients who are at risk of developing type 2 diabetes with evidence-based prevention programs that are aimed at improving diet and physical activity and achieving moderate weight loss. We will also focus on improving outcomes for the 30 million people with high blood pressure who are receiving medical care

AMA Improving Health Outcomes: Cardiovascular disease and type 2 diabetes

© 2013 American Medical Association. All rights reserved.

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diagnostics

but do not have their blood pressure under

be implemented broadly.

How will the AMA collaborate with ongoing national initiatives to improve health outcomes for cardiovascular disease and diabetes and what are the AMA’s short-term goals?

The AMA will work side by side with physicians and care teams, patients and families, communities and public health agencies to reduce the prevalence of cardiovascular disease and diabetes. We are collaborating with the U.S. Department of Health and Human Services’ Million Hearts® initiative and have adopted its goal of achieving healthy blood pressure for an additional 10 million Americans with high blood pressure by 2017. We will work with the Armstrong Institute for Patient Safety and Quality at Johns Hopkins University to improve care for patients by developing a model for better detection and management of high

latest clinical practice guidelines.

The Centers for Disease Control and Prevention’s National Diabetes Prevention Program is focused on delaying or preventing the progression of prediabetes to diabetes through lifestyle interventions aimed at improving diet and physical activity and achieving moderate

Center for Medicare and Medicaid Innovation, the AMA will collaborate with YMCA of the USA to help attain a joint target of 10,000 additional Medicare participants in the YMCA’s Diabetes Prevention Program. The AMA will focus on increasing physician referrals of people with prediabetes to local YMCA program sites and enhancing communication between clinical practices and the YMCA program sites.

How will you report on progress toward achieving these goals?

The AMA is committed to sharing our progress toward achieving goals for improving cardiovascular and diabetes health. We will use the AMA website to share information,

directly engaged in, and to track progress in meeting performance and outcome goals. We will also convene experts to determine the best ways to provide useful information on improving cardiovascular and diabetes health to physicians and patients.

for improving health outcomes?

The AMA will continue its long-standing

well-being for Americans of all backgrounds and in all communities. We will review the

high-impact focus areas relevant to improving cardiovascular and diabetes health and reducing health disparities. The AMA recognizes that improving health outcomes will require advocacy at the federal as well as state level,

state medical societies with shared goals. Given the importance of this work, we will also coordinate our health outcomes advocacy

and other organizations that are committed to improving cardiovascular and diabetes health.

Visit ama-assn.org to learn more about the AMA’s commitment to improving the health of the nation. ★

One hundred million people in the United States have diabetes or prediabetes.

Nearly 26 million people live with diabetes in the United States—8.3 percent of the population. An estimated one in three U.S. adults—about 79 million people—has prediabetes.

Cardiovascular disease accounts for one-third of all deaths in the United States.

About one in three adults—an estimated 70 million Americans—has high blood pressure.

The direct and indirect cost of cardiovascular disease and diabetes is more than $535 billion a year.

All above data attributable to the Centers for Disease Control and Prevention

The AMA provides resources to help physicians in thedaily operations of their practice. As part of its membervalue program, the AMA has negotiated member pricingfor medical surgical supplies and equipment throughHenry Schein Medical. Visit ama-assn.org/go/henry-schein for more information.

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Henry Schein DxRx Hotline

The Henry Schein DxRx Hotline is a resource to assist medical professionals

with various types of questions on diagnostics, pharmaceuticals, and vaccines that

are purchased from Henry Schein. The hotline provides information on the

following topics for diagnostics, pharmaceuticals, and vaccines:

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• CPT Codes and J Codes*

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• State Law Requirements for School and Day Care Entry**

• Latest updates on supply issues and much more

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The Henry Schein Rx Samples Service:• Consistently receive your FULL allocation of select medication samples • Is sponsored by major pharmaceutical manufacturers, so there is no expense to the practice• Offers 100% compliance with pertinent regulations• Ships samples directly to your practice via UPS for arrival within 4–6 business days• Offers Recurring Request that makes re-ordering easy and keeps you in control of your inventory

Getting started is easy — samples are available now!Go to www.hsrxss.com and click the "Check Eligibility & Register" button. Activate your account bycompleting basic user and shipping information. Once registration is complete, you can place your first order immediately.

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INTRODUCINGAn Easier Way to Order Medication SamplesThe Henry Schein Rx Samples Service is a free and secure online service that enables 500,000 eligibleprescribers* to order medication samples — easily and conveniently. This service is sponsored by leadingpharmaceutical manufacturers, and is designed to meet your practice and patient sampling needs.

*For informational purposes only.

Source: www.ReimbursementCodes.com

and/or www.cms.gov

Customer is responsible for verification

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Does not constitute legal advice.

Source: www.immunize.org

*Only eligible prescribers are able to enroll and order samples through the Henry Schein Rx Samples Program.

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Punches 50/box(378-0615) 1.5mm (378-6481) 2.0mm (378-1909) 2.5mm (378-6787) 3.0mm (378-7387) 3.5mm (378-6985) 4.0mm (378-7039) 5.0mm (378-7259) 6.0mm (378-7307) 8.0mm

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Seamless Disposable Biopsy Punch

New handle design for superior control

Hollow handle provides easy

specimen retrieval

Diameter reading for quick identification

Mini-Loop

Curve-Loop

Child-Scoop

Available in three styles for all your procedural needs. Contents are non-sterile.

Position Indicators™

provide accurate tip orientation

in the ear canal.

Packaged in boxes of 50

(378-8639) Mini-Loop (for hardened wax)

(378-5666) Curve-Loop (for general procedures)

(378-4964) Child-Scoop (for smaller children and infants)

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:55 AM Page 26

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needles/cryosurgeryneedles | cryosurgerydiagnostics

With 3 ways to activate and a broader range of sizes than most other brands, SurGuard®3 is the industry’s most adaptable safety needle. Add separate thumb and finger grips, unequalled sharpness,* and competitive pricing, and you’ll understand why we say SurGuard®3 is the one needle that fits every clinician’s style. Plus, SurGuard®3 has the sharpest needles among major brands tested*

• 10% sharper than similar leading brand needles • More comfortable injections for patients

Bottom line: No matter what you’re looking for in a needle, you’re looking for SurGuard®3.

For more information, contact your medical products distributor, call Terumo at 1-800-888-3786, or visit us online at www.terumotmp.com

Announcing SurGuard®3 Safety Needles from Terumo

*Independent Lab Testing: Terumo needles, on average, sharpest among brands tested.†Reference:

, TERUMO, and SurGuard are trademarks owned by Terumo Corporation, Tokyo, Japan, and are registered with the U.S. Patent and Trademark Office. ©2013 Terumo Medical Corporation 02/13. All rights reserved. Accession # 03182013-2618

Schein No. Catalog No. SurGuard®3 Description315-0042 SG3-2325 23 G x 1” needle315-0040 SG3-2338 23 G x 1 1/2” needle315-0043 SG3-2516 25 G x 5/8” needle315-0044 SG3-2525 25 G x 1” needle315-0046 SG3-2713 27 G x 1/2” needle315-0048 SG3-01T2516 1 mL syringe w/25 G x 5/8” needle315-0049 SG3-01T2713 1 mL syringe w/27 G x 1/2” needle315-0055 SG3-03L2238 3 mL syringe w/22 G x 1 1/2” needle315-0028 SG3-03L2325 3 mL syringe w/23 G x 1” needle315-0030 SG3-03L2516 3 mL syringe w/25 G x 5/8” needle315-0029 SG3-03L2525 3 mL syringe w/25 G x 1” needle

Pick how you click.

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:55 AM Page 27

28 13MS8713

surgical instruments di

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:55 AM Page 28

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exam room equipment diagnostics

Clinically e�ective direct spray of liquid nitrous oxide (-89°C/ -127°F) in a convenient and economical device.

CryOmega is a registered trademark of CryoConcepts, LP. U.S. and International Patents Pending.

(378-0286) CryOmega Disposable cryosurgical unit containing 16g nitrous oxide (N2O) cartridge

NEW!

• Colder and more than canister-based disposable systems

• Precise, concentrated spray

• Usually resolves most lesions in a visit

• Average treatment time is 10 seconds

• Precise, concentrated spray, no accessories required

• FDA approved for a broad range of non-malignant lesions!

• Unit does not contact patient

• Shelf-life of 2 years un-activated, at least 6 months activated

disposable

• High revenue stream, pays for itself in about 3 treatment

cAll For DETAIlS

oN THEcrYomEGATwIN PAck!

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iv therapy di

HS # MS # Description499-8463 MS-83160 Needleless IV Admin. Sets, 83” 60 Drop499-8462 MS-83115 Needleless IV Admin. Sets, 83” 15 Drop499-8460 MS-83110 Needleless IV Admin. Sets, 83” 10 Drop499-8594 MS-84024 IV Safety Catheter: 24G x 0.75”499-8595 MS-84022 IV Safety Catheter: 22G x 1”499-9341 MS-840202 IV Safety Catheter: 20G x 1”499-9342 MS-840182 IV Safety Catheter: 18G x 1.16”499-8599 MS-84016 IV Safety Catheter: 16G x 1.77”499-8593 MS-84014 IV Safety Catheter: 14G x 1.75”

NEW!

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hypodermic suppliesdiagnostics

BD Catalog # HS Catalog # Product Description

305901 987-5901 BD SafetyGlide 25 G x 5/8 in.

305916 987-8685 BD SafetyGlide 25 G x 1 in.

305902 987-5902 BD SafetyGlide 23 G x 1 in.

305900 987-5900 BD SafetyGlide 22 G x 1 1/2 in.

305759 987-0180 BD Eclipse 25 G x 5/8 in.

305761 987-8914 BD Eclipse 25 G x 1 in.

305767 987-5529 BD Eclipse 25 G x 1 1/2 in.

305762 987-4963 BD Eclipse 23 G x 1 in.

305763 987-3388 BD Eclipse 22 G x 1 1/2 in.

BD Catalog # HS Catalog # Product Description

305269 987-5659 BD Integra 3 mL Syringe with 25 G x 5/8 in.

305270 987-9348 BD Integra 3 mL Syringe with 25 G x 1 in.

305271 987-6244 BD Integra 3 mL Syringe with 23 G x 1 in.

305272 987-5497 BD Integra 3 mL Syringe with 22 G x 1 1/2 in.

305903 987-5903 BD SafetyGlide 1 mL Syringe with 25 G x 5/8 in.

305904 987-5904 BD SafetyGlide 3 mL Syringe with 25 G x 5/8 in.

305924 987-5028 BD SafetyGlide 3 mL Syringe with 25 G x 1 in.

305905 987-5905 BD SafetyGlide 3 mL Syringe with 23 G x 1 in.

305906 987-5906 BD SafetyGlide 3 mL Syringe with 22 G x 1 1/2 in.

305780 987-9194 BD Eclipse 1 mL Syringe with 25 G x 5/8 in.

305781 987-0291 BD Eclipse 3 mL Syringe with 25 G x 5/8 in.

305787 987-2945 BD Eclipse 3 mL Syringe with 25 G x 1 in.

305782 987-1201 BD Eclipse 3 mL Syringe with 23 G x 1 in.

305783 987-6133 BD Eclipse 3 mL Syringe with 22 G x 1 1/2 in. BD Medical1 Becton DriveFranklin Lakes, NJ 07417www.bd.com

BD, BD Logo and all other trademarks are property of Becton, Dickinson and Company. ©2012 BD.All claims are supported by data on file at BD.

Only BD offers choices that meet all your vaccine needs.

BD SAFETYGLIDE™ NEEDLE • Only BD has Activation Assist™ technology

for fast and easy needle shielding• Easy, single-handed activation• Compatible with any size syringe, including prefilled

BD ECLIPSE™ NEEDLE • BD has pivoting-shield technology with single finger

stroke activation – no hard surface required• Textured finger pad keeps fingers behind the needle • Compatible with any size luer lock syringe,

including prefilled

BD INTEGRA™ RETRACTING SYRINGE • Ability to change needles to facilitate your

injection technique• Choice of when to activate safety feature –

inside or outside of patient

FOR PREFILLED SYRINGES: NEEDLES ONLY

FOR VIALS: NEEDLE/SYRINGE COMBINATION

* Prefilled syringes without integral needle require the use of safety needles.

BD SafetyGlideTM

Needle with Syringe

BD EclipseTM

Needle with Syringe

BD IntegraTM

Retracting Syringe

Single-dose

Multi-dose

Prefilled Syringe*

BD SafetyGlideTM Needle

BD EclipseTM Needle

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:55 AM Page 31

32 13MS8713

Medical professionals know the frightful impact that Type I latex and Type IV chemical allergies can have on their performance. Ansell offers a wide variety of protective, premium surgical and exam gloves that keep painful allergies out of the story – so medical professionals can stay focused on what’s most important...providing “happily-ever-after” care for their patients.

Visit us at www.ansellinfo.com to learn more about ensuring your fairytale ending.

IV of of

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ngmore about ensuring your fairytale en id nng.

DermaPrene, HydraSoft, Micro-Touch and NitraFree are trademarks owned by Ansell Limited or one of its af!liates. ©2013 Ansell Healthcare Products LLC. All Rights Reserved.

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PF Surgical Gloves

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gloves di

A subsidiary of BarrierSafe Solutions International, Inc.

MICROFLEX® ULTRAFORM® | POWDER-FREE NITRILE EXAM GLOVES

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SIZE ITEM # QUANTITY

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IT BECOMES YOU.

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:56 AM Page 32

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iv cathetersdiagnostics

NEW BD Insyte™ Autoguard™ BCwith Blood Control Technology

BD Nexiva™ Closed IVCatheter System

1 Onia R, Eshun-Wilson I, Arce C, et al. Evaluation of a new safety peripheral IV catheter designed to reduce mucocutaneous blood exposure. Curr Med Res Opin. 2011;27(7):1339-1346.

2 Bausone-Gazda D, Lefaiver CA, Walters SA. A randomized controlled trial to compare the complications of 2 peripheral intravenous catheter-stabilization systems. J Infus Nurs. 2010;33(6):371-384.

BD, BD Logo and all other trademarks are property of Becton, Dickinson and Company. © BD 2011 ITS0159-1B (11/11)

Your customers are exposed to blood.We’d like that to stop.

BD Medical9450 South State StreetSandy, UT 84070www.bd.com/ivcatheters888-237-2762

You hear about the dangers of blood exposure from clinicians. The new BD Insyte™ Autoguard™ BC with Blood Control Technology and the BD Nexiva™ Closed IV Catheter System are helping remove blood exposure from theirjob and offering blood containmentin its place.1, 2

It’s our commitment tomaking safety safer.

SM

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The industry’s leading IVcatheter manufacturer ishelping remove bloodexposure from your customers’job descriptions.

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:56 AM Page 33

34 13MS8713

gloves/cathetersiv catheters di

Because every stick counts.

With SurFlash® safety catheters —clinically proven to increase fi rst-stick success by up to 25%1

A better experience for clinicians and patientsAs the only safety IV catheter with a double-fl ash feature that verifi es both needle and catheter placement, SurFlash® improves fi rst-stick success. SurFlash® catheters reduce needlestick injuries, blood exposure, and cost (because of fewer wasted catheters). With its new pressure rating, proprietary safety valve and bevel-up indicator, SurFlash® has it all!

For more information, contact your Henry Schein representative.Reference: 1. Data on fi le.

SurFlas

HSI Code Vendor Code Strength3150057 SR*FNP1832 18G x 1 1/43150058 SR*FNP2025 20G x 13150059 SR*FNP2032 20G x 1 1/43150060 SR*FNP2225 22G x 13150061 SR*FNP2232 22G x 1 1/43150062 SR*FNP2419 24G x 3/4

, TERUMO, and SurFlash are trademarks owned by Terumo Corporation, Tokyo, Japan, and are registered with the U.S. Patent and Trademark Offi ce. ©2013 Terumo Medical Corporation 03/13. All rights reserved. Accession # 03082013-2609

NEwProDucT!

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:56 AM Page 34

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infection controlinfection controldiagnostics

© 2012 Metrex Research. MetriCide and EmPower are registered trademarks of Metrex Research.

Together, a winning combination of cleaning and high-level disinfection.

The Perfect Handoff.

Start your cleaning process off with EmPower®

®

dual enzymatic detergent then hand off the instrument to MetriCide OPA Plus high-level disinfectant. This powerful combination has been engineered to work safely together to maximize instrument reprocessing performance.

Learn more about EmPower®

and MetriCide® OPA Plus – Metrex.com/Schein

CUSTOMER SERVICE 800.521.1314WWW.TIDIPRODUCTS.COM

Infection prevention products to protect both patient and providerTIDI’s innovative infection prevention solutions contribute to the comfort,

Products include: Exam Table Barriers, Facemasks, and Gloves

Patient Drape Sheets, Equipment Sheaths and Barriers

Towels and Washcloths, Protective Eyewear

©2013 TIDI PRODUCTS, LLC. ALL RIGHTS RESERVED. REGISTERED TRADEMARK OF MADE IN THE USA BRAND, LLC

PROTECTION FROM INFECTION WITH TIDI PRODUCTS

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:56 AM Page 35

36 13MS8713

diagnosticxdiagnostic equipment di

You deserve the best. 3M™ Littmann® Stethoscopes

So do your patients. Celebrate your style with unique Littmann®

Stethoscope chestpiece finishes.

Ask to see the full line of models, tubing colors and chestpiece finishes.

BrassCopperRainbow

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M

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777-7702 2141 3M™ Littman® Master Classic II™ Stethoscope, Black 777-5685 2146 3M™ Littman® Master Classic II™ Stethoscope, Burgundy777-4325 2147 3M™ Littman® Master Classic II™ Stethoscope, Navy Blue777-7541 2201 3M™ Littman® Master Classic II™ S.E. Stethoscope, Black777-1872 2205 3M™ Littman® Master Classic II™ S.E. Stethoscope, Navy Blue

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:56 AM Page 36

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diagnosticsequipment exam roomdiagnostics

Midmark Corporation, Versailles OH USA

IQvitals® improves effi ciency and reduces transcription errors with automated capture of blood pressure, temperature, SpO2 and pulse rate.

Connectivity solutions that work.

IQvitals®

• Intuitive touch screen user interface

• Seamless connectivity with EHR/EMR or IQmanager®

• Lightweight and portable

• Long battery life

• SpO2 and digital scale options

For more information, call 1-866-769-9870 or visit midmark.com/DiagnosticsAMA.

Focus less on devices and recordkeeping – and more on the patient.It’s time to shift the focus, re-think the traditional and streamline the clinical workflow. The Midmark 625 Barrier-Free® Exam Table with IQscale™ and IQhub™ streamlines the process of gathering and recording your patients’ vitals and other diagnostic data, keeping EMRs up to date and error-free.

For more information, call 1-866-214-6338 or visit midmark.com/ScheinAMA.

IFTSHTO THE POINTOF CARE.

IQscale™

• Weighs patients quickly, efficiently and discreetly

• Run scale functions from the table’s all-in-one handheld control

• Send data to the EMR with the push of a button

IQhub™

• Connect digital diagnostic devices like the IQecg® and IQspiro® at the point of care

• Port diagnostic data directly to a computer with speed and accuracy

IQvitals® • transcription errors with automated capture of blood pressure, temperature, SpO2 and pulse rate

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13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:56 AM Page 37

38 13MS8713

orthopedicsorthopedics di

CRUTCH SIZES FITA VARIETY OF

DIFFERENT USERS!

YOUTH: 4’6” - 5’2”ADULT: 5’2” - 5’10 ”

TALL ADULT: 5’10” - 6’6”

TO ORDER: CALL 1-800-772-4346; FAX 1-800-329-9109; OR VISIT US AT WWW.HENRYSCHEIN.COM/MEDICALFOR ADDITIONAL DETAILED PRODUCT INFORMATION VISIT WWW.DRIVEMEDICAL.COM

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13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:56 AM Page 38

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visit www.henryschein.com/ortho

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13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:56 AM Page 40

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surgical kits/infection controlsurgical supplies | infection controldiagnostics

The CDC recommends washing hands with an anti-microbial soap or an alcohol based hand sanitizer.*

AloeGuard ®

(833-8374) 18 oz. Pump(306-9953) 800 mL bag-in-box(300-6331) Gallon Re!ll

®GBG AloeGel(923-8209) 18 oz. Pump $8.99 (300-4126) 800 mL bag-in-box

GBG FOAMING™(437-0002) 7 oz. Can

Are You Keeping Your Staff and PatientsProtected?

WATER NO WATER

*www.cdc.gov

$8$8$8$8$$$$$$8$8$888$8$888$8$8888$$$$$$8$8888$8$$8$8$$8$8$88$8$8$$$$$$$8$88$88$$$$$8$8$8$8$$$$$88$$8$8$88$$8$$888888$8$$$$88888$$$$8$$88888888$$$88888$$8$888888888$$8$88888$8$888$$$888888$$888888$$8$$$88888$$8888$$88$$8888$$$$8$8$$$$8$8888$$$8888888$$$888$8888888888888888$$$$$$$888888$$$$$$$$$888888888$$$$$$$$$$$$$$$$$$888888$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ .9.9.9.9999999999.9.9.99.99.9999999999.99.99.9.99.999.999.99999999999999999999999999999999999999.9999999999999999999999999999999999999999999999..999..999...99999999.9999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999

Let Henry Schein design the custom Surgical Kits and Packs for all of yourprocedures. Our complete line of supplies, instruments and disposable productsallows us to work with you to design a comprehensive surgical supply solution for your practice. Together we can provide a truly customized surgical pack that contains exactly the items needed.

We increase your operating efficiencies and control costs while providing customized kits for each procedure and Ambulatory Surgery Center.

Online ordering is available to help expedite your request. We offer just-in-time delivery,eliminating the need for storing excess supplies and maintaining inventory.

Your custom Surgical Pack is just a phone call away.Talk with your Sales Consultant about designing a custom sample pack for evaluation or visitwww.henryschein.com/custompack

Customized Surgical Kits and Packs – Designed For You

To Order: 1.800.P.SCHEIN (1.800.772.4346) 8AM-9PM eTTo Fax: 1.800.329.9109 24 Hrsvisit: www.henryschein.com/surgiteam

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:56 AM Page 41

42 13MS8713

skin peelchemical peels

comPlETE kITb-LiFTx® is packaged for a successful patient experience and contains the following:• 2 alcohol precleanse pads• 1 vial of either 20% or 30% salicylic acid in an alcohol solution• Dispensing cup and applicator sponge• 1 tube of 0.75 oz. HydroLotion® for post-procedure skin care

– Uniquely formulated with special petrolatum fraction to provide deep, long-lasting moisturization

– Noncomedogenic, hypoallergic, fragrance- and paraben-free

Each kit is hygienically packed for a single patient use and packed 24 kits per case.

An effective professional usechemical peel procedure kit• Two concentrations• Hygienic single-use kit• Moisturizing after care

b-LIFTx® is a registered trademark of DermThink LLC and is used under license. All rights reserved.No mix and match. Free goods ship with order.

*Grimes, P.E. The Safety and Efficacy of Salicylic Acid Chemical Peels in Darker Racial-ethnic Groups.Dermatologic Surgery, 1999; 25: 18–22

2/0

3/0

20% Salicylic Acid Peel Kits

30% Salicylic Acid Peel Kits

118-7633

118-7632

Average Physician Fee$150–$250

A versatile, professional chemical peelhygienically packaged in full procedure kit

“...most�salicylic�acid�peels�were�performedlargely�on�fair-skinned�patients�because�of�theconsternation�about�inducing�pigmentationchanges�in�more�darkly�pigmented�individuals.However,�as�more�diverse�patients�haveundergone�salicylic�acid�peels�this�concern�hasbeen�alleviated,�and�in�fact,�one�of�the�mostbeneficial�uses�of�salicylic�acid�peels�has�beenin�treating�Melasma�and�hyperpigmentation�inthese�patients.”*

For�complete�productinformation,�to�watch�a�trainingvideo�or�to�place�an�order,�visit:www.henryschein.com/bliftx

Exclusive!A

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:56 AM Page 42

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acnepatient resalediagnostics

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:56 AM Page 43

44 13MS8713

patient resalepatient resale di

Afirm® Cream�is�a�retinol�cream�thatreduces�the�appearance�of�fine�linesmaking�the�skin�appear�smootherand�firmer.�Afirm delivers�the�skin�improving�benefits�of�retinol�via�theunique�MICROSPONGE�system.

472-0639 1X� 15%�Sensitive�Skin� 30�Gm.�tube472-7317 2X� 30%�Normal�Skin� 30�Gm.�tube472-4091 3X� 60%�Tolerant�Skin 30�Gm.�tube

www.henryschein.com/refinity

• Heals• Regenerates• Revitalizes• Optimizes Cell Repair

Lashes MD

Perfect�for�post�microdermabrasion,waxing,�chemical�peels,�IPL�and�lasertreatments�to�soothe,�heal,�andrehydrate�the�skin.

Theraplex HydroLotionFor�Daily�Skin�Maintenance�and�Protection�Against�Dry�Skin.�An�ideal�daily�facial�and�body�moisturizer�that�protects�skin�from�the�harsh�drying�effects�of�the�environment.�HydroLotion�delivers�the�benefits�of�an�exceptionally�rich�and�uniquely�elegant�“water-in-oil”�emulsion�deep�intothe�skin�without�greasiness.

Theraplex EmollientContains�the�highest�concentration�of�special�petrolatumfraction�for�maximum�effectivenesswithout�irritation.�Speciallyformulated�to�treat�severely�dry,cracked�skin�(including�hands,�feet,elbows�and�knees)�and�chronicskin�conditions.

Noncomedogenic • Hypoallergenic • Free of parabens, fragrances, and preservatives

• Not tested on animals

• 30-day�money�back�guarantee• Specifically�formulated�and�pH�balanced�to�be�non-irritating�to�eyes

• No�need�for�prescription• All�study�participants�reported�theappearance�of�fuller�lashes

• Lashes�are�conditioned�for�a�naturallyfuller�appearance

• Easy�to�use,�once�a�day�bedtime�application• No�animal�testing• Prostaglandin-free• Hormone-free• Paraben-free• Gluten-free• Fragrance-free• GMO-free;�Sulfate-free• Rich�in�botanicals

OxygenPür�Oxygen�Serum 2.7�oz�Can 187-0053OxygenPür�Pomegranate 2.7�oz�Can 187-0055

118-9692 8�oz.119-3889 4.3�oz.119-3890 8�oz.

www.henryschein.com/oxygenpur

www.henryschein.com/psoriasis

LashesMD consists of specificcytokines and botanicals tobenefit lash and brow follicles

All Natural Prescription-Free

Formula

Gel-Care® Advanced�offers�a�revolutionary�new�scarmanagement�system�that�delivers�advanced�ingredientscontained�in�an�enriched�sheet.�The�formula�continues�totreat�the�skin�even�after�the�sheet�is�removed.

REFINITY™ Skin�Solutions�productslet�you�experience�the�benefits�ofmedical�strength�AHAs�without�theirritation�commonly�associated�withanti-aging�homecare�products.

Our�three�exfoliating�moisturizers�are�all�formulated�with�thehighest�level�of�AHA�15%�recommended�for�physicians�as�wellas�trademarked�anti-irritant�Cosmederm-7®

Purifying Cleanser all skin types 187-0042 8 oz.Protective Toner all skin types 187-0045 8 oz.Rejuvenating Lotion for normal skin 187-0044 2 oz.Rejuvenating Hydrogel for oily skin 187-0046 2 oz.Rejuvenating Cream for dry skin 187-0043 2 oz.

520-0022

www.henryschein.com/lashesmd

471-0005 5”�x�6”�Sheets 10/Pkg471-0010 1.5”�Strips 2/Pkg

Clinically Proven Scar Therapytreats scars caused by:• injury • burns• surgery • post-procedure

EXCLUSIVE!

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:57 AM Page 44

4513MS8713 To�Order: 1.800.P.ScHEIN 8am–9pm,�et�����•�����To�Fax: 1.800.329.9109 24�HrsLog�on�to www.henryschein.com/ama

disposable exam room suppliesdiagnostics

Great for:• Post laser, microdermabrasion, or chemical peel• Post dermal filler procedures• Botox injections• Post-op blepharoplasties• Biopsies and tumor removals

To Place Your Custom Order Online visit www.henryschein.com/ice

To order 4" or 6" Round Comfort Gel Pack4" Pink Round Pack(467-9362) 50 Pack/Case

4" Blue Round Pack(467-7628) 50 Pack/Case

6" Pink Round Pack(467-0000) individually Sold

6" Blue Round Pack(467-0001) individually Sold

Many other surgical procedures

Ask your sales consultant how to promote your practice by ordering Comfort Gel Packs with your practice name, logo, and information.

(Accurate Manufacturing has a full line of hot/cold packs that are available in both customizable and standard options.)

The 4" and 6" round, reusable customizable ice pack

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:57 AM Page 45

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disposable exam room supplies di

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:57 AM Page 46

4713MS8713 To�Order: 1.800.P.ScHEIN 8am–9pm,�et�����•�����To�Fax: 1.800.329.9109 24�HrsLog�on�to www.henryschein.com/ama

private brand disposable exam room supplies: private branddiagnostics

rElY oN uS To ProVIDE VAluE-PrIcED, DIVErSEProDucT oPTIoNS For All Your PrAcTIcE NEEDS

ESSENTIALSTABLE PAPERWhite, Smooth, 225'18"(900-4978)..............12 rolls/case21"(900-4979)..............12 rolls/caseWhite Crepe, 125'18"(979-9865)..............12 rolls/case21"(979-1657)..............12 rolls/case

PREMIUM TABLE PAPER ROLLSCrepe, 18" x 125'(100-9865) .....................12/caseCrepe, 21" x 125'(100-1657) .....................12/caseSmooth, 18" x 225' (100-9491) .....................12/caseSmooth, 21" x 225'(100-0177) .....................12/caseSmooth, Heavy-duty, 14" x 225'(104-4501) .....................12/caseSmooth, Heavy-duty, 18" x 225'(104-6092) .....................12/caseSmooth, Heavy-duty, 21" x 225'(104-5273) .....................12/case

PREMIUMEXAM DRAPES2-Ply, All-Virgin Tissue

White, 36" x 48"(101-3658) ...................100/caseWhite, 40" x 48"(100-1797) ...................100/caseBlue, 40" x 48"(100-3360) ...................100/caseMauve, 40" x 48"(100-6428) ...................100/casePeach, 40" x 48"(100-3845) ...................100/caseWhite, 40" x 60"(101-8521) ...................100/case

DELUXE PREMIUMEXAM DRAPE3-Ply, All-Virgin Tissue

White, 40" x 48"(101-7084) ...................100/case

PILLOWCASETissue/Poly/TissueLinen-like softness for patient comfort andan inner poly barrier for extra protection. White, 21" x 30"(104-9206) ...................100/case

PREMIUM CAPESTissue/Poly/Tissue,30" x 21"

White(101-6908) ...................100/caseMauve(101-3029) ...................100/caseBlue(101-6599) ...................100/case

EXAM CAPES3-Ply Tissue, 30" x 21"White(100-8821) ...................100/caseBlue(100-2393) ...................100/caseMauve(100-2010) ...................100/case

PREMIUM GOWNSTissue/Poly/Tissue,30" x 42"Opens front or back with attachedelastic ties.

Peach(100-6999) .....................50/case

White(100-2392) .....................50/case

Blue(100-5728) .....................50/case

Mauve(100-9652) .....................50/case

EXAMGOWNS3-Ply Tissue, 30" x 42"

White(100-4471) .....................50/caseBlue(100-4975) .....................50/caseMauve(100-7115) .....................50/case

Contact your Henry Schein Sales Consultant or go online for all available exam room disposable products.

COTTON BALLS

GRADuATEDPLASTIC

MEDICINE CuPS

uNDERPADS FACIAL TISSuES

COTTON TIPPEDAPPLICATORS

CELLuSPuNWASHCLOTH

EMESIS BASIN

PLASTIC CuPS

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:57 AM Page 47

48 13MS8713

private brand surgical products di

ToPIcAl SkIN ADHESIVESterile, 0.5-mL Single-Patient-Use Plastic Ampules. FDA-approved liquid adhesiveconsists of n-butyl-2 cyanoacrylate. Availablein both regular (translucent) and blueformulations. Both polymerize in seconds uponbeing exposed to water or water-containingsubstances such as human tissue.• Forms a strong bond that seals wounds quickly• Inhibits growth of bacteria• Provides a precise, controlled application • Won't clog or dry out when opened

Call your Henry Schein Consultant to learnmore about this new product.

Skin Adhesive, 0.5 mLBlue(112-6111) ..............................ea

Clear(112-6106) ..............................ea

DrAPESItem Code Item Description Packaging Size900-4686 Drape Non-Fenestrated Sterile 50/Bx 18 x 26"900-4685 Drape Fenestrated Sterile 50/Bx 18 x 26"979-3658 DE Drape Sheet White 100/Ca 36” x 48"

STErIlE DISPoSABlE ScAlPElSItem Code Item Description Packaging Size112-6196 Sterile Disposable Scalpel 10/Bx #10112-6189 Sterile Disposable Scalpel 10/Bx #11112-6194 Sterile Disposable Scalpel 10/Bx #12112-6187 Sterile Disposable Scalpel 10/Bx #15112-6193 Sterile Disposable Scalpel 10/Bx #20

STErIlE SurGEoN BlADESItem Code Item Description Packaging Size112-6199 Sterile SS Surgeon Blade 100/Bx #10112-6190 Sterile SS Surgeon Blade 100/Bx #11112-6177 Sterile SS Surgeon Blade 100/Bx #12112-6178 Sterile SS Surgeon Blade 100/Bx #15112-6184 Sterile SS Surgeon Blade 100/Bx #20112-6185 Sterile SS Surgeon Blade 100/Bx #21100-7976 Sterile SS Surgeon Blade 100/Bx #22112-6200 Sterile SS Surgeon Blade 100/Bx #23112-6183 Sterile Carbon Steel Surgeon Blade 10/Bx Sterile #10112-6175 Sterile Carbon Steel Surgeon Blade 10/Bx Sterile #11112-6181 Sterile Carbon Steel Surgeon Blade 10/Bx Sterile #15112-6186 Sterile Carbon Steel Surgeon Blade 10/Bx Sterile #15C100-8903 Sterile Carbon Steel Surgeon Blade 10/Bx Sterile #21

TowEl clAmPSItem Code Item Description Packaging Size104-8244 Lorna Towel Clamp Ea 31/2"101-4934 Backhaus Towel Clamp Ea 31/2"104-8245 Lorna Towel Clamp Ea 51/4"101-3568 Backhaus Towel Clamp Ea 51/4"

NEW PRODUCT!

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:57 AM Page 48

4913MS8713 To�Order: 1.800.P.ScHEIN 8am–9pm,�et�����•�����To�Fax: 1.800.329.9109 24�HrsLog�on�to www.henryschein.com/ama

skin cancerskin cancerdiagnostics

Although non-melanoma skin cancers usually occur in people whoare older than 50, recent reports show more and more peopleunder 40 developing the condition, which is the most commontype of cancer in the US. The problem is especially severeamong women, researchers from Rochester’s Mayo Clinic Say.Source: American Cancer Society

Indoor tanning before the age of 35 has been associated with asignificant increase in the risk of melanoma. Yet on an averageday, more than one million Americans use indoor tanningsalons. Research shows 70 percent of indoor tanners are female,primarily 16 to 29 years old, an age group that’s particuarly atrisk for developing skin cancer.Source: American Academy of Dermatology

DermLite ii Hybrid M is a patented technology dermatoscopethat combines non-polarized illumination for immersion fluiddermoscopy with cross-polarized dermoscopy, with or withoutskin contact. Palm-sized, this versatile device offers high lightoutput, a large 25mm lens, camera/iPhone® adaptability, aswell as an integrated, rechargeable lithium-ion battery.www.henryschein.com/screen

Super-Bright Polarized Dermoscopy and Traditional Immersion Fluid Imaging in one Device

(108-7376)

BIoPBlADE™

Sterile, Disposable• Ideal for skin/tissue saucerization and shave-biopsy techniques• Used in dermatology, podiatry, family practice, and plastic surgery• Unique design incorporates a supersharpblade with a protective Finger Guard™ • Provides a flexible design that allows blade tobe easily positioned at any angle for theintended procedure• Sterile, disposable, one-time-use only(953-7731) ............50/box

DAZor® FlEX mAGNIFIErS®

IV Pivot MountBlack(225-0059) ..................ea

Dermalite II Hybrid M• Button-activated variable

polarization• 24+8 White LeDs• Rechargeable lithium

battery• Built-10 mm measuring

scale• Four-element, 25mm, 10x• iPhone and camera

compatible

DIAGNoSTIc ScrEENING AccESSorY ProDucTS

Blue900-4864 2.0mm900-4865 2.5mm900-4866 3.0mm900-4867 3.5mm

900-4868 4.0mm900-4869 5.0mm900-4870 6.0mm900-4871 8.0mm

Biopsy Punches Sterile

ulTrAVIolET wooDS EXAmlIGHT• Portable, handheld light for maximum flexibility• Optically ground and polished glass magnifierlens with 3X magnification and 8ʺ focal length• Polished glass lens won't scratch• Made in US• 3-year warranty

With Magnifier, 2 White and 2 UV Bulbs(711-8017) ......................ea

lumIo SLumio® S opens a new era in skin diagnostics.With its superb 40 mm lens producing 4xmagnification, this innovative device hits thesweet spot between large-area, lowmagnification viewers and the close quarters ofa dermoscopic image.

Key features:ª 4X Magnificationª Polarized & non-polarizedª Large field-of-viewª See lesion structuresª Touch interfaceª Charge via USB or Charging Pad (120-2142)(sold separately)

With Magnifier, 2 White and 2 UV Bulbs(120-3518) ......................ea

NEW!

serieshealthoutcomesimproving

13MS8713 AMA Formulary Ads_Formulary 12/5/13 11:58 AM Page 49

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DIAGNOSTIC EQUIPMENT & ACCESSORIES Blood Pressure Monitoring

(315-6618) Elemano Blood Pressure Monitor, Digital Each Terumo(112-6073) Pro Pocket Aneroid Sphygmomanometer Infant Each Henry Schein(112-6071) Pro Pocket Aneroid Sphygmomanometer Child Each Henry Schein(112-6072) Pro Pocket Aneroid Sphygmomanometer Adult Each Henry Schein(112-6075) Pro Pocket Aneroid Sphygmomanometer Large Adult Each Henry Schein(112-6074) Pro Pocket Aneroid Sphygmomanometer Thigh Each Henry Schein(513-1005) Tycos® Classic Hand Aneroid, Adult Each Welch-Allyn(513-6847) Tycos® TR-1 Hand Aneroid, Adult, Black Silver Ring Each Welch-Allyn

ECG Electrodes(681-6333) 1700 Cleartrace™ Electrode w/Conductive Adhesive Gel 50/Box Conmed(120-4000) Blue Max® Electrode, 40 mm, Vinyl, Offset Snap 25/Pack Cardiac Science(130-9743) Blue Max® Electrode, 50 mm, Foam, Offset Snap 25/Pack Cardiac Science(362-3376) Blue Max® Electrode, SUPAtab, Wet Jel 100/Box Cardiac Science(120-2289) CardioSens® / Advantage Resting Electrode 100/Bag Cardiac Science(120-2188) CardioSens® / K Resting Electrode (gentle adhesive w/high conductivity) # 047866 100/Bag Cardiac Science(120-1455) CardioSens® / Ultra II Premium Resting Electrode

(very aggressive adhesive w/fast stabilization) #047029 100/Bag Cardiac Science(701-6335) ECG Resting Electrode 1000/Box Welch-Allyn(900-7028) Electrode Stess & Holter Monitoring, 23mm x 34mm 50/Pack Henry Schein(900-7027) Electrode Resting Tab, 21mm x 34mm 100/Pack Henry Schein(520-3424) Fastrace™ 4 Resting Electrode, Tab Style 100/Pack Conmed(777-7660) Kendall Care® CA210 Resting Electrode, Tab Style (for long term and serial ECGs) 100/Bag Covidien(119-1522) Kendall Care® CA310 Resting Electrode, Tab Style 100/Bag Covidien(119-9010) Kendall Care® CA510 Resting Electrode, Tab Style (provides larger adhesive surface area) 100/Bag Covidien(119-0702) Kendall Care® CA610 Resting Electrode, Tab Style (broader tab for quicker tab-clip contact) 100/Bag Covidien(873-8355) Medi-Trace® 200 Foam Electrode 30/Pack Covidien(768-1779) Medi-Trace® 450 Pouch Electrode 50/Pack Covidien(879-8581) Medi-Trace® 530 Foam Electrode, Teardrop Style 30/Pack Covidien(119-5101) Medi-Trace® Electro Blue, Foam Stress 50/Pouch Covidien(666-5599) Medi-Trace® Mini Electrode (for snap applications) 30/Pack Covidien(119-2371) Nutab, Economy Resting Electrode 100/Box Covidien(632-9516) Q-Trace® 5400, Tab Style 100/Pack Covidien(178-7919) Q-Trace® Gold 5500, Resting Electrode 100/Pack Covidien(777-7630) Red Dot Electrode Foam, 5.1cm 50/Bag 3M (777-7985) Red Dot™ Foam Monitoring Electrode, Teardrop Style, 5.1cm 50/Bag 3M (777-8901) Red Dot™ Resting Electrode, Tab Style 100/Bag 3M (777-5281) Red Dot™ Soft Cloth Electrode, 6cm 50/Bag 3M (569-8478) Resting Electrode, Tab Style NikoTabs 100/Pack NikoMed(569-8024) Signa Sensor Electrode 500/Pack NikoMed

ECG Paper/Mounting Forms(120-1579) Assurance 50® ECG Paper (#007976) 200/Pack Cardiac Science(891-2720) Assurance 50® ECG Paper for Cardiac Science Eclipse Plus 200/Box Cardiac Science(120-9487) ECG Mounting Forms for EK-10, Elite, Elite II 100/Box Cardiac Science(761-4042) EKG Paper for AT-1 & SP-1 280 Sheets/Pack Welch-Allyn(761-4175) EKG Paper for AT2 150/Pack Welch-Allyn(102-5508) EKG Paper Multi Channel 200/Pack Henry Schein(120-8484) Heartline® Standard Thermal ECG Paper (#007868) 200/Box Cardiac Science

Integrated Diagnostics(289-9073) Integrated Diagnostic System #76791-MX Each Welch-Allyn

Ophthalmoscopes(566-8512) Ophthalmoscope Head, Coaxial, 3.5v (#11720) Each Welch-Allyn(566-7562) Ophthalmoscope Head, Standard, 3.5v (#11710) Each Welch-Allyn

Item Code Description Pkg. Manufacturer

13MS871350

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:09 PM Page 50

51

DIAGNOSTIC EQUIPMENT & ACCESSORIES Otoscopes

(461-5954) Bulb for 3.5v MacroView Otoscope Each Welch-Allyn(795-6720) MacroView™ Otoscope Head w/Throat Illuminator, 3.5v Each Welch-Allyn(148-8746) MacroView™ Otoscope Head, 3.5v Each Welch-Allyn(566-5884) Otoscope Head w/4 Specula, 3.5v Each Welch-Allyn

Otoscope/Ophthalmoscope Accessories(509-1036) All-Spec Disposable Tips, 2.5 mm 1000/Box Heine(509-0532) All-Spec Disposable Tips, 4.0 mm 1000/Box Heine(566-9136) Battery, 3.5v Rechargeable, Black Each Welch-Allyn(566-2828) Battery, 3.5v Rechargeable, Orange Each Welch-Allyn(566-4393) Universal Desk Charger Set w/2 Rechargeable NiCad Handles (#71630) Each Welch-Allyn(566-0193) Handle for Desk Charger, 3.5v Rechargeable, NiCad Each Welch-Allyn(566-2474) Handle for Desk Charger, 3.5v Rechargeable, Direct Plug-in Style Each Welch-Allyn(566-3761) HPX™ Halogen Replacement Lamp, 3.5v (for #11710) Each Welch-Allyn(566-2467) HPX™ Halogen Replacement Lamp, 3.5v (for #11720) Each Welch-Allyn(566-9758) HPX™ Halogen Replacement Lamp, 3.5v (for #20000, #20200, #21700, #20202, #25020) Each Welch-Allyn(566-5521) KleenSpec® Pneumatic/Operating Otoscope Specula, 4 mm, Disposable 500/Box Welch-Allyn(566-8482) KleenSpec® Pneumatic/Operating Otoscope Specula, 5 mm, Disposable 500/Box Welch-Allyn(566-1679) KleenSpec® Otoscope Specula, 2.75 mm, Disposable 850/Bag Welch-Allyn(566-5113) KleenSpec® Otoscope Specula, 4.25 mm, Disposable 850/Bag Welch-Allyn(112-5527) Otoscope Disposable Ear Specula 2.5mm 1000/Box Henry Schein(112-5528) Otoscope Disposable Ear Specula 4mm 1000/Box Henry Schein

Pulse Oximeters(488-1236) Digit™ Finger Pulse Oximeter Yellow Each BCI(900-6368) Finger Tip Pulse Oximeter Each Henry Schein

Respiratory/Spirometry(409-3035) EasyOne™ Diagnostic Spirometer w/printer Each NDD(409-5679) EasyOne™ Diagnostic Spirometer Spirettes 50/ Box NDD(556-0721) Flow Tubes f/Spirometer SP2 10/Box Schiller America Inc.(761-8839) Flow Tube for SP-150, SP-160, SP-250, Disposable 10/Box Schiller America Inc.(900-7034) Nasal Cannula 7’ Tubing Reg Tip Pediatric 50/Case Henry Schein(900-7035) Nasal Cannula 7’ Tubing Adult 50/Case Henry Schein(900-7036) Nasal Cannula 7’ Tubing Adult Curved 50/Case Henry Schein(900-7037) Nasal Cannula 7’ Tubing Adult Flared 50/Case Henry Schein(112-5619) Nebulizer with Mask & Tubing Pediatric Each Henry Schein(112-5618) Nebulizer with Mask & Tubing Adult Each Henry Schein(112-5617) Nebulizer Kit T-Mouth Piece &Tubing Adult Each Henry Schein

Stethoscopes(777-7541) Littmann® Classic II Stethoscope, Black, 28” Each 3M (777-8607) Littmann® Cardiology III Stethoscope, Black, 22” Each 3M (120-3713) Littmann® Cardiology III Stethoscope, Black, 27” Each 3M (101-2529) Littmann® Cardiology III Stethoscope, Navy, 27” Each 3M (101-2536) Littmann® Cardiology III Stethoscope, Green, 27” Each 3M (777-8795) Littmann® Master Cardiology Stethoscope, Black, 27” Each 3M (900-4815) Pro Plus Series Professional Stehtoscope, Black Each Henry Schein(900-4816) Pro Plus Series Professional Stehtoscope, Burgundy Each Henry Schein(900-4817) Pro Plus Series Professional Stehtoscope, Navy Each Henry Schein

Thermometers & Accessories(100-9361) Digital Thermometer Sheath, Oral 100/Box Henry Schein(151-2563) Digital Basal Thermometer Each Mabis(900-6438) Infared Ear Thermometer Each Henry Schein(194-3363) Probe Cover for Filac® F-1500 Thermometer 500/Box Covidien(890-3717) Probe Cover for FILACFasTemp® Thermometer 500/Box Covidien(100-7008) Probe Cover for Genius FirstTemp® Thermometer 105/Box Covidien

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:09 PM Page 51

52

DIAGNOSTIC EQUIPMENT & ACCESSORIES Thermometers & Accessories, cont’d

(840-2661) Probe Cover for SureTemp® PLUS Thermometer 250/Box Welch-Allyn(678-2442) Probe Cover for ThermoScan® Pro 4000™ Thermometer 200/Box Welch-Allyn(114-2518) Rediscan Digital Infrared Thermometer Each Mabis(203-3856) SureTemp® PLUS 690 Thermometer, Electronic, 4’ Cord Each Welch-Allyn(220-3171) TempaDOT® Ready Strips, Non-sterile, Unwrapped 250/Box 3M (220-8345) TempaDOT® Ready Strips, Sterile, Individually Wrapped 100/Box 3M (566-3430) ThermoScan® Pro 4000™ Ear Thermometer Each Welch-Allyn

Ultrasound & Accessories(100-1833) Aquasonic® 100 Ultrasound Transmission Gel w/Dispenser, Blue 5 Liter/Bottle Parker Laboratories Inc.(101-9866) Aquasonic® 100 Ultrasound Transmission Gel w/Dispenser, Clear 5 Liter/Bottle Parker Laboratories Inc.(100-6867) Sheathes™ Ultrasound Probe Cover, Non-sterile, Latex, Bulk 100/Box Medical Resources

Henry Schein is your source of Ultrasound Equipment - Ask your sales consultant today!

DIAGNOSTIC TESTINGA1C Testing

(147-8045) DCA 2000® + HbA1c Reagent Kit – required DCA Analyzer 10/Pack Siemens(119-8788) Afinion HbA1c Test – Required Afinion Analyzer 15/Box Alere

Diabetic Meters/Strips(112-6826) TRUEresult Blood Glucose Monitoring System Each Henry Schein(112-6827) TRUEtest Test Strips 50/Box Henry Schein(891-7031) Accu-Chek® Active Test Strips 50/Box Roche(891-0011) Accu-Chek Aviva Plus Strips 50/Bottle Roche(891-2883) Accu-Chek® Comfort Curve H Test Strips 50/Box Roche(891-0792) Accu-Chek® Comfort Curve Test Strips 50/Box Roche(891-6501) Accu-Chek® Comfort Curve Test Strips 100/Box Roche(147-9303) Bayer’s Contour Blood Glucose, Strips 50/Box Bayer(147-1405) Bayer’s Contour Blood Glucose System Each Bayer(654-0021) Freestyle Lite Strips 100/Box Abbott (567-0390) OneTouch® Ultra 2 System Kit Each Lifescan(567-0091) OneTouch® Ultra Test Strips 50/Vial Lifescan(567-0092) OneTouch® Ultra Test Strips 100/Vial Lifescan

Drug Testing(673-2588) iCup® A.D. 5 Panel (COC, THC, OPI, AMP, PCP - CLIA Waived) 25/Box Alere Toxicology (104-9299) iCup® A.D. 10 Panel (COC, THC, OPI, AMP, mAMP, BZO, BAR, OXY, MDMA, PPX) 25/Box Alere Toxicology (459-0014) iCup® Dx 6 Panel DOA Test (COC, THC, OPI, mAMP, BZO, OXY - CLIA Waived) 25/Box Alere Toxicology (447-2471) iCassette™ 5 Panel (COC, THC, OPI, AMP, PCP - CLIA Waived) 25/Box Alere Toxicology (392-1003) iScreen® 10 Panel (COC, THC, OPI, AMP, mAMP, PCP, BZO, BAR, MTD, TCA) 25/Box Alere Toxicology (395-0166) iScreen® DX BUP Single Dip Card 25/Box Alere Toxicology(395-0167) iScreen® DX 10 Panel Dip w/BUP (AMP, BAR, BUP, BZO, COC, THC, mAMP, MTD, MOP, OXY) 25/Box Alere Toxicology(827-2314) iScreen® 5 Panel Drug Test (COC, THC, OPI, AMP, PCP) 25/Box Alere Toxicology (114-0230) iScreen 5 Panel (COC, MDMA, THC, mAMP, OPI) 25/Box Alere Toxicology

Fecal Occult(254-5748) Hemoccult II® Dispensapak™ Plus, 40-Patient Kit 40-Patient Kit Beckman Coulter(254-5061) Hemoccult II® Dispensapak™, 100-Patient Kit 100-Patient Kit Beckman Coulter(254-4454) Hemoccult II® SENSA® Dispensapak™ Plus 40/Box Beckman Coulter(834-6389) Hemoccult® ICT Test Device, Kit 20/Box Beckman Coulter(254-3896) Hemoccult® SENSA® Single-Test Card 100/Box Beckman Coulter(254-9052) Hemoccult® Single-Test Card 100/Box Beckman Coulter(254-8235) Hemoccult® Tape Dispenser Kit 2/Box Beckman Coulter(792-8076) Hemosure IFOB Test, with Home Kit 30/Box Hemosure, Inc.(108-5284) Hemosure IFOB Complete Kit, No Patient Mailer 30/Box Hemosure, Inc.(109-3145) Hemosure IFOB Complete Kit, No Patient Mailer 50/Box Hemosure, Inc.

Item Code Description Pkg. Manufacturer

13MS871352

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:09 PM Page 52

53

DIAGNOSTIC TESTINGFecal Occult, cont’d

(450-0009) InSure FIT Combo Kit 25/25 25/Box Enterix(450-0008) InSure FIT Combo Kit 25/35 25/Box Enterix(450-0011) Insure FIT Developer Kit 25/Pack Enterix(450-0002) Insure FIT Patient Collection Kit 25/Pack Enterix(450-0012) Insure FIT QC Pack 50/Box Enterix(147-1246) OneStep Fecal Occult Blood Kit, 2-Hole Slides 100/Box Henry Schein(147-7182) OneStep Fecal Occult Blood Kit, Triple 2-Hole Slides 50/Box Henry Schein(900-7458) OneStep+ IFOB Test Cassettes 30/Box Henry Schein(900-4413) OneStep+ iFOBT Kit 25/Kit Henry Schein(900-4416) OneStep+ iFOBT Mailing Envelopes 20/Pack Henry Schein

HIV/HCV(512-9386) Clearview HIV-1/2 Stat-Pak, CLIA Waived 20/Kit Alere(810-3221) OraQuick® HIV Rapid Test 25/Box Orasure Technologies(810-6864) OraQuick® HIV Rapid Test 100/Box Orasure Technologies(810-3390) OraQuick® HIV Rapid Test Controls Each Orasure Technologies(810-0012) OraQuick® HCV Rapid Antibody Test 25/Box Orasure Technologies(810-0013) OraQuick® HCV Rapid Antibody Test 100/Box Orasure Technologies(810-0011) OraQuick® HCV Rapid Test Controls Each Orasure Technologies

H. pylori(900-4071) OneStep+ H. pylori Cassette Test Kit 20/Box Henry Schein(309-0040) OSOM H. pylori 25/Box Sekisui Diagnostics(227-5158) QuickVue® H. pylori gII™ Test, Whole Blood 10/Box Quidel Corp(227-2170) QuickVue® H. pylori gII™ Test, Whole Blood 30/Box Quidel Corp

Influenza(112-6219) OneStep+ Influenza A&B Test 25/Box Henry Schein(348-7480) BinaxNOW Influenza A&B Kit, Waived 10/Kit Alere(153-9781) BinaxNOW Influenza A&B Waived 22/Kit Alere(106-3126) OSOM Influenza A&B Test Kit 25/Kit Sekisui Diagnostics(227-5611) QuickVue® Influenza A&B Test, Non-returnable 25/Box Quidel Corp(227-9012) QuickVue® Influenza, Bulk Package 25/Box Quidel Corp(992-0002) Veritor® System Flu A&B Test, CLIA Waived 30/Box BD

Mono(900-4070) OneStep+ Mono Cassette Test 20/Box Henry Schein(112-5547) OneStep Pro+ Mono Test Kit - No Age Indication! 20/Box Henry Schein(327-3297) OSOM® Mono Test 25/Box Sekisui Diagnostics(227-0024) QuickVue+ Mono Test 20/Box Quidel Corp

Pregnancy Tests(900-4073) OneStep+ hCG Cassette Test Kit 25/Box Henry Schein(900-4074) OneStep+ hCG Cassette Test Kit 100/Box Henry Schein(900-4075) OneStep+ hCG Combo Cassette Test Kit 25/Box Henry Schein(900-4072) OneStep+ hCG Dipstick Test Kit 25/Box Henry Schein(512-0014) Alere hCG Combo Test, Cassette 40/Box Alere(254-2726) ICON® 25 hCG Pregnancy Test 25/Box Beckman Coulter(327-0743) OSOM hCG Card Rapid Test 25/Box Sekisui Diagnostics(327-9522) OSOM hCG Rapid Test, Combo 25/Box Sekisui Diagnostics(236-2470) OSOM hCG Urine Dipstick Test 50/Box Sekisui Diagnostics(371-6739) QuickVue+® One-Step hCG Serum/Urine Combo Test 30/Box Quidel Corp(227-7244) QuickVue® One-Step hCG Serum/Urine Combo Test 50/Box Quidel Corp(227-6481) QuickVue® One-Step hCG Urine Test 25/Box Quidel Corp

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:09 PM Page 53

DIAGNOSTIC TESTINGRSV

(301-8899) BinaxNOW RSV 10/Kit Alere(512-5059) BinaxNOW RSV 22/Kit Alere(512-8933) Clearview® RSV 20/Case Alere(227-0581) Quickvue RSV 20/Box Quidel Corp

STD Testing(227-0527) QuickVue Chlamydia 25/Box Quidel Corp

Strep A(107-4050) OneStep+ Strep A, Dipstick 25/Box Henry Schein(900-7570) OneStep Pro+ Strep A Cassette Test 25/Box Henry Schein(224-7320) OSOM® Strep A, Dipstick 52/Box Sekisui Diagnostics(102-7617) OSOM® Ultra Strep A Test 52/Box Sekisui Diagnostics(392-7389) OSOM® Ultra Strep A Test 25/Box Sekisui Diagnostics(489-0075) QuickVue+® Strep A Test 25/Box Quidel Corp(227-0611) QuickVue® Dipstick Strep A Test 50/Box Quidel Corp(227-4207) QuickVue® In-Line® Strep A Test 25/Box Quidel Corp

Urinalysis(900-4994) Urispec™ 10SG 100/Bottle Henry Schein(900-4995) Urispec™ 5 OB 100/Bottle Henry Schein(900-4996) Urispec™ 2 GP 100/Bottle Henry Schein(102-2285) Urispec™ 11-Way Urine Chemistry 100/Bottle Henry Schein(100-6567) Urispec™ GP+A Test Strips 100/Bottle Henry Schein(900-7508) Urispec 5-Way Plus Urine Reagent Test Strips 100/Bottle Henry Schein(900-7507) Urispec Plus Urinalysis Reader with 12 Bottles Urispec 11-Way Each Henry Schein(112-6841) Dipper Urine Control Level 1&2, 15ml 6/Box Henry Schein(112-6842) Dropper Urine Control Bi-Level, 25mL 4/Box Henry Schein(891-4205) Chemstrip® 10 MD 100/Bottle Roche(891-8002) Chemstrip® 10 SG 100/Bottle Roche(891-4294) Chemstrip® 5 OB 100/Bottle Roche(891-1914) Chemstrip® 7 100/Bottle Roche(891-4564) Chemstrip® 9 100/Bottle Roche(891-5552) Chemstrip® GP 100/Bottle Roche(891-6088) Chemstrip® Micral 30/Bottle Roche(147-0631) Clinitek® 50 Thermal Printer Paper 5 Rolls/Pack Siemens(147-4712) Clinitek® Microalbumin Test Strips 25/Box Siemens(147-9259) Combistix® Strips 100/Bottle Siemens(147-5913) Multistix® 10 SG Reagent Strips 100/Bottle Siemens(147-2360) Multistix® Pro 10LS Reagent Strips 100/Bottle Siemens(147-4912) Uristix® 4 Strips 100/Box Siemens(147-9199) Uristix® Strips 100/Bottle Siemens

13MS871354

Item Code Description Pkg. Manufacturer

(678-2442) (632-9516) (900-7570)

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:09 PM Page 54

(987-6956) (900-7433) (120-0220)

LABORATORY EQUIPMENT/ CONTROLSA1C, Diabetes, Cholesterol - Analyzers / Reagents

(600-5781) Cholestech TC, HDL and Glucose Panel 10/Box Alere(960-1587) Cholestech Capillary Plungers 50/Vial Alere(116-9995) Cholestech Lipid Profile 10/Box Alere(694-9360) Cholestech Lipid Profile w/Glucose Panel 10/Box Alere(108-7757) CoaguChek XS Starter Kit, 5/Bx Each Roche(891-7593) CoaguChek XS Test Strips, Vials 2x24/Box Roche(147-8045) DCA 2000®+ HbA1c Reagent Kit 10/Pack Siemens(147-8917) DCA 2000®+ Microalbumin/Creatinine Reagent Kit 10/Pack Siemens(897-3618) In-Ratio Coagulation Strips 48/Box Alere(261-7537) Lipid Panel Test Strips 15/Box Polymer Tech(684-7344) ST AIA-Pack PA, POL 100/Box Tosoh Medics(857-8311) ST FT4 AIA Pack Tests, POL 100/Box Tosoh Medics(997-4554) TSH ST AIA Pack 100 Tests, POL Each Tosoh Medics

BNP Testing(131-7507) Triage® BNP Test f/B-Type Peptide 25/Box Alere

Chemistry/ Hematology(102-5854) 4c Es Tri For Onyx & AC T, 9x3.3m Each Beckman Coulter(331-8452) 4C ES TRI Pack 12/Pack Beckman Coulter(331-7048) 4C® PLUS Tri Pack Cell Control, 3.3 mL 3/Pack Beckman Coulter(823-4044) diff Ac-T Pak™ 15 Liter Beckman Coulter(331-6645) diff Ac-T Tainer™ 4 Liter Beckman Coulter(345-8733) Hb201 Microcuvettes 4x50/Box Hemocue, Inc.(439-9158) Microcuvette Glucose 201 100/Box Hemocue, Inc.(487-2270) Protime Cuvette 5-Channel 25/Box International Tech(487-7457) Protime Cuvette & Tenderlet 25/Box International Tech(168-6070) QBC Autoread™ Plus AccuTube 100/Box QBC Diagnostics(942-3088) S-Cal Calib f/ MD,AC 1x4.2 mL Beckman Coulter

Specialty Testing(987-7212) Affirm™ VPIII Test Kit 24 Tests BD(106-5736) LeadCare II Reagent Test Kit 48/Box ESA Inc

LABORATORY SUPPLIESBlood Collection Needles & Sets

(120-8682) Blood Collection Set, 12” Tube, 23 Ga. x3/4” 50/Box Kawasumi Labs(987-0529) Blood Collection Set, 23 Ga. x3/4” Each BD(987-6956) Eclipse™ Blood Collection Needle, 21 Ga. x 1-1/4”, Luer Adapter 48/Box BD(987-2645) Eclipse™ Blood Collection Needle, 22 Ga. x 1-1/4”, Luer Adapter 48/Box BD

55To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

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LABORATORY SUPPLIESBlood Collection Needles & Sets, cont’d

(987-8393) Safety-Lok™ Blood Collection Set, 21 Ga. x 3/4”, 12” Tubing w/Luer Adapter 50/Box BD(987-1301) Safety-Lok™ Blood Collection Set, 23 Ga. x 3/4”, 12” Tubing w/Luer Adapter 50/Box BD (840-3447) Safety-Lok™ Blood Collection Set, 25 Ga. x 3/4” Each BD(315-7504) Surshield™ Safety Winged Blood Collection Set, 21 Ga. x 3/4”, 12” Tubing 50/Box Terumo(315-0039) Surshield™ Safety Winged Blood Collection Set, 23 Ga. x 3/4”, 12” Tubing 50/Box Terumo(315-6596) Surshield™ Safety Winged Blood Collection Set, 23 Ga. x 3/4”, 3-1/2” Tubing 50/Box Terumo(315-0434) Surshield™ Safety Winged Blood Collection Set, 25 Ga. x 3/4”, 12” Tubing 50/Box Terumo(987-3358) Vacutainer Blood Wing 12” Luer, 21 Ga. x.75” 50/Box BD(987-0051) Vacutainer Eclipse One-Use, Non-Stackable 250/Bag BD

Blood Collection Tubes(987-7541) Microtainer Tube w/EDTA, Lavendar 50/Box BD(987-7504) Vac Plus Tubes EDTA, W/hemgo Lavender 100/Box BD(120-0520) Vacuette Tube SST 13x100, 5mL 50/Carton Greiner Vacuette(373-1668) Vacutainer® Plus Tubes PST 13x75 3mL 100/Box BD(293-2535) Vacutainer® LI/Heparin 4 mL 100/Box BD(987-0936) Vacutainer® w/Hemo-Gard, 5 mL 100/Box BD(987-1419) Vacutainer® Plastic Tube SST, 3.5 mL 100/Box BD(987-2786) Vacutainer® Plus Plastic SST™ Serum Tube, 8.5 mL, Red/Grey 100/Box BD

Capillary Tubes(120-1422) Capillary 100 Tubes & Bulb, 10 Bulbs 100/Box Roche(168-5256) QBC Capillary Tube 100/Box QBC Diagnostics(547-0750) Safe-T-Fill® Capillary Tubes, EDTA-Mini, 125µL 50/Box Ram Scientific Inc.(547-9480) Safe-T-Fill® Capillary Tubes, EDTA-Mini, 200µL, purple 50/Box Ram Scientific Inc.(547-1429) Safe-T-Fill® Capillary Tubes, Lithium Heparin, 200µL 50/Box Ram Scientific Inc.

Lancets(100-0178) Blood Lancet, Sterile, Disposable 200/Box Henry Schein(891-9337) CoaguChek® Lancet, 23 Ga. 200/Box Roche(147-8204) Fingerstix Lancet, Sterile 200/Box Bayer(106-5210) Lancet Microtainer Pink Sterile 200/Box BD (106-5174) Lancet Microtainer Purple Sterile 200/Box BD (106-5209) Lancet Microtainer Blue Sterile 200/Box BD (668-3836) Lancet Unistik 2 Normal Yellow, 21 Ga. 50/Box Owen Mumford(668-6373) Unistik 3 Lancet Comfort, Low Flow 28Ga.,(Frequent Testing) 100/Box Owen Mumford(106-1400) Unistik 3 Lancet Normal, Medium Flow 23Ga.,(Standard Testing) 100/Box Owen Mumford(496-2369) SurgiLance Safety Lancet, Finger, 2.2mm, 21 Ga., Orange 100/Box MediPurpose(496-4869) SurgiLance Safety Lancet, Finger, 2.8mm, 21 Ga., Pink 100/Box MediPurpose(496-6428) SurgiLance Safety Lancet, Finger, 1.8mm, 23 Ga., Grey 100/Box MediPurpose

Microscope Slides(102-7277) Microscope Slide, Plain 72/Box Henry Schein(102-5605) Microscope Slides, Frosted 72/Box Henry Schein(102-6803) Microscope Slides Cover Glass #2, 1 oz. Each Henry Schein(868-0622) Microscope Slides, Plain, Unfrosted 25mm x 75mm 72/Box Globe Scientific Inc.(803-6390) Microscope Slides, Frosted 25mm x 75mm 72/Box Globe Scientific Inc.(868-6492) Microscope Slides, Frosted, Color on 1 End/1 Side, White 72/Box Globe Scientific Inc.

Specimen Collection(900-7433) Specimen Container with Lid, Sterile, 4.5oz 100/Case Henry Schein(900-7431) Specimen Container with Lid, Individually Wrapped, Sterile, 4.5oz 100/Case Henry Schein(900-7432) Specimen Container with Lid Bulk, Non-Sterile, 4.5oz 500/Case Henry Schein(103-1202) Specimen Cup Non-breakable, Nonsterile, 4 oz. 20/Bag Medical Action(103-8763) Specimen Cup with Lid, Nonsterile, 4 oz. 20/Bag Medical Action(103-0345) Specimen Cup Paper, Nonsterile, 6.5oz 25/Pack Medical Action(890-8761) Specimen Container, Sterile, 4 oz. 100/Case Covidien(890-3930) Specimen Container Bulk, Sterile, 4 oz. 100/Case Covidien

Item Code Description Pkg. Manufacturer

13MS871356

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LABORATORY SUPPLIESSpecimen Collection, cont’d

(900-7432) Specimen Container with Lid Bulk, Non-Sterile, 4.5oz 500/Case Henry Schein(103-4626) Uri-Pan Specimen Pan (Nun’s Hat), 1000cc Each Medical Action(103-3383) Urine Hat Specimen Collector, 800cc Each Medical Action(100-4606) Plastic Patient Urinal, Transparent, Quart Each Medical Action

Cytology/Histology(104-5374) Water Reagent Grade Gallon Medical Chemical

EQUIPMENT - EXAM ROOMCryosurgery

(116-0279) CryoSolutions™ Replacement Cartridges, 23.5g N2O 4/Pack Integra-Miltex(117-7340) CryoSolutions™ Replacement Cartridges, 23.5g N2O Each Integra-Miltex(378-0286) Cryomega Cryosurgical Device Each Premier Medical(810-0005) Histofreezer 80mL, Mixed Bud Kit with 12-2mm and 24-5mm Buds (36M1C) Each Orasure Technologies(810-0007) Histofreezer 80mL, 36 - 5mm Buds Kit (36F1C) Each Orasure Technologies(810-0034) Histofreezer 2-80mL, Mixed Bud Kit with 24-2mm and 46-5mm Buds Each Orasure Technologies(490-0004) Verruca-Freeze 50 Freeze Kit, 150mL (VFK50) Each CryoSurgery, Inc.(401-0007) Verruca-Freeze 50 Freeze, 150-ml Canister (VFC50) Each CryoSurgery, Inc.(401-9948) Verruca-Freeze 65 Freeze Kit, 162mL (VFK65) Each Cryosurgery Inc.(401-3815) Verruca-Freeze 65 Freeze Canister, 162mL (VFC65) Each Cryosurgery Inc.(106-5920) Verruca-Freeze 100 Freeze Canister, 236mL (VFL) Each Cryosurgery Inc.(401-0005) Verruca-Freeze 200 Freeze, 2-236ml Canisters (VFL200) Each CryoSurgery, Inc.(401-0006) Verruca-Freeze 300 Freeze, 3-236ml Canisters (VFL300) Each CryoSurgery, Inc.

Ear Wash(566-2671) Ear Wash System Plus Each Welch-Allyn(566-0007) Ear Wash System Ear Tips 25/Box Welch-Allyn

Electrosurgery(261-8478) Bovie 950 Elecrosurgical Dessicator Each Aaron Medical(590-9426) Blunt Dermal Tip for 800, 900, 950, Nonsterile 100/ Box Aaron Medical(590-5192) Cautery, Disposable, Cordless, Hi-Temp, Elongated Tip, Vasectomy Each Aaron Medical(590-1085) Cautery, Disposable, Cordless, Hi-Temp, Fine Tip Each Aaron Medical(590-5974) Cautery, Disposable, Cordless, Hi-Temp, Loop Tip Each Aaron Medical(241-6402) Dermal Tip Electrode, Sharp for 800, 900, 950, Non-sterile 100/Box Aaron Medical(891-3055) Dermal Tip Electrode, Sharp for 800, 900, 950, Sterile 50/Box Aaron Medical(271-2856) Hyfrecator® Electrolase® Blunt Tip Electrodes, Non-sterile, Disposable 100/Box Conmed(920-3113) Hyfrecator® Electrolase® Sharp Tip Electrodes, Non-sterile, Disposable 100/Box Conmed(520-9814) Hyfrecator® Handpiece Sheaths, Sterile 36” 25/Box Conmed(682-1876) Standard Electro Blade for 800, 900, 950, Sterile 50/Box Aaron Medical(590-1158) Tip for Electrode Sterile, Blunt 50/Box Aaron Medical

Exam TablesAsk about our complete selection of Midmark Exam and Procedure Tables!

Respiratory Therapy - Peak Flow Meters/Oxygen(120-4087) Assess® Peak Flow Meter Mouthpiece, Adult, Disposable 100/Box Mada Medical(120-3214) Assess® Peak Flow Meter, Standard Range Each Health-Scan (110-1842) Mask Bubbles Fish for Nebulizer Each Pari(120-4195) Nasal Cannula Flared Each Hudson(120-2054) Nasal Cannula Non Flared Tube, Adult 7 ft Each Hudson(141-5020) Nasal Cannula w/o Tubing, Adult Each B&F(101-6085) Nasal Cannula w/Tube 50/Case Rusch(141-1173) Oxygen Cannula w/Tubing Each Allied Health(422-0663) PeakAir Peak Flow Meter Each Omron Healthcare

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:10 PM Page 57

58

EQUIPMENT - EXAM ROOMRespiratory Therapy - Nebulizers

(151-0010) Margo Moo Nebulizer Each Mabis(120-3172) Nebulizer Micro Mist Each Rusch(120-0220) Nebulizer w/Mouthpiece 50/Case Rusch(832-9660) Nebulizer w/Mask & Tubing Each Rusch

Scales(975-4610) Digital Eye-Level Scale w/Height Rod, White Each Health-O-Meter(545-3857) Eye-Level School Beam Scale w/Height Rod, White Each Detecto (120-1678) Physician Balance Beam Scale w/Height Rod, White Each Health-O-Meter(900-8642) Physician Balance Beam Scale, Mechanical Column, 500 Lb. Each Seca Scales(600-5578) Wireless Colum Scales with Height Rod, 550 LBS, White Each Seca Scales

Stands(106-5857) Cover Mayo Stand 30/Case Medline(100-9541) Mayo Instrument Stand w/Mobile Base Each Tech-Med

EXAM ROOM SUPPLIESBibs/Towels

(110-6952) Baby Scale Liner-2ply+poly, 13”x22” 250/Case Tidi Products(110-6953) Baby Scale Liner-2ply+poly, 13”x25” 250/Case Tidi Products(100-1313) Dri-Gard Towel 2Ply+Poly, Gray 13”x19” 500/Case Henry Schein(100-1350) Dri-Gard Towel 2Ply+Poly, Green 13”x19” 500/Case Henry Schein(100-3501) Dri-Gard Towel 2Ply+Poly, Beige 13”x19” 500/Case Henry Schein(100-5715) Dri-Gard Towel 2Ply+Poly, White 13”x19” 500/Case Henry Schein(100-6341) Dri-Gard Towel 2Ply+Poly, Dusty Rose 13”x19” 500/Case Henry Schein(100-7265) Dri-Gard Towel 2Ply+Poly, Blue 13”x19” 500/Case Henry Schein(100-7384) Dri-Gard Towel 2Ply+Poly, Peach 13”x19” 500/Case Henry Schein(100-9276) Dri-Gard Towel 2Ply+Poly, Aqua 13”x19” 500/Case Henry Schein(100-9704) Dri-Gard Towel 2Ply+Poly, Yellow 13”x19” 500/Case Henry Schein(101-0476) Dri-Gard Towel 2Ply+Poly, Lavender 13”x19” 500/Case Henry Schein(895-5745) Horton Hears a Who Towels 2 Ply+Poly, 13”x18” 500/Case Tidi Products(895-4680) Bugs & Things Towels, 13”x18” 250/Case Tidi Products(895-3812) Schooltime Towels, 13”x18” 500/Case Tidi Products(100-0183) Standard Professional Towel, Blue 500/Case Henry Schein(100-3161) Standard Professional Towel, White 500/Case Henry Schein

Cups(104-9869) Drinking Plastic Translucent, 5oz 100/Pack Henry Schein(112-5555) Medicine Graduated Plastic, 1oz 100/Bag Henry Schein(395-3635) Drinking Paper Pleated, 3.5oz 100/Box Solo(395-0120) Jazz, Cold Paper Wax 3oz 100/Pack Afflink(100-0580) Medicine Graduated Plastic, 1oz 100/Pack Dynarex (250-0208) Souffle Paper, 1oz 250/Box Lagasse

Exam Drape/Sheets(101-1546) Cell-U-Cloth Drape Sheet 3-Ply, 40”x60” 100/Case Tidi Products(101-4110) Cell-U-Cloth Drape Sheets, 40”x72” 50/Case Tidi Products(101-7324) Cell-U-Cloth Drape Sheets, 40”x72” 50/Case Tidi Products(101-9283) Cover-All Drape Sheets 30”x48”, Blue 100/Case Tidi Products(101-7651) Cover-All Drape Sheets 30”x48”, White 100/Case Tidi Products(209-4441) Drape Sheet Plastic Back Blue, 40X60 100/Case Tidi Products(859-6321) Drape Sheet Tissue 3-Ply White, 40”x90” 50/Case Tidi Products(120-8935) Drape Sheet Tissue/Poly Blue, 40”x90” 50/Case Tidi Products(859-9328) Drape Sheet Tissue/Poly Blue, 40”x72” 50/Case Tidi Products(120-1352) Drape Sheet TPT Blue, 40”x48” 100/Case Tidi Products

(101-7547) Drape Sheet TPT Blue, 40”x90” 50/Case Tidi Products

Item Code Description Pkg. Manufacturer

13MS871358

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EXAM ROOM SUPPLIESExam Drape/Sheets, cont’d

(101-5261) Drape Sheet TPT, 40” x 48” Blue 50/Case Tidi Products(101-1432) Drape Sheet White Poly 2-Ply, 40”x48” 100/Case Tidi Products(100-1797) Exam Drape Sheet 40” x 48”, White 100/Case Henry Schein(100-6428) Exam Drape Sheet 40” x 48”, Mauve 100/Case Henry Schein(100-3360) Exam Drape Sheet 40” x 48”, Blue 100/Case Henry Schein(100-38450 Exam Drape Sheet 40” x 48”, Peach 100/Case Henry Schein(101-7084) Exam Drape Sheet Deluxe White, 40” x 48” 100/Case Henry Schein(101-3658) Exam Drape Sheet White, 36” x 48” 100/Case Henry Schein(101-8521) Exam Drape Sheet White, 40” x 60” 100/Case Henry Schein(910-1101) Stretcher Sheets Tissue/Poly Disposable, 40 x 90 50/Case Graham Medical(895-1047) Drape Exam Sheet 2-Ply White, 40 x 48” 100/Case Tidi Products(895-2230) Watercolors Drape Sheet 2 Ply, 40 x 48” 100/Case Tidi Products

Exam Capes(425-5731) Cape Ultra Mammo, Blue 48”x45” 50/Case Tidi Products(101-6599) Exam Cape Deluxe Blue, 30”x21” 100/Case Henry Schein(101-3029) Exam Cape Deluxe Mauve, 30”x21” 100/Case Henry Schein(101-6908) Exam Cape Deluxe White, 30”x21” 100/Case Henry Schein(100-8821) Exam Cape Economy White, 30”x21” 100/Case Henry Schein(100-2393) Exam Cape Economy Blue, 30”x21” 100/Case Henry Schein(100-2010) Exam Cape Economy Mauve, 30”x21” 100/Case Henry Schein(120-2104) Exam Cape Poncho White T/T, 19”x22” 200/Case Tidi Products

Exam Gowns(100-9652) Exam Deluxe, Tissue/Poly/Tissue, Mauve, 30”x 42” 50/Case Henry Schein(100-6999) Exam Deluxe, Tissue/Poly/Tissue, Peach, 30”x 42” 50/Case Henry Schein(100-2392) Exam Deluxe, Tissue/Poly/Tissue, White, 30”x 42” 50/Case Henry Schein(100-5728) Exam Deluxe, Tissue/Poly/Tissue, Blue, 30”x 42” 50/Case Henry Schein(100-4471) Exam Economy, White, 30”x 42” 50/Case Henry Schein(100-4975) Exam Economy, Blue, 30”x 42” 50/Case Henry Schein(100-7115) Exam Economy. Mauve, 30”x 42” 50/Case Henry Schein(100-7083) Exam Non-Woven Blue, 30”x 44” 50/Case Tidi Products(895-1526) Exam Nonwoven Scrim Glued Blue 30”x 43” 50/Case Tidi Products(422-3893) Exam Nonwoven Scrim Reinforced Blue Plus Sz, 3X 25/Case Tidi Products(859-7465) Exam Nonwoven Scrim Sewn Blue XXL, 72”x 45” 25/Case Tidi Products(859-5168) Exam Nonwoven Scrim Sewn Blue, 30”x 42” 50/Case Tidi Products(895-3055) Exam Schooltime, Tissue/Poly/Tissue, 21”x 36” 50/Case Tidi Products(895-2621) Exam Gown Bugs & Things Pediatric Fabric, 21”x 36” 50/Case Tidi Products(895-6338) Exam Gown Cat In The Hat Pediatric, 21”x 36” 50/Case Tidi Products(895-6382) Exam Gown Horton Hears A Who, Tissue/Poly/Tissues, 21”x 36” 50/Case Tidi Products(895-6214) Exam Under The Sea, Tissue/Poly/Tissue, 21”x 36” 50/Case Tidi Products(101-2639) Poncho Blue, 40”x 40” 25/Case Tidi Products(895-6576) Poncho Plus Blue Size, 4XL 25/Case Tidi Products

Hot/Cold Therapy(467-0126) Comfort Gel Pack Hot/Cold, Round 4” Pink Each Accurate

Visit www.henryschein.com/ice to personalize your Comfort Gel Packs (104-5324) Hot/Cold Pack Reusable 4” x 6” Each Henry Schein(258-4087) Hot/Cold Gel Pack, 6” x 9” Each Jack Frost

Underpads/Chux(895-4678) 2 Ply Fluff Filled Poly, 23” x 26” 150/Case Tidi Products(895-7418) 3 Ply Tissue/Poly, 17”x24” 300/Case Tidi Products(112-5633) Disposable, 17”x24” 300/Case Henry Schein(890-3497) Tendersorb Fluff, Nonwoven, 23” x 24” 12/Bag Covidien(890-6517) Tendersorb Large, 23”x36” 150/Case Covidien(890-7727) Tendersorb Nonwoven, 17”x24” 300/Case Covidien(647-2357) Tendersorb Polypropylene, 23”x24” 200/Case Covidien

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:10 PM Page 59

EXAM ROOM SUPPLIESMiscellaneous

(101-2526) Fabricel Pillow Cases, White 21”x30” 100/Case Henry Schein(101-9597) Fabricel Pillowcases, Blue 21”x30” 100/Case Tidi Products(101-8842) Fabricel Pillowcases, Mauve 21”x 30” 100/Case Tidi Products(104-9206) Pillowcase TPT White, 21”x 30” 100/Case Henry Schein(395-5390) Toilet Seat Covers 250/Pk Hospeco(895-9375) Tidi Ortho Exam Shorts, 2XL/Blue 50/Case Tidi Products(895-7343) Tidi Ortho Exam Shorts, Large/Blue 100/Case Tidi Products(967-8109) Tidi Ortho Exam Shorts, Med/Blue 100/Case Tidi Products(895-3575) Tidi Ortho Exam Shorts, X-Large/Blue 100/Case Tidi Products(120-9361) Exam Shorts LF Non Woven 2XL, Navy Blue 50/Case Valumax(101-7070) Kim Wipes Lens Cleaning Wipes 280/Box Kimberly-Clark (101-6311) Pillowcase Tissue-Poly White, 21”x30” 100/Case Tidi Products

Plastic Products(103-0003) Basin Emesis, Gold 8.5” 16 oz. Medical Action(103-9005) Basin Emesis, Rose, 10” 24 oz Medical Action(100-0164) Basin Emesis, Rose, 8.5” 16 oz. Medical Action(103-1263) Basin Emesis, Turquoise, 10” 20 oz Medical Action(103-8402) Basin Emesis, Turquoise, 8.5” 16 oz. Medical Action(108-9851) Bulb Syringe Ear and Ulcer Sterile 3 oz Busse(103-2723) Graduated Measuring Container 32 oz Medical Action(635-3108) Pill Cutter Each Tech-Med(103-7996) Utility Basin, Turquoise 16 oz. Medical Action(103-3117) Wash Basin, Nonsterile Rose 7.5 Quart Medical Action(894-1493) Wash Basin, Nonsterile Turquoise 7.5 Quart Medical Action(103-9761) Wash Basin, Rose 6 Quart Medical Action

Table Paper(408-0380) Bugs & Things Table Paper Crepe, 14”x125’ 6/Case Tidi Products(895-9124) Bugs & Things Table Paper Crepe, 18”x125’ 6/Case Tidi Products(895-9545) Bugs & Things Table Paper Smooth, 18”x225’ 6/Case Tidi Products(895-5646) Cat In Hat Smooth, 18”x225’ 6/Case Tidi Products(895-7874) Crepe Pastel Vines, 21”x125’ 6/Case Tidi Products(100-9865) Crepe White 18”x125” 12 Rolls/Case Henry Schein(100-1657) Crepe White, 21”x125’ 12 Rolls/Case Henry Schein(895-1155) Dri-Perf Table Paper, Embossed 18x125’ 9/Case Tidi Products(895-8433) Dri-Perf Table Paper, Embossed 21x125’ 9/Case Tidi Products(895-6321) Dri-Perf Table Paper Embossed 21”x100’ 12 Rolls/Case Tidi Products(900-4978) Essentials White, 18”x225’ Smooth 12/Case Henry Schein(900-4979) Essentials White, 21”x225’, Smooth 12/Case Henry Schein(979-9865) Essentials White, 18”x125’ Crepe 12/Case Henry Schein(979-1657) Essentials White, 21”x125’, Crepe 12/Case Henry Schein(101-5582) Exam Paper Extra Wide, Crepe 24” 12 Rolls/Case Tidi Products(101-6708) Exam Paper Extra Wide, Smooth 24” 8 Roll/Case Tidi Products

13MS871360

Item Code Description Pkg. Manufacturer

(112-5555) (425-5731) (103-8402)

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:10 PM Page 60

(900-4214) (101-1510) (895-6195)

EXAM ROOM SUPPLIESTable Paper, cont’d

(895-6567) Pastel Vines Table Paper Smooth, 18”x225’ 6/Case Tidi Products(895-7817) Pastel Vines Table Paper Smooth, 21”x225’ 6/Case Tidi Products(895-6718) Pediatric Combo, Crepe 18”x125 ’ 12/Case Tidi Products(100-9491) Smooth White, 18”x225’ 12 Rolls/Case Henry Schein(100-0177) Smooth White, 21”x225’ 12 Rolls/Case Henry Schein(895-3492) Smooth White, 21”x225’ 12/Case Tidi Products(104-4501) Smooth White Heavy Duty, 14”x225’ 12 Rolls/Case Henry Schein(104-6092) Smooth White Heavy Duty, 18”x225’ 12 Rolls/Case Henry Schein(104-5273) Smooth White Heavy Duty, 21”x225’ 12 Rolls/Case Henry Schein(895-3210) Under The Sea Crepe, 18”x125’ 6/Case Tidi Products(895-6570) Under The Sea Smooth, 18”x225’ 6/Case Tidi Products(895-6195) Watercolors Crepe, 18”x125’ 12/Case Tidi Products(895-4618) Watercolors Smooth, 18”x225’ 12/Case Tidi Products(895-9782) Watercolors Smooth, 21”x225’ 12/Case Tidi Products(895-3069) Horton Who Table Paper, 18”x225” 6 Rolls/Case Tidi Products(101-3770) Crepe Yieldmore 14’x125’ 12 Rolls/Case Tidi Products

Tissues(643-0062) Angel Soft Facial Tissue 100/Box Georgia Pacific(666-0001) Facial Tissue White 2Ply, 5.5x5.5 40/Box Strauss Paper(900-4214) Facial Tissue, White 100/Box Henry Schein(115-2657) Surpass Tissue Facial 100/Box Kimberly-Clark (643-0891) Kleenex A-V Facial Tissue 75/Box Kimberly-Clark(100-5911) Kleenex Boutique Tissue, White 95/Box Kimberly-Clark (100-2649) Kleenex Facial Tissue 100/Box Kimberly-Clark (643-7651) Kleenex Facial Tissue, 2Ply 125/Box Kimberly-Clark (395-8451) Kleenex Jr Tissue, White 65/Box Kimberly-Clark (643-9066) Scott Surpass Toilet Tissue, 2-Ply 8 Roll/Case Kimberly-Clark (395-0125) Toilet Tissue Angel Soft 2-Ply 40RI/Case Georgia Pacific(110-6565) Toilet Tissue Preference 2-Ply, 550 Sheets Each Georgia Pacific(643-5856) Cottonelle, Toilet Tissue Standard, Individual Wrapped 60 Rolls/Case Kimberly-Clark

Towels(100-8448) Kleenex C-Fold Towels White (Use with Dispenser Item# 643-7124) 2400/Case Kimberly-Clark(101-8156) Kleenex Multifold Hand Towel 1-Ply, White #189 (Use with Dispenser Item# 643-7124) 2400/Case Kimberly-Clark(101-1510) Scott C-Fold Towels, 13.25”x10.4” (Use with Dispenser Item# 643-7124) 2400/Case Kimberly-Clark(101-2063) Scott Multi-Fold Towels, #1804 (Use with Dispenser Item# 643-7124) 4000/Case Kimberly-Clark(643-2531) Scott Kitchen Roll Towel, Perfrtd 20/Case Kimberly-Clark (643-7124) C-Fold Dispenser Windows Style, Pearl White Each Kimberly-Clark (107-3132) Bigfold Z Hand Towel (Use with Dispenser Item# 111-3225) 2200/Case Georgia Pacific(111-3225) C-Fold Dispenser 10/Case Georgia Pacific (395-0017) Towel Dispenser Automated, Black Each Georgia Pacific (395-0018) Roll Towel White, 400’ (Use with Dispenser Item# 395-0017) 6/Case Georgia Pacific(100-4944) Towel Dispenser Clear Acrylic, 19”x13” Each Crosstex

61To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:10 PM Page 61

62

GLOVESLatex Exam / Non-sterile / Powdered

(102-5425) Criterion LP, X-Small 100/Box Henry Schein(102-7597) Criterion LP, Small 100/Box Henry Schein(102-5426) Criterion LP, Medium 100/Box Henry Schein(102-5427) Criterion LP, Large 100/Box Henry Schein(102-5428) Criterion LP, X-Large 90/Box Henry Schein(565-6519) Micro One, X-Small 100/Box Microflex Inc(565-8750) Micro One, Small 100/Box Microflex Inc(565-9024) Micro One, Medium 100/Box Microflex Inc(565-9617) Micro One, Large 100/Box Microflex Inc(565-9936) Micro One, X-Large 100/Box Microflex Inc(685-5423) Micro-Touch LP, Small 150/Box Ansell(685-5534) Micro-Touch LP, Medium 150/Box Ansell(685-3849) Micro-Touch LP, Large 150/Box Ansell(100-6414) Finger Cots, Medium 144/Box Tech-Med(100-0448) Finger Cots, Large 144/Box Tech-Med

Latex Exam / Non-sterile / Powder-free(108-7848) Aloe Green Latex PF, X-Small 100/Box Henry Schein(108-7850) Aloe Green Latex PF, Small 100/Box Henry Schein(108-8553) Aloe Green Latex PF, Medium 100/Box Henry Schein(108-7855) Aloe Green Latex PF, Large 100/Box Henry Schein(108-7856) Aloe Green Latex PF, X-Large 90/Box Henry Schein(102-5354) Criterion CL, X-Small 100/Box Henry Schein(102-8296) Criterion CL, Small 100/Box Henry Schein(102-5355) Criterion CL, Medium 100/Box Henry Schein(102-7763) Criterion CL, Large 100/Box Henry Schein(102-5357) Criterion CL, X-Large 100/Box Henry Schein(102-5418) Criterion PC, X-Small 100/Box Henry Schein(102-5419) Criterion PC, Small 100/Box Henry Schein(102-5421) Criterion PC, Medium 100/Box Henry Schein(102-6730) Criterion PC, Large 100/Box Henry Schein(102-5422) Criterion PC, X-Large 90/Box Henry Schein(103-5123) Cyber-Gel PF, X-Small 100/Box Glove Club(103-5133) Cyber-Gel PF, Small 100/Box Glove Club(103-5165) Cyber-Gel PF, Medium 100/Box Glove Club(103-5196) Cyber-Gel PF, Large 100/Box Glove Club(103-5121) Cyber-Gel PF, X-Large 100/Box Glove Club(565-6320) Comfortgrip PF, X-Small 100/Box Microflex(565-3645) Comfortgrip PF, Small 100/Box Microflex(565-3556) Comfortgrip PF, Medium 100/Box Microflex(565-9395) Comfortgrip PF, Large 100/Box Microflex(565-6816) Comfortgrip PF, X-Large 100/Box Microflex(565-3500) Diamond Grip Plus, X-Small 100/Box Microflex(565-3501) Diamond Grip Plus, Small 100/Box Microflex(565-3502) Diamond Grip Plus, Medium 100/Box Microflex(565-3503) Diamond Grip Plus, Large 100/Box Microflex(565-3504) Diamond Grip Plus, X-Large 100/Box Microflex(565-2637) Diamond Grip PF, X-Small 100/Box Microflex(565-5860) Diamond Grip PF Small 100/Box Microflex(565-0694) Diamond Grip PF, Medium 100/Box Microflex(565-1061) Diamond Grip PF, Large 100/Box Microflex(565-1329) Diamond Grip PF, X-Large 100/Box Microflex(565-8514) Evolution One PF, X-Small 100/Box Microflex(565-0613) Evolution One PF, Small 100/Box Microflex(565-0954) Evolution One PF, Medium 100/Box Microflex(565-1346) Evolution One PF, Large 100/Box Microflex(565-1984) Evolution One PF, X-Large 100/Box Microflex(685-0392) NextStep PF, X-Small 100/Box Ansell(685-9248) NextStep PF, Small 100/Box Ansell

Item Code Description Pkg. Manufacturer

13MS871362

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:10 PM Page 62

63

GLOVESLatex Exam / Non-sterile / Powder-free, cont’d

(685-1779) NextStep PF, Medium 100/Box Ansell(685-6666) NextStep PF, Large 100/Box Ansell(685-5573) NextStep PF, X-Large 80/Box Ansell(103-2523) Pure Grip PF, X-Small 100/Box Glove Club(103-2507) Pure Grip PF, Small 100/Box Glove Club(103-2504) Pure Grip PF, Medium 100/Box Glove Club(103-2563) Pure Grip PF, Large 100/Box Glove Club(103-2545) Pure Grip PF, X-Large 100/box Glove Club(103-2138) Zodiac PF, X-Small 100/Box Glove Club(103-2108) Zodiac PF, Small 100/Box Glove Club(103-2167) Zodiac PF, Medium 100/Box Glove Club(103-2124) Zodiac PF, Large 100/Box Glove Club

Latex Surgical / Sterile / Surgeons / Powdered(104-7721) Criterion, LP, Size 5.5 50 Pair/Box Henry Schein(104-3500) Criterion, LP, Size 6 50 Pair/Box Henry Schein(104-9242) Criterion, LP, Size 6.5 50 Pair/Box Henry Schein(104-3501) Criterion, LP, Size 7 50 Pair/Box Henry Schein(104-5920) Criterion, LP, Size 7.5 50 Pair/Box Henry Schein(104-4696) Criterion, LP, Size 8 50 Pair/Box Henry Schein(104-5787) Criterion, LP, Size 8.5 50 Pair/Box Henry Schein(104-9192) Criterion, LP, Size 9 50 Pair/Box Henry Schein(685-5173) Micro-Touch LP, Size 6 50 Pair/Box Ansell(685-5250) Micro-Touch LP, Size 6.5 50 Pair/Box Ansell(685-5447) Micro-Touch LP, Size 7 50 Pair/Box Ansell(685-5517) Micro-Touch LP, Size 7.5 50 Pair/Box Ansell(685-5607) Micro-Touch LP, Size 8 50 Pair/Box Ansell(685-6104) Micro-Touch LP, Size 8.5 50 Pair/Box Ansell(132-8324) Original Perry Style 42, White Size 5.5 50 Pair/Box Ansell(101-9105) Original Perry Style 42, White Size 6 50 Pair/Box Ansell(101-4970) Original Perry Style 42, White, Size 6.5 50 Pair/Box Ansell(101-7989) Original Perry Style 42, White, Size 7 50 Pair/Box Ansell(101-5362) Original Perry Style 42, White, Size 7.5 50 Pair/Box Ansell(101-0378) Original Perry Style 42, White, Size 8 50 Pair/Box Ansell(101-5738) Original Perry Style 42, White Size 8.5 50 Pair/Box Ansell(132-8675) Original Perry Style 42, White Size 9 50 Pair/Box Ansell

Latex Surgical / Sterile /Surgeons/ Powder-free(104-6125) Criterion PF Surgical, Size 5.5 50 Pair/Box Henry Schein(104-5073) Criterion PF Surgical, Size 6 50 Pair/Box Henry Schein(104-9218) Criterion PF Surgical, Size 6.5 50 Pair/Box Henry Schein(104-3502) Criterion PF Surgical, Size 7 50 Pair/Box Henry Schein(104-3503) Criterion PF Surgical, Size 7.5 50 Pair/Box Henry Schein(104-3563) Criterion PF Surgical, Size 8 50 Pair/Box Henry Schein(104-7315) Criterion PF Surgical, Size 8.5 50 Pair/Box Henry Schein(104-7227) Criterion PF Surgical, Size 9 50 Pair/Box Henry Schein(685-1993) Derma Prene PF Surgical Glove Size 6 50 Pair/Box Ansell (685-3909) Derma Prene PF Surgical Glove Size 6.5 50 Pair/Box Ansell (685-9192) Derma Prene PF Surgical Glove Size 7 50 Pair/Box Ansell (685-4205) Derma Prene PF Surgical Glove Size 7.5 50 Pair/Box Ansell (685-2748) Derma Prene PF Surgical Glove Size 8 50 Pair/Box Ansell (685-7543) Derma Prene PF Surgical Glove Size 8.5 50 Pair/Box Ansell (685-6121) Derma Prene PF Surgical Glove Size 9 50 Pair/Box Ansell (685-0068) DermaPrene Ultra HydraSoft PF LF Surg Glove Size 5.5 50 Pair/Box Ansell (685-0069) DermaPrene Ultra HydraSoft PF LF Surg Glove Size 6 50 Pair/Box Ansell (685-0030) DermaPrene Ultra HydraSoft PF LF Surg Glove Size 6.5 50 Pair/Box Ansell (685-0070) DermaPrene Ultra HydraSoft PF LF Surg Glove Size 7 50 Pair/Box Ansell (685-0071) DermaPrene Ultra HydraSoft PF LF Surg Glove Size 7.5 50 Pair/Box Ansell (685-0072) DermaPrene Ultra HydraSoft PF LF Surg Glove Size 8 50 Pair/Box Ansell

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:10 PM Page 63

64

GLOVESLatex Surgical / Sterile /Surgeons/ Powder-free, cont’d

(685-0073) DermaPrene Ultra HydraSoft Size 8.5 50 Pair/Box Ansell (685-0075) DermaPrene Ultra HydraSoft Size 9 50 Pair/Box Ansell

Synthetic Exam / Non-sterile / Powder-free(152-5553) Alasta Nitrile, Small 100/Box Dash Medical(152-3016) Alasta Nitrile, Medium 100/Box Dash Medical(152-4148) Alasta Nitrile, Large 100/Box Dash Medical(678-4822) Aloetouch Ice Nitrile, X-Small 200/Box Medline(678-7736) Aloetouch Ice Nitrile, Small 200/Box Medline(678-7737) Aloetouch Ice Nitrile, Medium 200/Box Medline(678-7738) Aloetouch Ice Nitrile, Large 200/Box Medline(678-6520) Aloetouch Ice Nitrile, X-Large 180/Box Medline(112-5505) Criterion Clear Blue Nitrile, X-Small 100/Box Henry Schein(112-5506) Criterion Clear Blue Nitrile, Small 100/Box Henry Schein(112-5507) Criterion Clear Blue Nitrile, Medium 100/Box Henry Schein(112-5508) Criterion Clear Blue Nitrile, Large 100/Box Henry Schein(112-5509) Criterion Clear Blue Nitrile, X-Large 100/Box Henry Schein(111-8533) Criterion Nitrile, X-Small 100/Box Henry Schein(111-8535) Criterion Nitrile, Small 100/Box Henry Schein(111-8536) Criterion Nitrile, Medium 100/Box Henry Schein(111-8539) Criterion Nitrile, X-Large 90/Box Henry Schein(900-7437) Criterion N200 Nitrile, X-Small 200/Box Henry Schein(900-7438) Criterion N200 PF Nitrile, Small 200/Box Henry Schein(900-7439) Criterion N200 PF Nitrile, Medium 200/Box Henry Schein(900-7440) Criterion N200 PF Nitrile, Large 200/Box Henry Schein(900-7441) Criterion N200 Nitrile, X-Large 180/Box Henry Schein(102-5721) Criterion Vinyl, X-Small 100/Box Henry Schein(102-6721) Criterion Vinyl, Small 100/Box Henry Schein(102-5338) Criterion Vinyl, Medium 100/Box Henry Schein(102-7319) Criterion Vinyl, Large 100/Box Henry Schein(102-5377) Criterion Vinyl, X-Large 90/Box Henry Schein(104-6042) EasyStretch Vinyl, X-Small 100/Box Glove Club(104-6043) EasyStretch Vinyl, Small 100/Box Glove Club(104-6045) EasyStretch Vinyl, Medium 100/Box Glove Club(104-6046) EasyStretch Vinyl, Large 100/Box Glove Club(104-6047) EasyStretch Vinyl, X-Large 100/Box Glove Club(103-3300) Elastex Nytrile, X-Small 100/Box Glove Club(103-3301) Elastex Nytrile, Small 100/Box Glove Club(103-3302) Elastex Nytrile, Medium 100/Box Glove Club(103-3303) Elastex Nytrile, Large 100/Box Glove Club(103-3341) Elastex Nytrile, X-Large 100/Box Glove Club(565-9724) FreeForm SE Nitrile, X-Small 100/Box Microflex(565-1161) FreeForm SE Nitrile, Small 100/Box Microflex(565-7186) FreeForm SE Nitrile, Medium 100/Box Microflex(565-0983) FreeForm SE Nitrile, Large 100/Box Microflex(566-4693) FreeForm SE Nitrile, X-Large 100/Box Microflex(685-0952) Micro-Touch Nitrile, X-Small 200/Box Ansell(685-6748) Micro-Touch Nitrile, Small 200/Box Ansell(685-9060) Micro-Touch Nitrile, Medium 200/Box Ansell(685-8665) Micro-Touch Nitrile, Large 200/Box Ansell(685-5430) Micro-Touch Nitrile, X-Large 200/Box Ansell(685-4447) Nitrafree Pink Nitrle, X-Small 100/Box Ansell(685-4387) Nitrafree Pink PF Nitrle, Small 100/Box Ansell(685-7305) Nitrafree Pink PF Nitrle, Medium 100/Box Ansell(685-4728) Nitrafree Pink PF Nitrle, Large 100/Box Ansell(685-0140) Nitrafree Pink Nitrle, X-large 100/Box Ansell(107-0500) SafeSkin® Purple Nitrile, X-Small 100/Box Kimberly-Clark (107-0501) SafeSkin® Purple Nitrile, Small 100/Box Kimberly-Clark (107-0502) SafeSkin® Purple Nitrile, Medium 100/Box Kimberly-Clark (107-0530) SafeSkin® Purple Nitrile, Large 100/Box Kimberly-Clark

Item Code Description Pkg. Manufacturer

13MS871364

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:10 PM Page 64

65

GLOVESSynthetic Exam / Non-sterile / Powder-free, cont’d

(107-0540) SafeSkin® Purple Nitrile, X-Large 90/Box Kimberly-Clark (565-4510) Tranquility Nitrile, X-Small 100/Box Microflex(565-8087) Tranquility Nitrile, Small 100/Box Microflex(565-7431) Tranquility Nitrile, Medium 100/Box Microflex(565-9481) Tranquility Nitrile, Large 100/Box Microflex(565-1575) Tranquility Nitrile, X-Large 100/Box Microflex(565-0013) Ultraform PF Nitrile, X-Small 300/Box Microflex(565-0014) Ultraform PF Nitrile, Small 300/Box Microflex(565-0015) Ultraform PF Nitrile, Medium 300/Box Microflex(565-0016) Ultraform PF Nitrile, Large 300/Box Microflex(565-0017) Ultraform PF Nitrile, X-large 250/Box Microflex(565-1461) UltraSense Nitrile, X-Small 100/Box Microflex(565-0495) UltraSense Nitrile, Small 100/Box Microflex(565-8308) UltraSense Nitrile, Medium 100/Box Microflex(565-3972) UltraSense Nitrile, Large 100/Box Microflex(565-3009) UltraSense Nitrile, X-Large 100/Box Microflex(565-0003) XCEED Nitrile, X-Small 250/Box Microflex(565-0004) XCEED Nitrile, Small 250/Box Microflex(565-0005) XCEED Nitrile, Medium 250/Box Microflex(565-0006) XCEED Nitrile, Large 250/Box Microflex(565-0007) XCEED Nitrile, X-Large 230/Box Microflex

Synthetic / Sterile / Surgeons / Powder-free(685-1120) Derma Prene Isotouch, Size 5.5 50 Pair/Box Ansell(685-8843) Derma Prene Isotouch, Size 6 50 Pair/Box Ansell(685-8359) Derma Prene Isotouch, Size 6.5 50 Pair/Box Ansell(685-4250) Derma Prene Isotouch, Size 7 50 Pair/Box Ansell(685-5860) Derma Prene Isotouch, Size 7.5 50 Pair/Box Ansell(685-8082) Derma Prene Isotouch, Size 8 50 Pair/Box Ansell(685-2532) Derma Prene Isotouch, Size 8.5 50 Pair/Box Ansell(685-1394) Derma Prene Isotouch, Size 9 50 Pair/Box Ansell(685-5866) NitraTex Nitrile- 1’s, Small 100/Box Ansell(685-7913) NitraTex Nitrile- 1’s, Medium 100/Box Ansell(685-4461) NitraTex Nitrile- 1’s, Large 100/Box Ansell(132-0089) NitraTex Nitrile - Pair, Small 50 Pair/Box Ansell(132-7400) NitraTex Nitrile - Pair, Medium 50 Pair/Box Ansell(132-3728) NitraTex Nitrile - Pair, Large 50 Pair/Box Ansell(987-9701) Sensicare Aloe, Size 5 25 Pair/Box Medline(987-9701) Sensicare Aloe, Size 5.5 25 Pair/Box Medline(987-4457) Sensicare Aloe, Size 6 25 Pair/Box Medline(987-3976) Sensicare Aloe, Size 6.5 25 Pair/Box Medline(987-1877) Sensicare Aloe, Size 7 25 Pair/Box Medline(987-9341) Sensicare Aloe, Size 7.5 25 Pair/Box Medline(987-0246) Sensicare Aloe, Size 8 25 Pair/Box Medline(987-8235) Sensicare Aloe, Size 8.5 25 Pair/Box Medline

HYPODERMIC SUPPLIES Allergy Trays - Standard

(987-8955) 0.5cc Allergist Tray w/27 Ga. x 1/2” PrecisionGlide™ Needle, Regular Bevel 25/Pack BD(987-7175) 0.5cc Allergist Tray w/27 Ga. x 3/8” PrecisionGlide™ Needle, Regular Bevel 25/Pack BD(987-0132) 1 cc Allergist Tray w/26 Ga. x 1/2” PrecisionGlide™ Needle, Intradermal Bevel 25/Pack BD(987-6243) 1 cc Allergist Tray w/26 Ga. x 1/2” PrecisionGlide™ Needle, Regular Bevel 25/Pack BD(987-0916) 1 cc Allergist Tray w/26 Ga. x 3/8” PrecisionGlide™ Needle, Intradermal Bevel 25/Pack BD(987-7350) 1 cc Allergist Tray w/27 Ga. x 3/8” PrecisionGlide™ Needle, Intradermal Bevel 25/Pack BD(315-2897) Allergist 1cc Syringe Tray, 26 Ga. x 3/8”, Regular Bevel 25/Pack Terumo(315-7107) Allergist 1cc Syringe Tray, 27 Ga. x 1/2 “, Regular Bevel 25/Pack Terumo(315-0749) Allergist 1cc Syringe Tray, 27 Ga. x 1/2”, Intradermal Bevel 25/Pack Terumo

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:10 PM Page 65

HYPODERMIC SUPPLIES Allergy Trays - Standard, cont’d

(315-3169) Allergist 1cc Syringe Tray, 27 Ga. x 3/8”, Intradermal Bevel 25/Pack Terumo(987-3790) Allergy 1cc Syringe Tray, 27 Ga. x 1/2”, Regular Bevel 25/Pack BD(987-6688) Allergy 1cc Syringe Tray, 27 Ga. x 3/8 ”, Regular Bevel 25/Pack BD(100-0311) Allergy 1cc Syringe w/Needle, 27 Ga. x 1/2”, Regular Bevel 100/Box Terumo(987-3028) Allergy 1cc Syringe w/Needle, 28 Ga. x 1/2”, Regular Bevel 100/Box BD(194-0558) Allergist 1/2cc Syringe Tray , 28 Ga. x1/2” 25/Box Covidien(194-0338) Allergist 1cc Syringe Tray, 28 Ga. x1/2” 25/Box Covidien(890-3681) Allergy 1cc Syringe TB, 27 Ga. x1/2 25/Box Covidien

Needles - Safety(987-8914) Eclipse Safety Needle, 25 Ga. x1 100/Box BD(987-0407) Integra™ Safety Retracting Needle, 23 Ga. x 1” 100/Box BD(987-6179) Integra™ Safety Retracting Needle, 25 Ga. x 5/8” 100/Box BD(847-9130) SafetyGlide™ Needle, 18 Ga. x 1-1/2” 50/Box BD(987-5915) SafetyGlide™ Needle, 21 Ga. x 1” 50/Box BD(987-9249) SafetyGlide™ Needle, 21 Ga. x 1-1/2” 50/Box BD(987-5900) SafetyGlide™ Needle, 22 Ga. x 1-1/2” 50/Box BD(987-5902) SafetyGlide™ Needle, 23 Ga. x 1” 50/Box BD(987-8685) SafetyGlide™ Needle, 25 Ga. x 1” 50/Box BD(987-5901) SafetyGlide™ Needle, 25 Ga. x 5/8” 50/Box BD(315-3854) SurGuard2™ Safety Needle, 18 Ga. x 1” 100/Box Terumo(315-8435) SurGuard2™ Safety Needle, 18 Ga. x 1-1/2”(315-1878) SurGuard2™ Safety Needle, 20 Ga. x 1” 100/Box Terumo(315-8595) SurGuard2™ Safety Needle, 20 Ga. x 1-1/2” 100/Box Terumo(315-0959) SurGuard2™ Safety Needle, 21 Ga. x 1” 100/Box Terumo(315-3481) SurGuard2™ Safety Needle, 21 Ga. x 1-1/2” 100/Box Terumo(315-2384) SurGuard2™ Safety Needle, 22 Ga. x 1” 100/Box Terumo(315-6866) SurGuard2™ Safety Needle, 22 Ga. x 1-1/2” 100/Box Terumo(315-2376) SurGuard2™ Safety Needle, 23 Ga. x 1” 100/Box Terumo(315-4460) SurGuard2™ Safety Needle, 23 Ga. x 1-1/2” 100/Box Terumo(315-4214) SurGuard2™ Safety Needle, 25 Ga. x 1” 100/Box Terumo(315-4862) SurGuard2™ Safety Needle, 25 Ga. x 1-1/2” 100/Box Terumo(315-5940) SurGuard2™ Safety Needle, 25 Ga. x 5/8” 100/Box Terumo(315-3663) SurGuard2™ Safety Needle, 26 Ga. x 1/2” 100/Box Terumo(315-5190) SurGuard2™ Safety Needle, 27 Ga. x 1/2” 100/Box Terumo(315-1671) SurGuard2™ Safety Needle, 30 Ga. x 1/2” 100/Box Terumo(315-0042) Surguard3 Safety Needle, 23 Ga. x 1 100/Box Terumo(315-0040) Surguard3 Safety Needle, 23 Ga. x 1-1/2 100/Box Terumo(315-0043) Surguard3 Safety Needle, 25 Ga. x 5/8 100/Box Terumo(315-0044) Surguard3 Safety Needle, 25 Ga. x 1 100/Box Terumo(315-0046) Surguard3 Safety Needle, 27 Ga. x 1/2 100/Box Terumo

13MS871366

Item Code Description Pkg. Manufacturer

(315-3854) (987-5902) (987-6688)

(All sizes) (All sizes)

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:10 PM Page 66

(315-2897) (100-1017)

HYPODERMIC SUPPLIES Needles - Spinal

(987-0447) Anesthetic Spinal Needle, 20 Ga x 3-1/2” 25/Box BD(987-0313) Anesthetic Spinal Needle, 22 Ga. x 3-1/2” 25/Box BD(987-3586) Anesthetic Spinal Needle, 22 Ga. x 5” 10/Box BD(987-9886) Anesthetic Spinal Needle, 22 Ga. x 7” 10/Box BD(987-8728) Anesthetic Spinal Needle, 25 Ga. x 3-1/2” 25/Box BD

Needles - Standard(194-0249) Blunt Metal 16 Ga. x1-1/2 100/Case Covidien(900-4472) Disposable, 25 Ga. x1 1/2” 100/Box Henry Schein(900-4470) Disposable, 25 Ga. x1” 100/Box Henry Schein(900-4468) Disposable, 25 Ga. x5/8” 100/Box Henry Schein(337-5455) Disposable, 27 Ga. x1-1/2” 100/Box Exel (337-5234) Disposable, 27 Ga. x1-1/4” 100/Box Exel (101-1103) Disposable Needle, 18 Ga. x 1”, Siliconized, Luer-Lock 100/Box Terumo(100-1017) Disposable Needle, 18 Ga. x 1-1/2”, Siliconized, Luer-Lock 100/Box Terumo(100-4221) Disposable Needle, 20 Ga. x 1”, Siliconized, Luer-Lock 100/Box Terumo(100-3456) Disposable Needle, 20 Ga. x 1-1/2”, Siliconized, Luer-Lock 100/Box Terumo(100-7673) Disposable Needle, 21 Ga. x 1”, Siliconized, Luer-Lock 100/Box Terumo(100-4461) Disposable Needle, 21 Ga. x 1-1/2”, Siliconized, Luer-Lock 100/Box Terumo(100-6213) Disposable Needle, 22 Ga. x 1”, Siliconized, Luer-Lock 100/Box Terumo(100-9806) Disposable Needle, 22 Ga. x 1-1/2”, Siliconized, Luer-Lock 100/Box Terumo(100-5544) Disposable Needle, 23 Ga. x 1”, Siliconized, Luer-Lock 100/Box Terumo(100-6760) Disposable Needle, 23 Ga. x 1-1/2”, Siliconized, Luer-Lock 100/Box Terumo(100-5826) Disposable Needle, 25 Ga. x 1”, Siliconized, Luer-Lock 100/Box Terumo(100-9542) Disposable Needle, 25 Ga. x 5/8”, Siliconized, Luer-Lock 100/Box Terumo(100-4876) Disposable Needle, 26 Ga. x 1-1/2”, Siliconized, Luer-Lock 100/Box Terumo(100-2013) Disposable Needle, 27 Ga. x 1/2”, Siliconized, Luer-Lock 100/Box Terumo(315-9974) Disposable Needle, 30 Ga. x 1/2”, Siliconized, Luer-Lock 100/Box Terumo(315-0024) Disposable Needle, 25 Ga. X 7/8”, Neolus, Thin Wall, Orange Hub 100/Box Terumo(315-0022) Disposable Needle, 25 Ga. X 1-1/2”, Neolus, Regular Wall, Orange Hub 100/Box Terumo(315-0023) Disposable Needle, 30 Ga. X 1”, Neolus, Regular Wall, Yellow Hub 100/Box Terumo(987-0454) PrecisionGlide™ General Use Needle, Disposable, 18 Ga. x 1” 100/Box BD(987-5912) PrecisionGlide™ General Use Needle, Disposable, 18 Ga. x 1-1/2” 100/Box BD(987-1141) PrecisionGlide™ General Use Needle, Disposable, 19 Ga. x 1-1/2” 100/Box BD(987-2550) PrecisionGlide™ General Use Needle, Disposable, 20 Ga. x 1” 100/Box BD(987-8128) PrecisionGlide™ General Use Needle, Disposable, 20 Ga. x 1-1/2” 100/Box BD(987-0251) PrecisionGlide™ General Use Needle, Disposable, 21 Ga. x 1” 100/Box BD(987-0800) PrecisionGlide™ General Use Needle, Disposable, 21 Ga. x 1-1/2” 100/Box BD(987-2977) PrecisionGlide™ General Use Needle, Disposable, 22 Ga. x 1” 100/Box BD(987-9489) PrecisionGlide™ General Use Needle, Disposable, 22 Ga. x 1-1/2” 100/Box BD(987-0293) PrecisionGlide™ General Use Needle, Disposable, 23 Ga. x 3/4” 100/Box BD(987-0934) PrecisionGlide™ General Use Needle, Disposable, 23 Ga. x 1” 100/Box BD(987-0029) PrecisionGlide™ General Use Needle, Disposable, 25 Ga. x 5/8” 100/Box BD(987-1639) PrecisionGlide™ General Use Needle, Disposable, 25 Ga. x 1” 100/Box BD

67To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

Log into your HSI Account to get your AMA Pricing

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:10 PM Page 67

68

HYPODERMIC SUPPLIES Needles - Standard, cont’d

(987-0092) PrecisionGlide™ General Use Needle, Disposable, 25 Ga. x 1-1/2” 100/Box BD(987-3146) PrecisionGlide™ General Use Needle, Disposable, 26 Ga. x 1/2” 100/Box BD(987-8847) PrecisionGlide™ General Use Needle, Disposable, 26 Ga. x 3/8” 100/Box BD(987-1403) PrecisionGlide™ General Use Needle, Disposable, 26 Ga. x 5/8” 100/Box BD(987-0987) PrecisionGlide™ General Use Needle, Disposable, 27 Ga. x 1/2” 100/Box BD(987-5544) PrecisionGlide™ Specialty Use Needle, Disposable, 25 Ga. x 7/8” 100/Box BD(987-1329) PrecisionGlide™ Specialty Use Needle, Disposable, 27 Ga. x 1-1/4” 100/Box BD(987-8204) PrecisionGlide™ Specialty Use Needle, Disposable, 30 Ga. x 1/2” 100/Box BD(987-5624) PrecisionGlide™ Specialty Use Needle, Disposable, 30 Ga. x 1” 100/Box BD

Syringes Only - Safety(987-1962) Safety-Lok™ 3cc Syringe Only, Luer-Lok® Tip 100/Box BD(987-9641) Safety-Lok™ 5cc Syringe Only, Luer-Lok® Tip 50/Box BD(987-9262) Safety-Lok™ 10cc Syringe Only, Luer-Lok® Tip 50/Box BD

Syringes w/Needle - Safety(987-0103) Insulin Syringe UF Short .5 cc, 31 x5/16 100/Box BD(987-8637) Integra™ Safety 3 mL Syringe w/Detachable Needle, 21 Ga. x 1” 100/Box BD(987-5360) Integra™ Safety 3 mL Syringe w/Detachable Needle, 21 Ga. x 1-1/2” 100/Box BD(987-5497) Integra™ Safety 3 mL Syringe w/Detachable Needle, 22 Ga. x 1-1/2” 100/Box BD(987-6244) Integra™ Safety 3 mL Syringe w/Detachable Needle, 23 Ga. x 1” 100/Box BD(987-9348) Integra™ Safety 3 mL Syringe w/Detachable Needle, 25 Ga. x 1” 100/Box BD(987-5659) Integra™ Safety 3 mL Syringe w/Detachable Needle, 25 Ga. x 5/8” 100/Box BD(694-7362) Monoject Safety 3cc Syringe w/Needle, 23 Ga. x 1” 100/Box Covidien(694-3957) Monoject Safety 3cc Syringe w/Needle, 25 Ga. x 5/8” 100/Box Covidien(987-6140) SafetyGlide Allergy Tray Intr, 26 Ga. x 3/8” 25/Tray BD(987-8569) SafetyGlide Allergy Tray Reg, 27Ga. x 1/2” 25/Tray BD(987-4677) SafetyGlide TB Syringe w/Needle 1cc, 26 Ga. x 3/8” 100/Box BD(987-3138) SafetyGlide TB Syringe w/Needle 1cc, 27 Ga. x 1/2” 100/Box BD(987-5903) SafetyGlide™ 1 mL Syringe w/Needle, 25 Ga. x 5/8” 50/Box BD(987-8344) SafetyGlide™ 1 mL Syringe w/Needle, 27 Ga. x 5/8” 50/Box BD(987-5906) SafetyGlide™ 3 mL Syringe w/Needle, 22 Ga. x 1-1/2” 50/Box BD(987-5905) SafetyGlide™ 3 mL Syringe w/Needle, 23 Ga. x 1” 50/Box BD(987-5904) SafetyGlide™ 3 mL Syringe w/Needle, 25 Ga. x 5/8” 50/Box BD(987-5209) Safety-Lok™ TB 1 mL Syringe w/Needle, 25 Ga. x 5/8” 100/Box BD(987-1224) Safety-Lok™ TB 1 mL Syringe w/Needle, 27 Ga. x 1/2” 100/Box BD(987-0513) Safety-Lok™ TB 1 mL Syringe w/Needle, 29 Ga. x 1/2” 100/Box BD(987-8264) SafetyGlide™ 10 mL Syringe w/Needle, 22 Ga. x 1-1/2” 50/Box BD(987-1643) Safety-Lok™ 3 mL Syringe w/Needle, 21 Ga. x 1-1/2” 100/Box BD(951-7814) Safety-Lok™ 3 mL Syringe w/Needle, 22 Ga. x 1” 100/Box BD(987-1282) Safety-Lok™ 3 mL Syringe w/Needle, 22 Ga. x 1-1/2” 100/Box BD(987-9475) Safety-Lok™ 3 mL Syringe w/Needle, 23 Ga. x 1” 100/Box BD(987-9538) Safety-Lok™ 3 mL Syringe w/Needle, 25 Ga. x 5/8” 100/Box BD(860-0669) Safety-Lok™ 10 mL Syringe w/Needle, 21 Ga. x 1-1/2” 50/Box BD(315-3675) SurGuard2™ Safety 1cc Syringe w/Needle, 25 Ga. x 5/8” 100/Box Terumo(315-6861) SurGuard2™ Safety 1cc Syringe w/Needle, 26 Ga. x 3/8” 100/Box Terumo(315-7338) SurGuard2™ Safety 1cc Syringe w/Needle, 27 Ga x 1/2” 100/Box Terumo(315-8511) SurGuard2™ Safety 3cc Syringe w/Needle, 20 Ga. x 1” 100/Box Terumo(315-2523) SurGuard2™ Safety 3cc Syringe w/Needle, 20 Ga. x 1-1/2” 100/Box Terumo(315-8671) SurGuard2™ Safety 3cc Syringe w/Needle, 21 Ga. x 1” 100/Box Terumo(315-4333) SurGuard2™ Safety 3cc Syringe w/Needle, 21 Ga. x 1-1/2” 100/Box Terumo(315-8299) SurGuard2™ Safety 3cc Syringe w/Needle, 22 Ga. x 1” 100/Box Terumo(315-9894) SurGuard2™ Safety 3cc Syringe w/Needle, 22 Ga. x 1-1/2” 100/Box Terumo(315-9047) SurGuard2™ Safety 3cc Syringe w/Needle, 23 Ga. x 1” 100/Box Terumo(315-0829) SurGuard2™ Safety 3cc Syringe w/Needle, 25 Ga. x 1” 100/Box Terumo(315-9872) SurGuard2™ Safety 3cc Syringe w/Needle, 25 Ga. x 5/8” 100/Box Terumo(315-0048) Surguard3™ Safety 1cc Syringe w/Needle, 25 Ga. x 5/8 100/Box Terumo(315-0049) Surguard3™ Safety 1cc Syringe w/Needle, 27 Ga. x 1/2 100/Box Terumo(315-0055) Surguard3™ Safety 3cc Syringe w/Needle, 22 Ga. x 1.5 100/Box Terumo

Item Code Description Pkg. Manufacturer

13MS871368

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69

HYPODERMIC SUPPLIES Syringes w/Needle - Safety, cont’d

(315-0028) Surguard3™ Safety 3cc Syringe w/Needle, 23 Ga. x 1 100/Box Terumo(315-0030) Surguard3™ Safety 3cc Syringe w/Needle, 25 Ga. x 5/8 100/Box Terumo(315-0029) Surguard3™ Safety 3cc Syringe w/Needle, 25 Ga. x 1” 100/Box Terumo

Syringes Only - Standard(900-4475) 3cc Syringe w/o Needle LL Sterile 100/Box Henry Schein(900-4477) 5cc Syringe w/o Needle LL Sterile 100/Box Henry Schein(900-4476) 10cc Syringe w/o Needle LL Sterile 100/Box Henry Schein(100-6599) 1cc TB Syringe Only 100/Box Terumo(100-5094) 3cc Syringe Only, Disposable, Luer-Lok® 100/Box Terumo(100-7847) 5cc Syringe Only, Disposable, Luer-Lok® 100/Box Terumo(100-6667) 10cc Syringe Only, Disposable, Luer-Lok® 100/Box Terumo(315-3268) 20cc Syringe Only, Disposable Luer-Lok® 50/Box Terumo(100-8334) 30cc Syringe Only, Disposable, Luer-Lok® 25/Box Terumo(100-5188) 60cc Syringe Only, Disposable, Luer-Lok® 25/Box Terumo(987-0250) 1cc TB Syringe Only 200/Box BD(987-5471) 1cc Syringe Only, Disposable, Luer-Lok® 100/Box BD(987-0248) 3cc Syringe Only, Disposable, Luer-Lok® 200/Box BD(987-5914) 10cc Syringe Only, Disposable, Luer-Lok® 100/Box BD(987-3800) 60cc Syringe Only, Disposable, Luer-Lok® 40/Box BD(507-8381) Injekt™-F Lo-Waste 1cc Syringe Only (for Botox Injections) 100/Box B. Braun

Syringes w/Needle - Standard(900-4460) 3cc Syringe w/Needle, 23 Ga. x1” 100/Box Henry Schein(900-4458) 3cc Syringe w/Needle, 25 Ga. x5/8” 100/Box Henry Schein(900-4461) 3cc Syringe w/Needle, 25 Ga. x1” 100/Box Henry Schein(100-0707) 3cc Syringe w/Needle, 20 Ga. x 1”, Disposable, Luer-Lock 100/Box Terumo(100-2353) 3cc Syringe w/Needle, 20 Ga. x 1-1/2”, Disposable, Luer-Lock 100/Box Terumo(100-1378) 3cc Syringe w/Needle, 21 Ga. x 1”, Disposable, Luer-Lock 100/Box Terumo(100-7173) 3cc Syringe w/Needle, 21 Ga. x 1-1/2”, Disposable, Luer-Lock 100/Box Terumo(100-1798) 3cc Syringe w/Needle, 22 Ga. x 1”, Disposable, Luer-Lock 100/Box Terumo(100-7434) 3cc Syringe w/Needle, 22 Ga. x 1-1/2”, Disposable, Luer-Lock 100/Box Terumo(100-6223) 3cc Syringe w/Needle, 23 Ga. x 1”, Disposable, Luer-Lock 100/Box Terumo(100-7947) 3cc Syringe w/Needle, 23 Ga. x 1-1/2”, Disposable, Luer-Lock 100/Box Terumo(100-6540) 3cc Syringe w/Needle, 25 Ga. x 5/8”, Disposable, Luer-Lock 100/Box Terumo(100-2305) 3cc Syringe w/Needle, 25 Ga. x 1”, Disposable, Luer-Lock 100/Box Terumo(100-4808) 5cc Syringe w/Needle, 20 Ga. x 1”, Disposable, Luer-Lock 100/Box Terumo(100-6271) 5cc Syringe w/Needle, 20 Ga. x 1-1/2”, Disposable, Luer-Lock 100/Box Terumo(100-6872) 5cc Syringe w/Needle, 21 Ga. x 1”, Disposable, Luer-Lok 100/Box Terumo(100-4725) 5cc Syringe w/Needle, 21 Ga. x 1-1/2”, Disposable, Luer-Lock 100/Box Terumo(100-0355) 5cc Syringe w/Needle, 22 Ga. x 1”, Disposable, Luer-Lock 100/Box Terumo(100-5681) 5cc Syringe w/Needle, 22 Ga. x 1-1/2”, Disposable, Luer-Lock 100/Box Terumo(100-8831) 10cc Syringe w/Needle, 20 Ga. x 1”, Disposable, Luer-Lock 100/Box Terumo(100-6835) 10cc Syringe w/Needle, 21 Ga. x 1-1/2”, Disposable, Luer-Lock 100/Box Terumo(100-6314) 10cc Syringe w/Needle, 22 Ga. x 1-1/2”, Disposable, Luer-Lock 100/Box Terumo(100-5885) Insulin 1cc Syringe w/Needle, 27 Ga. x 1/2” 100/Box Terumo(315-1958) Insulin 1/2cc Syringe w/Needle, 29 Ga. x 1/2” 100/Box Terumo(315-3963) Insulin 1cc Syringe w/Needle, 29 Ga. x 1/2” 100/Box Terumo(315-7807) SurSaver 1cc Syringe w/Needle, 23 Ga. x 1/2” 100/Box Terumo(315-0339) SurSaver 1cc Syringe w/Needle, 25 Ga. x 5/8” 100/Box Terumo(315-9987) SurSaver 1cc Syringe w/Needle, 27 Ga. x 1/2” 100/Box Terumo(100-5324) TB 1cc Syringe w/Needle, 25 Ga. x 5/8” 100/Box Terumo(100-9198) TB 1cc Syringe w/Needle, 26 Ga. x 3/8” 100/Box Terumo(100-2285) TB 1cc Syringe w/Needle, 27 Ga. x 1/2” 100/Box Terumo(100-0358) Syringe w/Needle LL Disp 10cc, 21 Ga. x 1” 100/Box Terumo(100-8979) Syringe w/Needle LL Disp 10cc, 20 Ga. x 1-1/2” 100/Box Terumo(987-5994) 3cc Syringe w/Needle, 21 Ga. x 1”, Disposable, Luer-Lok® 100/Box BD(987-9036) 3cc Syringe w/Needle, 21 Ga. x 1-1/2”, Disposable, Luer-Lok® 100/Box BD(987-2558) 3cc Syringe w/Needles, 22 Ga. x 1”, Disposable, Luer-Lok® 100/Box BD

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:10 PM Page 69

70

HYPODERMIC SUPPLIES Syringes w/Needle - Standard, cont’d

(987-8154) 3cc Syringe w/Needle, 22 Ga. x 1-1/2”, Disposable, Luer-Lok® 100/Box BD(987-7076) 3cc Syringe w/Needle, 23 Ga. x 1”, Disposable, Luer-Lok® 100/Box BD(987-2220) 3cc Syringe w/Needle, 25 Ga. x 5/8”, Disposable, Luer-Lok® 100/Box BD(987-5736) 3cc Syringe w/Needle, 25 Ga. x 1”, Disposable, Luer-Lok® 100/Box BD(987-8285) 3cc Syringe w/Needle, 25 Ga. x 1-1/2”, Disposable, Luer-Lok® 100/Box BD(987-3628) 5cc Syringe w/Needle, 20 Ga. x 1”, Disposable, Luer-Lok® 100/Box BD(987-1566) 5cc Syringe w/Needle, 20 Ga. x 1-1/2”, Disposable, Luer-Lok® 100/Box BD(987-4478) 5cc Syringe w/Needle, 21 Ga. x 1”, Disposable, Luer-Lok® 100/Box BD(987-4275) 5cc Syringe w/Needle, 21 Ga. x 1-1/2”, Disposable, Luer-Lok® 100/Box BD(987-0441) 5cc Syringe w/Needle, 22 Ga. x 1”, Disposable, Luer-Lok® 100/Box BD(987-1405) 5cc Syringe w/Needle, 22 Ga. x 1-1/2”, Disposable, Luer-Lok® 100/Box BD(987-0646) 1 mL TB Syringe w/26 Ga. x 3/8” PrecisionGlide™ Detachable Needle, Intradermal Bevel 100/Box BD(987-7293) Eclipse Syringe w/Needle 3cc, 22 Ga. x1” 50/Box BD(987-2945) Eclipse Syringe W/Needle 3cc, 25 Ga. x1” 50/Box BD(987-2059) TB 1cc Syringe w/Needle, 25 Ga. x 5/8” 100/Box BD(987-9613) TB 1cc Syringe w/Needle, 27 Ga. x 1/2” 100/Box BD(987-7429) Ultra-Fine™ II Short Insulin 3/10cc Syringe w/Needle, 31 Ga. x 5/16” 100/Box BD(701-3485) Vanish Pt 1cc Syringe w/Needle, 25 Ga. x 5/8” 100/Box Retractable Tech(701-1396) Vanish Pt 1cc Syringe w/Needle, 27 Ga. x 1/2” 100/Box Retractable Tech(701-9535) Vanish Pt 1cc Syringe w/Needle, 29 Ga. x 1/2” 100/Box Retractable Tech

INFECTION CONTROL PRODUCTSAutoclave Accessories

(104-8181) Autoclave Indicator Tape, 1/2” x 60 yd. Roll Henry Schein(104-6133) Autoclave Indicator Tape, 3/4” x 60 yd. Roll Henry Schein(104-8993) Autoclave Indicator Tape, 1” x 60 yd. Roll Henry Schein(141-6158) Autoclave Indicator Tape, 1/2” x 60 yd. Roll Propper (100-2290) Autoclave Indicator Tape, 1” x 60 yd. Roll Propper (668-4306) Chamber Brite™, Premeasured Packets 10/Box Tuttnauer(100-3347) CSR Wrap, 12” x 12” Blue 100/Case Henry Schein(102-5193) CSR Wrap, 15” x 15” Blue 100/Case Henry Schein(100-4683) CSR Wrap, 18” x 18” Blue 100/Case Henry Schein(100-6950) CSR Wrap, 24” x 24” Blue 100/Case Henry Schein

Autoclave/Sterilization Pouches(141-7290) Chex-All II Pouch, Instant Seal, 3” x 8” 250/Box Propper (141-9031) Chex-All II Pouch, Instant Seal, 5” x 10” 250/Box Propper (141-3809) Chex-All II Pouch, Instant Seal, 5” x 15” 250/Box Propper (141-2723) Chex-All II Pouch, Instant Seal, 7” x 12” 250/Box Propper (141-3608) Chex-All II Pouch, Instant Seal, 8” x 16” 125/Box Propper (141-3347) Chex-All II Pouch, Instant Seal,12” x 18” 125/Box Propper (112-4854) Self Seal Sterilization Pouch, 5.25x10 200/Box Henry Schein(112-4856) Sterilization Pouch Self, 2.75” x 9” 200/Box Henry Schein(112-4857) Sterilization Pouch Self, 3.5” x 5.25” 200/Box Henry Schein(112-4853) Sterilization Pouch Self, 3.5” x 9” 200/Box Henry Schein(112-4855) Sterilization Pouch Self, 3.5” x 9” 500/Box Henry Schein(112-4858) Sterilization Pouch Self, 5.25” x 10” 200/Box Henry Schein

Biological Monitors(102-6332) Sterilizer Indicator Strips 250/Box Henry Schein(141-3829) Biological Test Pack & Culture Service 10/Box Propper (101-5830) MaxiTest Biological Monitoring System 12/Pack Henry Schein(436-4128) ProSure Mailer Kit 12/Box Healthlink(141-3573) Smalstrip Steam Indicator Strip, 4” x 9/16” 250/Box Propper

Item Code Description Pkg. Manufacturer

13MS871370

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INFECTION CONTROL PRODUCTSEnzymes

(640-5822) EmPower Enzymatic Cleaning Solution Gallon Metrex(176-9974) EmPower Foam Dual Enzymatic Spray 24 oz./Bottle Metrex(555-1112) Enzol Detergent Enzymatic Gallon J&J(173-7048) Metrizyme Dual-Enzymatic Detergent Gallon Metrex(101-9031) Maxizyme Enzyme Detergent Gallon Henry Schein(900-0475) Maxizyme Enzyme Tabs 64/Box Henry Schein(312-1086) ZymeX Concentrated Enzymatic Cleaner Gallon Sultan(312-0654) ZymeX Enzymatic Foam Cleaner Spray 22 oz./Bottle Sultan

Infectious Waste Bags(100-9305) Infectious Waste Bag , Red, Small, 10 Gallon 100/Box Henry Schein(100-8878) Infectious Waste Bag , Red, Medium, 18 Gallon 100/Box Henry Schein(100-3416) Infectious Waste Bag , Red, Large, 33 Gallon 100/Box Henry Schein

Masks(312-9567) Com-Fit Fluid Resist Procedure Ear Loop Masks, Blue 50/Box Sultan(312-0170) Com-Fit Fluid Resist Procedure Ear Loop Masks, Pink 50/Box Sultan(104-3809) Ear Loop, 3-Ply, Latex-free, Blue 50/Box Henry Schein(104-8600) Ear Loop, 3-Ply, Latex-free, Lavender 50/Box Henry Schein(104-3730) Ear Loop, 3-Ply, Latex-free, Pink 50/Box Henry Schein(104-6611) Ear Loop, 3-Ply, Latex-free, White 50/Box Henry Schein(104-2849) Ear Loop, 3-Ply, Latex-free, Yellow 50/Box Henry Schein(104-7321) Earloop Face Masks W/Eyeshield, Teal 25/Box Henry Schein(101-6829) Economy Molded Face Mask, Latex-free, Blue 50/Box Henry Schein(153-2880) Fluidshield Earloop Mask, Orange 40/Box Kimberly-Clark (153-1368) FluidShield Procedure Mask w/Wraparound SplashGuard Visor, Ear Loop, Peach 25/Box Kimberly-Clark

Personal Barrier Protection, Drapes and Packs(104-6032) Bouffant Cap, Blue, 21”, Poly 100/Box Henry Schein(104-6058) Bouffant Cap, Blue, 24”, Poly 100/Box Henry Schein(153-2452) Converters Drape Pack, Basic Each Cardinal (100-2151) Cover Gown, Disposable, Medium/Large, Blue 10/Pack Kimberly-Clark (100-5870) Cover Gown, Disposable, Medium/Large, Blue 10/Pack Henry Schein(100-5806) Cover Gown, Disposable, X-Large, Blue 10/Pack Henry Schein(643-9644) Cover Shoe Blue, Universal Med-Lg 100/Box Kimberly-Clark (900-4685) Drape Fenestrated Sterile, 18x26” 50/Box Henry Schein(900-4686) Drape Non-Fenestrated Sterile, 18x26” 50/Box Henry Schein(100-0575) Gown Sterile w/Hand Towel, Rev Large Each Cardinal (100-8427) Gown Sterile w/Hand Towel, X-Large Each Cardinal (643-0871) Gown Surgical Sterile, X-Large Each Kimberly-Clark (327-3222) Gown Texture Shield Barrier, Front Apron, Blue, Large Each Fashon Seal(327-4832) Gown Texture Shield Barrier, Front Apron, Blue, X-Large Each Fashon Seal(643-0809) Gowns Surgical Sterile, Bck Lrg Each Kimberly-Clark (153-1604) Half Sheet Fan Folded Sterile, 44”x58” Each Cardinal (933-0986) Isolation Gown Impervious Sterile, Latex-Free, Yellow Regular 10/Pack Dukal Corp(933-1103) Ulti-Med O.R.Towel Sterile Blue, 17”x27” Blue 4/Pack Dukal Corp

Preps/Swabs/Solutions(362-5582) Alcohol Prep Large, Sterile 200/Box Covidien(933-7192) Alcohol Prep Pad Nonsterile 2Ply 200/Box Dukal Corp(602-0009) Alcohol Prep Pads Sterile, Large 100/Box PDI(890-9048) Alcohol Prep Pads, 2-Ply, Sterile, Medium, Webcol 200/Box Covidien(890-0682) Alcohol Prep Pads, 2-ply, Large, Webcol 200/Box Covidien(890-8538) Alcohol Prep Pads, Sterile, Medium 200/Box Covidien(890-0236) Alcohol Preps Sterile, Medium 200/Box Henry Schein(987-5706) Alcohol Swabs, Non-sterile 100/Box BD(267-0319) Benzoin Swab Sticks, 1’s 50/Box Dynarex

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:10 PM Page 71

INFECTION CONTROL PRODUCTSPreps/Swabs/Solutions, cont’d

(113-5633) Obstetrical Towelettes, 0.4% Benzalkonium Chloride 100/Box PDI (690-6606) Betadine Solution 8 oz./Bottle Purdue Frederick Co(690-9219) Betadine Swabsticks 1’s, 10% Povidone 200/Case Purdue Frederick Co(690-8199) Betadine SwabSticks 3’s, 10% Povidone 50x3/Case Purdue Frederick Co(690-6950) Betadine Solution 16 oz./Bottle Purdue Frederick Co(690-9691) Betadine SwabAids, 10% Povidone 100/Box Purdue Frederick Co(933-0132) BZK Antiseptic Towelettes, 5”x8” 100/Box Dukal Corp(110-3660) Chlorhexidine Gluconate, Cloth 2% 48x2/Case Sage Products(777-0115) Duraprep Surgical Solution 26 mL 3M (602-0029) Hygea BZK Antiseptic Towelette 100/Box PDI(232-5742) Iodophor PVP Prep Pads, Medium 200/Box Aplicare, Inc(232-6808) Iodophor PVP Swabstick, Single 50/Box Aplicare, Inc(232-4970) Iodophor PVP Swabstick, Triple 25/Box Aplicare, Inc(232-8754) Povidone Iodine Prep Gallon Aplicare, Inc(100-8564) Povidone Iodine Prep Pads, Medium 100/Box PDI (602-0008) Povidone Iodine Swabstick 1’s, 10% 50/Box PDI(267-8499) Povidone Iodine Swabsticks, Singles 50/Box Dynarex (113-7627) Povidone Iodine Swabstick, 3’s, 10% 25/Box PDI

Sharps Containers(900-4986) Biohazard Waste Container, Square Red 8 Gallon Henry Schein(987-2599) Guardian Point-of-Use, Horizontal Entry, Nestable, Red 2 Gallon BD(987-8449) Guardian Point-of-Use, Horizontal Entry, Nestable, Pearl 2 Gallon BD(987-2544) Guardian Point-of-Use, Horizontal Entry, Red 5.4 Quart BD(878-7190) Guardian Point-of-Use, Horizontal Entry, Pearl 5.4 Quart BD(987-1855) Guardian Point-of-Use, Side Entry, Nestable, Pearl 5.4 Quart BD(987-3880) Guardian Point-of-Use, Side Entry, Pearl 5.4 Quart BD(987-2990) Guardian Point-of-Use, Side Entry, Red 5.4 Quart BD(666-9671) In-Room Sharps Container, Always-Open Lid, Clear 5 Quart Covidien(987-4537) In-Room Sharps Container, Horizontal Entry, Clear 5.4 Quart BD(666-7246) In-Room Sharps Container, Mailbox Lid, Clear 5 Quart Covidien(666-6741) In-Room Sharps Container, Mailbox Lid, Red 5 Quart Covidien(194-8598) Monoject Sharps Container Red 4 Quart Covidien(194-9248) Monoject Sharps Container Red 8 Quart Covidien(987-4878) Multi-purpose One Piece, Large Funnel, Red 5 Gallon BD(987-2120) Multi-purpose One Piece, Open Top, Red 5 Gallon BD(987-5212) Multi-purpose One Piece, Red 3.3 Quart BD(987-5824) Multi-purpose One Piece, Red 6.9 Quart BD(666-0675) Multi-purpose Adj Rotor Disposal Opening, Clear Lid, Red 2.2 Quart Covidien(666-2575) Multi-purpose Adj Rotor Disposal Opening, Clear Lid, Red 2 Gallon Covidien(666-3598) Multi-purpose Adj Rotor Disposal Opening, Hinged Lid, Red 8 Gallon Covidien(666-6828) Multi-purpose Clear Lid, Red Quart Covidien(666-3407) Multi-purpose Horizontal Drop, Clear Lid, Red 2 Gallon Covidien(987-6359) Multi-purpose Nestable, Clear Top, Red 8.2 Quart BD

13MS871372

Item Code Description Pkg. Manufacturer

(933-7192) (110-3660) (987-3880)

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:10 PM Page 72

(437-7034) (555-6446) (900-4984)

INFECTION CONTROL PRODUCTSSharps Containers, cont’d

(987-3711) Multi-purpose Nestable, Clear Top, Large Funnel, Red 14 Quart BD(102-4778) Sharps Collect Nestable, Clear/Top, Red 6 Gallon BD(153-2981) Sharp Container Red Stackable 8 Gallon Medical Action(153-2682) Sharps Red Stackable Container 4 Quart Medical Action(271-2717) Sharps Container Clear, Stackable 5 Quart Covidien(890-7866) Sharp Gator Red Translucent 5 Quart Covidien(987-7852) Sharps Collector Nestable Clear, Red 14 Quart BD(987-0261) Sharps Collector Funnel Top, Red 8 Quart BD(987-5812) Sharps Collector Phlebotomy, Red 1.5 Quart BD(612-2561) Sharps Container Horizontal, Red 5.4 Quart BD(890-4792) Sharps Container Mailbox Style Red 5 Quart Covidien(120-0186) Sharps Container Red Gallon Covidien(890-9541) Sharps Container Red 2 Gallon Covidien(153-2993) Sharps Container Red Quart Medical Action(788-7482) Sharps Container Red 3 Gallon Medical Action(153-6190) Sharps Container Red Stackable 8 Quart Medical Action(900-4980) Sharps Container Round Red Quart Henry Schein(900-4983) Sharps Container Round Red 5 Quart Henry Schein(900-4984) Sharps Container Round Red 2 Gallon Henry Schein

Soaps/Scrubs/Hand Sanitizers/Lotions(610-8876) Sani-Hands® ALC Hand Wipes 135/Carton PDI(833-8374) AloeGuard Antibacterial Hand Soap w/Pump 18 oz./Bottle Healthlink(306-9953) AloeGuard Antimicrobial Soap 236 mL Healthlink(300-6331) AloeGuard Antimicrobial Soap Gallon Healthlink(120-3913) Bactifoam Medicated Soap 500 mL/Bottle Ecolabs(422-3880) Bio-Hand Antiseptic Cleaner 4 oz./Bottle Safetec(422-4993) Bio-Hand Antiseptic Cleaner Sanitizer, Fresh Scent 16oz Bottle Safetec(366-9098) Bio-Hand Antiseptic Cleaner Sanitizer, Fresh Scent 800ml Bag 12/Case Safetec(367-5531) Bio-Hand Antiseptic Cleaner Sanitizer, Mall Mount Dispenser 800 mL Safetec(113-5937) Dial Complete Liquid Soap 1 Liter 6/Case Dial Corporation(390-8503) Dial Complete Liquid Soap Dispenser Each Dial Corporation(390-9134) Dial Complete Liquid Soap w/Pump 7.5 oz./Bottle Dial Corporation(390-4396) Dial Liquid Soap Gallon Dial Corporation(390-7666) Dial Liquid Soap w/Pump 7.5 oz./Bottle Dial Corporation(437-7034) EZ-Kill Wipes 6x6.75 160/Canister Healthlink(300-4126) GBG AloeGel Instant Hand Sanitizer 800 mL Healthlink(365-5030) GBG AloeGel Instant Hand Sanitizer 4 oz. Healthlink(923-8209) GBG AloeGel Hand Sanitizer w/Pump 18 oz./Bottle Healthlink(900-4442) Hand Gel Sanitizer (Alcohol), Pump 16 oz. Henry Schein(107-4972) Hibiclens Gallon Regent Medical(431-0032) MaxiClens Skin Cleanser Quart Henry Schein(431-0099) MaxiClens Skin Cleanser Gallon Henry Schein(590-0066) Purell Advanced Aloe Hand Sanitizer 12 oz. Gojo

73To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

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INFECTION CONTROL PRODUCTSSoaps/Scrubs/Hand Sanitizers/Lotions

(590-4757) Purell Instant Hand Sanitizer w/Dermaglycerin System 1000 mL Gojo (590-6751) Purell Instant Hand Sanitizer w/Pump 8 oz./Bottle Gojo(176-3829) VioNex Antimicrobial Liquid Soap w/Pump 18 oz./Bottle Metrex(176-9583) VioNexus Handwash Solution, 1 Liter Bottle 2/Box Metrex(176-5139) VioNex Antimicrobial Liquid Soap Refill Gallon Metrex

Sterilizing Solutions(555-6446) Cidex OPA Solution Gallon J&J(555-0126) Cidex 2.4% Gluteraldehyde, 1.25 Gallon J&J(337-7961) Rapicide OPA 28, High Level Disinfectant Gallon Crosstex(337-7962) Rapicide OPA Test Strips 50 Strips/Bottle Crosstex(102-6003) MaxiCide 28, 2.5% Buffered Glutaraldehyde Quart Henry Schein(102-7394) MaxiCide 28, 2.5% Buffered Glutaraldehyde Gallon Henry Schein(102-5796) MaxiCide Plus, 3.4% Glutaraldehyde Quart Henry Schein(102-2865) MaxiCide Plus, 3.4% Glutaraldehyde Gallon Henry Schein(102-2866) MaxiCideNS, 14 Day Gallon Henry Schein(640-1519) MetriCide 2.6% Glutaraldehyde Gallon Metrex(173-2446) MetriCide 28, 2.5% Glutaraldehyde Quart Metrex(173-3976) MetriCide 28, 2.5% Glutaraldehyde Gallon Metrex(640-8231) MetriCide OPA-Plus 14 Day Solution Gallon Metrex(640-1997) MetriCide Plus 30, 3.4% Glutaraldehyde Gallon Metrex(640-5007) Compliance Sterilizing and Disinfecting Solution Gallon Metrex(120-3619) Wavicide-01 2.65% Glutaraldehyde Gallon Wave Energy

Surface Disinfectants(640-0012) CaviCide Disinfectant/Cleaner Gallon Metrex(640-2261) CaviCide Disinfectant/Cleaner Spray 24 oz./Bottle Metrex(120-5256) Citrace Germicidal Deodorizer 14 oz./Can Caltech(484-3341) CitriFoam Disinfectant Cleaner Spray 20 oz Healthlink(101-7621) Citrus II Germicidal Cleaner Refill Gallon Beaumont(101-9859) Citrus II Germicidal Cleaner, Trigger Spray 22 oz./Bottle Beaumont(101-4657) Citrus II Odor Eliminator, Lemon Scent, Pump Spray 7.5 oz./Bottle Beaumont(100-8671) Citrus II Odor Eliminator, Original Scent, Pump Spray 7.5 oz./Bottle Beaumont(176-3988) Envirocide Disinfectant Refill Gallon Viro Research(358-2719) Lysol I.C. Foaming Disinfectant Cleaner 24 oz./Can Sultan(358-0385) Lysol IC Spray w/ Control Flo 19 oz. Sultan(923-8594) MadaCide-1 Disinfectant Cleaner Gallon Mada Medical (101-0285) Maxispray Plus, Refill Gallon Henry Schein(101-4114) MaxiSpray Plus, Spray Bottle 24 oz./Bottle Henry Schein(422-3691) Sanizide Plus Germicidal Solution Spray 32 oz. Safetec(422-2838) Sanizide Plus Germicidal Solution Refill Gallon Safetec

Surface Towelettes/Wipes(106-6794) Maxiwipe Germicd Cloth, Large 160/Canister Henry Schein(437-0023) Clorox Hydrogen Peroxide Wipes, 6.75 x 5.75 155/Cannister Healthlink(640-8482) CaviWipes Towelettes, X-Large 66/Cannister Metrex(640-2805) CaviWipes Towelettes 160/Pack Metrex(134-0487) DisCide ULTRA Towelettes, 10.5” x 10.5” 60/Pack Palmero(134-8761) DisCide ULTRA Towelettes, 6” x 6.75” 160/Pack Palmero(104-4176) Quick Wipes Towelettes 150/Pack Henry Schein(267-0039) Sani-Cloth® AF3 Large, 6 x 6.75 160/Pack PDI(101-5818) Sani-Cloth HB Wipes, Large 160/Pack PDI (267-0006) Sani-Cloth HB Wipes, X-Large 65/Pack PDI (267-0721) Sani-Cloth Plus Germicidal Cloth, 6” x 6.75” 160/Pack PDI (267-0010) Sani-Cloth Plus Germicidal Cloth, 7.5” x 15” 65/Pack PDI (113-5423) Sani-Cloth Super Wipes, Large 160/Pack PDI (267-0005) Super Sani-Cloth® XL, 7.5” x 15” 65/Pack PDI

Item Code Description Pkg. Manufacturer

13MS871374

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75

IV THERAPYButterfly Set

(337-4515) Vein Scalp, 27 Ga. x3/4” Each Exel

IV Catheters - Conventional (315-0953) SurFlash™, 20 Ga. x 1” 50/Box Terumo(315-9716) SurFlash™, 14 Ga. x 2”, 14 Ga. Needle 50/Box Terumo(315-3900) SurFlash™, 18 Ga. x 1.25”, 20 Ga. Needle 50/Box Terumo(315-2522) SurFlash™, 20 Ga. x 1.25”, 22 Ga. Needle 50/Box Terumo(315-7013) SurFlash™, 22 Ga. x 1”, 24 Ga. Needle 50/Box Terumo(315-0810) SurFlash™, 24 Ga. x 3/4”, 27 Ga. Needle 50/Box Terumo

IV Catheters - Safety (987-0284) Insyte Autoguard Blood Control, Blue, 22 Ga x 1” 50/Box BD(987-0280) Insyte Autoguard Blood Control, Yellow, 24 Ga x 0.75” 50/Box BD(987-0285) Insyte Autoguard Blood Control, Pink, 20 Ga x 1.16” 50/Box BD(987-0296) Insyte Autoguard Blood Control, Green, 18 Ga x 1.16” 50/Box BD(987-4768) Insyte® Autoguard w/Wing, 18 Ga. x 1.16” 50/Box BD(987-1004) Insyte® Autoguard w/Wing, 20 Ga. x 1.16” 50/Box BD(987-5417) Insyte® Autoguard w/Wing, 22 Ga. x 1” 50/Box BD(313-0167) Insyte® Autoguard w/Wing, 24 Ga. x 3/4” 50/Box BD(507-6928) Introcan®, 22 Ga x 3/4”, Straight 50/Box B. Braun(507-7701) Introcan®, 22 Ga. x 1”, Polyurethane Straight Each B. Braun(507-5531) Introcan®, 22 Ga. x 1”, Teflon Straight Each B. Braun(507-0341) Introcan®, 24 Ga. x 3/4”, Teflon Straight Each B. Braun(507-0035) Introcan Safety® 3 Closed IV, 22 Ga x 1” 50/Box B. Braun(507-0036) Introcan Safety® 3 Closed IV, 20 Ga x 1” 50/Box B. Braun(507-0034) Introcan Safety® 3 Closed IV, 24 Ga x 0.75” 50/Box B. Braun(507-0044) Introcan Safety® 3 Closed IV, 18 Ga x 1.25” 50/Box B. Braun(555-2174) Protectiv® Plus, 24 Ga. x.75” 50/Box Smiths(555-7075) Protectiv®, 24 Ga. x.75” Each Smiths(337-0186) Safelet®, 18 Ga. x 2” Each Exel (337-1126) Safelet®, 22 Ga. x 2” Each Exel (987-4575) Saf-T-Intima™, w/Removable PRN Adapter, 20 Ga. x 1” 25/Box BD(987-4887) Saf-T-Intima™, w/Removable PRN Adapter, 22 Ga. x 3/4” 25/Box BD(987-3762) Saf-T-Intima™, 24 Ga. x .75” 25/Box BD(987-9844) Saf-T-Intima™, w/Y Adapter, 18 Ga. x 1” 25/Box BD(987-0950) Saf-T-Intima™, w/Y Adapter, 22 Ga. x 3/4” 25/Box BD(315-9298) Butterfly Infusion Set 3.5”Tb, 21 Ga. x 3/4” Each Terumo(315-7074) Butterfly Needle, 21 Ga. x 3/4” Each Terumo(315-0057) SurFlash® Safety, 18 Ga x 1 1/4” 50/Box Terumo(315-0058) SurFlash® Safety, 20 Ga 1” 50/Box Terumo(315-0059) SurFlash® Safety, 20 Ga 1 1/4” 50/Box Terumo(315-0060) SurFlash® Safety, 22 Ga 1” 50/Box Terumo(315-0061) SurFlash® Safety, 22 Ga 1 1/4” 50/Box Terumo(315-0062) IV Catheter SurFlash® Safety, 24 Ga 3/4” 50/Box Terumo(100-2145) Surflo® Butterfly Infusion Set, 21 Ga. x 3/4”, 12” Tubing 50/Box Terumo(100-5102) Surflo® Butterfly Infusion Set, 23 Ga. x 3/4”, 12” Tubing 50/Box Terumo(100-3454) Surflo® Butterfly Infusion Set, 25 Ga. x 3/4”, 12” Tubing 50/Box Terumo(100-0269) Surflo® Winged Infusion Set 12”, 19 Ga. x 3/4” 50/Box Terumo(315-0447) Surflo® Winged Infusion Set 3.5, 21 Ga. x 3/4” 100/Box Terumo(315-1046) Surflo® Winged Infusion Set 3.5, 23 Ga. x 3/4” 100/Box Terumo(315-5131) Surflo®, 18 Ga. x 1.25” Each Terumo(315-9704) Surflo®, 20 Ga. x 1-1/4” Each Terumo(315-8751) Surflo®, 20 Ga. x 2” W/22 Ga. x Needle Each Terumo(315-8857) Surflo®, 24 Ga. x 3/4” Each Terumo(315-9675) Surflo®, Blue, 22 Ga. x 1” Each Terumo(315-2314) Surflo®, Pink, 20 Ga. x 1” Each Terumo(315-5460) Surflo®, Winged Infusion Set 8”, 27 Ga. x 1/2” 100/Box Terumo(315-0003) Surshield®, 18 Ga. x 1 1/4” Blue 50/Box Terumo(315-0001) Surshield®, 18 Ga. x 1 1/4” Green 50/Box Terumo

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

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76

IV THERAPYIV Catheters - Safety, cont’d

(315-0002) Surshield®, 18 Ga. x 1 1/4” Pink 50/Box Terumo(315-0004) Surshield®, 18 Ga. x 1 1/4” Yellow 50/Box Terumo(315-8338) Surshield™ Winged Infusion Set, 23 Ga. x 3/4”, 12” Tubing 50/Box Terumo(315-5759) Surshield™ Winged Infusion Set, 25 Ga. x 3/4”, 12” Tubing 50/Box Terumo

IV Administration Sets(499-0502) 10 Drop/Min Set W/1 Y-Site, 83” Each Amsino(507-5540) 3-Way Stopcock, Sterile Each B. Braun(264-3844) AngioCatheter Autoguard, 22 Ga. x 1 50/Box BD(153-9436) Basic Solution Set w/Duo-Vent, 103” Each Baxter(153-8923) Catheter Ext Set Clearlink Each Baxter (153-9307) Catheter Extension Set, Non DEHP Each Baxter(840-5339) Continue-Flo Sol St &3 Luer ACT, VLV Each Baxter (153-0291) Continu-Flo IV Administration Set, 104” Each Baxter(153-6558) Continu-Flo IV Solution Set, 3Y Site Each Baxter(258-0141) Extension Dialaflo Set Pp Non D Ysite, 18” Each Hospira (507-5406) Extension Set Female L/L, 3ML 21” Each B. Braun(507-8049) Extension Set Small Bore Ultrs, W/2 Blu Each B. Braun(119-4316) Extension Set T-Port, 4.75” Each B. Braun(507-9366) Extension Set T-Port, 4” Each B. Braun(798-5393) Feeding Tube 8 Fr., 42” Each Covidien(987-5015) Insyte Autoguard Catheter, 22”x1” Each BD(987-5235) Insyte Autoguard IV Cath, 20 Ga. x1” 50/Box BD(840-3491) Insyte Autoguard IV Catheter, 24 Ga. x3/4 Each BD(153-1671) Interlink Injection Site Each Baxter(153-7377) InterLink Vial Adapter Universal Each Baxter (507-1443) IV Administration Set W/Inj Site, 84” Each B. Braun(120-6054) IV Administration Set w/Y Site, 84” Each Kawasumi Labs(840-3402) IV Administration Set Y-Site 15ml 106 Each B. Braun(268-0393) IV Administration Set, Universal, 15 dr/mL Each B. Braun(555-5923) IV Catheter Jelco, 20gax1-1/4” Each Smiths(507-5402) IV Extension Set w/1 Injection Site, 7”, 5 mL, 2-piece Male Luer-Lok® Each B. Braun(507-5200) IV Gravity Flow Control Device Extension Set w/Rate Flow Regulator, 19” Each B. Braun(507-7313) IV Set 1 Inj Site 15 Drop, 93” Each B. Braun(153-7797) Interlink® CONTINU-FLO Solution Set with 0.22 micron upstream, 105” Each Baxter(153-6441) IV Set Interlink Basic/2INSLOD Each Baxter(507-8732) IV Set Small Bore Ext 6” Each B. Braun(507-0007) IV Set Vent 81” 1 Injection Ste, 15Drop Each B. Braun(258-0088) Lifeshield Primary IV Set, 100” Each Hospira (507-1482) Macro Drip IV Administration Set w/1 Injection Site, 106”, 1 5 dr/mL, 19 mL Each B. Braun(507-4189) Macro Drip IV Administration Set w/1 Injection Site, 73”, 15 dr/mL Each B. Braun(507-1423) Macro Drip IV Administration Set w/2 Injection Sites, 106”, 15 dr/mL, 15 mL Each B. Braun(507-1402) Macro Drip IV Administration Set w/No Injection Site, 79”, 15 dr/mL, 14 mL Each B. Braun(831-1824) Primary Administration Set 84”, W/0.2 Micron Each Advanced Medical(340-4587) Primary IV Administration Set w/3 Injection Sites 50/Case B. Braun(507-1921) Secondary Set Control Clamp, 40” Each B. Braun(809-8066) Smallbore Ext.Set LL Conn, Side Clamp 100/Case B. Braun(119-2235) Ultrasite Extension Set Sm Bore, 8 in. 100/Case B. Braun(840-3574) Ultrasite Valve Each B. Braun(507-3816) Universal Administration Set W/15DR Ultrsite, W/2 Blu Each B. Braun

IV & Irrigation Solutions(258-7428) Bacteriostatic Water for Injection 30 mL FDV Hospira (104-7765) Bacteriostatic Water for Injection, 30 mL Vial 25/Box Hospira(635-0035) Cathflo Activase, 2mg/2mL SDV Genentech(507-6121) Dextrose 5% & Sodium Chloride .45% 500 mL Plastic Bag B. Braun(507-7510) Dextrose 5% in Lactated Ringers 1000 mL Plastic Bag B. Braun(507-1330) Dextrose 5% in Lactated Ringers 500 mL Plastic Bag B. Braun(100-1852) Dextrose 5% In Saline 1000 mL Plastic Bag B. Braun

Item Code Description Pkg. Manufacturer

13MS871376

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77

IV THERAPYIV & Irrigation Solutions, cont’d

(100-2833) Dextrose 5% In Saline 500 mL Plastic Bag B. Braun(153-2691) Dextrose 5% in Sodium Chloride 0.45% 500 mL Plastic Bag Baxter(153-9426) Dextrose 5% In Water 150 mL Plastic Bag Baxter (258-0265) Dextrose 5% in Water 500 mL Hospira (153-6161) Dextrose 5% In Water 250 mL Plastic Bag Baxter(507-5102) Dextrose 5% In Water 250 mL Plastic Bag B. Braun(100-7318) Dextrose 5% in Water 500 mL Plastic Bag B. Braun(507-4611) Dextrose 5% Injection Part-Fill 100 mL/150 mL B. Braun(248-6614) Dextrose Injection Non-Returnble, 50% 50 mL FDV Hospira (159-0031) Ferrlecit Injection Vial 5mL, 62.5mg 10/Pack Sanofi Pasteur(507-6910) Lactated Ringers Injectable, 500 mL 24/Case B. Braun(153-6262) Lactated Ringers Injection 1000 mL Plastic Bag Baxter(153-3210) Lactated Ringers Injection 500 mL Plastic Bag Baxter(100-2435) Lactated Ringers Injection 1000 mL Plastic Bag B. Braun(507-7502) Lactated Ringers Injection 250 mL Plastic Bag B. Braun(258-8050) Lactated Ringers Injection 500 mL Plastic Bag Hospira(104-8833) Lactated Ringers Injection 1000 mL Plastic Bag Hospira (104-6823) Sodium Bicarbonate Injection 8.4%, 50 mL SDV 25/Box Hospira(248-8109) Sodium Bicarbonate Injection Non Retr, 8.4% 50 mL SDV Hospira (258-2168) Sodium Chloride .9% Irrigation 250mL Hospira (507-2187) Sodium Chloride 0.9% 100 mL Mini-bag B. Braun(100-2808) Sodium Chloride 0.9% 1000 mL Plastic Bag B. Braun(153-4612) Sodium Chloride 0.9% 1000 mL Plastic Bag Baxter(507-8002) Sodium Chloride 0.9% 250 mL Plastic Bag B. Braun(153-7468) Sodium Chloride 0.9% 250 mL Plastic Bag Baxter(100-4737) Sodium Chloride 0.9% 500 mL Plastic Bag B. Braun(153-7162) Sodium Chloride 0.9% 500 mL Plastic Bag Baxter(153-3897) Sodium Chloride 0.9% 50 mL Mini Bottle Baxter(507-4046) Sodium Chloride 0.9% 50 mL Part Fill B. Braun(507-5300) Sodium Chloride 0.9% and Sterile Water 1000 mL Plastic Bottle B. Braun(507-5201) Sodium Chloride 0.9% and Sterile Water 500 mL Plastic Bottle B. Braun(153-1434) Sodium Chloride 0.9% for Irrigation 1000 mL Plastic Bottle Baxter(153-7411) Sodium Chloride 0.9% for Irrigation 250 mL Plastic Bottle Baxter(153-1042) Sodium Chloride 0.9% for Irrigation 500 mL Plastic Bottle Baxter(258-1455) Sodium Chloride 0.9% Injection, 500 mL Bag Hospira(104-8583) Sodium Chloride Bacterio Injection 0.9%, 30 mL MDV 25/Box Hospira(248-2785) Sodium Chloride Injection Non-Retrnbl, 0.9% 50 mL SDV Hospira (507-5541) Sodium Chloride Injection 0.45% 500 mL Plastic Bag B. Braun(116-2590) Sodium Chloride Injection Bact LS N-R, 0.9% 10 mL/Vial Hospira (258-0040) Sodium Chloride Injection Vl Bact .9%, Non-Return 30 mL FDV Hospira (104-6816) Sodium Chloride Injection, 0.9% 1000 mL Plastic Bag Hospira (104-6989) Sodium Chloride Injection, 0.9%, 5 mL MDV 25/Box Hospira(153-0110) Sodium Chloride Mini Bag 0.9%, 100 mL Bag Baxter(104-9943) Sodium Chloride PF Injection, 0.9%, 10 mL 25/Box Hospira(153-7916) Sodium Chloride Solution Mini-Bag, 0.9% 100 mL 4/Pack Baxter(153-8937) Sodium Chloride, 0.9%, 150 mL Baxter(153-5167) Solution Administration Set W/2Injection Site, 104” Each Baxter (153-9153) Sterile Water for Injection 1000 mL Plastic Bottle Baxter(507-8500) Sterile Water for Injection 1000 mL Plastic Bottle B. Braun(507-8756) Sterile Water for Injection 250 mL Plastic Bag B. Braun(507-9907) Sterile Water for Injection 500 mL Plastic Bottle B. Braun(104-8779) Sterile Water for Injection, 50 mL 25/Box Hospira(153-0102) Sterile Water For Irrigation 500 mL/Bottle Baxter (153-0577) Sterile Water for Irrigation 1000 mL Plastic Bottle Baxter(507-5000) Sterile Water for Irrigation 1000 mL Plastic Bottle B. Braun(507-5005) Sterile Water for Irrigation 2000 mL Plastic Bottle B. Braun(153-6483) Sterile Water for Irrigation 250 mL Plastic Bag Baxter(507-5001) Sterile Water for Irrigation 500 mL Plastic Bottle B. Braun(258-7578) Sterile Water For Irrigation 500 mL Hospira (102-3400) Venofer Iron Sucrose Injection, 20mg/mL 10 x 5 mL American Regent

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:11 PM Page 77

ORTHOPEDIC PRODUCTSMobilty/Braces/Splinting/Casting Supplies

(120-0628) Arm Sling Deluxe, Large Each DJO(900-7023) Cast Padding Cotton, 2” x 4yds 24/Bag Henry Schein(900-7024) Cast Padding Cotton, 3” x 4yds 12/Bag Henry Schein(900-7025) Cast Padding Cotton, 4” x 4yds 12/Bag Henry Schein(900-7026) Cast Padding Cotton, 6” x 4yds 6/Bag Henry Schein(803-0100) Crutch Complete Aluminum 1 Pair Drive Medical(803-0101) Crutch Complete Aluminum 2 Pair Drive Medical(283-0015) Crutch Complete Aluminum 3 Pair Drive Medical(803-0014) Crutches Aluminum 37”- 46”, Youth 1/Pair Drive Medical(803-0012) Crutches Aluminum 45”- 53”, Adult 1pr/Box Drive Medical(803-0033) Crutches Aluminium 53”- 61”, Tall Adult 1/Pair Drive Medical(119-8932) Exos Rapid Splint Extra, 3” x 26” 5/Pack DJO(119-8933) Exos Rapid Splint Extra, 4” x 26” 5/Pack DJO(119-8934) Exos Rapid Splint Extra, 5” x 26” 5/Pack DJO(119-8914) Exos Rapid Splint With Pad, 2” x 10” 5/Pack DJO(119-8917) Exos Rapid Splint With Pad, 3” x 12” 5/Pack DJO(119-8929) Exos Rapid Splint Extra With Pad, 3” x 26” 5/Pack DJO(119-8918) Exos Rapid Splint With Pad, 3” x 36” 5/Pack DJO(119-8919) Exos Rapid Splint With Pad, 4” x 13” 5/Pack DJO(119-8930) Exos Rapid Splint Extra With Pad, 4” x 26” 5/Pack DJO(119-8921) Exos Rapid Splint With Pad, 4” x 36” 5/Pack DJO(119-8922) Exos Rapid Splint With Pad, 5” x 13” 5/Pack DJO(119-8931) Exos Rapid Splint Extra With Pad, 5” x 26” 5/Pack DJO(119-8923) Exos Rapid Splint, 2” x 10” 10/Pack DJO(119-8924) Exos Rapid Splint, 3” x 12” 10/Pack DJO(119-8925) Exos Rapid Splint, 3” x 36” 5/Pack DJO(119-8926) Exos Rapid Splint, 4” x 13” 10/Pack DJO(119-8927) Exos Rapid Splint, 4” x 36” 5/Pack DJO(119-8928) Exos Rapid Splint, 5” x 13” 10/Pack DJO(119-8935) Exos Rapid Splint Warmer, Each DJO(900-7002) Fiberglass Castng Tape 4”, Pink 10/Box Henry Schein(900-7003) Fiberglass Castng Tape 4”, Purple 10/Box Henry Schein(894-0000) Quick-Fit Wrist II Universal, Right Each DJO(894-0002) Quick-Fit Wrist II Universal, Left Each DJO(900-4997) Synthetic Cast Padding Non Sterile, 2” x 4yds 24rl/Bag Henry Schein(900-4998) Synthetic Cast Padding Non Sterile, 3” x 4yds 12rl/Bag Henry Schein(900-4999) Synthetic Cast Padding Non Sterile, 4” x 4yds 12rl/Bag Henry Schein(900-7001) Synthetic Cast Padding Non Sterile, 6” x 4yds 6rl/Bg Henry Schein(112-5513) Synthetic Stockinette, White, 2” x 25yds 1/Roll Henry Schein(112-5514) Synthetic Stockinette, White, 3” x 25yds 1/Roll Henry Schein(112-5515) Synthetic Stockinette White, 4”x 25yds 1/Roll Henry Schein(112-5516) Synthetic Stockinette, White, 6” x 25yds 1/Roll Henry Schein(900-4641) Tape Cast Fiberglass 2”, Black 10/Box Henry Schein

13MS871378

Item Code Description Pkg. Manufacturer

(507-5300) (803-0033) (112-5513)

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:11 PM Page 78

(900-4638) (120-2511) (120-0893)

ORTHOPEDIC PRODUCTSMobilty/Braces/Splinting/Casting Supplies, cont’d

(900-4638) Tape Cast Fiberglass 2”, Blue 10/Box Henry Schein(900-4650) Tape Cast Fiberglass 2”, Green 10/Box Henry Schein(900-4644) Tape Cast Fiberglass 2”, Pink 10/Box Henry Schein(900-4648) Tape Cast Fiberglass 2”, Purple 10/Box Henry Schein (900-4646) Tape Cast Fiberglass 2”, Red 10/Box Henry Schein(900-4635) Tape Cast Fiberglass 2”, White 10/Box Henry Schein(900-4642) Tape Cast Fiberglass 3”, Black 10/Box Henry Schein(900-4639) Tape Cast Fiberglass 3”, Blue 10/Box Henry Schein(900-4651) Tape Cast Fiberglass 3”, Green 10/Box Henry Schein(900-4645) Tape Cast Fiberglass 3”, Pink 10/Box Henry Schein(900-4649) Tape Cast Fiberglass 3”, Purple 10/Box Henry Schein(900-4647) Tape Cast Fiberglass 3”, Red 10/Box Henry Schein(900-4636) Tape Cast Fiberglass 3”, White 10/Box Henry Schein(900-4643) Tape Cast Fiberglass 4”, Black 10/Box Henry Schein(900-4640) Tape Cast Fiberglass 4”, Blue 10/Box Henry Schein(900-4637) Tape Cast Fiberglass 4”, White 10/Box Henry Schein(120-3649) Thumb-O-Prene Universal Each DJO(116-8248) Wheelchair 18” Dtarm Sport Each Drive Medical(116-8250) Wheelchair 18” Dtarm Sport, Swg250# Each Drive Medical(283-0014) Wheelchair 18” Silver Sport Each Drive Medical(115-5651) Wheelchair 22” 450 REMV Each Drive Medical(113-9645) Wheelchair 24” Detach DSKA, 500lb C Each Drive Medical

X-Ray Film (900-4280) Green Sensitive, 14” x 17” 100/Box Henry Schein

PHARMACEUTICALSace–amo

(102-0001) Acetazolamide Tablets, 250 mg. 100/Bottle Diamox®

(323-0003) Adenocard Pre-filled Syringe, 3 mg./mL 2 mL Astellas(323-0000) Adenoscan IV Injection, 3 mg./mL 20 mL SDV Astellas(323-0001) Adenoscan IV Injection, 3 mg./mL 30 mL SDV Astellas(121-0893) Adenosine IV Injection, 3 mg./mL NEW! 20 mL SDV Adenoscan®

(121-0894) Adenosine IV Injection, 3 mg./mL NEW! 30 mL SDV Adenoscan®

(116-5149) Adenosine Injection SDV 2 mL, 3 mg./mL 10/Box Adenocard®

(890-0257) Adrenalin Injection SDV, 1 mg/mL NEW! 25/Box JHP Pharmaceuticals(116-1818) Albuterol Inhalation Solution 0.083%, 3 mL 25/Cr Proventil®

(116-1819) Albuterol Inhalation Solution 0.083%, 3 mL 60/Cr Proventil®

(729-0027) Alfenta Injection Ampules, 5mL, 500mcg - CII 10/Box Akorn(114-5409) Alprazolam Tablets, 0.5 mg.- CIV 100/Bottle Xanax®

(125-0091) Amlodipine Besylate Tablets, 5 mg. 90/Bottle Norvasc®

(111-8835) Amlodipine Besylate Tablets, 10 mg. 90/Bottle Norvasc®

(116-3955) Amoxicillin Capsules, 250 mg. 500/Bottle Amoxil®

79To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

NEW!

NEW!

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:11 PM Page 79

80

PHARMACEUTICALSamo–cla

(110-6497) Amoxicillin Capsules, 500 mg. 500/Bottle Amoxil®

(420-4150) Amoxicillin Capsules, 500 mg. 50/Bottle Amoxil®

(111-9480) Amoxicillin Chewable Tablets, 250 mg. 100/Bottle Amoxil®

(111-9260) Amoxicillin/Clavul K Tablets, 875/125 mg. 20/Bottle Teva(118-5678) Ampicillin Sterile Powder for Injection, 1 Gm. 10mL SDV 10/Box Auromedics(118-1990) Anastrozole Tablets, 1mg 30/Bottle Accord (100-9517) Amyl Nitrite Ampules, 0.3 mL 12/Box James Alexander Corp(120-0797) APAP Extra Strength Caplets, 500 mg. 100/Bottle Major Pharma(110-0689) APAP w/Codeine Tablets, 30 mg. - CIII 100/Bottle Tylenol® #3(114-5801) APAP w/Codeine Tablets, 60 mg. - CIII 100/Bottle Tylenol® #4(632-8773) Aristospan Intra-Articular Injection, 20 mg./mL 1 mL SDV Sandoz(266-1855) Aristospan Intra-Articular Injection, 20 mg./mL 5 mL Vial Sandoz(116-3799) Armour Thyroid Tablets, 1 Gm. 100/Bottle Forest (104-9052) Ascorbic Acid Injection Preservative-Free, 500 mg./mL 50 mL SDV Mylan Institional(111-8950) Atenolol Tablets, 50mg 100/Bottle Tenermin®

(111-9131) Azithromycin Dose Pack Tablets, 250MG 3x6Ud/Pk Zithromax® 2-Pak(114-5437) Azithromycin Tablets, 250MG 30/Bottle Zithromax®

(104-7089) B Complex 100 Injection 30 mL MDV Bioniche Pharma(114-8668) Betamethasone Combo, 6 mg./mL 5 mL MDV Celestone® Soluspan®

(321-7671) Bicillin C-R 1.2M U, 2 mL, Pre-filled Syringe, 21 Ga. x 1-1/2” 10/Pack King Pharma(321-6738) Bicillin C-R 900/300K U, 2 mL, Pre-filled Syringe, Pediatric, 21 Ga. x 1” 10/Pack King Pharma(321-7445) Bicillin L-A 1.2M U, 2 mL, Pre-Filled Syringe, 21 Ga. x 1-1/2” 10/Pack King Pharma(321-1663) Bicillin L-A 2.4M U, 4 mL, Pre-Filled Syringe, 18 Ga. x 1-1/2” 10/Pack King Pharma(321-6704) Bicillin L-A 600K U, 1 mL Pre-Filled Syringe, Pediatric, 21 Ga. x 1” 10/Pack King Pharma(601-0710) Biofreeze Roll-On 3 oz. Performance Health Inc.(601-0707) Biofreeze Tube 4 oz./Tube Performance Health Inc.(785-0003) Boniva Injection Prefilled Syringe, 3 mg. 3 mL Roche(498-2546) Botox Injection 100U/Vial Allergan(115-7474) Botox-Cosmetic Injection 50U/Vial Allergan(377-6699) Botox-Cosmetic Injection 100U/Vial Allergan(890-7008) Brevital Injection, 500 mg. -CIV 50 mL MDV JHP Parmaceuticals(602-3287) Bupivacaine HCL Non-Return, 0.25% 50 mL MDV Hospira (104-6897) Bupivacaine HCl Injection, 0.25%, 10 mL MDV 25/Box Hospira(104-8721) Buprenorphine HCL Injection 0.3 mg./mL, 1 mL SDV - CIII 10/Box Bedford(102-1941) Butalbital Compound Tablets, 40 mg. - CIII 100/Bottle West-Ward (408-0072) Butalbital/Apap/Caffeine Tab, 50/325/40mg. 500/Bottle Fioricet®

(104-9796) Butorphanol Tartrate Injection, 2 mg./mL - CIV 10 mL MDV Stadol®

(102-5662) Butorphanol Tartrate Nasal Spray, 10 mg./mL - CIV 2.5 mL Stadol NS®

(248-9762) Carafate Suspension, 1 gm./10 mL. 14 oz./Bottle Aventis(856-7167) Carbocaine Injection Cartridge, 3% (Cook-Waite) 50/Box Carestream (258-1385) Carbocaine Injection, 2% 50 mL/Vial Hospira(114-5603) Cefazolin Powder for Injection, 1 Gm./15mL SDV 25/Box Ancef®

(784-7810) Ceftriaxone Sodium for Injection 1 Gm. SDV Rocephin®

(784-6100) Ceftriaxone Sodium for Injection 1 Gm. SDV 10/Box Rocephin®

(784-8917) Ceftriaxone Sodium for Injection 2 Gm. SDV 10/Box Rocephin®

(786-4282) Ceftriaxone Sodium for Injection 250 mg. SDV Rocephin®

(784-0052) Ceftriaxone Sodium for Injection 250 mg. SDV 10/Box Rocephin®

(786-2424) Ceftriaxone Sodium for Injection 500 mg. SDV Rocephin®

(784-8231) Ceftriaxone Sodium for Injection 500 mg. SDV 10/Box Rocephin®

(516-0266) Celestone Soluspan Injection, 6 mg./mL 5 mL MDV Schering Corp(108-5229) Cephalexin Capsules, 500 mg. 100/Bottle Keflex®

(118-7105) Cephalexin Capsules, 500Mg 500/Bottle Keflex®

(635-0065) Cetacaine Topical Gel 32 Gm./Jar Cetylite Industries(635-2470) Cetacaine Topical Spray 56 Gm./Can Cetylite Industries(111-3877) Chlordiazepoxide Caps, 25mg - CIV 100/Bottle Librium®

(248-6963) Chorionic Gonadotropin, 10MU 10 mL MDV Pregnyl®; Novarel®

(248-0194) Cialis Tablets, 5 mg. 30/Bottle Eli Lilly(789-9353) Cialis Tablets, 20 mg. 30/Bottle Eli Lilly(118-2006) Ciprofloxacin Hcl Tablets, 500Mg 100/Bottle Cipro®

(852-2000) Claforan Injection, 1 Gm. 10/Box Hospira

Item Code Description Pkg. Manufacturer

13MS871380

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:11 PM Page 80

81

PHARMACEUTICALScli–eth

(115-8890) Clindamycin Topical Solution, 1% 30 mL/Bottle Cleocin®

(102-0039) ClobetaSolution Propionate Cream, 0.05% 45 Gm./Tube Temovate®

(102-9188) Clotrimazole Betamethasone Diproprionate Cream 15 Gm./Tube Lotrimin®

(114-5674) Clotrimazole Cream, 1% 15 Gm./Tube Lotrimin®

(248-4301) Cyanocobalamin Injection (B-12), 1000 mcg/mL 10 mL MDV Rubramin PC®

(116-6621) Cyanocobalamin Injection (B-12), 1000 mcg/mL 25x1mL Rubramin PC®

(870-9048) Cyanocobalamin Injection (B-12),1000 mcg./mL, 10 mL MDV 25/Box Rubramin PC®

(103-9497) Cyanocobalamin Injection (B-12),1000 mcg./mL, 30 mL MDV 5/Box Rubramin PC®

(111-6120) Cyanocobamin Injection (B-12) Non-Return, 1000 mcg/mL 30 mL Rubramin PC®

(114-5518) Cyclobenzaprine Tablet, 10 mg. 100/Bottle Flexeril®

(248-0225) Cymbalta Capsules, 60mg 30/Bottle Eli Lilly(890-5318) Delestrogen Injection Vial Non-Returnable, 20 mg./mL - CIII 5 mL Vial JHP Parmaceuticals(890-5192) Delestrogen Injection Vial Non-Returnable, 40 mg./mL - CIII 5 mL Vial JHP Parmaceuticals(258-0601) Demerol HCl Carpuject 1 mL 50 mg./mL - CII 10/Box Hospira(258-0029) Demerol HCl Injection, 10%, 100 mg./mL - CII 20 mL MDV Hospira(258-0629) Demerol HCl Injection, 5%, 50 mg./mL - CII 30 mL MDV Hospira(908-5211) Depo-Estradiol Injection, 5 mg./mL 5 mL MDV Pfizer(908-7913) Depo-Medrol Injection MDV 5ml, 80mg./ml 25/Box Pfizer(908-3069) Depo-Medrol Injection, 20 mg./mL 5 mL MDV Pfizer(908-5362) Depo-Medrol Injection, 40 mg./mL 1 mL SDV Pfizer(231-1203) Depo-Medrol Injection, 40 mg./mL, 1 mL SDV 25/Box Pfizer(908-9783) Depo-Medrol Injection, 40 mg./mL 5 mL MDV Pfizer(908-1188) Depo-Medrol Injection, 40 mg./mL 10 mL MDV Pfizer(908-7936) Depo-Medrol Injection, 80 mg./mL 1 mL SDV Pfizer(908-8623) Depo-Medrol Injection, 80 mg./mL, 1 mL SDV 25/Box Pfizer(908-3787) Depo-Medrol Injection, 80 mg./mL 5 mL MDV Pfizer(908-6608) Depo-Provera Injection, 400 mg./mL 2.5 mL MDV Pfizer(908-0501) Depo-Provera Injection,150 mg./mL 1 mL SDV Pfizer(908-0010) depo-subQ provera Prefilled Syringe Each Pfizer(908-3439) Depo-Testosterone Injection, 100 mg./mL- CIII 10 mL MDV Pfizer(908-0963) Depo-Testosterone Injection, 200 mg./mL- CIII 10 mL MDV Pfizer(258-0122) Dexamethasone Sodium Phosphate Injection N-R, 4 mg./mL 5 mL MDV Decadron®

(375-1975) Dexamethasone Sodium Phosphate Injection, 4 mg./mL, 5 mL MDV 4x25/Box Decadron®

(102-4486) Dexamethasone Sodium Phosphate Injection, 4 mg./mL, 30 mL MDV 30 mL Decadron®

(408-0083) Diazepam Tablets, 5 mg. - CIV 100/Bottle Valium®

(408-0086) Diazepam Tablets, 10 mg. - CIV 100/Bottle Valium®

(408-0087) Diazepam Tablets, 10 mg. - CIV 1000/Bottle Valium®

(110-0837) Dibucaine Ointment, 1% 1 oz./Tube Perrigo(118-1339) Diethylpropion Tablets, 25 mg. - CIV 100/Bottle Tenuate®

(102-7664) Digoxin Tablets, 0.25 mg. 100/Bottle Lanoxin®

(258-5924) Diphenhydramine Injection, 50 mg./mL 1 mL SDV Benadryl®

(375-9452) Diphenhydramine Injection, 50 mg./mL, 1 mL SDV 25/Box Benadryl®

(108-4899) Diphenhydramine Injection, 50 mg./mL, 10 mL 10 mL MDV Benadryl®

(511-1432) Donnatal Elixir, 16.2 mg., Grape Pint PBM Pharm Inc.(104-8979) Doxycycline Hyclate Capsules, 100 mg. 500/Bottle Vibramycin®

(104-6364) Doxycycline Hyclate Tablets, 100 mg. 500/Bottle Vibratabs®

(516-0006) Dulera AeroSolution Inhaler, 100mcg./5mcg. Each Schering Corp(120-2511) Epinephrine Auto Injector, Jr, 0.15mg NEW! 2/Pack Adrenaclick®

(120-2514) Epinephrine Auto Injector, Adult, 0.3mg NEW! 2/Pack Adrenaclick®

(248-8175) Epinephrine ABJ LFS Syr, 1:10,000 10 mL/Vial Adrenalin®

(103-0990) Epinephrine Injection, 1:1000, 30 mL MDV 5/Box Adrenalin®

(118-7741) Epinephrine Injection, 1:1000 30 mL MDV Adrenalin®

(104-7057) Epinephrine Injection, 1 mL Ampule, 1:1000 25/Box Adrenalin®

(258-9483) Epinephrine Injection, 1mL Amp, 1:1000, Non-Return 5/Pack Adrenalin®

(345-1926) EpiPen Adult, 0.3 mg. (Adult) 2/Pack Mylan (345-3230) EpiPen Junior, 0.15 mg. (junior) 2/Pack Mylan (237-8131) Erythromycin Topical Solution, 2% 60 mL/Bottle A-T-S®

(913-6331) Esgic Plus Tablets 100/Bottle Forest (110-1059) Estradiol Tablets, 2 mg. 100/Bottle Barr Labs(761-0017) Ethyl Chloride ‘Accu-Stream’, Fine Spray, Can, 3.5oz. 4/Box Gebauer

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:11 PM Page 81

82

PHARMACEUTICALSeth–lex

(761-0015) Ethyl Chloride ‘Accu-Stream’, Fine Spray, Can, 3.5oz. 12/Case Gebauer(761-0016) Ethyl Chloride ‘Accu-Stream’, Med Spray, Can, 3.5oz. 4/Box Gebauer(761-0014) Ethyl Chloride ‘Accu-Stream’, Med Spray, Can, 3.5oz. 12/Case Gebauer(761-1189) Ethyl Chloride Fine Spray, Glass Bottle 4/Box Gebauer(761-8856) Ethyl Chloride Fine Spray, Glass Bottle 12/Case Gebauer(761-9264) Ethyl Chloride Medium Spray, Glass Bottle 4/Box Gebauer(761-4004) Ethyl Chloride Medium Spray, Glass Bottle 12/Case Gebauer(761-6562) Ethyl Chloride, Mist Spray Aerosol, Can 3.5 oz. 12/Case Gebauer(131-0010) Euflexxa PF Q 1-9, 2mL Syringe 3/Pack Ferring (131-0011) Euflexxa PF Q 10-24, 2mL Syringe 3/Pack Ferring (131-0012) Euflexxa PF Q 25-49, 2mL Syringe 3/Pack Ferring (104-6530) Fentanyl Citrate, 50 mcg., 2 mL Ampule - CII 10/Box Sublimaze®

(740-5229) Fioricet RP Tablets, 50/325/40 mg. 100/Bottle Watson(114-5517) Fluoxetine Hcl Capsules, 20mg 100/Bottle Prozac®

(115-4191) Fluticasone Prop Nasal Spray, 50MCG 16 gm/Bottle Flonase® AQ(116-4631) Fosphenytoin Sodium Injection 2mL 25/Pack Cerebyx®

(181-3332) Furosemide Injection, 10mg./mL, Non-Return 2 mL SDV Lasix®

(181-9898) Furosemide Injection, 10mg./mL, Non-Return 4 mL SDV Lasix®

(248-1014) Furosemide Injection, 10mg./mL, Non-Return 10 mL SDV Lasix®

(321-4010) Gelusil Tablets, 200 mg. 100/Box J&J(258-2214) Gentamicin Injection, 40mg./mL, Non-Return 20 mL MDV Garamycin®a

(116-7311) Gentamicin Cream, 0.1% 15 Gm./Tube Garamycin®

(840-8625) Gentamicin Ointment, 0.1% 15 Gm./Tube Garamycin®

(104-9944) Gentamicin Sulfate Injection, 40 mg./mL, 2 mL SDV 25/Box Garamycin®

(113-1602) Gentamicin Sulfate Injection, 40mg./ml 20 mL MDV x 25 Garamycin®

(104-2145) GlucaGen Diagnostic Kit, 1 mg. Each Bedford(248-6064) Glucagon Emergency Kit w/Syringe, 1 mg. 1 mL SDV Eli Lilly(382-8241) Healon Syringe, 10 mg./mL .85 mL sodium hyaluronate(789-5649) Humulin N Insulin, 100 U/mL (#HI-310) 10 mL/Vial Eli Lilly(789-5085) Humulin R Insulin, 100 U/mL, (#HI-210) 10 mL/Vial Eli Lilly(789-8811) Humulin 70/30 Insulin, #HI-8715 10 mL/Vial Eli Lilly(916-8537) Hurricaine Topical Spray 2 oz./Can Beutlich Inc(248-0419) Hyalgan Injection Vial, 10mg./mL 2 mL Vial Fidia Pharma(248-0447) Hyalgan Prefilled Syringe, 10 mg./mL 2 mL Sanofi pasteur(102-4551) Hydrocodone & Homatropine Syrup - CIII 16 oz./Bottle Hycomine®

(104-9391) Hydrocodone w/APAP Tablets, 10/325 mg. - CIII 100/Bottle Norco® 10(408-0089) Hydrocodone w/APAP Tablets, 10/325 mg. - CIII 500/Bottle Norco® 10(102-6420) Hydrocortisone Cream (Rx), 1% 30 Gm./Tube Hytone®

(118-1204) Hydrocortisone Cream (Rx), 2.5% 30 Gm./Tube Hytone®

(248-0535) Hylenex (Human) Inj, 1ml SDV, 150U/ml 4/Pack Halozyme(111-9240) Ibuprofen Tablets, 800mg 100/Bottle Motrin®

(118-0719) Imitrex Injection, 6 mg., 0.5 mL SDV 5/Box GSK(430-1228) InFed (Iron Dextran), 50 mg./mL, 2 mL Ampules 10/Box Watson(558-5879) Invanz Injection Vial 20 mL, 1 Gm. 10/Box Merck & Company(116-5987) Ipratropium/Albuterol Inhalation Solution, 0.5/3mg, 3mL 30/Box DuoNeb®

(196-0545) Kenalog-10 Injection, 10 mg./mL 5 mL SDV Bristol Myers-Squibb(196-8300) Kenalog-40 Injection, 40 mg./mL 1 mL SDV Bristol Myers-Squibb(196-1737) Kenalog-40 Injection, 40 mg./mL 5 mL MDV Bristol Myers-Squibb(196-9429) Kenalog-40 Injection, 40 mg./mL 10 mL MDV Bristol Myers-Squibb(408-0058) Ketoconazole Cream, 2% 30 Gm. Sandoz(104-6866) Ketorolac Carpuject, 30 mg./mL, 1 mL 10/Box Toradol®

(104-9156) Ketorolac Carpuject, 60 mg./2 mL, 2 mL 10/Box Toradol®

(258-9639) Ketorolac Injection Non/Ret, 30 mg./mL 1 mL SDV Toradol®

(104-9908) Ketorolac Injection, 30 mg./mL, 1 mL SDV 25/Box Toradol®

(104-9909) Ketorolac Injection IM, 60 mg./2 mL, 2 mL SDV 25/Box Toradol®

(159-8998) Lantus Insulin, 100u/mL 10 mL/Bottle Sanofi Pasteur(102-7122) Levothyroxine Sodium Tablets, 0.05 mg. 100/Bottle Synthroid®

(102-7124) Levothyroxine Sodium Tablets, 0.1 mg. 100/Bottle Synthroid®

(102-7886) Levothyroxine Sodium Tablets, 0.2 mg. 100/Bottle Synthroid®

(323-0002) Lexiscan Injection Syringe, 0.4 mg./5 mL Each Astellas

Item Code Description Pkg. Manufacturer

13MS871382

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83

PHARMACEUTICALSlid–mor

(248-0644) Lidocaine HCl Injection 1% 50mL MDV Xylocaine®

(258-0603) Lidocaine HCL Injection Non-Retn, 2% 20 mL MDV Xylocaine®

(108-5735) Lidocaine HCL Injection Amp 5mL, 1%, Pres Free 25/Box Xylocaine®

(258-6460) Lidocaine HCL Injection Amp Non-Retn, 1%, Pres Free 2 mL AMP Xylocaine®

(130-0550) Lidocaine HCL Injection, 10ml MDV, 1% 25/Box Xylocaine®

(258-7008) Lidocaine HCl Injection, 1% 20 mL MDV Xylocaine®

(248-3041) Lidocaine HCl Injection, 2% 50mL MDV Xylocaine®

(104-7771) Lidocaine HCl Injection, 20 mL MDV, 1% 25/Box Xylocaine®

(110-3839) Lidocaine HCl Injection Pres Free, 1% 30 mL SDV 25/Pack Xylocaine®

(104-6817) Lidocaine HCl Injection, 50 mL MDV, 1% 25/Box Xylocaine®

(104-9843) Lidocaine HCl Injection, 50 mL MDV, 2% 25/Box Xylocaine®

(104-3378) Lidocaine HCl Jelly, 2% 30 Gm./Tube Xylocaine®

(118-2157) Lidocaine HCl Jelly Urojet, 2% 20mL 25/Pack Xylocaine®

(114-5405) Lidocaine HCl Topical Solution, 4% 50 mL Xylocaine®

(109-3666) Lidocaine HCL Viscous Solution, 2% 100 mL/Bottle Xylocaine®

(465-1205) Lidocaine HCl w/Epi Injection Cartridge, 2%/1:100K (Henry Schein) 50/Box Xylocaine®w/Epi(465-0015) Lidocaine HCl w/Epi Injection Cartridge, 2%/1:50K (Henry Schein) 50/Box Xylocaine®w/Epi(856-4621) Lidocaine HCl w/Epi Injection Cartridge, 2%/1:100K 50/Box Xylocaine®w/Epi(248-3556) Lidocaine HCl w/Epi Injection, 1% 30 mL MDV Xylocaine w/Epi®

(248-7453) Lidocaine HCl w/Epi Injection, 1% 50 mL MDV Xylocaine w/Epi®

(104-6822) Lidocaine HCl w/Epi Injection, 1%, 30 mL MDV 25/Box Xylocaine w/Epi®

(104-7099) Lidocaine HCl w/Epi Injection, 1%, 50 mL MDV 25/Box Xylocaine w/Epi®

(248-1961) Lidocaine HCl w/Epi Injection, 2% 10 mL MDV Xylocaine w/Epi®

(104-6855) Lidocaine HCl w/Epi Injection, 2%, 30 mL MDV 25/Box Xylocaine w/Epi®

(104-6867) Lidocaine HCl w/Epi Injection, 2%, 50 mL MDV 25/Box Xylocaine®w/Epi(258-0672) Lidocaine HCl w/Epi Injection, Non-Return, 1% 20 mL MDV Xylocaine®w/Epi(248-0237) Lidocaine HCl w/Epi Injection, Non-Return, 2% 20 mL MDV Xylocaine®w/Epi(248-5394) Lidocaine HCl w/Epi Injection, Non-Return, 2% 30 mL MDV Xylocaine®w/Epi(104-6587) Lidocaine w/Prilocaine Cream 30 Gm./Tube Emla®

(908-7376) Lincocin Injection, 300 mg./mL 10 mL MDV Lincomycin®

(728-2359) LMX4 Lidocaine Cream, 4% 30 Gm. Ferndale Labs(728-4306) LMX4 Lidocaine Cream, 4% 15 Gm./Tube Ferndale Labs(728-7382) LMX4 Lidocaine Cream, 4% 5 Gm. x 5/Pack Ferndale Labs(728-2927) LMX5 Lidocaine Cream, 5% 30 Gm. Ferndale Labs(193-7685) Lomotil Tablets, 2.5 mg. - CV 100/Bottle Pfizer(110-1108) Loperamide Capsules, 2 mg. (Rx) 100/Bottle Imodium®

(116-3870) Lorazepam Tablets, 2 mg. - CIV 100/Bottle Lorazepam®

(248-2391) Lunesta Tablets, 3 mg. - CIV 100/Bottle Sepracor(258-0010) Lupron Depot Prefilled Syringe, 3.75 mg. Each Abbott (258-7402) Marcaine Injection, 0.25% 50 mL MDV Hospira(631-2127) Marcaine Injection, 0.25%, 10 mL SDV 10/Box Hospira(631-1958) Marcaine Injection, 0.25%, 30 mL SDV 10/Box Hospira(631-2615) Marcaine Injection, 0.5% 50 mL MDV Hospira(104-8130) Marcaine Injection, 0.5%, 10 mL SDV 10/Box Hospira(631-2847) Marcaine w/Epi Injection, 0.25% 50 mL MDV Hospira(258-9815) Marcaine w/Epi Injection, 0.5% 50 mL MDV Hospira(108-3517) Medroxyprogesterone Acet Injection, 150 mg./mL 1 mL SDV Depo-Provera®

(108-2357) Medroxyprogesterone Acet Injection, 150mg./mL, 1mL SDV 25/Box Depo-Provera®

(840-9143) Mercaptopurine Tablet, 50 mg 25/Bottle Purinethol®

(116-3451) Metformin HCl Tablets, 500mg 100/Bottle Glucophage®

(116-3901) Metformin HCl Tablets, 1000 mg 100/Bottle Glucophage®

(116-3862) Metoprolol Tartrate Tablets, 50mg 100/Bottle Lopresser®

(118-1705) Metronidazole Tablets, 500Mg 500/Bottle Flagyl®

(258-0101) Midazolam HCl Injection, 1 mg./mL, 2 mL SDV - CIV 25/Box Versed®

(104-8901) Midazolam HCl Injection, 1 mg./mL, 5mL SDV - CIV 10/Box Versed®

(118-2040) Midazolam HCl Injection, 1mg./mL, 10 mL MDV - CIV 10/Box Versed®

(102-8913) Midazolam HCl Injection, 5 mg./mL, 10 mL MDV - CIV 10/Box Versed®

(116-4204) Minocycline HCl Capsules, 100 mg 50/Bottle Minocin®

(144-4123) Mitomycin Injection, 40 mg. 100 mL SDV Mutamycin®

(118-2052) Morphine Sulfate Injection, 15 mg./mL - CII 20 mL MDV Elkins-Sinn

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:11 PM Page 83

PHARMACEUTICALSmup–pro

(111-8857) Mupirocin Ointment 2% 22 gm Tube Bactroban®

(109-8957) Nalbuphine Injection, 10 mg./mL 10 mL MDV Nubain®

(104-6858) Nalbuphine Injection, 10 mg./mL, 1 mL Ampule 10/Box Nubain®

(109-8962) Nalbuphine Injection, 20 mg./mL 10 mL MDV Nubain®

(104-7310) Nalbuphine Injection, 20 mg./mL, 1 mL Ampule 10/Box Nubain®

(422-3826) Namenda Tablets, 10mg 60/Bottle Forest (872-2611) Neuremedy Capsules, 150mg 120/Bottle Realm Labs LLC(102-3659) Nexium Capsules, 40 mg. 30/Bottle Astra Zeneca (118-1228) Nitrofurantoin Macro Capsules, 100mg 100/Bottle Macrodantin®

(321-3802) Nitrostat Sublingual Tablets, 0.4 mg. 100/Bottle Pfizer(248-0337) Ofirmev Injection Vial, 10mg./mL, 100mL (injectable ACETAMINOPHEN!) 24/Case Cadence Pharm(118-2076) Omeprazole DR Capsules, 20mg (Rx) 100/Bottle Prilosec®

(108-7494) Ondansetron Injection, 2mg./mL 20 mL MDV Zofran®

(196-5997) Orencia Injection NR, 250 mg. 15 mL/Vial Bristol Myers-Squibb(761-3279) Pain Ease Medium Stream Spray, AeroSolution Can 3.5 oz. Can Gebauer(761-0465) Pain Ease Mist Spray, AeroSolution Can 3.5 oz. Can Gebauer(607-2846) Penicillin G Procaine, 1.2M U, 2 mL Pre-Filled Syringe, 21 Ga. x 1-1/2” 10/Pack Wycillin®

(607-5325) Penicillin G Procaine, 600K U, 1 mL Pre-Filled Syringe, 21 Ga. x 1-1/2” 10/Pack Wycillin®

(113-6877) Penicillin VK Tablets, 500 mg. 100/Bottle V-Cillin K®

(115-7644) Phenazopyridine Tablets, 200 mg. 100/Bottle Bontril® PDM(116-0249) Phendimetrazine Tablets, 35 mg., Yellow - CIII 1000/Bottle Bontril® PDM(375-0007) Phenergan Injection, 25 mg./mL, 1 mL Ampules 25/Box Baxter(629-0003) Phenergan Injection, 25 mg./mL, 1 mL SDV 25/Box Baxter(116-3836) Phentermine Capsule Blue/Clear, 30 mg. - CIV 100/Bottle Adipex-P®

(115-5408) Phentermine Capsule Yellow, 30 mg. - CIV 1000/Bottle Lannett Co Inc(109-9787) Phentermine Tablets Light Blue, 37.5mg - CIV 1000/Bottle Lannett Co Inc(107-4034) Phentermine Tablets White/Blue Speckled, 37.5 mg. - CIV 1000/Bottle Qualitest(107-5934) Phentermine Tablets, White/Blue Speckled, 37.5mg. - CIV 100/Bottle Adipex-P®

(116-8205) Prednisone Tablets, 5 mg. 1000/Bottle Qualitest(108-6147) Prednisone Tablets, 10 mg. 500/Bottle Deltasone®

(108-6892) Prednisone Tablets, 20 mg 1000/Bottle Deltasone®

(104-2844) Prochlorperazine Injection, 5 mg./mL 10 mL MDV Companzine®

(258-0116) Progesterone in Oil Injection, 50 mg./mL 10 mL MDV American Regent(214-0006) Prolia Prefilled Syringe, 60mg 1 mL SDV Amgen(102-7248) Promethazine HCl Injection, 25 mg./mL, 1 mL SDV 25/Box Phenergan®

(375-1745) Promethazine HCl Injection, 50 mg./mL, 1 mL Ampule 25/Box Phenergan®

(102-8895) Promethazine HCl Injection, 50 mg./mL, 1 mL SDV 25/Box Phenergan®

(258-4249) Promethazine HCl Injection, Non-Ret, 25mg./mL 1 mL AMP Phenergan®

(248-4638) Promethazine HCL Injection, 50mg./mL 1 mL AMP Phenergan®

(408-0050) Promethazine Syrup w/Codiene, 6.25/10mg./5mg - CV 120 mL Phenergan® w/cod(376-8895) Propecia Tablets, 1 mg. 30/Bottle Merck & Company(558-5723) Propecia Tablets, 1 mg. 90/Bottle Merck & Company(248-6832) Propofol Injection, 10 mg./mL, 20mL SDV (Hospira) 5/Box Diprivan®

(110-1262) Propofol Injection, 10 mg./mL, 50 mL SDV (Hospira) 20/Box Diprivan®

13MS871384

Item Code Description Pkg. Manufacturer

(196-9429) (248-0535) (761-9264)

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:11 PM Page 84

(119-7638) (112-5680) (100-9284)

PHARMACEUTICALSpyr–ven

(870-3928) Pyridoxine HCl Injection, 100 mg./mL, 1 mL SDV 25/Box Hexa-Betalin®

(108-6202) Ranitidine HCl Tablets, 300 mg. 100/Bottle Zantac®

(108-9943) Reclast Solution f/IV Injection 5 mg./100 mL 100 mL Vial Novartis(634-3374) Rimso-50 Solution 50 mL Bioniche Pharma(785-5630) Rocephin Injection, 1 Gm., 10 mL, Non-returnable 10/Box Roche(785-4176) Rocephin Injection, 500 mg., 6 mL, Non-returnable 10/Box Roche(785-7368) Rocephin Injection, 500 mg. 15 mL Roche(118-2049) Rocuronium Bromide Injection, 10 mg./mL, 5 mL MDV 10/Pack Zemuron®

(568-0032) Sarapin Injection Vial 50 mL/Vial High Chemical Company(228-8210) Septocaine Cartridges w/Epi, 4%, 1:100M 50/Box Septodont(719-8272) Silvadene Cream 20 Gm./Tube SSD®

(719-8632) Silvadene Cream 50 Gm./Jar SSD®

(719-8922) Silvadene Cream 400 Gm./Jar SSD®

(425-0006) Silver Sulfadiazene Cream, 1% 25 Gm./Tube SSD®

(908-0011) Solu-Cortef Injection Act-O-Vial, 100 mg 2 mL SDV Pfizer(908-0013) Solu-Cortef Injection Act-O-Vial, 250 mg 2 mL SDV Pfizer(908-0014) Solu-Cortef Injection Act-O-Vial, 500 mg 4 mL SDV Pfizer(248-0255) Solu-Medrol Act-O-Vial, Pres Free, N-R, 40mg 1 mL Vial Pfizer(382-0017) Solu-Medrol Act-O-Vial, 1 Gm 8 mL MDV Pfizer(248-0254) Solu-Medrol Act-O-Vial, N-R, 125 mg 2 mL SDV Pfizer(382-0015) Solu-Medrol Act-O-Vial, 125 mg, 2 mL 25/Pack Pfizer(382-0014) Solu-Medrol Act-O-Vial, 40 mg, 1 mL 25/Pack Pfizer(908-6745) Solu-Medrol Injection, 500 mg., 8 mL MDV Pfizer(424-0049) Sotradecol Injection 3%; 30 mg./mL, 2mLVial 5/Pack Mylan Institional(248-0341) Suboxone Sublingual Film, 2 mg./0.5 mg. - CIII 30/Pack Reckitt(248-0344) Suboxone Sublingual Film, 8 mg./2 mg. - CIII 30/Pack Reckitt(114-5508) Sulfa-Trimethoprim Tablets, 800/160 mg. 100/Bottle Bactrim DS®

(108-7552) Sulfa-Trimethoprim Tablets, 800/160 mg. 500/Bottle Bactrim DS®

(116-3867) Sumatriptan Tablets, 100 mg. 9/Box Greenstone(232-0009) Synthroid Tablets, 0.1 mg. 90/Bottle Abbott (232-0012) Synthroid Tablets, 0.125 mg. 90/Bottle Abbott (901-0004) Synvisc Prefilled Syringe, 8 mg./mL, 2 mL 3/Pack Sekisui Diagnostics(854-4855) Tamiflu Capsules, 75 mg., Non-returnable 10/Pack Roche(635-0172) Tamiflu Oral Suspension, 6mg./mL 60 mL/Bottle Roche(118-1441) Terbutaline Sulfate Injection, 1 mg./mL, 1 mL 10/Box Brethine®

(890-7363) Tigan Injection, 100 mg./mL 20 mL MDV JHP Parmaceuticals(150-5725) Toprol-XL Tablets, 100 mg. 100/Bottle Astra Zeneca (118-2187) Tramadol HCl Tablets, 50mg 100/Bottle Ultram®

(248-2592) Transderm Scop, 1.5 mg. 4/Box Novartis(118-9139) Triamcinolone Acetonide Ointment, 0.1% 15 Gm./Tube Aristocort®

(115-8095) Triamcinolone Acetonide Cream, 0.1% 15 Gm./Tube Aristocort®

(114-8598) Triamcinolone Acetonide Cream, 0.1% 80 Gm./Tube Aristocort®

(116-3881) Triamcinolone Acetonide Cream, 0.5% 15 Gm./Tube Aristocort®

(118-2449) Venlafaxine HCl Extended Release Capsules, 75Mg 90/Bottle Effexor®

(930-9143) Ventolin HFA Inhaler 18 Gm. GSK

85To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

NEW!

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86

PHARMACEUTICALSver–zol

(102-1343) Verapamil SR Tablets, 180 mg. 100/Bottle Calan SR®

(745-9239) Viagra Tablets, 100 mg. 30/Bottle Pfizer(248-0574) Vitrase (Ovine), 200M u/mL, 1.2 mL Vial 6/Pack Hyaluronidase, Ovine(854-0001) Xenical Capsules, 120 mg. 90/Bottle Roche(248-0083) Xopenex Inhalation Solution 0.042%, 1.25 mg, 3 mL 24/Box Sepracor(150-0125) Xylocaine Jelly, 2% 30 mL Tube APP (248-0398) Xylocaine Plain Injection, 0.5%, 50 mL MDV APP (248-0392) Xylocaine Plain Injection, 1% 20 mL MDV APP (248-0409) Xylocaine Plain Injection, 1% 50 mL MDV APP (150-0018) Xylocaine Plain Injection, 1%, 2 mL Ampule 10/Pack APP (150-0113) Xylocaine Plain Injection, 1%, 2 mL SDV 25/Box APP (150-0069) Xylocaine Plain Injection, 1%, 5 mL SDV 25/Box APP (248-0395) Xylocaine Plain Injection, 2% 20 mL MDV APP (150-0096) Xylocaine Plain Injection, 2%, 50 mL MDV 25/Pack APP (248-0399) Xylocaine w/Epi Injection, 0.5%/1:200K 50 mL MDV APP (248-0350) Xylocaine w/Epi Injection, 1%, 1:100K 50 mL MDV APP (150-0092) Xylocaine w/Epi Injection, 1%, 1:100K, 20mL MDV 25/Pack APP (248-0414) Xylocaine w/Epi Injection, 2%, 1:100K 50 mL MDV APP (516-0001) Zemuron Injection, 10 mg./mL, 5 mL MDV 10/Box Schering Corp(745-8492) Zithromax Z-Pack Capsules, 250 mg. 3 x 6/Box Pfizer(254-0038) Zofran Injection, 2 mg./mL MDV 20 mL/Vial GSK(119-6071) Zoledronic Acid Injection, 4mg/5mL 5 mL/Vial Zometa®

(119-7638) Zoledronic Acid Injection, 5mg/100mL 100ml/Bottle Reclast®

(115-3107) Zolpidem Tartrate Tablets, 10 mg. 100/Bottle Ambien®

PHARMACEUTICALS – OTICS AND OPHTHALMICS(245-5337) Ak-Taine(Proparacaine) 15 mL Alcaine®

(690-6764) Betadine Ophthalmic Solution, 5% 30 mL Alcon Labs(245-2282) BSS Sterile Solution 18 mL Akorn(104-5884) Ciprofloxacin Ophthalmic Solution, 0.3% 5 mL/Bottle Cipro(104-5670) Fluorescein/Proparicane Ophthalmic Solution 5 mL/Bottle Fluracaine®

(408-0068) Fluoresceine/Benox Ophthalmic Solution, w/Dropper 5 mL/Bottle Fluress®

(104-3735) Ful-Glo Ophthalmic Strips, 1mg 100/Box Akorn(900-4787) Hydrocortisone Cream, 1% 1 oz./Tube Cortaid®

(114-8419) Neo Poly B/HC Otic Suspension 10 mL/Bottle Cortisporin®

(118-1219) Neomycin Poly-B Dex Ophthalmic Ointment 1/8 oz./Tube Maxitrol®

(554-7033) Neo-Synephrine Spray Mild, 1/4% 15 mL Bayer(140-0015) Ofloxacin Ophthalmic Solution, 0.3% 5 mL/Bottle Ocuflux®

(110-6531) Ofloxacin Otic Solution, 0.3% 5 mL/Bottle Floxin®

(110-0650) Oxymetazoline Hcl Nasal Spray, 0.05% (OTC) 1 oz. Afrin®

(154-6151) Phenylephrine Ophthalmic Solution (AK-Dilate®) 2.5% 15 mL Neosynephrine®

(110-7468) Saline Nasal Spray (OTC) 44mL/Bottle Major Pharma(102-9069) Tetracaine Ophthalmic Solution, 0.5% 15 mL Pontocaine®

(248-0228) Triesence Ophthalmic Injection, 40 mg./mL 1 mL SDV Alconox(116-4781) Tropicamide Ophthalmic Solution, 1% 15 mL Mydriacyl®

PHARMACEUTICALS – OTCCough / Cold / Allergy/Analgesics

(900-4690) APAP Extra Strength Pouches 500mg 250x2/Bx Henry Schein Inc.(900-4689) APAP Reg Strength Pouches 325mg 250x2/Bx Henry Schein Inc.(102-3072) APAP Drops Infant 80mg, 0.8mL 15 mL Silarx Pharma(900-4688) Aspirin Pouches 325mg 250x2/Bx Henry Schein Inc.(900-4691) Ibuprofen Pouches 200mg 250x2/Bx Henry Schein Inc.(408-0022) Guaifenesin Cough/Cold Syrup, 100mg/5mL 4 oz/Bottle Qualitest(408-0021) Guaifenesin DM Cough/Cold Syrup, 100/10mg/5mL 4 oz/Bottle Qualitest(214-1813) Halls Cough Oral Drops, Cherry 30/Bag Cadbury Adams

Item Code Description Pkg. Manufacturer

13MS871386

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87

PHARMACEUTICALS – OTCCough / Cold / Allergy/Analgesics, cont’d

(839-0254) Ibuprofen Medi-1st 125x2/Box Medique (120-2461) Loratadine Allergy Tablets, 10mg (OTC) 90/Pack Claritin®

(151-8400) Medikoff Drops, Regular, Sugar-Free 300/Box Halls®

(104-8364) Mucinex Expectorant Tablets, 600 mg 20/Box Adams Labs

Eye and Ear Care(120-0791) Artificial Tears (NuTears) 15 mL Liquifilm Tears®

(104-4375) Eye Wash Ophthalmic Solution 1 oz. Altaire(110-1011) Eye Wash Solution 4 oz./Bottle Dacriose®

(118-2012) Carbamide Ear Wax Otic Drops 15 mL Major Pharma(151-4399) Medi-Wash Eye Irrigant 4 oz./Bottle Dacriose®

(707-6894) Phenylephrine HCl Ophthalmic Solution, 10% 5 mL Neo-Synephrine®

Laxatives(261-0191) Citrate of Magnesia, Lemon 10 oz./Bottle Cumberland(120-3531) Fleet® Enema, Adult 4.5 oz. C B Fleet Co(310-1874) Enema Bag w/Soap 1500 cc Medical Devices Intl(104-4798) Liquid Antacid, Mint 12 oz. Geri-Care(104-6939) Milk Of Magnesia, Regular 16 oz. Geri-Care

Lubricants(478-4320) Astroglide Personal Liquid Lubricant 1 oz./Bottle K-Y® Jelly(478-0603) Astroglide Physician’s Gel Lubricant, Flip-Cap Tube 5 oz./Tube K-Y® Jelly(341-0977) K-Y® Personal Lubricant Jelly Flp Cap 4 oz. J&J(112-5680) Lubricating Gel, Sterile, 4 oz. Fliptop Tube Each Henry Schein Inc.(112-5679) Lubricating Gel, Sterile, 3-G Packets 144/Box Henry Schein Inc.(118-1350) Lubricating Jelly, Sterile, 4 oz. Fliptop Tube 12/Pkg HR Pharmaceuticals(118-7249) Lubricating Jelly, Sterile, 2 oz. Fliptop Tube 12/Pkg HR Pharmaceuticals(118-2072) Lubricating Jelly, Sterile, 3-G Sachet 144/Box HR Pharmaceuticals(118-2073) Lubricating Jelly, Sterile, 5-G Sachet 144/Box HR Pharmaceuticals(191-7971) Surgilube® Lubricating Jelly, 3 Gm. Foil Pack 144/Box K-Y® Jelly(191-0004) Surgilube® Lubricating Jelly, 4 oz. Flip-Cap Tube 12/Box K-Y® Jelly(191-0003) Surgilube® Lubricating Jelly, 4.25 oz. Screw-Cap Tube 12/Box K-Y® Jelly(191-7970) Surgilube® Lubrication Jelly, 2 oz. Screw-Cap Tube 12/Box K-Y® Jelly(115-2666) Surgilube® Tube Screw Cap 4.25 oz Tube K-Y® Jelly

Powder(240-6538) Alconox Powder 4 lb./Box Alconox (266-6016) Desenex Powder 3 oz./Can Novartis

Topicals (OTC and Professional Use)(112-4869) Acclean® Fluoride Varnish, Bubblegum 50/Box Henry Schein Inc.(108-3028) Bacitracin Ointment W/O Zinc 1 oz. G & W(108-2912) Bacitracin w/Zinc Ointment, 500U/GM 1 oz./Tube Actavis(900-4789) Bacitracin w/Zinc Ointment, Foil Pack, 0.9 Gm. 144/Box Henry Schein Inc.(900-4971) Bacitracin w/Zinc Ointment 1 oz./Tube Henry Schein Inc.(102-6564) Bacitracin-Polymyxin Ointment 1 oz./Tube Polysporin®

(151-7396) Cold Spray 4 oz. Medique (378-0166) Enamel® Pro Varnish Clear .25 mL, Bubblegum 35/Box Premier (378-0171) Enamel® Pro Varnish Clear, .4 mL, Bubblegum 200/Box Premier(543-6567) Gel-Kam Home Care Berry, Berry 4.3oz/Tube Colgate (543-6347) Gel-Kam Home Care, Mint 4.3oz/Tube Colgate (580-3430) Neosporin Ointment 1 oz./Tube J&J(580-6611) Neosporin Ointment, Foil Pack, 1/32 oz. 144/Box J&J(113-1611) Nicotine Trans Patch 14mg, Step 2 14/Box Novartis(113-1612) Nicotine Trans Patch 21mg, Step 1 14/Box Novartis(900-4787) Hydrocortisone Cream, 1% (OTC) 1 oz. Tube Henry Schein Inc.(580-3732) Polysporin Ointment 1 oz./Tube J&J

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

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88

PHARMACEUTICALS - OTCTopicals (OTC and Professional Use), cont’d

(106-8502) Polysporin Ointment Foil, 1/32 oz. 144/Box J&J(116-9156) Tolnaftate Cream 1 oz, 1% (OTC) 30 Gm./Tube Tinactin®

(900-4788) Triple Antibiotic Ointment, Foilpak, 0.9 Gm. (Henry Schein) 144/Box Neosporin®

(900-4972) Triple Antibiotic Ointment 1 oz./Tube Henry Schein(891-5295) Triple Antibiotic Ointment, .9gm 144/Box Waterjel(777-6849) Wipe No Sting Barrier Film 25/Box 3M

Wets & Drys(110-0815) Alcohol Isopropyl, 91% 16 oz./Bottle Cumberland Swan(395-0139) Distilled Water South Mountain, 3 Liter-Bottle 4/Case Bunzl(102-3516) Hydrogen Peroxide, 3% 16 oz./Bottle Henry Schein(261-0212) Hydrogen Peroxide 3%, 16 oz./Bottle Cumberland Swan(102-3518) Hydrogen Peroxide, 3% Gallon Henry Schein(102-4716) Isopropyl Alcohol, 70% 16 oz./Bottle Henry Schein(102-4799) Isopropyl Alcohol, 70% Gallon Henry Schein(102-8806) Isopropyl Alcohol, 70% 16 oz./Bottle Cumberland(110-6584) Isopropyl Alcohol, 70% 32 oz./Bottle Cumberland Swan

SURGICAL INSTRUMENTSBiopsy Punches

(953-9111) Biopsy Punch, Disposable, 2mm Each Integra-Miltex(953-7599) Biopsy Punch, Disposable, 3mm Each Integra-Miltex(953-1340) Biopsy Punch, Disposable, 3.5mm Each Integra-Miltex(953-9343) Biopsy Punch, Disposable, 4mm Each Integra-Miltex(953-5409) Biopsy Punch, Disposable, 5mm Each Integra-Miltex(953-4123) Biopsy Punch, Disposable, 6mm Each Integra-Miltex(953-6054) Biopsy Punch, Disposable, 8mm Each Integra-Miltex

Curettes(900-4670) Ear Curette, White Disposable, Large, Loop Tip 50/Box Henry Schein(900-4671) Ear Curette, Gray Disposable, Small, Spoon Tip 50/Box Henry Schein(953-7327) Ear Curette, Disposable, Gray 50/Box Integra-Miltex(953-9727) Ear Curette, Disposable, Peach 50/Box Integra-Miltex(953-5856) Ear Curette, Disposable, Pink 50/Box Integra-Miltex(953-7591) Ear Curette, Disposable, White 50/Box Integra-Miltex(120-1511) Safe Ear Curette, Blue InfantScope®, 2 mm 50/Box Bionix Medical(120-7185) Safe Ear Curette, White FlexLoop®, 4 mm 50/Box Bionix Medical

Forceps(953-7280) Adson Dressing Forcep, 4-3/4” Each Integra-Miltex(101-0881) Forcep Micro Alligator Ear, 3-1/4” Each Integra-Miltex(953-8252) Tissue Adson Forcep Del 4-3/4, 1x2 teeth Each Integra-Miltex

Ob/Gyn Instrumentation(112-6154) Disposable Vaginal Specula, Light Source Compatible, Small 25/Box Henry Schein(112-6155) Disposable Vaginal Specula, Light Source Compatible, Medium 25/Box Henry Schein(112-6156) Disposable Vaginal Specula, Light Source Compatible, Large 25/Box Henry Schein(499-3429) Illuminator Cordless Kleenspec, & Charge Statn Each Welch-Allyn(450-1184) KleenSpec® Illumination System Each Welch-Allyn(566-3496) KleenSpec® Pederson Vaginal Specula, Disposable, Medium 25/Box Welch-Allyn(100-9284) Monsel’s Thickened Solution w/Applicator, 8 mL 12/Box Premier Medical(499-3427) Vaginal Specula 590 Series, Small 24/Box Welch-Allyn(499-7957) Vaginal Specula 590 Series, Medium 24/Box Welch-Allyn(102-5396) Vaginal Specula, Disposable, Small 10/Pack Henry Schein(102-5397) Vaginal Specula, Disposable, Medium 10/Pack Henry Schein(102-9422) Vaginal Specula, Disposable, Large 10/Pack Henry Schein

Item Code Description Pkg. Manufacturer

13MS871388

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89

SURGICAL SUPPLIESCotton Products & Applicators

(100-0468) Cotton Ball Medium Non-sterile 4000/Case Henry Schein(100-4752) Cotton Ball Medium Sterile 500/Box Henry Schein(100-1491) Cotton Ball Large Non-Sterile 2000/Case Henry Schein(890-9467) Cotton Balls Medium Non-Sterile 500/Bag Covidien(100-9249) Cotton Tipped Applicator, Sterile 6” 100 Packs/2 Henry Schein(100-9175) Cotton Tipped Applicator Non-Sterile, 6” 1000/Box Henry Schein(120-9310) Endocell Cell Sampler 35/Box Wallach Surgical(100-7779) Ob/Gyn/Throat/Proctology Applicator, 8” Non-Sterile 50/Box Hardwood (724-0178) Phoenix Rayon Swabs, 8” 50/Box Fox (120-9765) Scopettes®, Junior 8” 100/Box Birchwood (277-0017) Silver Nitrate Applicators, Plastic stick 6” 100/Vial Everest &Jennings

Blades, Knives & Scalpels(780-8145) Bard-Parker™ Stainless Steel Blades, Sterile, #15 50/Box Aspen Surgical(780-4962) Bard-Parker™ Stainless Steel Scalpels, Disposable, Sterile, #15 10/Box Aspen Surgical(953-2041) Surgeon Blades Carbon Steel, Sterile, #15 100/Box Integra-Miltex(953-7616) Blades, Surgical, Stainless Steel, Sterile, #15 100/Box Integra-Miltex(780-0121) DermaBlade®, Sterile, Individually Packaged 50/Box American Safety Razor(267-6391) Gallant Safety Prep Razor, Disposable 50/Box NikoMed(953-2142) Safety Scalpels, Disposable, Sterile, #15 10/Box Integra-Miltex(953-1971) Scalpels, Disposable, Sterile, #11 10/Box Integra-Miltex(953-3446) Scalpels, Disposable, Sterile, #15 10/Box Integra-Miltex(100-6752) Scalpels Disposable Sterile, #20 10/Box Henry Schein(953-2331) Scalpels Disposable Sterile, #10 10/Box Integra-Miltex(953-1831) Scalpels Safety Disposable, #10 10/Box Integra-Miltex(953-6730) Scalpels Safety Disposable, #11 10/Box Integra-Miltex

Surgical PacksSee Infection Control- Personal Protection

Surgical Trays & Accessories(831-0688) Dressing Change Kit 20/Case Advanced Medical(788-0355) Incision & Drainage Tray Sterile Tray Busse(103-8211) Laceration Tray Sterile Tray Medical Action(100-4366) Minor Laceration Tray w/Instrument Tray Busse(116-2678) Myelogram Tray w/Lidocaine 1%, 5 mL 10/Case Integra-Miltex(153-9508) Paracentesis W/Lidocaine, 1% 5 mL Tray Carefusion(788-7759) Removal Suture Skin Kit Busse(788-8040) Removal Suture Skin Kit Busse(890-7281) Removal Suture Skin Kit Covidien(788-2749) Removal Suture Skin Kit Busse(890-8412) Removal Suture Skin Kit Covidien(788-1565) Removal Suture Skin Kit, Metal Kit Busse(900-4687) Suture Removal Kit, Sterile, Plastic Kit Henry Schein(112-5822) Suture Removal Kit, Sterile, with Alcohol Prep Pad Kit Henry Schein(788-6548) Suturing Kit w/Stainless Steel Instruments Tray Busse

Tongue Depressors(101-7774) Tongue Blades Nonsterile Junior, Cherry 50/Box Hardwood (101-4824) Tongue Depressors 5.5” Nonsterile, Grape 50/Box Hardwood (100-0758) Tongue Depressors Non-sterile, Junior 500/Box Henry Schein(100-2416) Tongue Depressors Non-sterile, Adult 500/Box Henry Schein(100-0238) Tongue Depressors Sterile, Adult 6” 100/Box Henry Schein

Urological Supplies(153-2355) Cystoscopy Irrigation Tubing, 81” Each Baxter (964-9420) Cystoscopy Sets 10/Case Cardinal (507-5668) Cystoscopy/Inter Post-Op Irrigation Set, 80” Each B. Braun

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:11 PM Page 89

SURGICAL SUPPLIESUrological Supplies, cont’d

(119-8848) Dispoz-A-Bag Leg Bag, Medium Each Bard(890-6773) Female Catheterization Kit Kit Covidien(119-6882) Foley Catheter, Red Rubber, 14 Fr Each Bard(826-3328) Foley Catheter, Silicone-Coated 5 cc 16 Fr Each Rusch(115-2683) Foley Catheter, Silicone-Coated 5cc Ball, 16 Fr Each Covidien(890-1422) Leg Bag Sterile Medium 17 oz. Covidien(302-3188) Leg Bag Sterile Medium 19 oz. Rusch(905-1324) Leg Bag W/Tap Flip Drain Valve 1000 cc Rusch(890-2622) Robinson Urethral Catheter Sterile, 14 Fr Each Covidien(826-1314) Robinson Urethral Catheter Nelaton, 16 Fr Each Rusch(890-7784) Universal Catheter Insertion Tray, 10 cc Tray Covidien

VACCINES & BIOLOGICALSact–pro

(546-4250) ActHIB® SE, No DPT, 0.5 mL SDV with Diluent 5/Pack Sanofi pasteur(546-4958) Adacel TDAP Pre-Filled Syringe, 0.5 mL 5/Pack Sanofi pasteur(546-7789) Adacel TDAP 0.5 mL SDV 10/Pack Sanofi pasteur(110-5199) Aplisol Tuberculin PPD SO, 1 mL 10 Tests JHP Parmaceuticals(110-5099) Aplisol Tuberculin PPD SO, 50 Tests 5 mL/Vial JHP Parmaceuticals(254-0031) Boostrix Tdap PFS, 0.5 mL 10/Pack GSK(254-6475) Boostrix Tdap, 0.5 mL SDV 10/Pack GSK(558-1743) COMVAX® - Hepatitis B-Haemophilus Influenza B, 0.5 mL SDV 10/Pack Merck Vaccines(546-1136) Daptacel Thimero Free Ped, 0.5 mL SDV 10/Box Sanofi pasteur(254-8254) Engerix-B® - Hepatitis B Adult, Preservative-Free, 20 mcg., 1 mL SDV 10/Box GSK(254-0029) Engerix-B® - Hepatitis B Adult, Preservative-Free, 20 mcg./mL, Tip-Lok™ Syringe, No Needle 10/Pack GSK(254-0632) Engerix-B® - Hepatitis B Pediatric, Preservative-Free, 10 mcg., 0.5 mL SDV 10/Pack GSK(254-0026) Engerix-B® - Hepatitis B Pediatric, Preservative-Free, Tip-Lok™ Syringe, No Needle 10/Pack GSK(558-3149) Gardasil Quadrivalent HPV Vaccine, .5 mL. 10/Pack Merck Vaccines(558-7846) Gardasil Syringe w/Needle Saf, 0.5 mL 6 x1 Dose Merck Vaccines(558-3890) Gardasil Vaccine 0.5 mL SDV Merck Vaccines(254-9057) Havrix® - Hepatitis A Adult, 1440 ElU, 1 mL SDV 10/Pack GSK(124-0016) Havrix® - Hepatitis A Adult, Tip-Lok™ Syringe, No Needle 10/Pack GSK(254-0582) Havrix® - Hepatitis A Pediatric/Adolescent, 720 ElU, 0.5 mL SDV 10/Pack GSK(254-0023) Havrix® - Hepatitis A Pediatric/Adolescent, 720 ElU, 0.5 mL Tip-Lok™ Syringe, No Needle 10/Pack GSK(124-0010) Infanrix Tiplok Syringe No Needle, 0.5 mL 10/Pack GSK(254-0020) Infanrix® (DTaP), 0.5 mL SDV 10/Pack GSK(546-7189) Ipol Salk Polio Inactive, 5 mL 10 mL MDV Sanofi pasteur(201-0543) Ixiaro(Jap Enceph Vac) Syringe, 6mcg .5mL SDV Novartis(254-0025) Kinrix DTaP/Polio Prefilled Syringe, 0.5 mL 10/Pack GSK(254-4511) Kinrix DTaP/Polio 0.5mL SDV 10/Pack GSK(546-5976) Menactra Meningococcal Vaccine, A, C, Y, W-135 5/Pack Sanofi pasteur(546-6149) Menomune Meningococcal ACYW135, 0.78ml Diluent 1 mL SDV Sanofi Pasteur

13MS871390

Item Code Description Pkg. Manufacturer

(267-6391) (890-6773) (558-0110)

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:11 PM Page 90

(166-0231) (100-5952) (555-0533)

VACCINES & BIOLOGICALSmen–zos

(258-0092) Menveo Meningococcal Vaccine 5/Pack Novartis(843-8062) MicRhogam Plus Syr Safe Sheild NR, 50mcg 5/Pack Ortho Diag (558-0110) M-M-R II Measles Mumps & Rubella, w/Diluent SDV 10/Box Merck Vaccines(254-0028) Pediarix®, Tip-Lok™ Prefilled-Syringe, No Needle, 0.5 mL 10/Pack GSK(558-3778) Pedvax HIB® Liquid, 0.5 mL SDV 10/Pack Merck Vaccines(558-1814) Pneumovax® 23* 2.5 mL, 5-Dose Vial Merck Vaccines(558-4195) Pneumovax® 23*, 0.5 mL SDV 10/Box Merck Vaccines(546-0015) Prevnar 13 Prefilled Syringe, 0.5mL 10/Pack Wyeth(258-0165) Propofol Inj 10mg./mL SDV 20mL 5/Box Hospira (201-4966) RabAvert Rabies Vaccine, Pre/Post 1 mL SDV Novartis(558-6254) Recombivax HB® Pediatric/Adolescent, Thimerosal-Free, 0.5 mL SDV 10/Pack Merck Vaccines(558-0657) Recombivax HB, Adult, 1 mL Prefilled Luer-lock Syringe w/23 Ga x 1" Safety Needle 6/Pkg Merck(558-1166) Recombivax HB, Adult, 1 mL Prefilled Luer-lock Syringe w/23 Ga x 1" w/o Safety Needle 6/Pkg Merck(558-3753) Recombivax HB Hep B Adt 1 mL SDV Merck & Company(558-0737) Recombivax HB Hep B Adt, 1mL SDV 10/Pack Merck & Company(913-9376) Rhogam Plus Syr Safety Shield 300mcg SDV Ortho Diag (428-7616) Rhogam Plus Syr Safety Shield NR, 300mcg 5/Pack Ortho Diag (558-8763) RotaTeq® Oral Rotavirus Vaccine Tube, 2 mL SDV 10/Pack Merck Vaccines(254-0033) Rotarix Rotavirus Ped, 1mL SDV 10/Pack GSK(784-0000) Tetanus Diphth Tox AD NR, 0.5mL SDV 10/Pack Akorn(546-8127) Tetanus Toxoids Adsorbed, 0.5 mL SDV 10/Pack Sanofi pasteur(546-9191) Tubersol Tuberculin PPD 5TU 1 mL 10 Tests Sanofi Pasteur(546-2927) Tubersol Tuberculin PPD 5TU, 50-Test 5 mL/Vial Sanofi Pasteur(254-0030) Twinrix Hep A & B Adult Syr, No Needle 10/Pack GSK(254-3353) Twinrix Hep A&B Adult 1 mL SDV 10/Pack GSK(546-3216) Typhim VI Typhoid Prefill SyrInge 0.5 mL SDV Sanofi pasteur(546-7546) Typhoid Vac Vivotif Berna, Live Oral 4/Pack Berna Products (558-0567) VAQTA®, Adult Hepatitis A (Inactivated), Thimerosal-Free, 50 U/1, 1 mL SDV Each Merck Vaccines(558-4454) VAQTA®, Adult Hepatitis A (Inactivated), Thimerosal-Free, 50 U/1, 1 mL SDV 10/Pkg Merck Vaccines(558-0019) VAQTA®, Adult Hepatitis A (Inactivated), Thimerosal-Free, 50 U/1, 1 mL Prfld Luer-Lock Syringe 6/Pkg Merck Vaccines(558-4255) VAQTA®, Pediatric/Adolescent Hepatitis A (Inactivated), Thimerosal-Free, 25 U, 0.5 mL SDV 10/Pkg Merck Vaccines(558-0014) VAQTA®, Pediatric/Adolescent Hepatitis A (Inactivated), 0.5 mL SDV Prefilled Luer-Lock Syringe 6/Pkg Merck Vaccines(558-1037) Varivax Chicken Pox Vaccine, 1-Dose Vial Merck Vaccines(558-1592) Varivax® - Chicken Pox Vaccine, 0.5 mL SDV 10/Box Merck Vaccines(558-2363) Zostavax® Injection 0.7 mL SDV Merck Vaccines(558-2895) Zostavax® Injection 7 mL SDV 10/Pack Merck Vaccines

VITAMINS & SUPPLEMENTS(110-9523) ABC Plus Multi Tablets with Lutein 100/Bottle NX Generation(677-0801) B Complex w/Vitamin C Tablets 100/Bottle Solgar(114-6031) Ferrous Gluconate Tablets, 27 mg. 100/Bottle Geri-Care(108-2196) Folic Acid Tablets, 800mcg 1000/Bottle NX Generation

91To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

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92

WOUND CAREAdhesive Bandage Strips

(166-0231) Bandage Strips, Angry Birds, 3/4” x 3” 100/Box Aso(166-6019) Bandage Strips, Garfield, 3/4 x 3” 100/Box Aso(166-0224) Bandage Emoticon Latex Free, 3/4” x 3” 100/Box Aso(114-9682) Band Aids, Sheer, 1” 100/Box Abco(555-0446) Band-Aid Strip Sheer XL, 1-3/4”x 4” 50/Box J&J(555-1945) Band-Aid Strip Flexible Latex, 3/4”x 3” 100/Box J&J(555-3036) Band-Aid Strip Flexible, 1”x 3” 100/Box J&J(555-4970) Band-Aid Strip Sheer, 3/4”x 3” 100/Box J&J(155-2267) Bandage Strip, Camo Blue & Pink, 3/4” x 3” 100/Box Derma Sciences(492-0209) Bandage Strip, Circus, 3/4” x 3 100/Box Derma Sciences(911-9199) Coverlet Patch, 2” x 3” 50/Box BSN-Jobst Inc.(911-3261) Coverlet Strip, 3/4” x 3” 100/Box BSN-Jobst Inc.(911-5389) Coverlet Spots Oval, 1-1/4” 100/Box BSN-Jobst Inc.(911-0396) Coverlet Strip, 1” x 3” 100/Box BSN-Jobst Inc.(911-7179) Coverlet Finger Tip, Small 100/Box BSN-Jobst Inc.(911-7964) Coverlet Spots Round, 7/8” 100/Box BSN-Jobst Inc.(166-5261) Bandage Strips, Crayon, 3/4” x 3” 100/Box Aso(890-0163) Curity Flex Neon Strips, 1” x 3” 50/Box Covidien(166-0242) Bandage Strips, Despicable Me, 3/4” x 3” 100/Box Aso(112-6132) Fabric Strip, 3/4” x 3” 100/Box Henry Schein(112-6133) Fabric Strip, 1” x 3” 100/Box Henry Schein(166-0221) Fashion Strips, 3/4” x 3” 100/Box ASO (155-5283) Flexible Fabric Stat, 1” x 3” 100/Box Derma Sciences(155-5109) Flexible Strips, 3/4” x 3” 100/Box Derma Sciences(155-0763) Flexible Strip, 1” x 3” 100/Box Derma Sciences(155-5413) Bandage Strips, Glitter Strip, 3/4” x 3” 100/Box Derma Sciences(261-8157) Bandage Strips, Herbie, 3/4” x 3” 100/Box Derma Sciences(117-8796) Bandage Strips, Neo Strips, 3 x 3/4” 1200/Case Aso(155-9823) Bandage Strips, Patch Looney Tunes, 2” x 3” 50/Box Derma Sciences(900-4507) Bandage Strips, Schein Zoo Strips, 3/4” x 3” 100/Box Henry Schein(155-5713) Bandage Strips, Sheer Spot, 7/8” 100/Box Derma Sciences(112-6142) Bandage Strips, Sheer Strip, 1” x 3” 100/Box Henry Schein(155-3946) Bandage Strips, Softflex, 1 x 3” 100/Box Derma Sciences(463-8255) Bandage Strips, Spot 7/8” Garfield 12/Case Aso(100-8347) Bandage Strips, Spots Snoopy LF, 7/8” 100/Box Derma Sciences(155-7030) Bandage Strips, Spots Tweety Bird, 7/8” 100/Box Derma Sciences(155-7110) Bandage Strips, Bugs Bunny, 3/4” x 3” 100/Box Derma Sciences(101-3137) Bandage Strips, Bugs & Daffy, 3/4” x 3” 100/Box Derma Sciences(101-1323) Bandage Strips, Bugs &Tasmanian, 3/4” x 3” 100/Box Derma Sciences(261-6940) Bandage Strips, Peanuts, 3/4” x 3” 100/Box Derma Sciences(101-4349) Bandage Strips, Road Runner Coy, 3/4” x 3” 100/Box Derma Sciences(100-3748) Bandage Strips, Snoopy, 3/4” x 3” 100/Box Derma Sciences(155-5857) Bandage Strips, Tweety Bird Assorted Red & Blue, 3/4” x 3” 100/Box Derma Sciences

Bandage Rolls and Tapes(900-4331) Bandage Self Adherent 2” x 5 Yds, Multi-Color 36/Case Henry Schein(900-4322) Bandage Self Adherent 2” x 5 Yds, Tan Roll Henry Schein(900-4332) Bandage Self Adherent 3” x 5 Yds, Multi-Color 24/Case Henry Schein(900-4323) Bandage Self Adherent 3” x 5 Yds, Tan Roll Henry Schein(900-4324) Bandage Self Adherent 4” x 5 Yds, Tan Roll Henry Schein(900-4328) Bandage Self Adherent 6” x 5 Yds 12/Case Henry Schein(777-7993) Coban Self Adherent Wrap 2” x 5 Yds, Tan Roll 3M(777-5640) Coban Self Adherent Wrap 3” x 5 Yds, Tan Roll 3M

Item Code Description Pkg. Manufacturer

13MS871392

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93

WOUND CAREBandage Rolls and Tapes, cont’d

(777-5476) Coban Self Adherent Wrap Tan, 4” x 5 Yds Roll 3M(777-2083) Coban Self Adherent Wrap Tan, 1” x 5 Yds 5 Rolls/Pack 3M(608-5499) Coban Wrap Latex Free Tan Hand Tear, 1” x 5 Yds 6 x 5/Case 3M(777-0571) Coban Wrap Latex Free Tan Hand Tear, 1.5” x 5 Yds 48/Case 3M(679-9575) Coban Wrap Latex Free Tan Hand Tear, 2” x 5 Yds 36/Case 3M(395-9243) Coban Wrap Latex Free Tan Hand Tear, 3” x 5 Yds 24/Case 3M(102-5030) Coban Wrap Latex Free Tan Hand Tear Sterile, 3” x 5 Yds 24/Case 3M(313-6816) Coban Wrap Latex Free Tan Hand Tear, 4” x 5 Yds 18/Case 3M(777-0570) Coban Wrap Latex Free Brighand Tear Sterile Hand Tear, 1” x 5 Yds 30/Case 3M(777-0569) Coban Wrap Latex Free Brighand Tear Sterile Hand Tear, 1.5” x 5 Yds 48/Case 3M(777-0572) Coban Wrap Latex Free Brighand Tear Sterile Hand Tear, 2” x 5 Yds 36/Case 3M(777-0573) Coban Wrap Latex Free Tan Hand Tear Sterile, 2” x 5 Yds 36/Case 3M(777-0576) Coban Wrap Latex Free Brighand Tear Sterile Hand Tear, 3” x 5Yds 24/Case 3M(777-0577) Coban Wrap Latex Free Brighand Tear Sterile Hand Tear, 4” x 5 Yds 18/Case 3M(639-1496) Coban Wrap Latex Free Tan Hand Tear Long, 4”x 6.5 Yds 18/Case 3M(302-8421) Coban Wrap Latex Free Tan Hand Tear Sterile, 4” x 5 Yds 18/Case 3M(608-8687) Coban Wrap Latex Free Tan Hand Tear, 6” x 5 Yds 12/Case 3M(777-3803) Coban Wrap Latex Free Tan Hand Tear Sterile, 6” x 5 Yds 12/Case 3M(104-8825) Conforming Stretch Gauze Nonsterile, 2” 12/Bag Henry Schein(104-8997) Conforming Stretch Gauze Nonsterile, 3” 12/Bag Henry Schein(104-2728) Conforming Stretch Gauze Nonsterile, 4” 12/Bag Henry Schein(104-9424) Conforming Stretch Gauze Nonsterile, 6” 6/Bag Henry Schein(911-6375) Cover Roll Stretch Bandage, 2” x 10 Yds Roll BSN-Jobst Inc.(911-9465) Cover Roll Stretch Bandage, 4” x 10 Yds Roll BSN-Jobst Inc.(900-4682) Elastic Bandage w/Velcro LF Nonsterile, 3” x 4.5 Yds 10/Box Henry Schein(900-4683) Elastic Bandage w/Velcro LF Nonsterile, 4” x 4.5 Yds 10/Box Henry Schein(900-4684) Elastic Bandage w/Velcro LF Nonsterile, 6” x 4.5 Yds 10/Box Henry Schein(900-4677) Elastic Bandages Latex-Free, 2’ x 4.5 Yds 10/Pack Henry Schein(900-4678) Elastic Bandages Latex-Free, 3” x 4.5 Yds 10/Pack Henry Schein(900-4679) Elastic Bandages Latex-Free, 4” x 4.5 Yds 10/Pack Henry Schein(900-4680) Elastic Bandages Latex-Free, 6” x 4.5 Yds 10/Box Henry Schein(555-5187) Elastikon Elastic Tape, 2” x 2.5 Yds 6 Rolls/Box J&J(911-0453) Gelocast Unna’s Boot, 4” x 10 Yds Roll BSN-Jobst Inc.(890-0151) Kerlix 2.-1/4” x 3 Yds Sterile, 6-Ply Roll Covidien(890-8977) Kerlix 3/4” x 3.6 Yds, Sterile 6-Ply Roll Covidien(890-4262) Kerlix 4-1/2” x 4.1 Yds Nonsterile, 6-Ply Roll Covidien(890-7346) Kerlix 4-1/2” x 4.1 Yds Nonsterile, 6-ply 12/Box Covidien(890-4524) Kerlix 4-1/2” x 4.1 Yds, Sterile 6-Ply Roll Covidien(840-3994) Sterile Bandage 4.5” x 4.1 Yds, 6-Ply Roll Dukal Corp(103-6837) Unna Boot Medicated Dressing, 3”x 10 Yds Roll Graham-Field(100-3444) Unna Boot Medicated Dressing, 3” x 10 Yds Roll Henry Schein(100-3256) Unna Boot Medicated Dressing, 4”x 10 Yds Roll Henry Schein

Dressing(681-2437) Coflex-AFD-Absorbent Foam Dressng, 4” x 2-1/2 Yds 8 Roll/Case Andover(681-5673) Coflex-AFD-Absorbent Foam Dressng, 2” x 2-1/2 Yds 16 Rolls/Case Andover(681-8107) Coflex-AFD-Absorbent Foam Dressing, 2” x 2-1/2 Yds 16 Rolls/Case Andover(120-2048) Combine ABD Pad Sterile, 5” x 9” 25/Pack Dukal Corp(120-4756) Combine ABD Pad Sterile, 8” x 10” 20/Pack Dukal Corp(129-1117) Tegaderm Transparent Dressing 2 x 2-1/4” 400/Case 3M(777-9551) Tegaderm Transparent Dressing, 4” x 4-3/4” 50/Box 3M (777-9152) Tegaderm Transparent Dressing, 6” x 7” 100/Box 3M (890-9132) Telfa Adhesive Pads Sterile, 2” x 3” 100/Box Covidien(890-9112) Telfa Adhesive Pads Sterile, 3” x 4” 100/Box Covidien(890-0899) Telfa Gauze Pads Sterile, 2” x 3” 100/Box Covidien(890-2865) Telfa Gauze Pads Sterille, 3”x 4” 100/Box Covidien(890-7793) Telfa Gauze Dressng Sterile Nonadherent, 3” x 8” 50/Box Covidien(890-4896) Telfa Island Dressing Sterile 2” x 3-3/4” 50/Box Covidien(194-0093) Vaseline Petrolatum Gauze Dressing Sterile, 3”x 9” 1/Pack Covidien

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:11 PM Page 93

94

WOUND CAREEye Dressings

(911-1023) Coverlet Eye Occlusors, 2” x 3” 20/Box BSN-Jobst Inc.(890-4207) Curity Eye Pad Oval, Sterile 50/Box Covidien(622-6663) Eye Pad Oval Sterile, 1-5/8” x 2-5/8” 50/Box Dukal Corp

Sponges(100-2524) All-Gauze Sponge Nonsterile, 2” x 2” 8-Ply 200/Pack Henry Schein(100-1570) All-Gauze Sponge Nonsterile, 2” x 2” 12-Ply 200/Bag Henry Schein(100-6458) All-Gauze Sponge Nonsterile, 3” x 3” 8-Ply 200/Pack Henry Schein(100-5004) All-Gauze Sponge Nonsterile, 3” x 3” 12-Ply 200/Bag Henry Schein(100-5952) All-Gauze Sponge Nonsterile, 4” x 4” 8-Ply 200/Pack Henry Schein(100-1444) All-Gauze Sponge Nonsterile, 4”x 4” 12-Ply 200/Pack Henry Schein(104-2930) Criterion Non-Woven Sponge Nonsterile, 2” x 2” 4-Ply 200/Pack Henry Schein(104-2410) Criterion Non-Woven Sponge Nonsterile, 3” x 3” 4-Ply 200/Pack Henry Schein(104-2411) Criterion Non-Woven Sponge Nonsterile, 4”x 4” 4-Ply 200/Pack Henry Schein(104-8665) Criterion Non-Woven Sponge Sterile, 4” x 4” 2’s 50/Pack Henry Schein(890-2315) Curity Gauze Sponge Nonsterile, 2” x 2” 12-Ply 200/Pack Covidien(890-4563) Curity Cover Sponge Sterile 2’s, 4” x 4” 25/Box Covidien(890-5018) Curity Gauze Sponges Sterile, 4” x 4” 8-Ply 10/Pack Covidien(647-4174) Curity Gauze Sterile, 4” x 4”, 12-Ply 10/Tray Covidien(890-6456) Curity Gauze Sterile 2’s 8-ply, 4” x 4” 50/Box Covidien(890-4579) Curity Gauze Sterile 2’s, 4” x 4” 12-Ply 50/Box Covidien(890-3381) Curity Iodoform Packing Strip Sterile , 1/4 x 5yd 1 Roll/Bottle Covidien(890-7390) Excilon Drain Sponge 2’s 4”x 4” Sterile 6-Ply 50/Pack Covidien(100-4380) Gauze Pads Sterile, 2” x 2” 12-Ply 100/Box Henry Schein(100-2634) Gauze Pads Sterile, 4” x 4” 12-Ply 100/Box Henry Schein(101-9679) Gauze Sponge Non Sterile, 4” x 4” 8-Ply 200/Pack Dukal Corp(101-4947) Gauze Sponge Sterile, 2” x 2” 8-Ply 100/Pack Henry Schein(101-1768) Gauze Sponge Sterile, 3” x 3” 12-Ply 80/Pack Henry Schein(101-5519) Gauze Sponge Sterile, 4” x 4” 8-Ply 50/Pack Henry Schein(101-0005) Gauze Sponge Sterile, 4” x 4” 12-Ply 50/Box Henry Schein(486-1365) Gauze Sterile Plastic Tray, 4” x 4” 8-Ply 10/Pack Dukal Corp(486-8840) Gauze Sterile Plastic Tray, 4 x 4 12-Ply 10/Pack Dukal Corp(908-3300) Gelfoam Sponges Sz12-7mm, 1545 12/Box Pfizer(933-5215) Laparotomy Sponge X-Ray, 18” x 18” 5/Pack Dukal Corp(809-4056) Sponge Premium Nonsterile, 4” x 4” 4-Ply 200/Pack Dukal Corp(104-8588) Sponge Premium Nonsterile, 2”x2” 12-Ply 200/Pack Henry Schein(104-8197) Sponge Premium Nonsterile, 2”x2” 8-Ply 200/Pack Henry Schein(104-8195) Sponge Premium Nonsterile, 3”x3” 12-Ply 200/Pack Henry Schein(104-8194) Sponge Premium Nonsterile, 4”x4” 8-Ply 200/Pack Henry Schein(104-8198) Sponge Premium Nonsterile, 4”x4” 12-Ply 200/Pack Henry Schein(107-4669) Ultra Gauze Sponge Nonsterile, 3” x 3” 4-Ply 200/Pack Crosstex (107-9712) Ultra Gauze Sponge Nonsterile, 4” x 4” 4-Ply 200/Pack Crosstex (890-0654) Versalon Sponge Non-Woven Nonsterile, 2”x 2” 4-Ply 200/Pack Covidien(890-1929) Versalon Sponge Non-Woven Nonsterile, 4”x 4” 4-Ply 200/Pack Covidien(890-1375) Versalon Sponge Non-Woven Sterile, 2”x 2” 4-Ply 2x25/Pk Covidien(890-2640) Versalon Sponge Non-Woven Sterile, 4”x 4” 4-Ply 2x25/Pk Covidien

Surgical Tape(555-0533) Coach Porous Athletic Tape, 1-1/2”x15 Yds 32 Rolls/Case J&J(911-3665) Leukotape P, 1-1/2” Roll BSN-Jobst Inc.(101-9673) Paper, 1”x10 Yds 12 Rolls/Box Henry Schein(101-1332) Paper, 2”x10 Yds 6 Rolls/Box Henry Schein(555-5122) Zonas Adhesive Tape, 1”x10 Yds 12 Rolls/Box J&J(777-4451) Micropore, Flesh, 1/2”x10 Yds 24/Box 3M (777-5133) Micropore, Flesh, 1”x10 Yds 12/Box 3M (777-5407) Micropore, Flesh, 2”x10 Yds 6/Box 3M (777-5044) Micropore, White, 1/2”x10 Yds 24/Box 3M (777-6080) Micropore, White, 1”x10 Yds 12/Box 3M

Item Code Description Pkg. Manufacturer

13MS871394

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95

WOUND CARESurgical Tape, cont’d

(777-9382) Micropore, White, 2”x10 Yds 6/Box 3M (777-9735) Transpore, 1/2”x10 Yds 24/Box 3M (777-7305) Transpore, 1”x10 Yds 12/Box 3M (777-9422) Transpore, 2”x10 Yds 6/Box 3M(635-1724) Transpore, 3”x10 Yds 4/Box 3M

WOUND CLOSURE & SUTURESSkin Adhesives (turn to page 48 to see our New Private Brand Topical Skin Adhesive)

(654-0034) Dermabond Topical Skin Adhesive Mini 12/Box Ethicon(555-0356) Dermabond Topical Skin Adhesive Advanced 12/Box Ethicon(555-0357) Dermabond Topical Skin Adhesive Advanced 6/Box Ethicon(843-1675) Dermabond™ Topical Skin Adhesive, High Viscosity 12 Vials/Box Ethicon(840-7234) Indermil® Tissue Adhesive 12/Box Covidien(777-4516) Steri-Strip™ Compound, 2/3cc 40/Box 3M (777-9647) Steri-Strip™ Reinforced Adhesive Skin Closures, 1/2” x 4”, Tan, 6 Strips/Envelope 50 Env/Box 3M (777-1358) Steri-Strip™ Reinforced Adhesive Skin Closures, 1/2” x 4”, White, 6 Strips/Envelope 50 Env/Box 3M (777-6538) Steri-Strip™ Reinforced Adhesive Skin Closures, 1/4” x 3”, Tan, 3 Strips/Envelope 50 Env/Box 3M (777-8250) Steri-Strip™ Reinforced Adhesive Skin Closures, 1/4” x 4”, Tan, 10 Strips/Envelope 50 Env/Box 3M (777-0843) Steri-Strip™ Reinforced Adhesive Skin Closures, Tan, 1/4” x 1-1/2”, 6 Strips/Envelope 50 Env/Box 3M (777-2051) Steri-Strip™ Reinforced Adhesive Skin Closures, Tan, 1/8” x 3”, 5 Strips/Envelope 50 Env/Box 3M (777-9564) Steri-Strip™ Reinforced Antimicrobial Skin Closures, Tan, 1/4” x 3”, 3 Strips/Envelope 50 Env/Box 3M (777-8837) Steri-Strip™ Reinforced Antimicrobial Skin Closures, Tan, 1/8” x 3”, 3 Strips/Envelope 51 Env/Box 3M (777-9790) Steri-Strip™ Reinforced Antimicrobial Skin Closures, Tan, 1/4” x 1-1/2”, 3 Strips/Envelope 52 Env/Box 3M (900-4314) Wound Closure Strips, 1/2”x4” 50/Box Henry Schein(900-4316) Wound Closure Strips, 1/4”x1-1/2” 50/Box Henry Schein(900-4315) Wound Closure Strips, 1/4”x3” 50/Box Henry Schein(900-4318) Wound Closure Strips, 1/4”x4” 50/Box Henry Schein(900-4317) Wound Closure Strips, 1/8”x3” 50/Box Henry Schein

Staplers & Staple Removers(900-7011) Skin Stapler Remover Each Henry Schein(788-5805) Skin Staple Remover Kit Kit Busse(777-2222) Skin Staple Remover, Disposable, Scissors Style 10/Box 3M (777-5253) Skin Staple Remover, Disposable, Tweezer Style Kit 3M (890-7796) Staple Removal Skin Kit Kit Covidien(777-0622) Precise® Skinclosure Stapler 25 Count 12/Box 3M(900-7010) Skin Stapler, Disposable, Wide Each Henry Schein

Sutures - Absorbable(101-1582) Chromic Gut, 3-0, 27”, C-6 (#636-CG) 12/Box Henry Schein(654-6322) Chromic Gut, 3-0, 27”, SH (#G122H) 36/Box Ethicon(101-2787) Chromic Gut, 4-0, 27”, C-6 (#635-CG) 12/Box Henry Schein(654-9934) Coated Vicryl, Undyed Braided, 3-0, 18”, PS-2 (#J497G) 12/Box Ethicon(654-4427) Coated Vicryl, Undyed Braided, 4-0, 18”, P-3 (#J494G) 12/Box Ethicon(654-6253) Coated Vicryl, Undyed Braided, 4-0, 18”, PS-2 (#496G) 12/Box Ethicon(654-5195) Coated Vicryl, Undyed Braided, 5-0, 18”, P-3 (#J493G) 12/Box Ethicon(294-6481) Monosof P-13, 4/0 (SN5699G) 12/Box Covidien(654-0574) Monocryl Monofilament Undyed P3, 4-0 18” (Y494G) 12/Box Ethicon(654-1301) Monocryl Monofilament Undyed P3, 5-0 18” (Y493G) 12/Box Ethicon(561-7536) Suture Nylon Black Mono C-17, 4-0 10” (931B) 12/Box Look(654-3367) PDS II Clear P-3, 4-0 (Z494G) 12/Box Ethicon(100-7771) Plain Gut C-6 4/0 18” 12/Box Henry Schein(561-0090) Plain Gut C-6, 3/0 (592B) 12/Box Look(101-2976) Plain Gut C-6, 3/0 27” 12/Box Henry Schein(101-0668) Plain Gut C-6, 4/0 27” 12/Box Henry Schein(100-6120) Plain Gut C-9 3/0, 18” 12/Box Henry Schein(654-9210) Prolene Blue FS-2, 4-0 18” (8683G) 12/Box Ethicon

To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Item Code Description Pkg. Manufacturer

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:11 PM Page 95

WOUND CLOSURE & SUTURESSutures - Non-absorbable

(654-2217) Ethilon Nylon, Black Monofilament, 3-0, 18”, FS-1 (#663G) 12/Box Ethicon(654-5698) Ethilon Nylon, Black Monofilament, 3-0, 18”, PS-1 (#1663G) 12/Box Ethicon(654-6969) Ethilon Nylon, Black Monofilament, 4-0, 18”, FS-2 (#662G) 12/Box Ethicon(654-7525) Ethilon Nylon, Black Monofilament, 4-0, 18”, FS-2 (#662H) 36/Box Ethicon(654-1196) Ethilon Nylon, Black Monofilament, 4-0, 18”, P-3 (#699G) 12/Box Ethicon(654-8061) Ethilon Nylon, Black Monofilament, 4-0, 18”, PS-2 (#1667G) 12/Box Ethicon(654-5323) Ethilon Nylon, Black Monofilament, 5-0, 18”, FS-2 (#661G) 12/Box Ethicon(654-2114) Ethilon Nylon, Black Monofilament, 5-0, 18”, P-3 (#698G) 12/Box Ethicon(654-2529) Ethilon Nylon, Black Monofilament, 5-0, 18”, PS-2 (#1666G) 12/Box Ethicon(654-5740) Ethilon Nylon, Black Monofilament, 6-0, 18”, P-1 (#697G) 12/Box Ethicon(654-2793) Ethilon Nylon, Black Monofilament, 6-0, 18”, P-3 (#1698G) 12/Box Ethicon(654-7067) Ethilon Nylon, Black Monofilament, 6-0, 18”, PS-3 (#1665G) 12/Box Ethicon(101-3728) Nylon, Black Monofilament, 3-0, 18”, C-7 (#663-NY) 12/Box Henry Schein(561-9748) Nylon, Black Monofilament, 4-0, 10”, C-6 (#944B) 12/Box Look(561-3857) Nylon, Black Monofilament, 4-0, 18”, C-3 (#1291B) 12/Box Look(561-5285) Nylon, Black Monofilament, 4-0, 18”, C-6 (#922B) 12/Box Look(101-1209) Nylon, Black Monofilament, 4-0, 18”, C-6 (#662-NY) 12/Box Henry Schein(561-0275) Nylon, Black Monofilament, 5-0, 10”, C-17 (#913B) 12/Box Look(561-3768) Nylon, Black Monofilament, 5-0, 18”, C-17 (#917B) 12/Box Look(561-7778) Nylon, Black Monofilament, 5-0, 18”, C-3 (#1285B) 12/Box Look(101-7137) Nylon, Black Monofilament, 5-0, 18”, C-6 (#661-NY) 12/Box Henry Schein(561-6018) Nylon, Black Monofilament, 5-0, 18”, C-6 (#918B) 12/Box Look(561-6232) Nylon, Black Monofilament, 6-0, 18”, C-22 (#915B) 12/Box Look(561-1055) Nylon, Black Monofilament, 6-0, 18”, C-3 (#1282B) 12/Box Look(101-6053) Nylon, Black Monofilament, 6-0, 18”, C-22 (#660-NY) 12/Box Henry Schein(101-7477) Polypropylene, Blue Monofilament, 4-0, 18”, C-6 (#8683-PP) 12/Box Henry Schein(101-6409) Polypropylene, Blue Monofilament, 5-0, 18”, C-6 (#8661-PP) 12/Box Henry Schein(101-4378) Polypropylene, Blue Monofilament, 6-0, 18”, C-22 (#8660-PP) 12/Box Henry Schein(101-7700) Polypropylene, Blue Monofilament, 3-0, 18”, C-7 (#8684-PP) 12/Box Henry Schein(654-7345) Prolene Polypropylene, Blue Monofilament 4-0 18”, P3 (8699G) 12/Box Ethicon(654-4502) Prolene Polypropylene, Blue Monofilament 6-0 18”, P3 (8695G) 12/Box Ethicon(654-6032) Prolene Polypropylene, Blue Monofilament 5-0 18”, P-3 (#8698G) 12/Box Ethicon

13MS871396

Item Code Description Pkg. Manufacturer

Page 48 (900-4314) (788-5805)

See our NEWPrivate BrandTopical SkinAdhesive

MEDICAL WEB SITEQuick &

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13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:12 PM Page 96

97To Order: 1.800.P.SCHEIN 8am–9pm, et • To Fax: 1.800.329.9109 24 HrsLog on to www.henryschein.com/ama

13MS8713

Protective Products For Your Very Special Patients Pediatric Prints

otect e oducts o ou e y Spec a at e ts / children’s prints /

Bugs & Things 895-4680 Towel 2-ply Tissue, Poly-Backed 13”x 18” 250/case

895-1246 Towel 2-ply Tissue, Poly-Backed 10”x 13” 250/case

895-2621 Exam Gown Fabricel® Tissue-Poly 21”x 36” 50/case

408-0380 Table Paper Crepe 14”x 125’ 6/case

895-9124 Table Paper Crepe 18”x 125’ 6/case

895-6803 Table Paper Crepe 21”x 125’ 6/case

895-1213 Table Paper Smooth 14”x 225’ 6/case

895-9545 Table Paper Smooth 18”x 225’ 6/case

895-0256 Table Paper Smooth 21”x 225’ 6/case

Under The Sea 895-8914 Towel 2-ply Tissue, Poly-Backed 13”x 18” 500/cs

895-3644 Towel 2-ply Tissue, Poly-Backed 10”x 13” 250/cs

895-6214 Exam Gown Tissue/Poly/Tissue 21”x 36” 50/cs

895-3210 Table Paper Crepe 18”x 125’ 6/case

895-6570 Table Paper Smooth 18”x 225’ 6/case

Bugs & Things Under the Sea

OPEN

*For informational purposes only. Source: Reimbursement Codes.com and/or www.cms.gov <http://www.cms.gov>. Customer is responsible for verification of billing/coding in accordance with applicable specific circumstances.

• CLIA Product Status• Storage Requirements• ACIP recommendations for vaccinations• State Law requirements for school and day care entry• Latest updates on supply issues, and much more

Henry Schein DxRx Solutions

1.800.PSCHEINwww.henryschein.com/dxrxsolutions

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For informational purposes only. Source: Reimbursementcodes.com and/orwww.cms.gov. Customer is responsible for verification of billing/coding inaccordance with applicable specific circumstances.

Do you have questions regarding the diagnostic, pharmaceutical and vaccine items that you purchase from Henry Schein? Need help finding a CPT code, package insert, or looking for brand to generic comparisons?

The Henry Schein DxRx Solutions Hotline provides information on the following topics for diagnostics, pharmaceuticals and vaccines:• Indications and usage as provided on a package insert• Package inserts• Brand to generic comparisons• CPT codes and J codes*

diagnosticspediatric prints | value-added services

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:12 PM Page 97

98 13MS871398

Early childhood caries (ECC) or tooth decay is the single most prevalent chronic diseaseamong young children. In fact, it is 5 times more common than asthma. 18% of childrenbetween 2 and 4, and 52% of children between 6 and 8 have tooth decay. 1One reasonis that, by age 2, children have seen a Primary Care Physician an average of 7 times forwell child visits, but few have had well child dental visits.

Medical GuidelinesThe American Academy of Pediatrics (AAP) recommends that pediatricians perform for all children an oral health riskassessment and establish a dental home by the age of 12 months. 2While AAP does not have a policy on fluoride varnishtreatment, it notes that some child health professionals are administering fluoride varnish treatments. In addition, 35 states are reimbursing physicians for oral exams and fluoride varnish treatments through Medicaid.

Fluoride Varnish Treatment3The procedure is relatively simple and takes a few minutes. Use 2 x 2 gauze to dry the child’s teeth. Then apply the fluoridevarnish to all tooth surfaces. Finally, provide post-treatment care instructions to parents. See manufacturers indications foruse. For complete details, please see manufacturer’s physician’s directions.

Reimbursement for Oral Health Risk Assessment and Fluoride Varnish TreatmentCurrently, Medicaid reimburses physicians for performing oral health assessment and/or fluoride varnish applications inapproximately 35 states. Medicaid reimbursements for oral exams and/or fluoride varnish application range from $9 to$86.54.4 The procedure code for the fluoride varnish application is D-1203, D-1206, and D-0120;D-0145 for the oral exam.

To determine if your state qualifies and for reimbursement guidelines, please visit the following Web site:http://www.aap.org/oralhealth/pdf/OH-Reimbursement-Chart.pdf1US Department of Health and Human Services. “Oral Health in America: A Report of the Surgeon General” Rockville, MD: US Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health; 2000.

2AAP Policy Statement, “Preventive Oral Health Intervention for Pediatricians”, Pediatrics 2008 122:1387–13943Oral Health Initiative, A Training Program by the American Academy of Pediatrics, http://www.aap.org/oralhealth/cme/4Oral Health Initiative, A Training Program by the American Academy of Pediatrics, www.aap.org/oralhealth.

Fluoride Varnish ProductsItem No. Description Size Company

112-4869 Acclean® Fluoride Varnish, Bubblegum 50/Box Henry Schein

378-0162 Enamel® Pro Varnish Clear 0.4 mL, Bubblegum 35/Box Premier

378-0166 Enamel® Pro Varnish Clear, 0.25 mL, Bubblegum 35/Box Premier

378-0156 Enamel® Pro Varnish Clear, 0.4 mL, Strawberries ‘n Cream 35/Box Premier

378-0171 Enamel® Pro Varnish Clear 0.4 mL, Bubblegum 200/Box Premier

378-0169 Enamel® Pro Varnish Clear 0.4 mL, Strawberries ‘n Cream 200/Box Premier

Contact yourHenry Schein

Sales Consultantfor more

information or to place an order!

Reimbursement for Oral Exam and FluorideVarnish Treatment in the Physician Office

diagnosticsserieshealth

outcomesimproving

13MS8713 AMA Formulary Linelist_Formulary 12/5/13 12:12 PM Page 98

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13MS8713

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