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2013 Product Catalog Catalog Includes: • Aids to Daily Living • Bath Safety • Beds • Canes & Crutches • Commodes • Diabetes Supplies • Electrotherapy • Incontinence • Insulin Pumps & Supplies • Insulin Syringes & Pen Needles • Ostomy • Patient Room • Personal Care • Pressure Prevention • Respiratory • Rollators • Urological • Walkers • Wheelchairs • Wound Care 800-733-7976 www.gemcomedical.com At GEMCO Medical, we strive to “Help You Help Your Customers”, by providing assistance in the selection of quality, dependable medical products and excellent customer service to help you supply the diabetes and durable medical equipment products that your customers need. Founded in 1992, GEMCO Medical has been in the healthcare distribution business for more than 20 years. Our experience allows us to share invaluable industry insight and product knowledge with you and other third parties. GEMCO Medical was a pioneer in the diabetes supply industry. We were the first to partner with a diabetes manufacturer to design a Medicare and Medicaid diabetes program geared to the Medicare provider market. These programs maximize your profits on diabetes products that are billed to Medicare and Medicaid. Today, GEMCO Medical’s Medicare, Medicaid and Medical Benefit diabetes program has expanded to include all major diabetes manufacturers. In addition to diabetes supplies, GEMCO Medical also has you covered for your durable medical equipment needs. GEMCO Medical is an authorized distributor for: Abbott Diabetes Care, Agamatrix, Animas Corporation®, Arkray USA, Bayer Healthcare, BD, BioSense Medical Devices, Cara, Covidien, Drive, GemCare™, Insulet, LifeScan, Medtronic, Nipro Diagnostics, Oak Tree International Holdings, Inc., Owen Mumford, Pharma Supply, Prodigy, Roche Diagnostics, Roscoe Medical, Sanvita, Simple Diagnostics, Smiths Medical, Specialty Medical, SteriLance Medical, Steris, Ultimed™, and more. As we grow, we have stayed true to our roots as a customer-centric company, focusing on providing value-added services and being flexible in an ever changing market. As a result, we have recently expanded our product offerings to include more retail-friendly cash items and aids to daily living products. As the years progress, GEMCO Medical continues to make every effort to find new ways to “Help You Help Your Customers”. I ORDERING INFORMATION For your convenience, GEMCO Medical offers a variety of methods to place an order: 1. PHONE: 1-800-733-7976. Our Customer Service Representatives are available to assist you from 8:30 a.m. to 5:00 p.m. EST (Eastern Standard Time) Monday through Friday. 2. FAX: 1-330-342-9444 / 1-330-342-9445 3. WEBSITE: www.gemcomedical.com (Available 24/7) 4. E-MAIL: [email protected] 5. E.D.I.: Electronic data interchange is available. Please contact your sales representative for details. 6. MAIL: GEMCO Medical 5640 Hudson Industrial Parkway P.O. Box 429 Hudson, OH 44236 • To ensure prompt processing, please include the following information when placing orders: Account Number Billing and Shipping Addresses (if different) Purchase Order Number (if applicable) Your Name and Phone Number Product Number, Description, and Quantity • Minimum Order Requirements: GEMCO Medical does not have a minimum order requirement. No order is too small or too large. PAYMENT INFORMATION GEMCO Medical offers a variety of payment options listed below: 1. OPEN ACCOUNT: Open account status is determined by a customer application, signed account agreement, and completed commercial credit inquiry. Standard terms of sale are Net 30 days from the invoice date. Credit applications are available through your sales or customer service representative or online at www.gemcomedical.com. 2. CREDIT CARD PURCHASES: We accept VISA, MasterCard, DISCOVER, and American Express. There is no service fee if paid at the time of order. A 2% convenience fee is applied when using VISA, MasterCard or DISCOVER, and a 3% convenience fee is applied when an American Express credit card payment is arranged after an order has shipped. 3. ACH ELECTRONIC TRANSFER: Offers you the option to pay electronically. Automated Clearing House (ACH) processes the authorized transaction and sends an Electronic Funds Transfer (EFT) directly from your account to ours. There is no service fee to pay this way. Call customer service for details. 4. WIRE TRANSFERS: Call for details. SHIPPING INFORMATION Same Day Shipping: Our order cutoff times vary based on shipping method. In most cases, orders placed by 1:00 p.m. EST for LTL freight, 2:00 p.m. EST for USPS, and 3:00 p.m. EST for UPS services will ship same day, subject to prior credit approval, agreement approval, and item availability. Expedited shipping can be arranged, with applicable shipping charges. Appropriate freight charges may apply for special shipping conditions, delivery appointments, lift gate requirements, inside or home delivery of certain items. PLEASE NOTE: If shortages should occur in your order, we require shortages to be documented with the carrier and notification be made to GEMCO Medical within 48 hours. Home Delivery Drop Shipments: GEMCO Medical will ship directly to YOUR customer, on your behalf. Call your sales representative for more details. GEMCO Medical, a distributor of healthcare supplies, may from time to time drop ship goods directly to end users on behalf of the Purchaser. By drop shipping on the Purchaser’s behalf, Purchaser agrees to indemnify and hold harmless GEMCO Medical from any and all liability for possible damages resulting from failure of Purchaser to fully comply with any obligations, including but not limited to the delivery of product, assembly and set up, measurement or fit, or patient instructions on use required by Medicare, Medicaid, or other Third Party entity. Purchaser also agrees to indemnify GEMCO Medical from any and all liability from damage, bodily injury or other adverse personal effect resulting from improper assembly or set up of product, improper use of product for any reason, improper measurement or fit to patient, or other negative impact resulting from anything other than the normal shipment of product on behalf of Purchaser by GEMCO Medical. GEM EDWARDS PHARMACY - Your Mail Order Pharmacy GEMCO Medical has a board certified pharmacy in house to help you with your customers’ needs. Your customers’ prescription(s) can be phoned, faxed or mailed to our pharmacy from their physician. The prescription will be delivered directly to your customers’ home. In most cases, medications are shipped within 24 hours. Call us toll free at 800-733-7976, Monday through Friday, 8:30 a.m. to 5:00 p.m. EST. GEM Edwards Pharmacy: More than 15 years of experience in dispensing mail order pharmaceutical prescriptions. Convenience of prescriptions shipped directly to your customers’ home. HIPAA compliant. Our courteous and knowledgeable customer service representatives will answer all of your questions. Your privacy is protected – your customers’ prescription(s) will arrive in a plain unmarked package. II RETURN POLICY Written authorization is required prior to the return of any product. GEMCO Medical will provide the dealer with a Return Material Authorization (RMA) number upon verification and approval of the return request. Upon receipt of authorization to return product, the customer is required to note the Return Material Authorization number on the original packing list and ship the product in the original carton in resaleable condition to the designated GEMCO Medical facility. Defective products in addition to the above require a detailed description of the defect to be provided prior to issuance of a RMA for the return. GEMCO Medical will inspect the defective product in accordance with the manufacturer’s requirements and then determine if the product will be repaired, replaced or credited. Manufacturer’s warranty has first priority. Notification of shortages and/or damages must be made within three business days of receipt. All returns require a Return Merchandise Authorization number (RMA#) from the GEMCO Medical Customer Service Department. This number is valid for 30 days. A copy of the invoice must accompany the return for proper credit to be issued. Returns received at a GEMCO Medical facility without prior approval will not be credited. All authorized returns must be shipped to the destination specified by GEMCO Medical. GEMCO Medical will advise the dealer of the preferred shipping method upon issuance of the Return Material Authorization Number. Collect shipments and/or unauthorized returns are subject to refusal and will be returned to the dealer at the dealer’s expense. GEMCO Medical reserves the right to charge a restocking fee in an amount equal to 25% of the value of the original shipment to the dealer. Authorized returns must be shipped back to GEMCO Medical in the original carton and must include all parts, accessories and product instructions. Unauthorized products returned with authorized products may be discarded. GEMCO Medical reserves the right to discard any authorized or unauthorized returns. There will be no credit issued for products that are not resaleable, including but not limited to products that have been damaged, opened, expired or misused. No returns on special order items, which includes products that GEMCO Medical does not usually carry and/or stock. When contacting a Customer Service Representative to request the return of merchandise, please be prepared to provide the following information: (1) (2) (3) (4) T he reason for the return. The quantity of each item and number. Invoice date and number showing the merchandise you received. Serial number if applicable. Dealer is responsible for maintaining and servicing all products purchased from GEMCO Medical. This includes the means to provide warranty service as stated in GEMCO Medical Warranty Policy. WARRANTY POLICY FOR GEMCARE™ PRODUCTS GEMCO Medical warrants that its proprietary GemCare products will be free from defective workmanship and materials, including a limited lifetime warranty on certain products. Please refer to each product for the specific warranty period. This warranty does not apply to breakage or failure due to tampering, misuse, neglect, accidents, modification or shipping. GEMCO Medical’s sole obligation under this warranty shall be limited to providing parts, repairs, and/or product replacement at GEMCO Medical’s sole discretion. Product that is returned to GEMCO Medical that is deemed to be repairable in accordance with the terms of GEMCO Medical’s return policy will be returned to the dealer along with the appropriate repair parts with freight charges prepaid and added to the invoice. All parts replaced in a warranty repair must be returned to GEMCO Medical’s distribution facility in accordance with GEMCO Medical’s return policy. The issuance of credit is subject to GEMCO Medical’s evaluation of the returned item(s) to determine warranty eligibility. Catalog Disclaimer: GEMCO Medical is not responsible for typographical errors relative to sizes, and/or descriptions. We reserve the right to discontinue or modify any product in this catalog at any time without prior notice. No part of this catalog may be reproduced in any form, by any means - electronic, mechanical, photocopying, recording or otherwise - without prior specific written permission of GEM Edwards Inc. d/b/a GEMCO Medical. GEMCO Medical has included medical billing information in this catalog, as a service to our customers. The medical billing information is not a guarantee of payment or coverage. We cannot guarantee the accuracy of the information printed herein and are not responsible for claims or liabilities that may result from the use of this information. The medical billing information and coverage policies are frequently revised. Please review policies before submitting claims. No independent verification of the data is claimed or implied. III INTRODUCING the OneTouch ® Verio IQ System ® OneTouch Verio IQ Meter with PatternAlert™ Technology. ® ® The first and only meter to look for patterns of highs and lows and alert your patients right on screen. Works exclusively with OneTouch® Verio® Test Strips • Illuminated testing area • High-resolution color display • 750-test memory • Eco-friendly rechargeable battery • Accurate, no-code system OneTouch® Diabetes Testing Supplies are covered by Medicare Part B.* Order today! PHONE 1-800-733-7976 www.gemcomedical.com OneTouch.com/Verio Designed for insulin patients. *Co-insurance or co-payment and deductibles apply. © 2011 LifeScan, Inc., Milpitas, CA 95035 AW3089561A 11/11 GEMCO Medical’s Diabetes Programs Overview......................................................... VI DIABETES SUPPLIES Abbott Diabetes Care FreeStyle Insulinx..................................................1 FreeStyle Freedom Lite®......................................2 FreeStyle Lite®.........................................................2 Precision Xtra®........................................................3 OptiumEZ.................................................................4 AgaMatrix AgaMatrix AMP™...................................................5 AgaMatrix Presto................................................ 29 AgaMatrix Keynote™......................................... 29 AgaMatrix Jazz™.................................................. 29 Arkray GLUCOCARD® Vital™.............................................6 GLUCOCARD® Expression™................................6 GLUCOCARD® 01....................................................7 Bayer Healthcare Bayer’s Point of Care Products..........................7 Bayer’s Contour® Next EZ...................................8 Bayer’s CONTOUR®................................................9 Bayer’s CONTOUR® TS....................................... 10 Bayer’s BREEZE® 2............................................... 11 Bayer’s CONTOUR® USB.................................... 13 Bayer’s A1CNow® SELFCHECK........................ 13 Reagent Strips..................................................... 13 BioSense Medical Devices SOLUS V2™ Talking Meter................................ 29 LifeScan Table of Contents The 2013 GEMCO Medical Product Catalog Pump Supplies (Con’t) Ancillaries........................................................36-37 Accessories........................................................... 37 Patton Medical i-port® Advance™ Injection Port................... 42 Roche ACCU-CHEK® Spirit Combo............................. 38 ACCU-CHEK® Infusion Sets........................39-40 Ancillaries.............................................................. 40 Syringes & Pen Needles BD BD Ultra-Fine™ Insulin Syringes.................... 43 BD Ultra-Fine™ Pen Needles........................... 43 BD 90 ct Program................................................ 44 BD Misc. Products............................................... 45 Covidien Kendall Monoject™ Insulin Syringes............................ 46 Monoject™ Safety Syringes............................. 46 MHC Medical Products Easy Touch™ Insulin Syringes......................... 47 Easy Touch™ Pen Needles................................ 47 UltiMed, Inc. UltiCare™ Insulin Syringes............................... 48 UltiCare™ Insulin Safety Syringes.................. 48 UltiCare™ Disposable Pen Needles.............. 49 UltiGuard™ Insulin Syringe Storage............. 49 Ancillary Products OneTouch® Ultra®2............................................. 14 OneTouch® UltraMini®...................................... 15 OneTouch® Verio™.............................................. 16 OneTouch® Home Delivery Program........... 17 Nipro TRUEresult®........................................................... 19 TRUE2go®.............................................................. 19 TRUEbalance™..................................................... 19 TRUEtrack®............................................................ 19 SteriLance Medical Nipro Diagnostics™ Oak Tree International Holdings, Inc. EasyMax L.............................................................. 20 EasyMax V.............................................................. 21 EasyMax N............................................................. 21 Omnis Health Embrace Talking Meter..................................... 29 Pharma Supply Advocate® Redi-Code....................................... 28 Prodigy® Prodigy Autocode®............................................ 22 Prodigy Voice™.................................................... 22 Prodigy Pocket™................................................. 22 Prodigy Preferred™............................................ 22 Roche ACCU-CHEK® Aviva............................................ 24 ACCU-CHEK® Nano............................................. 25 ACCU-CHEK® Compact Plus............................ 26 Sanvita Nova Max® Plus™................................................ 27 Nova Max® Link................................................... 27 Simple Diagnostics Clever Choice™.................................................... 28 Pump Supplies Animas Corp. OneTouch® Ping®................................................ 30 inset® Infusion Sets............................................ 30 Comfort® Infusion Sets..................................... 31 Ancillaries.............................................................. 31 Insulet OmniPod OmniPod® Insulin Management System... 42 Medtronic MiniMed 523/723 Revel™ Insulin Pumps... 32 MiniMed Continuous Glucose Monitoring Systems............................................................... 33 Medtronic Infusion Sets.............................34-36 GlucoPro™ Lancets............................................. 50 Specialty Medical Supplies SMS Lancets & Devices..................................... 50 SteriLance™ Lancets & Devices...................... 51 SteriLance™ Safety Lancets............................. 51 Other Alcohol Swabs..................................................... 52 Glucose Supplements....................................... 52 DURABLE MEDICAL EQUIPMENT Aids To Daily Living Acrylic Buttonhook............................................ 53 Molded Stocking Aid........................................ 53 Transfer Board and Disc................................... 53 Exercise Peddler.................................................. 53 Pocket Magnifier................................................. 53 Hand Held Reachers.......................................... 53 Elastic Shoe Laces............................................... 53 Eating Utensils..................................................... 53 Advocate® Heating Pads.................................. 53 Bath Safety Transfer Benches................................................. 54 Grab Bars.........................................................54-56 Shower Heads...................................................... 54 Bath Benches & Stools...................................... 55 Elevated Toilet Seats.......................................... 56 Toilet Safety Frames........................................... 56 Tub Rails................................................................. 56 Beds Beds......................................................................... 57 Mattresses............................................................. 57 Bed Rails................................................................. 58 Mattress Covers................................................... 58 Bed Packages....................................................... 58 Canes & Crutches Quad & Offset Canes......................................... 59 Folding Canes...................................................... 59 Crutches................................................................. 59 V Commodes Commodes.....................................................60-61 Commode Accessories...............................60-61 Bariatric Commodes.......................................... 61 Electrotherapy TENS Units............................................................. 62 Pre-Gelled Electrodes....................................... 62 Incontinence Adult Briefs........................................................... 63 Protective Underwear....................................... 63 Underpads............................................................ 64 Skin Wellness........................................................ 64 Ostomy Hollister Barriers & Pouches......................65-66 Accessories........................................................... 66 Patient Room Trapeze & Patient Lifts...................................... 67 Pull Cord Alarm................................................... 67 Bedside Mat.......................................................... 67 Personal Care Blood Pressure Monitors.................................. 68 Bio-Back................................................................. 68 Impotence Management System................. 68 Digital Thermometers....................................... 68 Personal Emergency Response Systems.... 69 Wellness Mats...................................................... 70 Medical ID Jewelry............................................. 70 Pressure Prevention Pressure Redistribution.................................... 71 Low Air Loss.......................................................... 71 Respiratory Nebulizers............................................................. 72 Regulators & Medical Aspirators................... 73 Pulse Oximetry & Cylinder Bags.................... 74 Tubing & CPAP Masks........................................ 75 Rollators Rollators . .............................................................. 76 Urological Catheters & Catheter Kits...........................77-78 Walkers Walkers . ................................................................ 79 Knee & Side Walkers.......................................... 80 Accessories.....................................................80-81 Wheelchairs Transport Chairs.................................................. 82 Wheelchairs & Accessories........................82-84 Wound Care Smith & Nephew................................................. 85 Covidien................................................................. 86 Miscellaneous Index Ordering Information..........................................II Payment Information...........................................II Shipping Information..........................................II GEM Edwards Pharmacy.....................................II Return Policy..........................................................III Warranty Policy.....................................................III Fundamentals of Medicare.......................87-88 Medicare & Blood Glucose Meters & Supplies....................................................89-91 Durable Medical Equipment Regional Carriers (DMERC).......................................92-93 GEMCO Medical’s Diabetes Programs GEMCO Medical is an authorized distributor of brand name diabetes products; specializing in diabetes programs for Durable Medical Equipment Dealers, Mail Order Providers, and Independent Pharmacies. Through manufacture contracts, GEMCO gives you access to diabetes products at discounted prices that are billed to Medicare, Medicaid (only if processed as a medical benefit), and/or Third Party Medical Benefit insurances. Throughout this catalog, there are GEMCO item numbers listed in red, which denotes Medicare, Medicaid, Medical Benefit eligible products. Look for the Manufacture Program Box on every page for specific details on each Manufacturer’s Diabetes Program. In addition, we have diabetes products to meet all of your needs, including but not limited to, retail products for cash patients and/or pharmacy benefit billing and all of the ancillary products that go along with diabetes management. Program Definitions s dical Benefit dicaid and Me Program Medicare, Me Diabetes Providersram Insurance res product a Diabetes Prog Benefits of Authorized Program ensu Manufacture plans as a and insurance integrity. bill Medicaid Authorized tofit. for increased Medical Bene select diabetes products Lower cost on by GE CO administeredd profits. orize inistered by GEM Program adm proven partner and an auth medical, a Care Distributor. etes Diab t ot Provider fy How to Qualirequired to sign a Program of the conditions Distributor is outlines all the and will Agreement thatDiabetes Care Program, Sale” product Manufacturer’s l labeled “Not For Retail purchase specia al. Medic from GEMCO Requirements ment with Medicare for Participation a current accept assign Products, have Distributor must: Diabetes Care Manufacturer er Number, cannot use facturer’s ly promote Manu Medicare Provid and will active sale, mer base. products for retail products to consu Diabetes Care What is Medicare? Medicare is a nationwide, federally administered health insurance program that covers most people age 65 and older. Some younger people who are disabled or who have End-Stage Renal Disease are also eligible for coverage. What is Medicaid? Medicaid is available to certain low-income individuals and families who fit into an eligibility group that is recognized by federal and state law. All of GEMCO’s manufacture contracts are for medical benefit Medicaid programs. What is Medical Benefit? Medical Benefit can be defined as coverage administered through a traditional or managed care insurance plan that covers medically necessary supplies and services that are not considered hospital or pharmacy items. Private Health Insurance Plans have several different types of benefits: Hospital benefits - cover in-patient and out-patient surgeries, hospital stays, medical procedures, etc. Prescription benefits - covers oral medications and some medications that are injected into the body. Medical benefits - durable medical equipment, lab work, flu shots, office visits, etc. The majority of medical benefit insurance carriers bill through HCPCS codes for diabetes products. For example, the biller will use the same HCPCS code for all test strips and will get the same reimbursement for each test strip, regardless of what brand it is. Each state will have a slightly different reimbursement amount, and the biller should check the insurance policy or the Centers for Medicare & Medicaid Services website under DMEPOS Fee Schedule at www.cms.hhs.gov. Note: Some pharmacies may use an adjudicator, and they may still bill for medical benefit using the NDC number, as long as the adjudicator changes it to the correct HCPCS code. What is Pharmacy Benefit? Pharmacy Benefit billing is when a pharmacy bills for a product or service using the product’s NDC number. For example, based on the NDC number and insurance plan, the pharmacy will get different reimbursement rates for different test strip brands. The pharmacist will also charge a dispensing fee. VI FreeStyle InsuLinx Meter Test Strip FreeStyle InsuLinx Test Strip Test Time 5 Seconds Sample Size 0.3 µL AST No Coding No Coding Memory Up to 165 days based on 3 tests and 3 insulin logs per day Download Capabilities Yes, uses FreeStyle Auto Assist Software Range 20-500 mg/dL Battery 2 CR 2032 Active Enzyme GDH-FAD Warranty 5 Years The first and only touch screen meter that lets you log insulin doses and blood glucose results with just a few simple taps. The large screen is easy to read. Plus, for your convenience, you can view 3 logged entries at a time. • • • • • • Log insulin doses with a few simple taps Mark pre- and post-meal blood glucose results Large touch screen is easy to read, easy to use See logged entries 3 at a time Instantly generates easy to read, informative trend reports No special software download needed Medicare, Medicaid and Medical Benefits Insurance Providers Diabetes Program - Not for Retail Sale Packaging Benefits of Abbott’s Diabetes Program Abbott Diabetes Care Authorized Program ensures product integrity, and lower costs on select diabetes products for increased profits. Program administered by GEMCO Medical. How to Qualify Dealer is required to sign a Program Provider Agreement that outlines all the conditions of the Abbott Diabetes Care Program, and will purchase “Not For Retail Sale” labeled product from GEMCO Medical. “Not For Retail Sale” product is available for Medicare, Medicaid and Medical Benefit insurance billing only. Dealer may not use this product for cash patients, retail sale, or pharmacy benefit insurances. Diabetes Supplies The FreeStyle InsuLinx meter uses only FreeStyle Insulinx test strips. Participation Requirements Dealer must accept assignment with Medicare for Abbott Diabetes Care Products and have a current Medicare Provider Number. Dealer cannot use products for retail sale, and will actively promote Abbott Diabetes Care products to their consumer base. FreeStyle InsuLinx meter kits include: meter, lancing device, 10 lancets, and micro USB cable. GEMCO Item # Description MAFLNXM FreeStyle InsuLinx Meter Kit MAFLNX FreeStyle InsuLinx Meter Kit SAFLNX5M FreeStyle InsuLinx Test Strips, 50 ct. SAFLNX5 DFSC2N Packaging Unit of Measure Sold By Mfg. Product Code NDC Number Not for Retail Sale 4 Bxs/Cs Bx 71150 99073071150 Retail 4 Bxs/Cs Bx 71143 99073071143 Not for Retail Sale 12 Bxs/Cs Bx 71230 99073071230 FreeStyle InsuLinx Test Strips, 50 ct. Retail 12 Bxs/Cs Bx 71231 99073071231 FreeStyle Control Solution, Normal Not for Retail Sale 2 Vials Bx 14002 99073014002 LFS1 FreeStyle Lancets, 100 ct. Not for Retail Sale 24 Bxs/Cs Bx 13001 99073013001 GBTO CR 2032 3 Volt Lithium Battery Retail Ea Ea Items listed in red denote Medicare, Medicaid and Medical Benefit Products. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 1 FreeStyle Freedom Lite® & FreeStyle Lite® Meters Test Strip FreeStyle Lite® Test Strips Test Time 5 Seconds Sample Size 0.3 µL AST Palm, Upper Arm Coding No Coding Memory 400 Test Results The easy-to-read, easy-to-hold FreeStyle Freedom Lite® blood glucose monitoring system’s ergonomic shape and large numeric display is ideal for those looking for simple and accurate testing. Also, no coding and the world’s smallest sample size means easy testing on the go. The FreeStyle Freedom Lite® and FreeStyle Lite® meters use only FreeStyle Lite® test strips. Diabetes Supplies Download Capabilities Yes Range 20-500 mg/dL Battery 1 CR 2032 Active Enzyme GDH-FAD Warranty 5 Years Medicare, Medicaid and Medical Benefits Insurance Providers Diabetes Program - Not for Retail Sale Packaging Benefits of Abbott’s Diabetes Program Abbott Diabetes Care Authorized Program ensures product integrity and lower costs on select diabetes products for increased profits. Program administered by GEMCO Medical. How to Qualify Dealer is required to sign a Program Provider Agreement that outlines all the conditions of the Abbott Diabetes Care Program, and will purchase “Not For Retail Sale” labeled product from GEMCO Medical. “Not For Retail Sale” product is available for Medicare, Medicaid and Medical Benefit insurance billing only. Dealer may not use this product for cash patients, retail sale, or pharmacy benefit insurances. The no coding FreeStyle Lite® blood glucose monitoring system delivers virtually pain-free testing by taking the smallest sample of blood. All FreeStyle meter kits include: meter, control solution, lancing device, 10 test strips, and 10 lancets. Participation Requirements Dealer must accept assignment with Medicare for Abbott Diabetes Care Products and have a current Medicare Provider Number. Dealer cannot use products for retail sale, and will actively promote Abbott Diabetes Care products to their consumer base. Packaging Unit of Measure Sold By Mfg. Product Code NDC Number FreeStyle Freedom Lite® System Kit, No Charge Not for Retail Sale 4 Bxs/Cs Kit 70920 99073070920 FreeStyle Lite® System Kit, No Charge Not for Retail Sale 4 Bxs/Cs Kit 70804 99073070804 SAFL5M FreeStyle Lite® Test Strips, 50 ct. (For use with FreeStyle Freedom® Lite & Lite Meters Only) Not for Retail Sale 12 Bxs/Cs Bx 70819 99073070819 MAFFKM FreeStyle Freedom Lite® System Kit FreeStyle Lite® System Kit Retail 4 Bxs/Cs Kit 70914 99073070914 Retail 4 Bxs/Cs Kit 70805 99073070805 SAFL5 FreeStyle Lite® Test Strips, 50 ct. (For use with FreeStyle Freedom Lite® & Lite Meters Only) Retail 12 Bxs/Cs Bx 70822 99073070822 SFS5M FreeStyle Test Strips, 50 ct. (For use with FreeStyle Freedom® & Flash® Meters Only) Not for Retail Sale 12 Bxs/Cs Bx 12450 99073012450 SFS1M FreeStyle Test Strips, 100 ct. (For use with FreeStyle Freedom® & Flash® Meters Only) Not for Retail Sale 12 Bxs/Cs Bx 12401 99073012401 SFS5 FreeStyle Test Strips, 50 ct. (For use with FreeStyle Freedom® & Flash® Meter Only) Retail 12 Bxs/Cs Bx 12050 99073012050 SFS1 FreeStyle Test Strips, 100 ct. (For use with FreeStyle Freedom® & Flash® Meter Only) Retail 12 Bxs/Cs Bx 12101 99073012101 LFS1 FreeStyle Lancets, 100 ct. Not for Retail Sale 24 Bxs/Cs Bx 13001 99073013001 DFSC2N FreeStyle Control Solution, Normal Not for Retail Sale 2 Vials Bx 14002 99073014002 DFSC2 FreeStyle Control Solution, Hi/Lo Not for Retail Sale 2 Vials Bx 70432 99073070432 GFSDCUSB FreeStyle USB Data Cable, for use with Co-Pilot Software Retail Ea Ea 70851 99073070851 GBTO CR 2032 3 Volt Lithium Battery Retail Ea Ea GEMCO Item # Description ZMAFFKM ZMAFLKM MAFLK Items listed in red denote Medicare, Medicaid and Medical Benefit Products. 32 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Precision Xtra® Meter Test Strip Precision Xtra® Test Strip Test Time 5 Seconds Sample Size 0.6 µL AST Forearm, Upper Arm, Base of Thumb Coding No Coding Memory 450 tests Download Capabilities Yes Range 20-500 mg/dL Battery 1 CR 2032 Active Enzyme GDH-NAD Warranty 4 Years The Precision Xtra® Blood Glucose and Ketone Monitoring System provides simple, everyday testing, with a sample size of 0.6 microliters and a fast, 5-second test time. The Precision Xtra® system features a specially designed end-fill/ top-fill test strip with visual confirmation, which makes sample application simpler and more flexible for blood glucose testing. The Precision Xtra® blood glucose test strip also minimizes the effects of interfering agents such as aspirin, vitamin C and acetaminophen. Plus, the Precision Xtra® system offers the simplicity of blood ketone testing in the same meter. The Precision Xtra® meter uses only Precision Xtra® test strips. Benefits of Abbott’s Diabetes Program Abbott Diabetes Care Authorized Program ensures product integrity, and lower costs on select diabetes products for increased profits. Program administered by GEMCO Medical. How to Qualify Dealer is required to sign a Program Provider Agreement that outlines all the conditions of the Abbott Diabetes Care Program, and will purchase “Not For Retail Sale” labeled product from GEMCO Medical. “Not For Retail Sale” product is available for Medicare, Medicaid and Medical Benefit insurance billing only. Dealer may not use this product for cash patients, retail sale, or pharmacy benefit insurances. Participation Requirements Dealer must accept assignment with Medicare for Abbott Diabetes Care Products and have a current Medicare Provider Number. Dealer cannot use products for retail sale, and will actively promote Abbott Diabetes Care products to their consumer base. Diabetes Supplies Medicare, Medicaid and Medical Benefits Insurance Providers Diabetes Program - Not for Retail Sale Packaging All Precision meter kits include: meter, lancing device, 10 lancets, AST clear cap for lancing device, and carrying case. GEMCO Item # Description ZMAXKM Precision Xtra® System Kit, No Charge MAPPXKM Precision Xtra® System Kit Packaging Unit of Measure Sold By Mfg. Product Code NDC Number Not for Retail Sale 4 Bxs/Cs Bx 99837 57599983701 Retail 4 Bxs/Cs Bx 98814 57599881401 SAX5M Precision Xtra® Test Strips, 50 ct. Not for Retail Sale 12 Bxs/Cs Bx 99838 57599983804 SAX1M Precision Xtra® Test Strips, 100 ct. Not for Retail Sale 6 Bxs/Cs Bx 99878 57599987805 SPQTM5 Precision Xtra® Test Strips, 50 ct. Retail 12 Bxs/Cs Bx 99728 57599972804 SPXT1 Precision Xtra® Test Strips, 100 ct. Retail 6 Bxs/Cs Bx 99877 57599987705 SPXTK10 Precision Xtra® Blood Ketone Test Strips, 10 ct. Retail 12 Bxs/Cs Bx 70745 57599074501 DOPN Precision Xtra® Normal Control Solution Not for Retail Sale 1 Vial Bx 70552 57599055201 DPCS Precision Xtra® Hi/Low Control Solution Not for Retail Sale 2 Vials Bx 80139 57599013901 GBTO CR 2032 3 Volt Lithium Battery Retail Ea Ea Items listed in red denote Medicare, Medicaid and Medical Benefit Products. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 3 OptiumEZ Meter Test Strip OptiumEZ Test Strip Test Time 5 Seconds Sample Size 0.6 µL AST Forearm, Upper Arm, Base of Thumb Coding No Coding Memory 450 tests Download Capabilities No Range 20-500 mg/dL Battery 1 CR 2032 Active Enzyme GDH-NAD Warranty 4 Years OptiumEZ provides simple, everyday testing, with a sample size of 0.6 microliters and a fast, 5-second test time. The OptiumEZ system features a specially designed end-fill/top fill test strip with visual confirmation, which makes sample application simpler and more flexible for blood glucose testing. The OptiumEZ blood glucose test strip also minimizes the effects of interfering agents such as aspirin, vitamin C and acetaminophen. Why do OptiumEZ test strips come individually wrapped in foil packages instead of vials? Clinical studies1,2,3 indicate that leaving test strip vials uncapped can significantly affect the accuracy of results. Each OptiumEZ test strip is sealed in an individual foil packet to protect it from air and moisture. Studies1, 2 show that foil wrapping individual test strips is important for ensuring the accuracy of glucose monitoring in the real world. D ii aa bb ee tt ee ss SS uu pp pp ll ii ee ss D The OptiumEZ meter uses only OptiumEZ test strips. Medicare, Medicaid and Medical Benefits Insurance Providers Diabetes Program - Not for Retail Sale Packaging Benefits of Abbott’s Diabetes Program Abbott Diabetes Care Authorized Program ensures product integrity, and lower costs on select diabetes products for increased profits. Program administered by GEMCO Medical. How to Qualify Dealer is required to sign a Program Provider Agreement that outlines all the conditions of the Abbott Diabetes Care Program, and will purchase “Not For Retail Sale” labeled product from GEMCO Medical. “Not For Retail Sale” product is available for Medicare, Medicaid and Medical Benefit insurance billing only. Dealer may not use this product for cash patients, retail sale, or pharmacy benefit insurances. Participation Requirements Dealer must accept assignment with Medicare for Abbott Diabetes Care Products and have a current Medicare Provider Number. Dealer cannot use products for retail sale, and will actively promote Abbott Diabetes Care products to their consumer base. GEMCO Item # Description Packaging Unit of Measure Sold By Mfg. Product Code NDC Number ZMOPEZM SOPEZ5M OptiumEZ Meter Only, No Charge Not for Retail Sale 30 Bxs/Cs Bx 71065 57599106501 OptiumEZ Test Strips, 50 ct. Not for Retail Sale 12 Bxs/Cs Bx 71041 57599104104 DOPN Optium™ Normal Control Solution Not for Retail Sale 1 Vial Bx 70552 57599055201 DOPHL Optium™ Hi/Low Control Solution Not for Retail Sale 2 Vials Bx 70550 57599055001 GBTO CR 2032 3 Volt Lithium Battery Retail Ea Ea Items listed in red denote Medicare, Medicaid and Medical Benefit Products. 1. Diabetes 1998;47(Suppl. 1):A6. 2. Diabetes Care 2000; 23:429-430. 3. Diabetes 2002;51(Suppl. 2):A481-482. 54 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 AMP™ Meter Test Strip Used AMP™ Test Strips Test Time 6 Seconds Average Test Time* Sample Size 0.5 µL AST Palm, Forearm Coding No Coding Memory 300 Test Results Download Capabilities Yes Range 20-600 mg/dL Battery 2 CR 2032 Active Enzyme Glucose Oxidase Warranty Lifetime Limited AgaMatrix AMP™ Products Available for ALL Customers and Markets Benefits of the AgaMatrix Diabetes Program: Everyday low pricing. No requirements or contracts. Available for all markets and all customers. Can also sell to cash patients. Product integrity is guaranteed by buying from GEMCO Medical; an authorized distributor of AgaMatrix Diabetes Products. Participation Requirements: There are no special requirements for participation in this program. Purchase product through GEMCO Medical for all of your customers. Unique graphing feature on meter to help individuals track their numbers. Packaging Unit of Measure Sold By Mfg. Product Code NDC Number AMP™ Meter Retail 18 Bxs/Cs Bx 8000-04025 08554402501 AMP™ Test Strips, 50 ct. Retail 24 Bxs/Cs Bx 8000-04036 08554403601 DWSN1 AgaMatrix Control Solution, Normal Retail 1 Vial Bx 8000-01333 08554133301 DWSH1 AgaMatrix Control Solution, High Retail 1 Vial Bx 8000-02011 08554201101 LWS128 AgaMatrix Lancets, 28 Gauge Retail 100/Bx Bx 8000-01833 08554183301 LWS133 AgaMatrix Lancets, 33 Gauge Retail 100/Bx Bx 8000-01971 08554197101 GAZC Zero-Click Data Management Software Retail Ea Ea 8100-01526 08554152801 GBTO CR 2032 3 Volt Lithium Battery Retail Ea Ea GEMCO Item # Description MAWAMP SAWAMP5 Diabetes Supplies Successful diabetes management starts with accurate numbers. The WaveSense™ technology personalizes each test to provide world class accuracy. It detects and corrects for many errors caused by different environmental conditions and blood samples. * In some conditions, test may take as long as 12 seconds. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 5 GLUCOCARD® Vital™ Meter GLUCOCARD® Expression™ Meter Test Strip GLUCOCARD® Vital™ Test Strips GLUCOCARD® Expression™ Test Strips Test Time 7 Seconds 6 Seconds Sample Size 0.5 µL 0.8 µL AST Palm Palm and Forearm Coding Auto-Coding Auto-Coding Memory 250 Test Results 300 Test Results Yes Range 20-600 mg/dL 20-600 mg/dL Battery 1 CR 2032 2 AAA Active Enzyme Glucose Oxidase Glucose Oxidase Warranty 5 Years 5 Years Diabetes Supplies Download Capabilities Yes Everything a blood glucose meter should be – fast, accurate and easy to use. A tiny 0.5 µL sample size in our GO-based test strip platform gives accurate results in as little as 7 seconds. And the auto coded meter has a 250 testmemory to help you keep track of your "Vitals." Every GLUCOCARD® meter system is backed by Arkray’s comprehensive YouChoose™ patient wellness program. Exclusively for GLUCOCARD® patients, this program provides free education and support materials including: The GLUCOCARD® Expression™ Blood Glucose Monitoring System includes bilingual voice features for hearing test results. Oversized picture icons and large tactile buttons make this meter easy to use. Testing is more comfortable with small sample size and alternate site testing. Accurate and reliable test results are displayed in six seconds. • • • • • • • • The nine-inch smart plate “Smart Servings” portion guide A DVD featuring ideas of dining out, reading food labels, grocery shopping, and more Access to our integrated glucocardyouchoose.com website ARK Care™ Real-time Diabetes Management System allows people with diabetes to easily upload and store their blood glucose readings from their blood glucose meter. This provides medical equipment providers with logbooks and reports to track and document frequency of testing. Quarterly newsletters Delicious and nutritious recipes Access to our virtual health coach, “Ask Mary™” Medicare, Medicaid and Medical Benefits Insurance Providers Diabetes Program Participation Requirements Dealer must accept assignment with Medicare on ARKRAY Diabetes Products and have a current Medicare Provider Number. Dealer cannot use products for retail sale or pharmacy benefit programs. Dealer will actively promote ARKRAY Diabetes products to their consumer base. All GLUCOCARD® meter kits include: meter, control solution, lancing device, 10 test strips, and 10 lancets. GEMCO Item # Description Packaging Unit of Measure Sold By Mfg. Product Code NDC Number MVITLK MVITLKBLUE MVITLKPINK GLUCOCARD® Vital™ Meter Kit, Black Blue Pink Retail 4 Bxs/Cs Bx 761100 761102 761103 08317761101 08317761102 08317761103 SVITL5 GLUCOCARD® Vital™ Test Strips, 50 ct. DME/Medical Benefit 12 Bxs/Cs Bx 760050 08317760050 SVITL5R GLUCOCARD® Vital™ Test Strips, 50 ct. Retail 12 Bxs/Cs Bx 762050 08317762050 DVITLN GLUCOCARD® Vital™ Control Solution (Assure Dose), Normal Retail 1 Vial Bx 500005 08317500005 MGXPK GLUCOCARD® Expression™ Talking Meter Kit Retail 4 Bxs/Cs Bx 571100 08317571100 SGXP5 GLUCOCARD® Expression™ Test Strips, 50 ct. DME/Medical Benefit 12 Bxs/Cs Bx 570050 08317570050 DGXPL1 GLUCOCARD® Expression™ Control Solution Level 1 Retail 1 Vial Bx 570005 08317570005 GBTO CR 2032 3 Volt Lithium Battery Retail Ea Ea GBAA AAA Alkaline, 1.5 Volt Batteries Retail Ea Ea No charge meters also available. Items listed in red denote POC, Medicare, Medicaid and Medical Benefit Products. 67 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 GLUCOCARD® 01 Meter Test Strip GLUCOCARD® 01 Test Strips 7 Seconds 0.3 µL AST Palm Coding Auto-Coding Memory 360 Test Results Download Capabilities Yes Range 20-600 mg/dL Battery 1 CR 2032 Active Enzyme Glucose Oxidase Warranty 5 Years GEMCO Item # Medicare, Medicaid and Medical Benefits Insurance Providers Diabetes Program Participation Requirements Product cannot be displayed in store on retail shelves. Dealer must accept assignment with Medicare on ARKRAY Diabetes Products and have a current Medicare Provider Number. Dealer cannot use products for retail sale or pharmacy benefit programs. Dealer will actively promote ARKRAY Diabetes products to their consumer base. Description Unit of Measure Packaging Sold By Mfg. Product Code NDC Number MGC01KM GLUCOCARD® 01 Meter Kit Medicare/Medical Benefit 4 Bxs/Cs Bx 741100 08317721100 MGC01M GLUCOCARD® 01 Meter Only Medicare/Medical Benefit 4 Bxs/Cs Bx 720001 08317720001 SGC015M GLUCOCARD® 01 Test Strips, 50 ct. Medicare/Medical Benefit 12 Bxs/Cs Bx 720050 08317720050 DGC01NM GLUCOCARD® 01 Control Solution Medicare/Medical Benefit 1 Vial Bx 720005 08317720005 GBTO CR 2032 3 Volt Lithium Battery Retail Ea Ea Point of Care The Bayer POC Diabetes Program allows you to sell to Nursing Homes, Physician Offices, VNA’s, Correctional Facilities, EMT’s, Hospitals, Rehab Facilities, SNF’s and Subacute Facilities. All buying accounts must have a Bayer POC agreement on file. GEMCO Item # Description SAM5POC Bayer’s Contour Test Strips, 50 ct. SABR5POC Bayer’s Breeze 2® Test Strips, 50 ct. POC 24 Bxs/Cs Bx 1467 0193146750 SACT5POC Bayer’s Contour® TS Test Strips, 50 ct. POC 24 Bxs/Cs Bx 1820 0193182050 DAML Bayer’s Contour® Low Control Retail 1 Vial Bx 7110 0193711001 DAMH Bayer’s Contour® High Control Retail 1 Vial Bx 7111 0193711101 DABRH Bayer’s Breeze 2® Control Solution, High Retail 1 Vial Bx 1491 0193149101 DABRL Bayer’s Breeze 2® Control Solution, Low Retail 1 Vial Bx 1490 0193149001 DACTLM Bayer’s Contour® TS Control Solution, Low POC 1 Vial Bx 1859 0193185901 ® Packaging Unit of Measure Sold By Mfg Product Code NDC Number POC 24 Bxs/Cs Bx 7099 0193709950 DACTHM Bayer’s Contour® TS Control Solution, High POC 1 Vial Bx 1860 0193186001 LSLD2 Single-let® Lancets, 23 Gauge Retail 200/Bx, 10 Bxs/Cs Bx 6568 0193656831 LFSL Fingerstix Lancets, 25 Gauge Retail 200/Bx, 6 Bxs/Cs Bx 5965 0193596531 ® Diabetes Supplies Test Time Sample Size Designed with auto code technology at a competitive price. Clinical data shows GLUCOCARD® 01 to be highly accurate. Share strips with the GLUCOCARD® 01-mini so you never get caught with the wrong test strips. Fewer open test strip bottles mean less waste for even greater savings. Call your GEMCO Sales Representative for more details on Point of Care Products and Programs. Items listed in red denote POC, Medicare, Medicaid and Medical Benefit Products. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 7 Bayer’s CONTOUR® Next EZ Meter Test Strip Bayer’s CONTOUR® Next Test Strip Test Time 5 Seconds Sample Size 0.6 µL AST No Coding No Coding™ Technology Memory 480 Tests Download Capabilities Yes Range 20-600 mg/dL Battery 2 CR 2032 Active Enzyme GDH-FAD Warranty 5 Years Bayer’s new meter system advances accuracy with innovative technology*. The CONTOUR® NEXT EZ meter demonstrated better accuracy in lab testing than other leading meters** across a broad range of glucose levels.1 CONTOUR® NEXT test strips feature Bayer’s No Coding™ technology and are unaffected by many common interfering+ substances and medications. *Compared to other meters from Bayer using the CONTOUR® platform. **TRUEtrack®, FreeStyle Freedom® Lite, OneTouch® Ultra® 2, ACCU-CHEK® Aviva. +Bayer’s CONTOUR® NEXT test strips with GDH-FAD chemistry cross-react with xylose. Do not use CONTOUR® NEXT test strips during or shortly after a xylose absorption test. Reference: 1. Data on file, Bayer HealthCare Diabetes Care (Bayer Sponsored Study). Diabetes Supplies Medicare, Medicaid and Medical Benefits Insurance Providers Diabetes Program - Health Plan/Contract, Patient Use Only Packaging Benefits of Bayer Healthcare’s Diabetes Program Bayer Diabetes Care Authorized Program ensures product integrity, and lower costs on select diabetes products for increased profits. Program administered by GEMCO Medical. How to Qualify Dealer is required to sign a DME-M Agreement that outlines all the conditions of the Bayer Diabetes Care Program. Dealer will purchase “DME/ Medical Benefit” labeled product from GEMCO Medical. “DME/ Medical Benefit” product is available for Medicare, Medicaid and Medical Benefit insurance billing only. Dealer may not use this product for cash patients, retail sale, or pharmacy benefit insurances. Billable Meter onlys are available for a charge so that the Dealer may bill the insurance provider for the meter. Participation Requirements Dealer must accept assignment with Medicare on Bayer Diabetes Products and have a current Medicare Provider Number. Dealer will actively promote Bayer Diabetes products to their consumer base. GEMCO Item # Description Packaging Unit of Measure Sold By Mfg. Product Code ZMACNXTEZM Bayer’s Contour® Next EZ Meter, No Charge NDC Number Not for Resale 4 Bxs/Cs Bx 9628 0193962801 MACNXTEZM Bayer’s Contour® Next EZ Meter, Billable DME/Medical Benefit 4 Bxs/Cs Bx 7253 0193725301 SAMNXT5M Bayer’s Contour® Next Test Strips, 50 ct. Health Plan/Contract 24 Bxs/Cs Bx 7309 0193730950 MACNXTEZ Bayer’s Contour® Next EZ Meter Retail 4 Bxs/Cs Bx 7252 0193725201 SAMNXT5 Bayer’s Contour® Next Test Strips, 50 ct. Retail 24 Bxs/Cs Bx 7311 0193731150 SAMNXT1 Bayer’s Contour® Next Test Strips, 100 ct. Retail 12 Bxs/Cs Bx 7312 0193731221 DAMNXTM Bayer’s Contour® Next Control Solution, Level 2 (Normal) DME/Medical Benefit 1 Vial Bx 7314 0193731401 LMLD2 Bayer’s Microlet® 2 Adjustable Lancing Device LML1 Bayer’s Microlet® Lancets, 28 Gauge, 100 ct. GCBUSB GBTO Retail 24 Bxs/Cs Bx 6606 0193660601 DME/Medical Benefit 24 Bxs/Cs Bx 6546 0193654621 Bayer’s USB Cable Retail Ea Ea 6170 CR 2032 3 Volt Lithium Battery Retail Ea Ea Items listed in red denote Medicare, Medicaid and Medical Benefit Products. 89 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Bayer’s CONTOUR® Meter Test Strip Bayer’s CONTOUR® Test Strip Test Time 5 Seconds Sample Size 0.6 µL AST Palm, Forearm Coding No Coding™ Technology Memory 480 Tests Download Capabilities Yes Range 10-600 mg/dL Battery 2 CR 2032 Active Enzyme GDH-FAD Warranty 5 Years The Bayer CONTOUR® Blood Glucose Monitoring System was designed to make accuracy automatic. The CONTOUR® automatically corrects for common variables that affect accuracy. The CONTOUR® has automatic underfill detection, automatic control marking, automatic temperature control, No Coding™ technology, pre and post meal markers and a 5-second test time. Benefits of Bayer Healthcare’s Diabetes Program Bayer Diabetes Care Authorized Program ensures product integrity, and lower costs on select diabetes products for increased profits. Program administered by GEMCO Medical. How to Qualify Dealer is required to sign a DME-M Agreement that outlines all the conditions of the Bayer Diabetes Care Program. Dealer will purchase “DME/ Medical Benefit” labeled product from GEMCO Medical. “DME/ Medical Benefit” product is available for Medicare, Medicaid and Medical Benefit insurance billing only. Dealer may not use this product for cash patients, retail sale, or pharmacy benefit insurances. Billable Meter onlys are available for a charge so that the Dealer may bill the insurance provider for the meter. Participation Requirements Dealer must accept assignment with Medicare on Bayer Diabetes Products and have a current Medicare Provider Number. Dealer will actively promote Bayer Diabetes products to their consumer base. GEMCO Item # Description ZMACMM Bayer’s CONTOUR® Glucose Meter, No Charge MACMMS Bayer’s CONTOUR® Meter Only, Billable Packaging Unit of Measure Sold By Mfg. Product Code NDC Number Not for Resale 4 Bxs/Cs Bx 9556 0193954501 DME/Medical Benefit 4 Bxs/Cs Bx 7189 0193718901 SAM5M Bayer’s CONTOUR® Test Strips, 50 ct. Health Plan/Contract 24 Bxs/Cs Bx 7098 0193709850 DMN1M Bayer’s CONTOUR® Normal Control Solution DME/Medical Benefit 1 Vial Bx 7109 0193710901 MACM Bayer’s CONTOUR® Glucose Meter Kit Retail 4 Bxs/Cs Bx 7151 0193715101 SAM5 Bayer’s CONTOUR® Test Strips, 50 ct. Retail 24 Bxs/Cs Bx 7080 0193708050 SAM1 Bayer’s CONTOUR® Test Strips, 100 ct. Retail 12 Bxs/Cs Bx 7090 0193709021 DMN1 Bayer’s CONTOUR® Normal Control Solution Retail 1 Vial Bx 7109 0193710901 LMLD2 Bayer’s Microlet® 2 Adjustable Lancing Device LML1 Bayer’s Microlet® Lancets, 100 ct. Retail 24 Bxs/Cs Bx 6606 0193660601 DME/Medical Benefit 24 Bxs/Cs Bx 6546 0193654621 GCBUSB GBTO Bayer’s USB Cable Retail Ea Ea 6170 CR 2032 3 Volt Lithium Battery Retail Ea Ea Items listed in red denote Medicare, Medicaid and Medical Benefit Products. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Diabetes Supplies Medicare, Medicaid and Medical Benefits Insurance Providers Diabetes Program - Health Plan/Contract, Patient Use Only Packaging 9 Bayer’s CONTOUR® TS Meter Test Strip Bayer’s CONTOUR® TS Test Strips Test Time 8 Seconds Sample Size 0.6 µL AST Forearm, Palm Coding No Coding™ Technology Memory 250 Test Results Download Capabilities Yes Range 10-600 mg/dL Battery 1 CR 2032 Active Enzyme GDH-FAD Warranty 5 Years The CONTOUR® TS System is for people looking for high performance in blood glucose monitoring; it is the perfect balance of science and simplicity for more accurate test results. Its advanced, easy-to-use technology automatically codes your meter for the kind of precision and reliability that Bayer has been bringing to diabetes care for over 60 years. Medicare, Medicaid and Medical Benefits Insurance Providers Diabetes Program Diabetes Supplies Benefits of Bayer Healthcare’s Diabetes Program Bayer Healthcare Authorized Program ensures product integrity, and lower costs on select diabetes products for increased profits. Program administered by GEMCO Medical. How to Qualify Dealer is required to sign a DME-M Agreement that outlines all the conditions of the Bayer Healthcare Program. Dealer will purchase “DME/ Medical Benefit” labeled product from GEMCO Medical. “DME/Medical Benefit” product is available for Medicare, Medicaid and Medical Benefit insurance billing only. Dealer may not use this product for cash patients, retail sale, or pharmacy benefit insurances. Home Delivery products are only available if shipped from GEMCO Medical directly to the end user, on the dealer’s behalf. Participation Requirements Dealer must accept assignment with Medicare on Bayer Diabetes Products and have a current Medicare Provider Number. Dealer will actively promote Bayer Diabetes products to their consumer base. Packaging Unit Of Measure Sold By Mfg. Product Code NDC Number Not for Resale 4 Bxs/Cs Bx 1801 0193180101 Available for Medicare 4 Bxs/Cs Bx 1801 0193180101 Available for Medicare 24 Bxs/Cs Bx 1820 0193182050 Available for Medicare 1 Vial Bx 1858 0193148901 Bayer’s CONTOUR® TS Control Solution, Low DME 1 Vial Bx 1859 0193185901 Bayer’s CONTOUR® Control Solution, High DME 1 Vial Bx 1860 0193186001 GEMCO Item # Description ZMACTKM Bayer’s CONTOUR® TS Meter, No Charge MACTM Bayer’s CONTOUR® TS Meter Only, Billable SACT5M Bayer’s CONTOUR® TS Test Strips, 50 ct. DACTNM Bayer’s CONTOUR® TS Control Solution, Normal DACTLM DACTHM LMLD2 Bayer’s Microlet® 2 Adjustable Lancing Device LML1 Bayer’s Microlet® Lancets, 100 ct. GCBUSB GBTO Retail 24 Bxs/Cs Bx 6606 0193660601 DME/Medical Benefit 24 Bxs/Cs Bx 6546 0193654621 Bayer’s USB Cable Retail Ea Ea 6170 CR 2032 3 Volt Lithium Battery Retail Ea Ea Items listed in red denote Medicare, Medicaid and Medical Benefit Products. 10 9 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Bayer’s BREEZE® 2 Meter Test Strip Bayer’s BREEZE® 2 Test Strip Test Time 5 Seconds Sample Size 1.0 µL AST Forearm and Palm Coding No Coding™ Technology Memory 420 Tests Download Capabilities Yes Range 20-600 mg/dL Battery 1 CR 2032 Active Enzyme Glucose Oxidase Warranty 5 Years Now Bayer brings you a meter that is easier than ever. It’s the one-step way to eliminate the struggle with small, individual test strips. So there’s no hassle, no fumbling with tiny strips, no coding and no more questions. Medicare, Medicaid and Medical Benefits Insurance Providers Diabetes Program - Health Plan/Contract, Patient Use Only Packaging How to Qualify Dealer is required to sign a DME-M Agreement that outlines all the conditions of the Bayer Diabetes Care Program. Dealer will purchase “DME/ Medical Benefit” labeled product from GEMCO Medical. “DME/ Medical Benefit” product is available for Medicare, Medicaid and Medical Benefit insurance billing only. Dealer may not use this product for cash patients, retail sale, or pharmacy benefit insurances. Billable Meter onlys are available for a charge so that the Dealer may bill the insurance provider for the meter. Participation Requirements Dealer must accept assignment with Medicare on Bayer Diabetes Products and have a current Medicare Provider Number. Dealer will actively promote Bayer Diabetes products to their consumer base. GEMCO Item # Description Packaging Unit of Measure Sold By Mfg. Product Code NDC Number ZMABRKM Bayer’s BREEZE® 2 Meter Kit, No Charge Not for Resale 4 Bxs/Cs Bx 9570 0193144001 MABRM Bayer’s BREEZE® 2 Meter Only, Billable DME/Medical Benefit 4 Bxs/Cs Bx 1450 0193145001 SABR5M Bayer’s BREEZE® 2 Test Strips, 50 ct. Health Plan/Contract 24 Bxs/Cs Bx 1467 0193146750 DABRNM Bayer’s BREEZE® 2 Control Solution, Normal DME/Medical Benefit 1 Vial Bx 1489 0193148901 MABR Bayer’s BREEZE® 2 Meter Kit Retail 4 Bxs/Cs Bx 1440 0193144001 SABR5 Bayer’s BREEZE® 2 Test Strips, 50 ct. Retail 24 Bxs/Cs Bx 1465 0193146501 SABR1 Bayer’s BREEZE® 2 Test Strips, 100 ct. Retail 16 Bxs/Cs Bx 1466 0193146621 DABRN Bayer’s BREEZE® 2 Control Solution, Normal Retail 1 Vial Bx 1489 0193148901 LMLD2 Bayer’s Microlet® 2 Adjustable Lancing Device Retail 24 Bxs/Cs Bx 6606 0193660601 LML1 Bayer’s Microlet® Lancets, 100 ct. DME/Medical Benefit 24 Bxs/Cs Bx 6546 0193654621 GCBUSB Bayer’s USB Cable Retail Ea Ea 6170 GBTO CR 2032 3 Volt Lithium Battery Retail Ea Ea Diabetes Supplies Benefits of Bayer Healthcare’s Diabetes Program Bayer Diabetes Care Authorized Program ensures product integrity, and lower costs on select diabetes products for increased profits. Program administered by GEMCO Medical. Items listed in red denote Medicare, Medicaid and Medical Benefit Products. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 11 Bayer’s CONTOUR® USB Meter GEMCO Item # MACUSB Description Bayer’s CONTOUR® USB Glucose Meter Kit (Includes: Meter, Lancing Device, 25 Colored Lancets, Wall Charger, USB Extension Cable) Packaging Unit of Measure Sold By Mfg. Product Code NDC Number Retail 4 Bxs/Cs Bx 7393 0193618101 Bayer’s A1CNow® SELFCHECK For home use monitoring of glycemic control in patients with diabetes. A1C provides an indication of average blood glucose control for the past 2-3 months. A1C is the “big picture” measurement. It should not be used for daily blood glucose measurement. At home results in 5 minutes. Great cash item. GEMCO Item # GBA1C Description Packaging Unit of Measure Sold By Mfg. Product Code NDC Number Retail 4 Bxs/Cs Bx 81583170 0193303002 Bayer A1CNow® SELFCHECK, Kit includes: 1 A1CNow® SELFCHECK Monitor, 2 Cartridge Pouches, 2 Shaker Pouches, 1 Quick Reference Guide, 1 Overview and Helpful Hints, 1 Instructional DVD and 1 Extra Lancet Diabetes Supplies Plug into a whole new diabetes management experience. Meter uses Bayer’s Contour® Test Strips. No charge meters available. Urine Testing Reagent Strips GEMCO Item # Description Packaging Unit of Measure Sold By Mfg. Product Code NDC Number DKT5 Ketostix® Reagent Strips, 50 ct. Urine Testing Strips for Ketones Retail 24 Bxs/Cs Bx 2880 0193288050 DKTS Ketostix® Reagent Strip, 100 ct. Retail 12 Bxs/Cs Bx 2881 0193288121 DKTD Keto-Diastix®, 50 ct. Retail 24 Bxs/Cs Bx 2883 0193288250 DKTD1 Keto-Diastix,® 100 ct. Retail 12 Bxs/Cs Bx 2882 0193288221 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 13 OneTouch® Ultra®2 Meter Test Strip OneTouch® Ultra® Test Strips Test Time 5 Seconds Sample Size Requires Just a Speck of Blood AST Forearm, Palm Coding Button Memory 500 Test Results Download Capabilities Yes Range 20-600 mg/dL Battery 2 CR 2032 Active Enzyme Glucose Oxidase Warranty 3 Years A simple way to see the effect of food on your blood sugar results. The OneTouch® Ultra®2 Meter works with OneTouch® Ultra® Blue Test Strips, the only brand with DoubleSure™ Technology which automatically checks each blood sample twice, requiring only a speck of blood and providing results in 5 seconds. Features include two-way scrolling buttons and backlight. Plus an option flagging feature, which notes before and after meal results to help see the link between blood glucose results and food choice. Diabetes Supplies OneTouch® DME Net Pricing Program - For DME Beneficiaries Only Packaging (Beneficiaries of Medicare/Medicaid/ 3rd Party Insurance DME Benefit) Benefits of OneTouch® DME Net Pricing Program You get an upfront discounted price. Your customers get OneTouch® quality. The OneTouch® DME Net Pricing Program provides you with low, flat-rate pricing on OneTouch® Ultra® Test Strips sold to Medicare, Medicaid, or managed-care patients with a DME Benefit only. When can you use the OneTouch® Ultra® Test Strip DME SKU (gray box)? The gray box contains the same great OneTouch® Ultra® Test Strips but is ONLY for your patients with the DME benefit. Eligibility Requirements for participation are+: be a licensed DME store or pharmacy, have 10 or fewer stores under single ownership, have an active provider number, accept that product is intended for only DME beneficiaries of Medicare, Medicaid, or managed-care insurers. Additional conditions might apply. + OneTouch® Ultra®2 system kit includes: meter, lancing device, 10 test strips, and 10 lancets. GEMCO Item # Description MLOU2 OneTouch® Ultra®2 System Kit SLOU5MD OneTouch® Ultra® Test Strips, 50 ct. SLOU5 Easy Registration Visit www.OneTouchNetPricing.com to register and select GEMCO Medical as your distributor. Follow the rest of the steps online to finalize your agreement. Unit of Measure Sold By Mfg. Product Code NDC Number Retail 4 Bxs/Cs Bx 021-098 5388544801 DME 24 Bxs/Cs Bx 021-329 5388500075 OneTouch® Ultra® Test Strips, 50 ct. Retail 24 Bxs/Cs Bx 020-244 5388524450 SLOU1 OneTouch® Ultra® Test Strips, 100 ct. Retail 12 Bxs/Cs Bx 020-245 5388524510 DLFT1 OneTouch® Ultra® Control Solution Retail 1 Vial Bx 021-416 5388593701 DLFT OneTouch® Ultra® Control Solution Retail 2 Vials Bx 010-458 5388545802 LLOTD33 OneTouch® Delica® Lancets, 33G, 100 ct. Retail 24 Bxs/Cs Bx 022-136 5388514301 LLU1 OneTouch® UltraSoft® Lancets, 28G, 100 ct. Retail 24 Bxs/Cs Bx 020-393 5388539310 LLS1 OneTouch® Fine Point® Lancets, 25G, 100 ct. Retail 24 Bxs/Cs Bx 020-046 5388504610 LDPP OneTouch® Penlet Plus Lancing Device Retail 24 Bxs/Cs Bx 010-356-03 5388535601 LDOTD OneTouch® Delica® Lancing Device Retail 24 Bxs/Cs Bx 022-137 5388514201 GCLSW OneTouch® Diabetes Management Software Kit with USB Cable Retail Ea Ea 02134802 5388500107 GBTO CR 2032 3 Volt Lithium Battery Retail Ea Ea Packaging Items listed in red denote Medicare, Medicaid and Medical Benefit Products. 14 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 OneTouch® UltraMini® Meter Test Strip OneTouch® Ultra® Test Strips Test Time 5 Seconds Sample Size Requires Just a Speck of Blood AST Forearm, Palm Coding Button Memory 500 Test Results Download Capabilities Yes Range 20-600 mg/dL Battery 1 CR 2032 Active Enzyme Glucose Oxidase Warranty 3 Years AVAILABLE IN 5 DIFFERENT COLORS MLOUMIG MLOUMIBLU MLOUMIPURP MLOUMIP MLOUMI The OneTouch® UltraMini® is a small, fast, and simple way to test your blood sugar. It is small enough to fit in a purse or pocket. The OneTouch® UltraMini® works with OneTouch® Ultra® Blue Test Strips, the only brand with DoubleSure™ Technology which automatically checks each blood sample twice. Benefits of OneTouch® DME Net Pricing Program You get an upfront discounted price. Your customers get OneTouch® quality. The OneTouch® DME Net Pricing Program provides you with low, flat-rate pricing on OneTouch® Ultra® Test Strips sold to Medicare, Medicaid, or managed-care patients with a DME Benefit only. When can you use the OneTouch® Ultra® Test Strip DME SKU (gray box)? The gray box contains the same great OneTouch® Ultra® Test Strips but is ONLY for your patients with the DME benefit. Eligibility Requirements for participation are+: be a licensed DME store or pharmacy, have 10 or fewer stores under single ownership, have an active provider number, accept that product is intended for only DME beneficiaries of Medicare, Medicaid, or managed-care insurers. + Additional conditions might apply. Easy Registration Visit www.OneTouchNetPricing.com to register and select GEMCO Medical as your distributor. Follow the rest of the steps online to finalize your agreement. Diabetes Supplies OneTouch® DME Net Pricing Program - For DME Beneficiaries Only Packaging (Beneficiaries of Medicare/Medicaid/ 3rd Party Insurance DME Benefit) OneTouch® UltraMini® system kit includes: meter, lancing device, clear cap, and 10 lancets. Packaging Unit of Measure Sold By Mfg. Product Code NDC Number Retail 4 Bxs/Cs Bx 021-208 021-911 021-420 021-419 021-912 5388520801 5388591101 5388542001 5388541901 5388591201 OneTouch® Ultra® Test Strips, 50 ct. DME SKU OneTouch® Ultra® Test Strips, 50 ct. Retail 24 Bxs/Cs Bx 021-329 5388500075 24 Bxs/Cs Bx 020-244 5388524450 SLOU1 OneTouch® Ultra® Test Strips, 100 ct. Retail 12 Bxs/Cs Bx 020-245 5388524510 DLFT1 OneTouch® Ultra® Control Solution, Single Vial DLFT OneTouch® Ultra® Control Solution Retail 1 Vial Bx 021-416 5388593701 Retail 2 Vials Bx 010-458 5388545802 LDOTD LLOTD33 OneTouch® Delica® Lancing Device Retail 24 Bxs/Cs Bx 022-137 5388514201 OneTouch® Delica® Lancets, 33G, 100 ct. Retail 24 Bxs/Cs Bx 022-136 5388514301 GCLSW OneTouch® Diabetes Management Software Kit with USB Cable Retail Ea Ea 02134802 GBTO 3 Volt Lithium Battery Retail Ea Ea GEMCO Item # Description MLOUMI MLOUMIBLU MLOUMIG MLOUMIP MLOUMIPURP OneTouch® UltraMini® System Kit, Silver Blue Comet Limelight Pink Glow Purple Twilight SLOU5MD SLOU5 5388500107 Items listed in red denote Medicare, Medicaid and Medical Benefit Products. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 15 OneTouch® Verio® IQ Meter Test Strip OneTouch® Verio® Test Strips Test Time 5 Seconds Sample Size 0.4 µL AST Forearm Coding No Coding Memory 750 Test Results Testing is simple with OneTouch® Verio® IQ. Every time patients test, the OneTouch® Verio® IQ Meter looks for repeated highs and lows and alerts patients right on screen when it finds a pattern. Features high-resolution color LCD display, testing illumination, 750-test memory, no manual coding and an eco-friendly rechargeable battery. Works with the OneTouch® Verio® Gold Test Strips. It’s the strip with SmartScan™ Technology, which actively scans each sample 500 times correcting for common interferences to provide a precise, accurate, reliable result. Download Capabilities Yes 20-600 mg/dL Battery Rechargeable Active Enzyme GDH- FAD Warranty 3 Years Diabetes Supplies Range OneTouch® Delica® with Advanced Glide™ Control System with less motion, more control and reduced vibration, for a smoother, more precise lancing. Compatible with OneTouch® Delica® Lancets. OneTouch® Verio® IQ System Kit includes: meter, lancing device, 10 lancets, mini USB cable, and AC adapter. 16 GEMCO Item # Description Packaging Unit of Measure Sold By Mfg. Product Code NDC Number MLOTVIQ OneTouch® Verio® IQ System Kit Retail 4 Bxs/Cs Bx 022-267 5388526701 SLOTV5M SLOTV5 OneTouch® Verio® Test Strips, 50 ct. Home Delivery 24 Bxs/Cs Bx 022-271 5388527150 OneTouch® Verio® Test Strips, 50 ct. Retail 24 Bxs/Cs Bx 022-271 5388527150 DLVR OneTouch® Verio® Level 3 (mid) Control Solution Retail 1 Vial Bx 022-273 5388527302 DLVH OneTouch® Verio® Level 4 (high) Control Solution Retail 1 Vial Bx 022-274 5388527402 LDOTD OneTouch® Delica® Lancing Device Retail 24 Bxs/Cs Bx 022-137 5388514201 LLOTD33 OneTouch® Delica® Lancets, 33G, 100 ct. Retail 24 Bxs/Cs Bx 022-136 5388514301 LLDELICA33HD OneTouch® Delica® Lancets, 33G, 100 ct. Home Delivery 24 Bxs/Cs Bx 022-136 5388514301 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 OneTouch® Home Delivery Program • Discounted OneTouch® Test Strips available as a drop ship/home delivery program. • Dealer must have a valid Medicare provider number. What you need to know when ordering • All first time customers must complete a GEMCO Medical drop ship form in order to ensure accuracy of fulfillment. • Cost/shipment: Call GEMCO for current rates. • • Available for OneTouch® consumers who qualify for Medicare, Medicaid or Medical Benefit Insurance. • Provide your full company name, as shipping package will arrive with your packing slip. • Please note the following consumers do not qualify: - Consumers who are covered by a pharmacy benefit. - Consumers covered by California State Medicaid Program. • List quantity and product to be shipped to your customer. • HIPAA compliant. • OneTouch® DME Net Pricing Agreement must be executed in order to qualify. • LifeScan will contact you once yearly to verify: - Provider number. - Active Medicare status. OneTouch® Home Delivery Products • Reduced pricing available on OneTouch® Ultra® and OneTouch® Verio® IQ home delivery products. • OneTouch® Select™ products are also available for home delivery. • A unique patient identification number is required for OneTouch® home delivery shipments. Provide consumer’s name and address by fax, phone, email or website via on-line ordering either as individual names or as a list. LifeScan also requires you to supply a unique patient identification number for each consumer. • Shipping label and packing slip can be customized based on your preferences. OneTouch® Home Delivery Diabetes Program Benefits of OneTouch® Home Delivery Program You get an upfront discounted price. Your customers get OneTouch® quality. The OneTouch® DME Net Pricing Program provides you with low, flat-rate pricing on OneTouch® Ultra® Test Strips sold to Medicare, Medicaid, or managed-care patients with a DME Benefit only. When can you use the OneTouch® Ultra® Test Strip DME SKU (gray box)? The gray box contains the same great OneTouch® Ultra® Test Strips but is ONLY for your patients with the DME benefit. Eligibility Requirements for participation are+: be a licensed DME store or pharmacy, have 10 or fewer stores under single ownership, have an active provider number, accept that product is intended for only DME beneficiaries of Medicare, Medicaid, or managed-care insurers. Additional conditions might apply. + Easy Registration Visit www.OneTouchNetPricing.com to register and select GEMCO Medical as your distributor. Follow the rest of the steps online to finalize your agreement. GEMCO Item # Description Pkg. Sold By ZMLOU2 OneTouch® Ultra®2 System Kit, No Charge Not for Resale or Reimbursement Bx ZMLOUMI OneTouch® UltraMini® System Kit, No Charge Not for Resale or Reimbursement Bx SLUC5M OneTouch® Ultra® Test Strips, 50 ct. Home Delivery, Medical Benefit Bx MLOTSM OneTouch® Select™ System Kit Home Delivery, Medical Benefit Bx SLOTS5M OneTouch® Select™ Test Strip, 50 ct. Home Delivery, Medical Benefit Bx MLOTVIQ OneTouch® Verio® IQ System Kit Retail Bx SLOTV5M OneTouch® Verio® Test Strips, 50 ct. Home Delivery Bx DLFT1 OneTouch® Ultra® Control Solution Retail 1 Vial DLSRM OneTouch® Select™ Regular Control Solution Home Delivery, Medical Benefit 1 Vial Home Delivery 1 Vial Retail Bx Home Delivery Bx Fax: 330-342-9444 DLVR OneTouch® Verio® Level 3 (Mid) Control Solution LDOTD OneTouch® Delica® Lancing Device LLDELICA33HD Home Delivery OneTouch® Delica® Lancets Diabetes Supplies Program Details Items listed in red denote Medicare, Medicaid and Medical Benefit Products. www.gemcomedical.com Phone: 800-733-7976 17 TRUEresult® Meter TRUEbalance™ Meter TRUEtrack® Meter TRUEtest™ Test Strips TRUEbalance™ Test Strips TRUEtrack® Test Strips Test Time 4 Seconds 10 Seconds 10 Seconds Sample Size 0.5 µL 1.0 µL 1.0 µL AST Forearm Forearm Forearm Coding No Coding No Coding Yes, Code Chip Memory 500 Test Results 365 Test Results 365 Test Results Download Capabilities Yes Yes Yes Range 20-600 mg/dL 20-600 mg/dL 20-600 mg/dL Battery 1 CR 2032 1 CR 2032 1 CR 2032 Active Enzyme GDH-PQQ Glucose Oxidase Glucose Oxidase Warranty Limited Lifetime Limited Lifetime Limited Lifetime GEMCO Item# Description SMHTTESTPKM True confidence for simple, accurate testing. TRUEbalance™ system is a no-coding system that simplifies diabetes testing. It eliminates the coding step and expedites the testing procedure when a new vial of test strips is used. TRUEbalance™ also features large test strips for easier handling, easy-to-read display and fast test time. Packaging Unit of Measure Sold By Mfg. Product Code NDC Number TRUEtest™ MEDI-MEDI Prepack (Includes: 12 50 ct. Test Strips and 6 TRUEresult® Meters) Medicare/Medicaid 12 Boxes 50 ct. Strips, 6 Meters Pkg E4H01-71 56151181350 SHTTEST5M TRUEtest™ Test Strips, 50 ct. Medicare/Medicaid 24 Bxs/Cs Bx E3H01-84 56151181350 MHTRESULT TRUEresult® Meter Kit Retail 12 Bxs/Cs Bx E4H01-81 56151124001 MHT2GO TRUE2go® Meter and 10 ct. Test Strips Retail 12 Bxs/Cs Bx F4H01-81 56151134001 SHTTEST5 TRUEtest™ Test Strips, 50 ct. Retail 24 Bxs/Cs Bx E3H01-81 56151103050 SHTTEST1 TRUEtest™ Test Strips, 100 ct. Retail 12 Bxs/Cs Bx E3H01-80 56151101001 DHTST1 TRUEtest™ Control Solution, L-1 Retail 1 Vial Bx E5H01-80 56151087101 DHTST2 TRUEtest™ Control Solution, L-2 Retail 1 Vial Bx E5H01-81 56151087201 DHTST3 TRUEtest™ Control Solution, L-3 Retail 1 Vial Bx E5H01-84 56151087301 MHTB TRUEbalance™ Meter Kit Retail 40 Bxs/Cs Bx H4H01-83 56151002001 SHTB5 TRUEbalance™ Test Strips, 50 ct. Retail 360 Bxs/Cs Bx H3H01-81 56151002150 SMHTTPKM TRUEtrack® MEDI-MEDI Prepack (Includes: 12 50 ct. Test Strips and 6 Meters) Medicare/Medicaid 12 Boxes 50 ct. Strips, 6 Meters Pkg A4H01-71 56151081350 SHTT5M TRUEtrack® Test Strips, 50 ct. Medicare/Medicaid 24 Bxs/Cs Bx A3H01-84 56151081350 MHTT TRUEtrack® Meter Kit Retail 12 Bxs/Cs Bx A4H01-81 56151088880 SHTT5 TRUEtrack® Test Strips, 50 ct. Retail 24 Bxs/Cs Bx A3H01-81 56151085050 SHTT1 TRUEtrack® Test Strips, 100 ct. Retail 12 Bxs/Cs Bx A3H01-80 56151081001 SHTR5 TRUEread® Test Strips, 50 ct. Retail 24 Bxs/Cs Bx G3H01-81 56151001150 DHTR TRUEcontrol® Solution, L-1 Retail 1 Vial Bx M5H01-80 56151086501 DHTRL TRUEcontrol® Solution, L-0 Retail 1 Vial Bx M5H01-83 56151086401 56151014201 LDHTD TRUEdraw™ Lancing Device Retail 100 Bxs/Cs Bx M2H01-81 SHKETONE5 Ketone Care™ Test Strips, For Urine, 50 ct. Retail 48 Bxs/Cs Bx B3H01-81 Diabetes Supplies Test Strip Items listed in red denote Medicare, Medicaid and Medical Benefit Products. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 19 Oak Tree International Holdings, Inc. EasyMax L Meter Test Strip EasyMax Test Strips Test Time 5 Seconds Sample Size 0.6 µL AST Forearm, Palm Coding No Coding Memory 480 Test Results Download Capabilities Yes Range 20-600 mg/dL Battery 2 CR 2032 Active Enzyme Glucose Oxidase Warranty 4 Years Testing made easy, so you can live life to the max! The slim and sleek EasyMax L Blood Glucose System with its blue backlight display and test strip port illumination makes testing easy no matter where you are! • The bright blue backlight display gives the option to test discreetly in hard to see places like movie theaters, dimly lit restaurants, and at bedtime without disturbing others. • The large strip makes for easy handling, and less frustration due to dropped, unusable test strips. The EasyMax family of meters - Diabetes Supplies EasyMax L - Backlight display and test strip port illumination Ask us about EasyMax’s Long Term Care Program. EasyMax V - Speaks test results in English or Spanish EasyMax N - Simple to use Offer your customers choice, while keeping inventory simple for you! All three meters use the same test strip! EasyMax Products are Available for ALL Customers and Markets. Large, Easy to Handle Test Strip GEMCO Item # Description MEZLKIT EasyMax L Blood Glucose Meter Kit Packaging Unit of Measure Sold By Mfg. Product Code NDC Number Retail 10 Bxs/Cs Bx 100607900 47884017300 MEZL EasyMax L Blood Glucose Meter Only Retail 10 Bxs/Cs Bx 100608000 47884017301 SEZMN5 EasyMax Test Strips, 50 ct. Medical Benefit 260 Bxs/Cs Bx 100600600 47884017550 SEZRETAIL5 EasyMax Test Strips, 50 ct. Retail 260 Bxs/Cs Bx 100609600 47884017250 DEZN EasyMax Control Solution, Normal Retail 1 Vial Bx 704053200 47884017540 DEZL EasyMax Control Solution, Low Retail 1 Vial Bx 704057100 47884017542 DEZH EasyMax Control Solution, High Retail 1 Vial Bx 704055800 47884017541 GEZCABLE2 EasyMax Software and Cable for EasyMax L Meter Retail Ea Ea 718058700 GBTO 3 Volt Lithium Battery Retail Ea Ea Items listed in red denote Medicare, Medicaid and Medical Benefit Products. 20 17 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Oak Tree International Holdings, Inc. Want to Maximize your profits? Try EasyMax! EasyMax N & V Meters Test Strip EasyMax Test Strips Test Time 5 Seconds Sample Size 0.6 µL AST Forearm, Palm Coding No Coding Memory 480 Test Results Download Capabilities Yes Range 20-600 mg/dL Battery 2 AAA Active Enzyme Glucose Oxidase Warranty 4 Years The EasyMax V is a bilingual meter (English and Spanish) that speaks test results and also has a mute option. EasyMax Products are Available for ALL Customers and Markets. GEMCO Item # Description Packaging Unit of Measure Sold By Mfg. Product Code NDC Number MEZMVKIT EasyMax V Blood Glucose Meter Kit Retail 10 Bxs/Cs Bx 100607600 47884017101 MEZV EasyMax V Blood Glucose Meter Only Retail 10 Bxs/Cs Bx 100603500 47884017100 MEZMNK EasyMax N Blood Glucose Meter Kit Retail 10 Bxs/Cs Bx 100600500 47884017500 MEZMN EasyMax N Blood Glucose Meter Only Retail 10 Bxs/Cs Bx 100608100 47884017501 SEZMN5 EasyMax Test Strips, 50 ct. Medical Benefit 260 Bxs/Cs Bx 100600600 47884017550 SEZRETAIL5 EasyMax Test Strips, 50 ct. Retail 260 Bxs/Cs Bx 100609600 47884017250 DEZN EasyMax Control Solution, Normal Retail 1 Vial Bx 704053200 47884017540 DEZL EasyMax Control Solution, Low Retail 1 Vial Bx 704057100 47884017542 DEZH EasyMax Control Solution, High Retail 1 Vial Bx 704055800 47884017541 GEZCABLE EasyMax Software for EasyMax N & V Meters Retail Ea Ea 718040800 GBAA AAA Alkaline, 1.5 Volt Batteries Retail Ea Ea Diabetes Supplies EasyMax N is a great solution for you to help maximize your reimbursement dollars! The test strip is larger than most, which is an excellent feature for elderly patients. Items listed in red denote Medicare, Medicaid and Medical Benefit Products. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 21 D iiaabbeetteess SSuupppplliieess D Prodigy AutoCode® Meter Test Strip Prodigy® No Coding Test Strips Test Time 7 Seconds Sample Size 0.6 µL AST Palm, Forearm, Upper Arm, Calf or Thigh Coding No Coding Memory 120 Test Results Download Capabilities Yes Range 20-600 mg/dL Battery 2 AAA Active Enzyme Glucose Oxidase Prodigy Autocode® Prodigy Voice™ The Prodigy AutoCode® Talking Blood Glucose Meter is excellent for the blind, low vision or any diabetic patient who wants to hear their test results. The Prodigy AutoCode® requires No Coding, which means fewer steps and avoids the danger of false results caused by coding errors. Simply insert the test strip into the strip port and the Prodigy AutoCode® automatically turns on. The Prodigy AutoCode® talks the user through the testing steps, making it easy to use while providing safe, accurate test results every time. • Easy to use - No coding required • Speaks in 4 Languages: English, Spanish, French & Arabic • Approved for alternate site testing • Hear and see accurate results in just 7 seconds • Standard USB port to easily download test results Prodigy Preferred™ Prodigy Pocket™ No charge meters are available. GEMCO Item # Description SDP5 Prodigy® No Coding Test Strips, 50 ct. (All in One) Pkg. Unit of Measure Sold By Mfg. Product Code NDC Number Not for Retail Sale 20 Bxs/Cs Bx 52800 08484052800 MDPK Prodigy Autocode® Talking Meter Kit Not for Retail Sale 10 Bxs/Cs Bx 51890 08484051890 MDPV Prodigy Voice™ Meter Kit Not for Retail Sale 10 Bxs/Cs Bx 51900 08484051900 MDPPBK Prodigy Pocket™ Meter Kit, Black Not for Retail Sale 10 Bxs/Cs Bx 50360-K 08484050360 MDPPPK Prodigy Pocket™ Meter Kit, Pink Not for Retail Sale 10 Bxs/Cs Bx 50361-P 08484050361 MDPPBLUK Prodigy Pocket™ Meter Kit, Blue Not for Retail Sale 10 Bxs/Cs Bx 50362-B 08484050362 MDPPGK Prodigy Pocket™ Meter Kit, Green Not for Retail Sale 10 Bxs/Cs Bx 50363-G 08484050363 MDPPB Prodigy Pocket™ Meter Only, Black Not for Retail Sale 10 Bxs/Cs Bx 50300-K 08484050300 MDPPP Prodigy Pocket™ Meter Only, Pink Not for Retail Sale 10 Bxs/Cs Bx 50301-P 08484050301 MDPPBLU Prodigy Pocket™ Meter Only, Blue Not for Retail Sale 10 Bxs/Cs Bx 50302-B 08484050302 MDPPG Prodigy Pocket™ Meter Only, Green Not for Retail Sale 10 Bxs/Cs Bx 50303-G 08484050303 MDPPRFK Prodigy Preferred™ Meter Kit Not for Retail Sale 10 Bxs/Cs Bx 56150 08484056150 SDP5R Prodigy® No Coding Test Strips, 50 ct. (All in One) Retail 20 Bxs/Cs Bx 72500 08484072500 MDPKR Prodigy Autocode® Talking Meter Kit Retail 10 Bxs/Cs Bx 70120 08484070120 MDPVR Prodigy Voice™ Meter Kit Retail 10 Bxs/Cs Bx 71950 08484071950 MDPPBKR Prodigy Pocket™ Meter Kit, Black Retail 10 Bxs/Cs Bx 70800-K 08484070800 MDDPPBLUKR Prodigy Pocket™ Meter Kit, Blue Retail 10 Bxs/Cs Bx 70802-B 08484070802 DDPL Prodigy Control Solution, Low Retail 20 Bxs/Cs Bx 53310 08484053310 LDP28 Prodigy Twist Top Lancets, 28G, 100 ct. Retail 50 Bxs/Cs Bx 990328 08484990328 LDDP Prodigy Lancing Device, Adjust Depth w/Clear Cap Retail 100 Bxs/Cs Bx 990355 08484990355 GDPC Prodigy Download Cable for Autocode and Voice Meters Retail Ea Ea GDPPRFC Prodigy Preferred™ Download Cable Retail Ea Ea 24200 Items listed in red denote Medicare, Medicaid and Medical Benefit Products. 22 19 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 ACCU-CHEK® Aviva Meter Test Strip ACCU-CHEK® Aviva Plus Test Strips Test Time 5 Seconds Sample Size 0.6 µL AST Palm, Forearm, Upper Arm Coding Code Chip Memory 500 Test Results Download Capabilities Yes Range 20-600 mg/dL Battery 1 CR 2032 Active Enzyme Mut. Q-GDH Warranty 3 Years The ACCU-CHEK® Aviva System combines an ergonomic design, small blood sample, fast and accurate results for dependable, worry-free testing. It also includes customizable test reminders and an easy-to-use test strip. The only meter and strip combination manufactured in the U.S.A.* Diabetes Supplies Medicare, Medicaid and Medical Benefits Insurance Providers Diabetes Program - For Mail Order Use Packaging Benefits of Roche’s Diabetes Care Program Roche Diabetes Authorized Program ensures product integrity, and lower costs on select diabetes products for increased profits. Program administered by GEMCO Medical. How to Qualify Dealer is required to sign a Letter of Participation that outlines all the conditions of the Roche Diabetes Care Program. Dealer will purchase “Mail Order” product from GEMCO Medical and use for Medicare, Medicaid and Medical Benefit insurances only. 90% of product shall be mailed or delivered by company vehicle, while 10% can be dispensed at store location. Dealer may not use this product for cash patients, retail sale, or pharmacy benefit insurance. Participation Requirements Dealer must accept assignment with Medicare on Roche Diabetes Products and have a current Medicare Provider Number. Dealer will actively promote Roche Diabetes products to their consumer base. GEMCO Item # Description Packaging Unit of Measure Sold By Mfg. Product Code ZMACA ACCU-CHEK® Aviva Meter, No Charge NDC Number Not for Resale 16 Bxs/Cs Bx 06429432001 65702050610 SACA5M ACCU-CHEK® Aviva Plus Test Strips, 50 ct. Mail Order 36 Bxs/Cs Bx 05949033001 65702043610 MACA ACCU-CHEK® Aviva Meter Kit SACA5 ACCU-CHEK® Aviva Plus Test Strips, 50 ct. Retail 8 Bxs/Cs Bx 04528280001 65702010110 Retail 36 Bxs/Cs Bx 05987431001 65702040710 SACA1 LAF1M ACCU-CHEK® Aviva Plus Test Strips, 100 ct. Retail 24 Bxs/Cs Bx 05987458001 65702040810 ACCU-CHEK® FastClix Lancet Drums, 102 ct. Mail Order 12 Bxs/Cs Bx 05360188001 65702029110 LAFD ACCU-CHEK® FastClix Lancing Device Kit Retail 12 Bxs/Cs Bx 05864666160 65702048110 LAF1 LAM1M ACCU-CHEK® FastClix Lancet Drums, 102 ct. Retail 12 Bxs/Cs Bx 05360145001 65702028810 ACCU-CHEK® Multiclix Lancet Drums, 102 ct. Mail Order 12 Bxs/Cs Bx 04509889001 50924090910 LAMDM ACCU-CHEK® Multiclix Lancing Device Mail Order 12 Bxs/Cs Bx 04509838001 50924050901 LAM1 ACCU-CHEK® Multiclix Lancet Drums, 102 ct. Retail 12 Bxs/Cs Bx 04509781001 50924045001 LAMD ACCU-CHEK® Multiclix Lancing Device Retail 12 Bxs/Cs Bx 04466152160 50924044601 DACA ACCU-CHEK® Aviva Control Solution, Hi/Lo Retail 2 Vials Bx 04528638001 65702010710 SACC5M ACCU-CHEK® Comfort Curve Test Strips, 50 ct. Mail Order 72 Bxs/Cs Bx 3000141 5092412850 SACC5 ACCU-CHEK® Comfort Curve Test Strips, 50 ct. Retail 72 Bxs/Cs Bx 2030373 5092437350 Items listed in red denote Medicare, Medicaid and Medical Benefit Products. *Using U.S. and imported materials. 24 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 ACCU-CHEK® Nano Meter Test Strip ACCU-CHEK® SmartView Test Strips Test Time 5 Seconds Sample Size 0.6 µL AST Palm Coding No Coding Memory 500 Test Results Download Capabilities Yes Range 20-600 mg/dL Battery 2 CR 2032 Active Enzyme Mut. Q-GDH Warranty 3 Years Medicare, Medicaid and Medical Benefits Insurance Providers Diabetes Program - For Mail Order Use Packaging Benefits of Roche’s Diabetes Care Program Roche Diabetes Authorized Program ensures product integrity, and lower costs on select diabetes products for increased profits. Program administered by GEMCO Medical. How to Qualify Dealer is required to sign a Letter of Participation that outlines all the conditions of the Roche Diabetes Care Program. Dealer will purchase “Mail Order” product from GEMCO Medical and use for Medicare, Medicaid and Medical Benefit insurances only. 90% of product shall be mailed or delivered by company vehicle, while 10% can be dispensed at store location. Dealer may not use this product for cash patients, retail sale, or pharmacy benefit insurance. Participation Requirements Dealer must accept assignment with Medicare on Roche Diabetes Products and have a current Medicare Provider Number. Dealer will actively promote Roche Diabetes products to their consumer base. Packaging Unit of Measure Sold By Mfg. Product Code NDC Number Not for Resale 16 Bxs/Cs Bx 06333869001 65702048410 GEMCO Item # Description ZMASVK ACCU-CHEK® Nano SmartView Meter, No Charge MASVK ACCU-CHEK® Nano SmartView Meter Retail 8 Bxs/Cs Bx 06333885001 65702048310 SASV5M ACCU-CHEK® SmartView (for Nano) Test Strips, 50 ct. Mail Order 36 Bxs/Cs Bx 06337562001 65702049510 SASV5 ACCU-CHEK® SmartView (for Nano) Test Strips 50 ct. Retail 36 Bxs/Cs Bx 06337538001 65702049210 DASV ACCU-CHEK® SmartView (for Nano) Control Solution, 1 Level LAF1M ACCU-CHEK® FastClix Lancet Drums, 102 ct. LAFD Retail 6 Bxs/Cs Bx 06334032001 65702048810 Mail Order 12 Bxs/Cs Bx 05360188001 65702029110 ACCU-CHEK® FastClix Lancing Device Kit Retail 12 Bxs/Cs Ea 05864666160 65702048110 65702028810 LAF1 ACCU-CHEK® FastClix Lancet Drums, 102 ct. Retail 12 Bxs/Cs Bx 05360145001 GRAC360 ACCU-CHEK® 360o Download Software & USB Cable Retail Ea Ea 04927010001 GBTO CR 2032 3 Volt Lithium Battery Retail Ea Ea Diabetes Supplies Small in size. Big in performance. • Advanced accuracy with ACCU-CHEK® SmartView test strips - as tested against a 23% tighter specification.1 • Brilliant backlit display makes reading your numbers easy anytime, anywhere. • Small, sleek design - fits in the palm of your hand. • No coding - Fewer steps in testing. Items listed in red denote Medicare, Medicaid and Medical Benefit Products. Specifications based on current ISO 15197:2003 1 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 25 ACCU-CHEK® Compact Plus Meter Test Strip ACCU-CHEK® Compact Test Strips Test Time 5 Seconds Sample Size 1.5 µL AST Palm, Forearm, Upper Arm, Calf, Thigh Coding No Coding Memory 500 Test Results Download Capabilities Yes Range 10-600 mg/dL Battery 2 AAA Active Enzyme Glucose-dye-Oxidoreductase Warranty 3 Years The ACCU-CHEK® Compact Plus System, the one with the drum, features 17 test strips in a single drum that is fully integrated into the meter. The ACCU-CHEK® Compact Plus provides all-in-one convenience, and it’s proven least painful (data on file with Roche). Medicare, Medicaid and Medical Benefits Insurance Providers Diabetes Program - For Mail Order Use Packaging Diabetes Supplies Benefits of Roche’s Diabetes Care Program Roche Diabetes Authorized Program ensures product integrity, and lower costs on select diabetes products for increased profits. Program administered by GEMCO Medical. How to Qualify Dealer is required to sign a Letter of Participation that outlines all the conditions of the Roche Diabetes Care Program. Dealer will purchase “Mail Order” product from GEMCO Medical and use for Medicare, Medicaid and Medical Benefit insurances only. 90% of product shall be mailed or delivered by company vehicle, while 10% can be dispensed at store location. Dealer may not use this product for cash patients, retail sale, or pharmacy benefit insurance. Participation Requirements Dealer must accept assignment with Medicare on Roche Diabetes Products and have a current Medicare Provider Number. Dealer will actively promote Roche Diabetes products to their consumer base. GEMCO Item # Description MRACP ACCU-CHEK® Compact Plus Diabetes Monitoring Kit Packaging Unit of Measure Sold By Mfg. Product Code NDC Number Retail 8 Bxs/Cs Bx 05177294001 65702022010 SRAC51M ACCU-CHEK® Compact Test Strips, 51 ct. (3 Drums of 17) Mail Order 48 Bxs/Cs Bx 3272672 5092427201 SRAC51 ACCU-CHEK® Compact Test Strips, 51 ct. (3 Drums of 17) Retail 12 Bxs/Cs Bx 3038106 5092498850 LSX1M ACCU-CHEK® Softclix Lancets, 100 ct. Mail Order 12 Bxs/Cs Bx 03789721001 5092489710 LSCXM ACCU-CHEK® Softclix Lancing Device Mail Order 12 Bxs/Cs Bx 04479475001 5092494701 LSCXPLUSM ACCU-CHEK® Softclix Plus Lancing Device (Fits on Compact Plus Meter) Mail Order 12 Bxs/Cs Bx 05078130001 65702019010 LSX1 ACCU-CHEK® Softclix Lancets, 100 ct. Retail 12 Bxs/Cs Bx 971 5092497110 LSX2 ACCU-CHEK® Softclix Lancets, 200 ct. Retail 6 Bxs/Cs Bx 988 65702012410 LSCX ACCU-CHEK® Softclix Lancing Device Retail 12 Bxs/Cs Bx 957 509249701 LSCXPLUS ACCU-CHEK® Softclix Plus Lancing Device (Fits on Compact Plus Meter) Retail 12 Bxs/Cs Bx 05078130001 65702019010 DRAC ACCU-CHEK® Compact Control Solution, Hi/Lo Retail 2 Vials Bx 5382289 65702036910 SRAA5M ACCU-CHEK® Active Test Strips, 50 ct. Mail Order 24 Bxs/Cs Bx 05144434160 5092489801 DRAA ACCU-CHEK® Active Control Solution, Hi/Lo Retail 2 Vials Bx 3146324 5092447602 GBAA AAA Alkaline Battery Retail Ea Ea Items listed in red denote Medicare, Medicaid and Medical Benefit Products. 26 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Nova Max® Plus™ & Nova Max Link® Meter Test Strip Nova Max® Test Strips Test Time 5 Seconds Sample Size 0.3 µL AST Forearm and Palm Coding No Coding Memory 400 Test Results Download Capabilities Yes Range 20-600 mg/dL Battery 1 CR2450, 3 Volt Active Enzyme Glucose Oxidase Warranty 3 Years The Nova Max® Plus™ incorporates advanced technology for accurate and precise self-monitoring of blood glucose and ketones for people with diabetes. Nova Max® Plus™ has the most comprehensive features for fast, easy, and error-free blood glucose and ketone monitoring. The Nova Max® Plus™ Glucose Meter automatically converts itself to a Ketone meter by inserting the Nova Max® Ketone strip. Nova Max® Link The Nova Max® Link communicates wirelessly to the Medtronic Paradigm series insulin pumps. Benefits of Sanvita’s Diabetes Program Sanvita Authorized Program ensures product integrity and lower costs on select diabetes products for increased profits. Program administered by GEMCO Medical. How to Qualify Dealer is required to sign a Sanvita Joinder Agreement that outlines all the conditions of the Sanvita Diabetes Program. Dealer will purchase “Mail Order” product from GEMCO Medical and use for Medicare, Medicaid and Medical Benefit insurances only. Dealer may not use this product for cash patients, retail sale, or pharmacy benefit insurance. Participation Requirements Dealer must accept assignment with Medicare on Sanvita Diabetes Products and have a current Medicare Provider Number. Dealer will actively promote Sanvita Diabetes products to their consumer base. GEMCO Item # Packaging Unit of Measure Sold By Mfg. Product Code NDC Number ZMMAXPLUSKM Nova Max® Plus™ Meter Kit, No Charge (Includes: Meter, Lancing Device, Control Solution, 10 Test Strips, 10 Lancets, 2 Ketone Strips) Not for Retail Sale 4 Bxs/Cs Bx 43435 08548043435 ZMMAXLMKIT Nova Max® Link Meter Kit, No Charge (Includes: Meter, 10 Test Strips, Lancing Device, Control Solution, 10 Lancets) Not for Retail Sale 4 Bxs/Cs Bx 44585 08548044585 SMAX5M Nova Max® Test Strips, 50 ct. Not for Retail Sale 18 Bxs/Cs Bx 43523 08548043523 SMAX5 Nova Max® Test Strips, 50 ct. Retail 18 Bxs/Cs Bx 43437 08548043437 Description SMAXKET10 Nova Max® Ketone Test Strips, 10 ct. Retail 18 Bxs/Cs Bx 48607 08548048607 DMAXN Nova Max® Plus™ Control Solution, Normal Retail 1 Vial Bx 49640 08548049640 LDMAX Nova Max® SureFlex™ Lancing Device Retail Ea Ea 43433 08548043433 48738 08548048738 LMAX33 Nova Max® SureFlex™ Lancets, 33G, 100 ct. Retail 20 Bxs/Cs Bx GBAO 3 Volt Lithium Battery Retail Ea Ea Diabetes Supplies Medicare, Medicaid and Medical Benefits Insurance Providers Diabetes Program - Mail Order Only Packaging Items listed in red denote Medicare, Medicaid and Medical Benefit Products. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 27 Advocate® Redi-Code Products GEMCO Item # Description Pkg. Unit of Measure MPSADTKRC KIT Advocate® Redi-Code Talking Glucose Meter Kit, English/Spanish Retail Bx Bx TD-4223E 9404600111 MPSADRC Advocate® Redi-Code Glucose Meter, Non-Speaking Retail Bx Bx 312 9404600107 MPSADTRC Advocate® Redi-Code Talking Meter Only Retail Bx Bx 311 9404600111 MPSADTKRCDUO Advocate® Redi-Code DUO Blood Glucose/Blood Pressure System Retail Bx Bx 319 9404600125 SPSADRC5 Advocate® Redi-Code Test Strips, 50 ct. Retail 20 Bxs/Cs Bx 313 9404600113 DPSADH Advocate® Redi-Code Control Solution, High Retail 12 Bxs/Cs Bx 302 9404600104 DPSADL Advocate® Redi-Code Control Solution, Low Retail 12 Bxs/Cs Bx 301 9404600101 Diabetes Supplies Advocate® Redi-Code+ Products Sold Mfg. Product By Code NDC Number No Charge Meters Available GEMCO Item # Description Pkg. Unit of Measure Sold By Mfg. Product Code NDC Number MPSAPLUSTK Advocate® Redi-Code+ Talking Glucose Meter Kit, English/Spanish Retail Bx Bx 001S-K 9404600188 MPSAPLUS Advocate® Redi-Code+ Glucose Meter, Non-Speaking Retail Bx Bx 001 9404600156 MPSAPLUST Advocate® Redi-Code+ Talking Meter Only Retail Bx Bx 001-S 9404600188 SPSAPLUS5 Advocate® Redi-Code+ Test Strips, 50 ct. Retail 20 Bxs/Cs Bx 002 9404600157 DPSAPLUS Advocate® Redi-Code+ Control Solution, Low Retail 12 Bxs/Cs Bx 003 9404600158 Advocate Ancillary Products GEMCO Item # Description Pkg. Unit of Measure Sold By Mfg. Product Code NDC Number LDPS Advocate® Lancing Device Retail 50 Bxs/Cs Bx 306 9404600105 LPSAPT Advocate® Pulltop Lancets, 30G, 100 ct. Retail 50 Bxs/Cs Bx 307 9404600106 LPSATT Advocate® Twist-Top Lancets, 30G, 100 ct. Retail 50 Bxs/Cs Bx 308 9404600109 Clever Choice™ Pro Products GEMCO Item# Description Packaging Unit of Measure Sold By Mfg. Product Code NDC Number MCCPRO Clever Choice™ Pro Meter Retail 54 Bxs/Cs Bx CLEPROM 98302000129 MCCPROMIB Clever Choice™ Mini Meter, Blue Also Available in Gray - MCCPROMIG, Red MCCPROMIR, Yellow - MCCPROMIY Retail 54 Bxs/Cs Bx CLEMINIB 98302000134 SCCHEKPRO5 Clever Choice™ Pro Test Strips, 50 ct. Retail 288 Bxs/Cs Bx CLE50PRO 98302000128 Packaging Unit of Measure Sold By Mfg. Product Code NDC Number Clever Choice™ Voice+® Products 28 GEMCO Item# Description MCCV Clever Choice™ Voice+® Meter Retail 12 Bxs/Cs Bx CLEMN 98302000121 SCCV5 Clever Choice™ Voice+® Test Strips, 50 ct. Retail 24 Bxs/Cs Bx CLE50VNFR 98302000120 DCCHEKN Clever Choice™ Control Solution, Normal, 1 Vial Retail 1 Vial Bx CLEN 98302000103 DCCHEKL Clever Choice™ Control Solution, Low, 1 Vial Retail 1 Vial Bx CLEL 98302000110 DCCHEKH Clever Choice™ Control Solution, High, 1 Vial Retail 1 Vial Bx CLEH 98302000109 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Embrace™ Products GEMCO Item # Description Pkg. Unit of Measure Sold By Mfg. Product Code NDC Number MEMBRACE Omnis Embrace Talking Meter Retail 20 Bxs/Cs Ea 01AB0200 94030000201 SEMBRACE5 Omnis Embrace Test Strips, 50 ct. Retail 100 Bxs/Cs Bx 02AB0202 94030000202 SEMBRACE10CT Omnis Embrace Test Strips, 10 ct. Retail 10 Bxs/Cs Bx 02AB0200 N/A DEMBRACELO Omnis Embrace Low Control Solution Retail 270 Vials/Cs Ea 02AB0310 94030201006 No Charge Meters Available. GEMCO Item # Description Pkg. Unit of Measure Sold By Mfg. Product Code NDC Number ZMBSV2KM SOLUS V2™ Talking Meter Kit, English/Spanish, No Charge Retail 60 Bxs/Cs Bx 501001 8611501001 MBSV2KM SOLUS V2™ Talking Meter Kit, English/Spanish Retail 60 Bxs/Cs Bx 501001 8611501001 SBSV25 SOLUS V2™ Test Strips, 50 ct. Retail 200 Bxs/Cs Bx 503050 8611503050 DBSV2LO SOLUS V2™ Control Solution, Low Retail 1 Vial Bx 506101 8611506101 DBSV2HI SOLUS V2™ Control Solution, High Retail 1 Vial Bx 506001 8611506001 LDBSV2 SOLUS V2™ Lancing Device Retail 500 Bxs/Cs Bx 505001 8611505001 LBV230 SOLUS V2™ Twist Top Lancets, 30G, 100 ct. Retail 50 Bxs/Cs Bx 504000 8611504000 LBV2SFTY28 SOLUS V2™ Safety Lancets, 28G, 100 ct. Retail 10 Bxs/Cs Bx 504100 8611504100 GBSV2CABLE SOLUS V2™ Download Cable Retail Ea Ea 902001 Diabetes Supplies SOLUS V2™ Products AgaMatrix Products GEMCO Item# Description Packaging Unit of Measure Sold By Mfg. Product Code MAWPK NDC Number AgaMatrix Presto Meter Kit Retail 12 Bxs/Cs Bx 8000-02649 08554264901 MAWPPRO AgaMatrix Presto Pro Meter Retail 18 Bxs/Cs Bx 8000-04088 08554408801 SAWP5 AgaMatrix Presto Test Strips, 50 ct. Retail 24 Bxs/Cs Bx 8000-03329 08554332901 SAWP1 AgaMatrix Presto Test Strips, 100 ct. Retail 12 Bxs/Cs Bx 8000-03337 08554333702 SAKN5 AgaMatrix Keynote™ Test Strips, 50 ct. Retail 24 Bxs/Cs Bx 8000-01328 08554132801 SAKN1 AgaMatrix Keynote™ Test Strips, 100 ct. Retail 12 Bxs/Cs Bx 8000-02265 08554226502 MAWJAZZK AgaMatrix Jazz™ Meter Kit Retail 12 Bxs/Cs Bx 8000-02297 08554229701 SAWJAZZ5 AgaMatrix Jazz™ Test Strips, 50 ct. Retail 24 Bxs/Cs Bx 8000-02320 08554232001 DWSN1 AgaMatrix Control Solution, Normal Retail 1 Vial Bx 8000-01333 08554133301 DWSH1 AgaMatrix Control Solution, High Retail 1 Vial Bx 8000-02011 08554201101 LWS128 AgaMatrix Lancets, 28 Gauge Retail 100/Bx Bx 8000-01833 08554183301 LWS133 AgaMatrix Lancets, 33 Gauge Retail 100/Bx Bx 8000-01971 08554197101 GAZC Zero-Click Data Management Software Retail Ea Ea 8000-01528 08554152801 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 29 Pump Supplies OneTouch® Ping™ Insulin Pump Size (mm) 50.8 x 82.55 x 21.59 Weight 3.9 oz Colors Blue, Black, Silver, Pink, LimeLight Battery Lithium or Alkaline 1.5 V Cartridge Capacity 200 Units Waterproof Up to 12 ft for 24 hrs Infusion Set Standard Luer Lock Basal Rate .025 - 5.00 u/hr Smallest Bolus .05 Visual Test Strip Used OneTouch® Ultra® Memory 500 Bolus, 270 Basal GEMCO Item # Description PA420BLUKIT OneTouch® Ping® is the first system with a full-function pump and wireless meter-remote. The screen is self-illuminating and high contrast for readability and viewable from a wide angle. Using the OneTouch® Ping® meter-remote, a person can calculate an insulin dose and wirelessly control all pump functions for insulin delivery, making pumping discreet and convenient. The great thing about insulin pumps is that they free you from the constraints of multiple daily injections and strict eating and sleeping schedules. Even better, OneTouch® Ping® gives you a combination of great clinical performance* and lifestyle-friendly features. *Twenty-four patients with type 1 diabetes used the bolus calculators from the Animas® 2020, Medtronic Paradigm®, and Roche Accu-Chek® Combo insulin pump systems to correct postprandial hyperglycemia. The Animas® 2020 bolus calculator algorithm is identical to the OneTouch® Ping® bolus calculator algorithm. Unit of Measure Sold By Mfg. Product Code NDC Number OneTouch® Ping® Insulin Pump Kit, Blue Kit Kit 101-420-00 65781014201 PA421BLAKIT OneTouch® Ping® Insulin Pump Kit, Black Kit Kit 101-421-00 65781014211 PA422SILKIT OneTouch® Ping® Insulin Pump Kit, Silver Kit Kit 101-422-00 65781014221 PA424PINKKIT OneTouch® Ping® Insulin Pump Kit, Pink Kit Kit 101-424-00 65781014241 PA425LIMEKIT OneTouch® Ping® Insulin Pump Kit, Green Kit Kit 101-425-00 65781014251 inset® Infusion Set All-in-one infusion system with built-in, disposable insertion device. Straight set. The introducer needle is removed so only the flexible cannula stays in place. Features self-adhesive, white cotton tape, reversible connector and a quick disconnect at site. One-handed insertion for more site options. Uses a Luer lock connection. GEMCO Item# Description Unit of Measure Sold By Mfg. Product Code NDC Number PA100-181-00 PA100-182-00 inset® Infusion Set, 9mm, 23”, 10ct, Gray 10/Bx Bx 100-181-00 65781118110 inset® Infusion Set, 6mm, 23”, 10ct, Gray 10/Bx Bx 100-182-00 65781418210 PA100-183-00 inset® Infusion Set, 9mm, 43”, 10ct, Gray 10/Bx Bx 100-183-00 65781718310 PA100-184-00 inset® Infusion Set, 6mm, 43”, 10ct, Gray 10/Bx Bx 100-184-00 65781818410 PA100-181-01 inset® Infusion Set, 9mm, 23”, 10ct, Blue 10/Bx Bx 100-181-01 65781218110 PA100-182-01 inset® Infusion Set, 6mm, 23”, 10ct, Blue 10/Bx Bx 100-182-01 65781518210 PA100-181-02 inset® Infusion Set, 9mm, 23”, 10ct, Pink 10/Bx Bx 100-181-02 65781318110 PA100-182-02 inset® Infusion Set, 6mm, 23”, 10ct, Pink 10/Bx Bx 100-182-02 65781618210 PA100-181-03 inset® Infusion Set, 9mm, 23”, 10ct, Green 10/Bx Bx 100-181-03 65781418110 PA100-182-03 inset® Infusion Set, 6mm, 23”, 10ct, Green 10/Bx Bx 100-182-03 65781718210 inset® 30 Infusion Set All-in-one angled infusion system with built-in, disposable insertion device. The introducer needle is removed so only the flexible cannula stays in place. Features a self-adhesive, reversible connector and a quick disconnect at site. Available in blue, pink and gray. One-handed insertion for more site options. Uses a Luer lock connection. GEMCO Item# Description PA100-396-00 inset® 30 Infusion Set, 13mm, 23”, 10ct, Gray Unit of Measure Sold By Mfg. Product Code NDC Number 10/Bx Bx 100-396-00 65781039610 PA100-396-01 inset® 30 Infusion Set, 13mm, 23”, 10ct, Blue 10/Bx Bx 100-396-01 65781139610 PA100-396-02 inset® 30 Infusion Set, 13mm, 23”, 10ct, Pink 10/Bx Bx 100-396-02 65781239610 PA100-396-03 inset® 30 Infusion Set, 13mm, 43”, 10ct, Gray 10/Bx Bx 100-396-03 65781339610 inset® and Comfort® are Trademarks of Unomedical. 30 25 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Comfort ® Infusion Set The introducer needle is removed so only the flexible cannula stays in place. Includes a 20 to 45 insertion angle and disconnect feature at site and clear window to view site. Complete set includes tubing and cannula. Luer lock tubing connection. GEMCO Item # Description Packaging Unit of Measure Sold By Mfg. Product Code NDC Number PA100-006-00 Comfort® Infusion Set, 17mm, 43”, 10 Complete Sets Retail 10/Bx Bx 100-006-00 65781210610 PA100-006-01 Comfort® Infusion Set, 17mm, 23”, 10 Complete Sets Retail 10/Bx Bx 100-006-01 65781110610 PA100-006-11 Comfort® Infusion Set, 17mm, 31”, 10 Complete Sets Retail 10/Bx Bx 100-006-11 65781200610 PA100-006-02 Comfort® Infusion Set, 17mm, 43”, 5 Complete Sets + 5 Cannulas Retail 5+5 Bx 100-006-02 65781410610 PA100-006-03 Comfort® Infusion Set, 17mm, 23”, 5 Complete Sets + 5 Cannulas Retail 5+5 Bx 100-006-03 65781310610 GEMCO Item # Description Packaging Unit of Measure Sold By Mfg. Product Code NDC Number PA100-240-01 Comfort® Short Infusion Set, 13mm, 23” Retail 10/Bx Bx 100-240-01 65781124010 PA100-240-02 Comfort® Short Infusion Set, 13mm, 31” Retail 10/Bx Bx 100-240-02 65781224010 PA100-240-03 Comfort® Short Infusion Set, 13mm, 43” Retail 10/Bx Bx 100-240-03 65781324010 PA100-240-04 Comfort® Short Infusion Set, 13mm, 23” 5 Complete Sets + 5 Cannulas Retail 5+5 Bx 100-240-04 65781424010 PA100-240-05 Comfort® Short Infusion Set, 13mm, 43” 5 Complete Sets + 5 Cannulas Retail 5+5 Bx 100-240-05 65781524010 Packaging Unit of Measure Sold By Mfg. Product Code NDC Number Retail 10/Bx Bx 100-124-01 65781012410 Pump Supplies Comfort Short ® Infusion Set A modified version of the Comfort. Perfect if you wish to combine a shorter needle with the many benefits of Comfort. A new soft design improves the visual quality of this infusion set. Car tridges GEMCO Item # Description PA100-124-01 Animas® Insulin Pumps Cartridges, 2ml, 10 ct. Caps GEMCO Item # Description Packaging Unit of Measure Sold By Mfg. Product Code PA100-159-01 Animas® Insulin Pumps Cartridge Cap Retail Ea Ea 100-159-01 PA100-158-01 Animas® Insulin Pumps Battery Cap Retail Ea Ea 100-158-01 Packaging Unit of Measure Sold By Mfg. Product Code Cases GEMCO Item # Description PA100-195-01 Low Profile Clip for Animas® Insulin Pumps Retail Ea Ea 100-195-01 PA100-025-00 Sport-Pak for Animas® Insulin Pump, Neoprene (Fits around Waist) Retail Ea Ea 100-025-00 PA100-441-00 Black Leather Case w/Clip for OneTouch® Ping™ Retail Ea Ea 100-441-00 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 31 MiniMed Paradigm® 523/723 Revel™ Insulin Pump The MiniMed Paradigm® Revel™ System, Medtronic’s second generation integrated system, incorporates new innovative CGM features including predictive alerts that can warn you of oncoming lows or highs allowing for greater control. With precise insulin delivery and integrated CGM technology, the Paradigm® Revel™ System gives you the peace of mind you want and the freedom you deserve. • On-screen icons for battery level, reservoir level & time of day. • Alerted Directed Navigation: takes patient to appropriate screen needed to resolve alerted condition. • Managing glucose levels: predictive and rate of change alerts. • Multiple high/low glucose thresholds. • Five color choices: Blue, Clear, Pink, Purple, Smoke. Pump Supplies MiniMed Paradigm® 523/723 Revel™ Insulin Pump Size 523: 2 x 3 x 0.8”, 723: 2 x 3.6 x 0.8” Weight 523: 95 grams, 723: 102 grams Power Source 1 AAA Alkaline Battery Basal Rate Range 0.025 units per hour increments Basal Rates & Patterns 3 patterns, 48 rates each Accuracy of Delivery +/- 5% Reservoir 523: 176 units, 723: 300 or 176 units Warranty 4 Years, including a 30 day money back guarantee GEMCO Item # Description PM523BKIT • Missed meal bolus reminder. • Wireless transmitter - small, discrete, & waterproof. • REAL-Time continuous glucose monitoring system; measures your glucose levels continuously, as an addition to fingerstick measurements. • Carelink™ software is a free online tool that automatically captures blood glucose readings, carbs, and insulin data from your Paradigm® Revel™ Insulin Pump and wireless meter. Unit of Measure Sold by Mfg. Product Code NDC Number MiniMed 523 Revel™ Insulin Pump w/Contour® Link Meter, Blue Ea Ea MMT-523NAB 76300052312 PM523LKIT MiniMed 523 Revel™ Insulin Pump w/Contour Link Meter, Clear Ea Ea MMT-523NAL 76300052311 ® PM523PKIT MiniMed 523 Revel™ Insulin Pump w/Contour Link Meter, Purple Ea Ea MMT-523NAP 76300052314 PM523PINKKIT MiniMed 523 Revel™ Insulin Pump w/Contour® Link Meter, Pink Ea Ea MMT-523NAH 76300052315 PM523SKIT MiniMed 523 Revel™ Insulin Pump w/Contour® Link Meter, Smoke Ea Ea MMT-523NAS 76300052313 PM723BKIT MiniMed 723 Revel™ Insulin Pump w/Contour® Link Meter, Blue Ea Ea MMT-723NAB 76300072312 PM723LKIT MiniMed 723 Revel™ Insulin Pump w/Contour® Link Meter, Clear Ea Ea MMT-723NAL 76300072311 ® PM723PKIT MiniMed 723 Revel™ Insulin Pump w/Contour Link Meter, Purple Ea Ea MMT-723NAP 76300072314 PM723PINKKIT MiniMed 723 Revel™ Insulin Pump w/Contour® Link Meter, Pink Ea Ea MMT-723NAH 76300072315 PM723SKIT MiniMed 723 Revel™ Insulin Pump w/Contour® Link Meter, Smoke Ea Ea MMT-723NAS 76300072313 ® Pediatric Pumps Available 32 27 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 MiniMed Paradigm® REAL-Time (CGM) Starter Kit Paradigm® REAL-Time CGM MiniLink™ Charger MiniLink™ Transmitter Pump Supplies The only integrated diabetes management system - combining an insulin pump with REAL-Time Continuous Glucose Monitoring gives patients REAL access to glucose patterns, to optimize their diabetes management. REAL-Time trend graphs, readings, and directional arrows show the effects of diet, exercise, medication, and lifestyle on glucose levels. When you add CGM to an insulin pump, your patient has more information about where their glucose is now and where it is going. MiniMed Paradigm® REAL-Time Starter Kit communicates with your patient’s MiniMed Paradigm® Insulin Pump. MiniMed’s Guardian REAL-Time Continuous Glucose Monitoring System works as a stand alone system with a separate monitor. GEMCO Item # Description Unit of Measure Sold by Mfg. Product Code NDC Number PMPS7 MiniMed Paradigm® REAL-Time Starter Kit (Kit Contains: MiniLink Transmitter, Charger, Tester, Sen-serter, 2 bx IV 3000 Tape, 2 AAA Batteries & 10 Glucose Sensors) Kit Kit PS7 76300001701 PMGS7 MiniMed Guardian REAL-Time Continuous Glucose Monitoring System (Kit Contains: Monitor, MiniLink REAL-Time Transmitter, Charger and 4 Glucose Sensors) Kit Kit GS7 76300000701 PM7002C MiniMed Continuous Glucose Sensors (Average 1 Month Supply) 10/Pack Pack MMT-7002C 76300000211 PM7002D MiniMed Continuous Glucose Sensors (Average 12 Day Supply) 4/Pack Pack MMT-7002D 76300000214 PM7707NA MiniLink Transmitter Replacement Kit Kit Kit MMT-7707NA 76300070701 PM7006 MiniMed Continuous Adhesive Patch 10/Pack Pack MMT-7006 76300000610 PM7500 Sen-serter Insertion Device Ea Ea MMT-7500 76300750001 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 33 400/50X Model Insulin Pumps: 407C, 504, 506, 507, 507C, and 508 model Medtronic diabetes pumps. Uses luer lock connection. Paradigm® Series: 522, 523, 722, and 723 Medtronic diabetes pumps. mio® Infusion Set Integrated “all-in-one” infusion set and insertion device. Straight angle (90o) soft cannula (6 or 9mm). At-site tubing disconnect. Paradigm® Series Unit of Measure Sold By Mfg. Product Code NDC Number mio® All-In-One Infusion Set, 6mm, 18” Tubing, Pink 10/Bx Bx MMT-921 76300092110 PM941 mio® All-In-One Infusion Set, 6mm, 18” Tubing, Blue 10/Bx Bx MMT-941 76300094110 PM923 mio® All-In-One Infusion Set, 6mm, 23” Tubing, Pink 10/Bx Bx MMT-923 76300092310 PM943 mio® All-In-One Infusion Set, 6mm, 23” Tubing, Blue 10/Bx Bx MMT-943 76300094310 PM925 mio® All-In-One Infusion Set, 6mm, 32” Tubing, Pink 10/Bx Bx MMT-925 76300092510 PM945 mio® All-In-One Infusion Set, 6mm, 32” Tubing, Blue 10/Bx Bx MMT-945 76300094510 PM965 mio® All-In-One Infusion Set, 6mm, 32” Tubing, Clear 10/Bx Bx MMT-965 76300096510 PM975 mio® All-In-One Infusion Set, 9mm, 32” Tubing, Clear 10/Bx Bx MMT-975 76300097510 GEMCO Item # Product Description PM921 Pump Supplies Polyfin® Infusion Set 30o angle bent stainless steel needles with wings, available in 24” or 42”. Quick-Release™ tail disconnection. Protective site plugs supplied when disconnected. Smooth and fast manual insertion. Paradigm® Series Unit of Measure Sold By Mfg. Product Code Polyfin® Quick Release, 24” Infusion Sets 20/Bx Bx MMT-312S 76300031221 Polyfin® Quick Release, 42” Infusion Sets 20/Bx Bx MMT-312L 76300031222 GEMCO Item # Product Description PM312S PM312L NDC Number 400/50X Model Insulin Pumps* Unit of Measure Sold By Mfg. Product Code NDC Number Polyfin® Bent Needle QR Infusion Set w/Cotton Wings, 42” Infusion Sets 24/Bx Bx MMT-365 76300036524 Polyfin® Bent Needle QR Infusion Set w/Cotton Wings, 24” Infusion Sets 24/Bx Bx MMT-366 76300036624 GEMCO Item # Product Description PM365 PM366 Quick-Set® Infusion Set Straight angle (90o) soft cannula (6 or 9mm). At-site tubing disconnection. Paradigm® Series Unit of Measure Sold By Mfg. Product Code NDC Number Quick-Set®, 9mm, 32” Infusion Sets 10/Bx Bx MMT-386 76300038610 Quick-Set®, 6mm, 32” Infusion Sets 10/Bx Bx MMT-387 76300038710 PM394 Quick-Set®, 6mm, 18” Infusion Sets 10/Bx Bx MMT-394 76300039410 PM396 Quick-Set®, 9mm, 43” Infusion Sets 10/Bx Bx MMT-396 76300039610 PM397 Quick-Set®, 9mm, 23” Infusion Sets 10/Bx Bx MMT-397 76300039710 PM398 Quick-Set®, 6mm, 43” Infusion Sets 10/Bx Bx MMT-398 76300039810 PM399 Quick-Set®, 6mm, 23” Infusion Sets 10/Bx Bx MMT-399 76300039910 GEMCO Item # Product Description PM386 PM387 * For use with 407C, 504, 506, 507, 507C and 508 model Medtronic diabetes pumps. 34 29 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 400/50X Model Insulin Pumps* GEMCO Item # Product Description Unit of Measure Sold By Mfg. Product Code NDC Number PM390 Quick-set®, 9mm, 43” Infusion Sets Bx/10 Bx MMT-390 76300039010 PM391 Quick-set®, 6mm, 43” Infusion Sets Bx/10 Bx MMT-391 76300039110 PM392 Quick-set®, 9mm, 23” Infusion Sets Bx/10 Bx MMT-392 76300039210 PM393 Quick-set®, 6mm, 23” Infusion Sets Bx/10 Bx MMT-393 76300039310 Silhouette® Infusion Set Variable angle (20-45o), soft cannula (13 or 17mm). Adjustable angle insertion allows you to choose the ideal angle or depth. At-site tubing disconnect. Unit of Measure Sold By Mfg. Product Code NDC Number Silhouette® Infusion Full Set, 13mm (10 Catheters/10 Tubing Sets), 18” Infusion Sets 10/Bx Bx MMT-368 76300036810 PM381 Silhouette® Infusion Full Set, 13mm (10 Catheters/10 Tubing Sets), 23” Infusion Sets 10/Bx Bx MMT-381 76300038110 PM382 Silhouette® Infusion Full Set, 13mm (10 Catheters/10 Tubing Sets), 43” Infusion Sets 10/Bx Bx MMT-382 76300038210 PM383 Silhouette® Infusion Full Set, 13mm (10 Catheters/10 Tubing Sets), 32” Infusion Sets 10/Bx Bx MMT-383 76300038310 PM377 Silhouette® Infusion Full Set, 17mm (10 Catheters/10 Tubing Sets), 43” Infusion Sets 10/Bx Bx MMT-377 76300037710 PM384 Silhouette® Infusion Full Set, 17mm (10 Catheters/10 Tubing Sets), 32” Infusion Sets 10/Bx Bx MMT-384 76300038410 PM369 Silhouette® Cannula Only, 13mm (10 Catheters) 10/Bx Bx MMT-369 76300036910 PM370 Silhouette® Cannula Only, 17mm (10 Catheters) 10/Bx Bx MMT-370 76300037010 GEMCO Item # Product Description PM368 400/50X Model Insulin Pumps* Unit of Measure Sold By Mfg. Product Code NDC Number Silhouette® Infusion Full Set, 17mm (10 Catheters/10 Tubing Sets), 43” Infusion Sets 10/Bx Bx MMT-371 76300037110 Silhouette® Infusion Full Set, 17mm (10 Catheters/10 Tubing Sets), 23” Infusion Sets 10/Bx Bx MMT-373 76300037310 GEMCO Item # Product Description PM371 PM373 Pump Supplies Paradigm® Series Soft-set QR® Infusion Set 90o insertion angle, cannula (6 or 9mm). Away-from-body Quick Release disconnect. Paradigm® Series Unit of Measure Sold By Mfg. Product Code NDC Number Sof-set® Ultimate w/Quick Release, 9mm, 42” Infusion Sets 12/Bx Bx MMT-317 76300031712 PM318 Sof-set® Ultimate w/Quick Release, 9mm, 24” Infusion Sets 12/Bx Bx MMT-318 76300031812 PM324 Sof-set® Micro w/Quick Release, 6mm, 42” Infusion Sets 12/Bx Bx MMT-324 76300032412 PM325 Sof-set® Micro w/Quick Release, 6mm, 24” Infusion Sets 12/Bx Bx MMT-325 76300032512 Unit of Measure Sold By Mfg. Product Code NDC Number 12/Bx Bx MMT-315 76300031512 GEMCO Item # Product Description PM317 400/50X Model Insulin Pumps* GEMCO Item # Product Description PM315 Sof-set® Ultimate w/Quick Release, 9mm, 42” Infusion Sets PM316 Sof-set® Ultimate w/Quick Release, 9mm, 24” Infusion Sets 12/Bx Bx MMT-316 76300031612 PM320 Sof-set® Micro w/Quick Release, 6mm, 42” Infusion Sets 12/Bx Bx MMT-320 76300032012 PM321 Sof-set® Micro w/Quick Release, 6mm, 24” Infusion Sets 12/Bx Bx MMT-321 76300032112 * For use with 407C, 504, 506, 507, 507C and 508 model Medtronic diabetes pumps. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 35 Sure -T® Infusion Set Steel needle infusion set with an additional adhesive pad to provide extra security against needle dislodging. 29g needle. Manual insertion (no insertion tool). Tubing connector 10cm away allows for disconnection without touching infusion site. Paradigm® Series Unit of Measure Sold By Mfg. Product Code NDC Number Sure-T® 18” Tubing with 6mm Straight Needle Infusion Sets 10/Bx Bx MMT-862 76300086210 PM864 Sure-T® 23” Tubing with 6mm Straight Needle Infusion Sets 10/Bx Bx MMT-864 76300086410 PM866 Sure-T® 32” Tubing with 6mm Straight Needle Infusion Sets 10/Bx Bx MMT-866 76300086610 PM874 Sure-T® 23” Tubing with 8mm Straight Needle Infusion Sets 10/Bx Bx MMT-874 76300087410 PM876 Sure-T® 32” Tubing with 8mm Straight Needle Infusion Sets 10/Bx Bx MMT-876 76300087610 PM886 Sure-T® 32” Tubing with 10mm Straight Needle Infusion Sets 10/Bx Bx MMT-886 76300088610 GEMCO Item # Product Description PM862 PPuummppS Suuppppl ilei es s Paradigm® Series Reservoirs 36 31 GEMCO Item # Product Description Unit of Measure Sold By Mfg. Product Code NDC Number PM326 PM332 Paradigm Reservoir, 1.8 ml (5XX or 7XX) 10/Bx Bx MMT-326A 76300032610 Paradigm Reservoir, 3.0 ml (7XX only) 10/Bx Bx MMT-332A 76300033210 Reservoirs GEMCO Item # Product Description PM03 3.0 ml MiniMed Reservoir (40X/50X) Unit of Measure Sold By Mfg. Product Code NDC Number 10/Bx Bx MMT-103A 76300010310 Inserters GEMCO Item # Product Description Unit of Measure Sold By Mfg. Product Code NDC Number PM385 Sil-serter® (for Silhouette Infusion Sets) Ea Ea MMT-385 76300038501 PM395 Quick-serter® (for Quick-set Infusion Sets) Ea Ea MMT-395 76300039501 PM300 Sof-serter® (for Sof-set Infusion Sets) Ea Ea MMT-300 76300030001 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Paradigm® Series GEMCO Item # Product Description Unit of Measure Sold By Mfg. Product Code PM612 PM631 Paradigm Holster, Charcoal, 5 Series Ea Ea MMT-612 Belt Clip, Charcoal, 5 Series Ea Ea MMT-631 PM640 Belt Clip, Charcoal, 7 Series Ea Ea MMT-640 PM642 Paradigm® Holster, Charcoal, 7 Series Ea Ea MMT-642 Power Packs GEMCO Item # Product Description PM04 Disposable Power Pack, 1.5 Volt Unit of Measure Sold By Mfg. Product Code NDC Number 10/Bx Bx MMT-104 76300010401 GEMCO Item # Product Description Unit of Measure Sold By Mfg. Product Code PM17 Shower Pack, 30 ct. 12 Bxs/Cs Bx MMT-117 PM45 Sports Guard for 500/400 Series Ea Ea MMT-145 PM108 Travel Mate, Black Cordura Case w/See-Through Compartments (All Pumps) Ea Ea ACC-108 PM109 Travel Tote, Black Cordura Travel Bag w/Adjustable Shoulder Strap (All Pumps) Ea Ea ACC-109 PM202BL Nylon Case w/optional Belt Loop Clip, Black Ea Ea MMT-145 PM204BL Leg Pouch, Nylon/Spandex, Worn on Calf or Thigh, Black (All Pumps) Ea Ea ACC-204BL PM204WH Leg Pouch, Nylon/Spandex, Worn on Calf or Thigh, White (All Pumps) Ea Ea ACC-204WH PM206BL Waist It, Soft Velour Pouch w/Elastic Straps, Black (All Pumps) Ea Ea ACC-206BL PM206WH Waist It, Soft Velour Pouch w/Elastic Straps, White (All Pumps) Ea Ea ACC-206WH PM207BL Bra Pouch, Soft Velour Pump Carrier for Women, Black (All Pumps) Ea Ea ACC-207BL PM207WH Bra Pouch, Soft Velour Pouch Carrier for Women, White (All Pumps) Ea Ea ACC-207WH PM221BL Neoprene Case, Black, Worn w/ or w/o Belt (All Pumps) Ea Ea ACC-221BL www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Pump Supplies Accessories 37 ACCU-CHEK® Spirit Combo Insulin Pump Pump Supplies Dealer is required to sign a Roche Insulin Delivery Systems Inc. Letter of Participation in order to purchase ACCU-CHEK® pumps and pump supplies. The ACCU-CHEK® Spirit Combo system offers an easy, quick, and discreet way to manage insulin pump therapy. Through Bluetooth® technology, patients can control nearly all pump functions using the ACCU-CHEK® Aviva Combo blood glucose “smart meter”. The meter screen displays the current insulin pump screen. The ACCU-CHEK® Aviva Combo meter provides accurate blood sugar measuring. The meter uses ACCU-CHEK® Aviva Plus test strips, which offer improved accuracy - as tested against a 23% tighter accuracy specification1. There is a clear display of blood sugar values in 5 seconds. The pump can operate independently of the meter, should the need arise. The ACCU-CHEK® Spirit Combo insulin pump provides flexibility to match your lifestyle. The temporary basal rate function lets you quickly adjust basal rate delivery to match changing conditions (illness, exercise, stress, premenstrual, etc). Fewer barriers to regular bolusing, may result in greater adherence to recommended therapy. ACCU-CHEK® Spirit Combo Insulin Pump Features: Size (mm) 82.5 x 56 x 21 • Full-color, on-screen graphs of blood sugar and bolus data Weight 2.8 oz • On-the-go data management - no PC or internet required Reservoir Size Up to 315 Units • Programmable reminders - test reminders and date reminders Infusion Set Connection Standard Luer Lock • On-screen status bar that immediately shows if blood sugar is in/out of range Basal Rate 0.05 to 50 units/hr • Key lock feature to prevent accidental activation of functions Battery 1 AA Alkaline Battery or Lithium Battery • Backlight - low, medium, high Memory 1000 Results Software ACCU-CHEK® 360o Software Test Strip Used ACCU-CHEK® Aviva Plus GEMCO Item# Description PDSPC PDSPCM Specifications based on current ISO 15197: 2003 1 Unit of Measure Sold By NDC Number ACCU-CHEK® Spirit Combo Insulin Pump for Insurance Ea Ea 15630088380 ACCU-CHEK® Spirit Combo Insulin Pump for Medicare/Medicaid Ea Ea 15630088380 Items listed in red denote Medicare, Medicaid and Medical Benefit Products. 38 33 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 ACCU-CHEK® Tender Infusion Sets ACCU-CHEK® Rapid-D Infusion Sets The ACCU-CHEK® Tender infusion set is a 20˚-45˚ insertion infusion set with a soft Teflon cannula for comfort. A transparent window is built into the ACCU-CHEK® Tender infusion sets hypoallergenic cotton adhesive base, which allows the wearer to easily detect inflammation at the infusion site. ACCU-CHEK® Tender infusion sets also feature PVC-free double layer tubing with an inner layer of polyethylene and an outer layer of polyethylene. The combination allows for minimal filling volume and skin-friendliness. The ACCU-CHEK® Rapid-D infusion set is ideal for people new to pumps or with poor vision. It is ideal for applications in virtually any body location because of the unique design featuring a comfortable, ultrathin 28 gauge needle with a 90-degree insertion. The ACCU-CHEK® Rapid-D infusion set also features a straight insertion and the “kinkproof” steel needle allows for a “no mistake insertion.” The connection slides into and out of the base with an audible <<click>> which allows for safe connection without looking at the infusion site. ACCU-CHEK® Tender infusion sets are also available in a 13mm “mini” size. ACCU-CHEK® Tender “mini’s” 13mm cannula is nearly 25% shorter than the 17mm cannula in the original ACCU-CHEK® Tender Infusion Set. ACCU-CHEK® Tender and ACCU-CHEK® Tender “mini” infusion sets are designed to work with all standard luer lock insulin pumps. ACCU-CHEK® Rapid-D infusion set also has a PVC-free tubing and an ultra-thin needle that’s easy to insert, simple to handle, secure without additional tape and comfortable to wear. The ACCU-CHEK® Rapid-D primes as an entire unit and therefore requires fewer steps to prepare the infusion set. A box of ACCU-CHEK® Rapid-D infusion sets contain 15 needles, 5 transfer sets and 5 protective caps. Because the tubing can be used for up to six days, a box of ACCU-CHEK® Rapid-D infusion sets contain a typical one-month supply. Product Specifications ACCU-CHEK® Tender Infusion Sets ACCU-CHEK® Rapid-D Infusion Sets Introducer Needle 27 Gauge Stainless Steel 28 Gauge Stainless Steel Cannula 25 Gauge Soft Teflon Cannula Ultra Thin 28 Gauge Cannula Cannula Lengths 13mm, 17mm 6, 8, 10mm Cannulas Tubing Polyethylene Interior and Exterior Polyethylene Interior and Exterior Tubing Lengths 60cm (24”), 80cm (31”), 110cm (43”) 60cm (24”), 80cm (31”), 110cm (43”) Luer Lock Standard Standard Cannula-Filling Volume Introducer Needle displacement, approximate 0.5-1 unit (U-100) Priming Volume Per Set (U-100 Insulin) 60cm/24” approx 10 units 80cm/31” approx. 13 units 110cm/43” approx. 18 units ® GEMCO Item # Description PDTM121 ACCU-CHEK® Tender-1 “mini,” 13mm/60cm (24”) Rapid-D Infusion Set 60cm/24” approx 10 units 80cm/31” approx. 13 units 110cm/43” approx. 18 units Tender Infusion Set Unit of Measure Sold By Mfg. Product Code NDC Number 10 Tubes + 10 Needles/Set Set 04541405001 15630004594 PDTM1 ACCU-CHEK® Tender-1 “mini,” 13mm/80cm (31”) 10 Tubes + 10 Needles/Set Set 04541413001 15630004595 PDTM11 ACCU-CHEK® Tender-1,“mini,” 13mm/110cm (43”) 10 Tubes + 10 Needles/Set Set 04541391001 15630004593 PDT121 ACCU-CHEK® Tender-1, 17mm/60cm (24”) 10 Tubes + 10 Needles/Set Set 04541430001 15630004597 PDT1 ACCU-CHEK® Tender-1, 17mm/80cm (31”) 10 Tubes + 10 Needles/Set Set 04541448001 15630004598 PDT11 ACCU-CHEK® Tender-1, 17mm/110cm (43”) 10 Tubes + 10 Needles/Set Set 04541421001 15630004596 PDTM221 ACCU-CHEK® Tender-2 “mini,” 13mm/60cm (24”) 10 Tubes + 20 Needles/Set Set 04541464001 15630004660 PDTM231 ACCU-CHEK® Tender-2 “mini,” 13mm/80cm (31”) 10 Tubes + 20 Needles/Set Set 04541472001 15630004661 PDTM2 ACCU-CHEK® Tender-2 “mini,” 13mm/110cm (43”) 10 Tubes + 20 Needles/Set Set 04541456001 15630004599 PDT221 ACCU-CHEK® Tender-2, 17mm/60cm (24”) 10 Tubes + 20 Needles/Set Set 04541502001 15630004663 PDSN ACCU-CHEK® Tender-2, 17mm/80cm (31”) 10 Tubes + 20 Needles/Set Set 04541529001 15630004664 PDT2 ACCU-CHEK® Tender-2, 17mm/110cm (43”) 10 Tubes + 20 Needles/Set Set 04541499001 15630004662 PD952 ACCU-CHEK® Rapid-D 6mm/60cm (24”) 15 Needles + 5 Transfer Sets Set 04541090001 15630004670 PD953 ACCU-CHEK® Rapid-D 6mm/80cm (31”) 15 Needles + 5 Transfer Sets Set 04541103001 15630004671 PD954 ACCU-CHEK® Rapid-D 6mm/110cm (43”) 15 Needles + 5 Transfer Sets Set 04541111001 15630004672 PD955 ACCU-CHEK® Rapid-D 8mm/60cm (24”) 15 Needles + 5 Transfer Sets Set 04541120001 15630004673 PD956 ACCU-CHEK® Rapid-D 8mm/80cm (31”) 15 Needles + 5 Transfer Sets Set 04541138001 15630004674 PD957 ACCU-CHEK® Rapid-D 8mm/110cm (43”) 15 Needles + 5 Transfer Sets Set 04541146001 15630004675 PD958 ACCU-CHEK® Rapid-D 10mm/60cm (24”) 15 Needles + 5 Transfer Sets Set 04541154001 15630004676 PD959 ACCU-CHEK® Rapid-D 10mm/80cm (31”) 15 Needles + 5 Transfer Sets Set 04541162001 15630004677 PD960 ACCU-CHEK® Rapid-D 10mm/110cm (43”) 15 Needles + 5 Transfer Sets Set 04541189001 15630004678 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Pump Supplies ACCU-CHEK® Rapid-D infusion sets are designed to work with all standard luer lock insulin pumps. 39 34 ACCU-CHEK® Ultraflex Infusion Sets ACCU-CHEK® Ultraflex infusion sets have a reversible disconnect at the cannula site, with an audible <<click>> connection that makes connecting and disconnecting a simple, one-handed process, regardless of where the infusion is placed. Product Specifications ACCU-CHEK® Ultraflex Infusion Sets Introducer Needle 27 Gauge Stainless Steel Cannula 25 Gauge Soft Teflon Cannula specially tapered for easy insertion The ACCU-CHEK® Ultraflex infusion sets are designed to work with all standard luer lock insulin pumps. Cannula Lengths 8mm, 10mm Optional ACCU-CHEK® Link Assist insertion device is a great option for those who prefer automated insertion of the ACCU-CHEK® ultraflex infusion set. Tubing Polyethylene Interior and Exterior Coating Tubing Lengths 60 cm (24”), 80cm (31”), 110cm (43”) Cannula-Filling Volume Introducer Needle Displacement, approx. 1 unit (U-100 insulin) Priming Volume Per Set (U-100 Insulin) 60cm/24” approx. 11 units 80cm/31” approx. 14 units 110cm/43” approx. 18 units Pump Supplies The ACCU-CHEK® Ultraflex infusion set also features a PVC-free, doublelayered tubing with an inner layer of polyethylene, an outer layer of polyethylene and a silicone coated tapered cannula with a short introducer needle for smooth, comfortable insertion. GEMCO Item # Description Unit of Measure Sold By Mfg. Product Code NDC Number PDUF10824 PDUF10831 ACCU-CHEK® Ultraflex-1, 8mm/60cm (24”) 10 Tubes + 10 Needles/Set Set 04626583001 15630004992 ACCU-CHEK® Ultraflex-1, 8mm/80cm (31”) 10 Tubes + 10 Needles/Set Set 04626591001 15630004993 PDUF10843 ACCU-CHEK® Ultraflex-1, 8mm/110cm (43”) 10 Tubes + 10 Needles/Set Set 04626605001 15630004994 PDUF11024 ACCU-CHEK® Ultraflex-1, 10mm/60cm (24”) 10 Tubes + 10 Needles/Set Set 04626613001 15630004995 PDUF11031 ACCU-CHEK® Ultraflex-1, 10mm/80cm (31”) 10 Tubes + 10 Needles/Set Set 04626621001 15630004996 PDUF11043 ACCU-CHEK® Ultraflex-1, 10mm/110cm (43”) 10 Tubes + 10 Needles/Set Set 04626648001 15630004997 Cartridges GEMCO Item # Description PDPC5 Disetronic Plastic Cartridges 3.15 ml Unit of Measure Sold by Mfg. Product Code NDC Number 5/Bx Bx 4949935001 15630088275 ACCU-CHEK® Spirit Combo Pump Skins & Cases GEMCO Item # Description PD7001 Waist Belt, White Unit of Measure Sold by Mfg. Product Code Ea Ea 03699277001 PD80001 Waist Belt, Black Ea Ea 04652380001 PD77001 Silicone Pump Skin, Midnight Black Ea Ea 05353777001 PD71001 Silicone Pump Skin, Artic Transparent Ea Ea 05353971001 PD98001 Silicone Pump Skin, Electric Blue Ea Ea 05353998001 PD764 Carrying Pouch, Thigh - “Thigh Thing”, Black Ea Ea 7300764 PD765 Carrying Pouch, Calf - “Leg Thing”, Black Ea Ea 7300765 Insertion Devices GEMCO Item # Description PDALA Disetronic Link Assist Insertion Device (For use with Ultraflex Sets) Unit of Measure Sold by Mfg. Product Code NDC Number 1/Bx Ea 4530039001 15630048601 Items listed in red denote Medicare, Medicaid and Medical Benefit Products. 40 35 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Out of sight. In control. The ACCU-CHEK® Combo system is designed to make insulin delivery easy, quick and discreet. Using Bluetooth® technology that provides 2-way wireless communication, you can control your pump with your meter, letting you quickly calculate and deliver a bolus on the meter and discreetly send it to the pump, without touching it. And thanks to a variety of options and features, the new system provides the flexibility you need to match your lifestyle. To learn more about the ACCU-CHEK Combo system, visit accu-chekinsulinpumps.com or call 1-800-280-7801. ACCU-CHEK, ACCU-CHEK AVIVA COMBO and ACCU-CHEK SPIRIT COMBO are trademarks of Roche. The Bluetooth word mark and logos are registered trademarks owned by Bluetooth SIG, Inc., and any use of such marks by Roche is under license. © 2012 Roche. 356-51552-0912 OmniPod® Insulin Management System Pod angled infusion set includes a built in insulin reservoir, automated inserter, pumping mechanism, and power supply. Tubing-free integrated infusion pod sets. Integrated FreeStyle® blood glucose monitor and personalized ratios/factors/targets/presets. GEMCO Item # Product Description Sold By Mfg. Product Code NDC Number OmniPod® Insulin Management Starter Kit (Kit Includes: 1 Personal Diabetes Management Device, 2 Pod Infusion Sets, FreeStyle® Meter, FreeStyle® Test Strips, Belt Clip and Carry Case) Kit 13750 08508114002 POPZXP325 OmniPod® Integrated Infusion Sets, 10 Pods/Bx Bx 11200 08508112010 Pump Supplies POPKIT With the i-port Advance™ Injection Port, skin punctures are reduced to just 1 every 3 days. The i-port Advance™ is the first device to combine an injection port and an inserter in one complete set. It eliminates the need for manual insertion. Now with one click of the inserter, the injection port is easily applied to provide a simple and convenient way to take multiple injections without having to puncture the skin for each dose. The i-port Advance™ you can: • Take correction doses without the cost of an additional skin puncture • Reduce the trauma that can follow multiple skin punctures • Avoid skipping shots or altering your meals to avoid injections • Minimize physical and emotional injection barriers Infection, irritation or inflammation from using the i-port Advance™ is rare, however the potential exists. Typically, these occurrences may result from inadequate cleansing of the skin surface before application, improper application to the body, and/or improper maintenance of the insertion side. If your customer experiences any of these they should contact their healthcare professional. 42 37 GEMCO Item # Product Description Sold By Mfg. Product Code NDC Number IPM020110 IPM020210 i-port Advance™ Injection Port with 6 mm Cannula, 10 bxs/cs Cs 020110 08519020110 i-port Advance™ Injection Port with 9 mm Cannula, 10 bxs/cs Cs 020210 08519020210 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Insulin Syringes & Pen Needles BD Ultra-Fine™ 6mm Insulin Syringes BD Ultra-Fine™ Needle is a 31G x 6mm (15/64”) syringe needle. BD Ultra-Fine™ insulin syringes are available in three barrel sizes (1ml, 1/2ml, and 3/10ml). GEMCO Item # Barrel Size Needle Gauge Packaging Unit of Measure Mfg. Product Code NDC Number RBDU61 1ml 31G Retail 100 ct. 324912 08290324912 RBDU65 1/2ml 31G Retail 100 ct. 324911 08290324911 RBDU63 3/10ml 31G Retail 100 ct. 324909 08290324909 RBDU631/2* 3/10ml 31G Retail 100 ct. 324910 08290324910 GEMCO Item # Barrel Size Needle Gauge Packaging Unit of Measure Mfg. Product Code NDC Number RBU1SN 1ml 31G Retail 100 ct. 328418 08290328418 RBU5SN 1/2ml 31G Retail 100 ct. 328468 08290328468 RBU3SN 3/10ml 31G Retail 100 ct. 328438 08290328438 RBU3SN1/2* 3/10ml 31G Retail 100 ct. 328440 08290328440 Syringes & Pen Needles BD Ultra-Fine™ Short Insulin Syringes BD Ultra-Fine™ Short Needle Syringe is a 31G x 8mm (5/16”) syringe needle. BD Ultra-Fine™ insulin syringes are available in three barrel sizes (1ml, 1/2ml and 3/10ml). * 1/2 Unit Markings BD Ultra-Fine™ Insulin Syringes BD Ultra-Fine™ Needle is a 30G x 12.7mm (1/2”) syringe needle. BD Ultra-Fine™ insulin syringes are available in three barrel sizes (1ml, 1/2ml, and 3/10ml). GEMCO Item # Barrel Size Needle Gauge Packaging Unit of Measure Mfg. Product Code NDC Number RBU1W 1ml 30G Retail 100 ct. 328411 08290328411 RBU5W 1/2ml 30G Retail 100 ct. 328466 08290328466 RBU3W 3/10ml 30G Retail 100 ct. 328431 08290328431 BD Ultra-Fine™ Pen Needles BD™ Ultra-Fine™ Pen Needles are available in four sizes: 4mm, 5mm, 8mm and 12.7mm. GEMCO Item # Needle Size Needle Gauge Packaging Unit of Measure Mfg. Product Code NDC Number RBD32N 4mm 32G Retail 100 ct. 320122 08290320122 RBD3MN 5mm 31G Retail 100 ct. 320119 08290320119 RBD3SN 8mm 31G Retail 100 ct. 320109 08290320109 12.7mm 29G Retail 100 ct. 328203 08290328203 RBDN www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 43 90 ct. Syringe and Pen Needle DME/HME/Mail Rx Program Benefits of BD 90 ct. Program BD Authorized Program ensures product integrity. Providers are authorized to bill all Medical Benefit and Mail Rx Benefit Insurance Programs. Lower acquisition cost for increased profits. Program administered by GEMCO Medical. How to Qualify Dealer is required to sign a BD Joinder Agreement which outlines the terms and conditions of the BD 90 ct. Diabetes Program. Dealer will purchase special label “Mail Order” product from GEMCO Medical. Syringes & Pen Needles Participation Requirements Dealer must bill products on patient’s behalf as a Medical or Mail Rx Insurance Claim. Dealer cannot use products for retail sale to cash paying customers. Dealer will actively promote BD Syringe and Pen Needle products to their customer base. Less Cost per Unit than Retail!! Syringes GEMCO Item # Barrel Size Needle Size Needle Gauge Packaging Unit of Measure Mfg. Product Code NDC Number RBDU61M 1ml 6mm 31G Mail Order 90 ct. 324908 08290324908 RBDU65M 1/2ml 6mm 31G Mail Order 90 ct. 324907 08290324907 RBDU63M 3/10ml 6mm 31G Mail Order 90 ct. 324906 08290342906 RBDU631/2M* 3/10ml 6mm 31G Mail Order 90 ct. 324910 08290324910 1ml 8mm 31G Mail Order 90 ct. 328289 08290328289 RBU5SNM 1/2ml 8mm 31G Mail Order 90 ct. 328290 08290328290 RBU3SNM 3/10ml 8mm 31G Mail Order 90 ct. 328291 08290328291 RBU3SN1/2M* 3/10ml 8mm 31G Mail Order 100 ct. 328440 08290328440 RBU1WM 1ml 12.7mm 30G Mail Order 90 ct. 328278 08290328278 RBU5WM 1/2ml 12.7mm 30G Mail Order 90 ct. 328279 08290328279 RBU3WM 3/10ml 12.7mm 30G Mail Order 90 ct. 328280 08290328280 RBU1SNM Pen Needles GEMCO Item # Needle Size Needle Gauge Packaging Unit of Measure Mfg. Product Code NDC Number RBD883M 4mm 32G Mail Order 90 ct. 320883 08290320883 RBD882M 5mm 31G Mail Order 90 ct. 320882 08290320882 RBD881M 8mm 31G Mail Order 90 ct. 320881 08290320881 RBD880M 12.7mm 29G Mail Order 90 ct. 320880 08290320880 * 1/2 Unit Markings Items listed in red denote Mail Order Products. 44 39 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Miscellaneous Products BD Alcohol Swabs Thicker and softer than most other swabs. These alcohol swabs ensure reliable site preparation for safe, hygienic insulin injections. GEMCO Item # Packaging Unit of Measure Mfg. Product Code NDC Number GBDA GBDAM Retail 100 ct. 326895 08290326895 Mail Order 100 ct. 326895 08290326895 BD Sharps Disposal BD Home Sharps Container - 1.4 qt puncture resistant container with a snap-lock for safe disposal of used insulin syringes, pen needles and lancets. Holds 70-100 insulin syringes and up to 300 pen needles. BD Safe-Clip™ - Needle clipping and storage device holds up to 1,500 clipped needles. GEMCO Item # Description Packaging Unit of Measure Mfg Product Code NDC Number GBDH Home Sharps Container Retail 1.4 qt 323487 08290323487 GBDHM Home Sharps Container Mail Order 1.4 qt 323487 08290323487 GBDS BD Safe-Clip™ Needle Clipping & Storage Device Retail Bx 328235 08290328235 GBDSS BD-Safe-Clip™ by Mail Retail Bx 328335 08290328335 Syringes & Pen Needles BD Safe-Clip™ by Mail - BD Safe-Clip™ device with a convenient postage-paid mailing box for proper disposal of the device. BD Magni-Guide™ Device The BD Magni-Guide™ Device works as both an insulin syringe scale magnifier and a needle guide. The device not only helps you hold the syringe and the vial together, but also magnifies the syringe 1.7 times for easier reading. GEMCO Item # Description Packaging GBDM BD Magni-Guide™ Device Retail Unit of Measure Mfg. Product Code NDC Number Bx 328233 08290328233 BD Lancets Sterile single use lancets are ultra-thin for greater comfort. GEMCO Item # Needle Gauge Packaging Unit of Measure Mfg. Product Code NDC Number LBD1 33G Retail 100/Bx 322057 08290322057 LBD1M 33G Mail Order 100/Bx 322065 08290322065 LBU1 30G Retail 100/Bx 325773 08290325773 LBU1M 30G Mail Order 100/Bx 325773 08290325773 LBU2 30G Retail 200/Bx 325772 08290325772 LBU2M 30G Mail Order 200/Bx 325772 08290325772 Items listed in red denote Mail Order Products. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 45 Monoject™ Soft Pack Insulin Syringes ULTRA-COMFORT™, anti-coring needle. Produces a consistently sharp needle for more comfortable injections. ACCU-TIP™ flat plunger tip. Very accurate insulin dosage resulting in fewer errors. ACCU-SCALE™ graduations. Improves measurements on insulin draws. Syringes & Pen Needles Improved Silicon Needle Lubricant. Providing virtually pain-free injections. GEMCO Item # Product Description Packaging Unit of Measure Sold By Mfg. Product Code NDC Number R318881601600 Monoject™ Syringes, 30G, 1cc, 5/16” Retail 100/Bx Bx 8881601600 08881601600 R318881600700 Monoject™ Syringes, 30G, 1/2cc, 5/16” Retail 100/Bx Bx 8881600700 08881600700 R318881600800 Monoject™ Syringes, 30G, 3/10cc, 5/16” Retail 100/Bx Bx 8881600800 08881600800 R318881601358 Monoject™ Syringes, 29G, 1cc, 1/2” Retail 100/Bx Bx 8881601358 08881601358 R318881600350 Monoject™ Syringes, 29G, 1/2cc, 1/2” Retail 100/Bx Bx 8881600350 08881600350 R318881600145 Monoject™ Syringes, 29G, 3/10cc, 1/2” Retail 100/Bx Bx 8881600145 08881600145 Monoject™ Safety Syringes True Transport Position eliminates the need to recap the needle. Secure Safety Shield covers the needle completely during transport and after usage. Low dead space and the ACCU-TIP™ flat plunger tip minimizes medication waste for the clinician. Permanent Locking Position prohibits user from deactivating safety position. 46 41 GEMCO Item # Product Description Packaging Unit of Measure Sold By Mfg. Product Code NDC Number R318881511310 R318881511336 Monoject™ Safety Syringes, 30G, 1cc, 5/16” Retail 100/Bx Bx 8881511310 08881511310 Monoject™ Safety Syringes, 30G, 1/2cc, 5/16” Retail 100/Bx Bx 8881511336 08881511336 R318881511344 Monoject™ Safety Syringes, 30G, 3/10cc, 5/16” Retail 100/Bx Bx 8881511344 08881511344 R318881511110 Monoject™ Safety Syringes, 29G, 1cc, 1/2” Retail 100/Bx Bx 8881511110 08881511110 R318881511136 Monoject™ Safety Syringes, 29G, 1/2cc, 1/2” Retail 100/Bx Bx 8881511136 08881511136 R318881511144 Monoject™ Safety Syringes, 29G, 3/10cc, 1/2” Retail 100/Bx Bx 8881511144 08881511144 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Easy Touch™ Insulin Syringes • Triple bevel needle - creates a sharper point for a more comfortable injection. • Electropolished to remove burrs and surface imperfections. Gauge Size Syringe Gauge Needle Length Packaging Unit of Measure Mfg. Product Code NDC Number 28G 1cc 1/2” Retail 100/Bx 828155 08496281501 R828555 28G 0.5cc 1/2” Retail 100/Bx 828555 08496285501 R829155 29G 1cc 1/2” Retail 100/Bx 829155 08496291501 GEMCO Item # R828155 R829555 29g 0.5cc 1/2” Retail 100/Bx 829555 08496295501 R830165 30G 1cc 5/16” Retail 100/Bx 830165 08496301601 R830565 30G 0.5cc 5/16” Retail 100/Bx 830565 08496305601 R830365 30G 0.3cc 5/16” Retail 100/Bx 830365 08496303601 R831165 31G 1cc 5/16” Retail 100/Bx 831165 08496311601 R831565 31G 0.5cc 5/16” Retail 100/Bx 831565 08496315601 R831365 31G 0.3cc 5/16” Retail 100/Bx 831365 08496313601 Easy Touch™ Pen Needles Compatible with most types of pen delivery devices including: • BD Pen • NOVOPen® Junior • InnoLet® • Humalog® Pen • Flexpen® • InDuo® • Innovo® • Humulin® Pen • NOVOPen® 3ml GEMCO Item # Product Description Packaging Unit of Measure Sold By Mfg. Product Code R829021 NDC Number Easy Touch™ Pen Needles, 29 Gauge, 1/2” (12mm), 100 ct. Retail 100/Bx Bx 829021 08496290201 R831041 Easy Touch™ Pen Needles, 31 Gauge, 1/4” (6mm), 100 ct. Retail 100/Bx Bx 831041 08496310401 R831061 Easy Touch™ Pen Needles, 31 Gauge, 5/16” (8mm), 100 ct. Retail 100/Bx Bx 831061 08496310601 R831361 Easy Touch™ Pen Needles, 31 Gauge, 3/16” (4.8mm), 100 ct. Retail 100/Bx Bx 831361 08496310101 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Syringes & Pen Needles • Lubricant surface coating allows for a smooth, more comfortable injection. 47 Syringes & Pen Needles UltiCare™ Insulin Syringes Syringes & Pen Needles • Quality and cost savings • Wide finger grip • Latex free GEMCO Item # Product Description UltiCare™ Insulin Syringes, 28 Gauge, 1.0cc, 1/2” NDL Packaging Unit of Measure Sold By Mfg. Product Code Retail 10 Packs of 10 Bx 8218 Retail 10 Packs of 10 Bx 9239 RUM95 UltiCare™ Insulin Syringes, 29 Gauge, 0.3cc, 1/2” NDL UltiCare™ Insulin Syringes, 29 Gauge, 0.5cc, 1/2” NDL Retail 10 Packs of 10 Bx 9259 RUM91 UltiCare™ Insulin Syringes, 29 Gauge, 1.0cc, 1/2” NDL Retail 10 Packs of 10 Bx 9219 RUM035 UltiCare™ Insulin Syringes, 30 Gauge, 0.3cc, 1/2” NDL Retail 10 Packs of 10 Bx 9335 RUM055 UltiCare™ Insulin Syringes, 30 Gauge, 0.5cc, 1/2” NDL Retail 10 Packs of 10 Bx 9355 RUM015 Retail 10 Packs of 10 Bx 9315 RUM03 UltiCare™ Insulin Syringes, 30 Gauge, 1.0cc, 1/2” NDL UltiCare™ Ulti-Thin Short Needle Insulin Syringes, 30 Gauge, 0.3cc, 5/16” NDL Retail 10 Packs of 10 Bx 9339 RUM05 UltiCare™ Ulti-Thin Short Needle Insulin Syringes, 30 Gauge, 0.5cc, 5/16” NDL Retail 10 Packs of 10 Bx 9359 RUM01 UltiCare™ Ulti-Thin Short Needle Insulin Syringes, 30 Gauge, 1.0cc, 5/16” NDL UltiCare™ Short Needle Insulin Syringes, 31 Gauge, 0.3cc, 5/16” NDL Retail 10 Packs of 10 Bx 9319 Retail 10 Packs of 10 Bx 9439 UltiCare™ Short Needle Insulin Syringes, 31 Gauge, 0.5cc, 5/16” NDL UltiCare™ Short Needle Insulin Syringes, 31 Gauge, 1.0cc, 5/16” NDL Retail 10 Packs of 10 Bx 9459 Retail 10 Packs of 10 Bx 9419 RUM81 RUM93 RUM13 RUM15 RUM11 UltiCare™ Insulin Safety Syringes Providing a premium quality, low cost alternative that protects patients and health care professionals. Bold markings are easily read through the safety shield. Preparation - Draw up and administer medication following established protocol. Post Injection - After injection, extend safety shield forward until a click is heard. Lock - After safety shield is fully extended simply twist it in either direction until you hear a click. The needle is now fully protected. GEMCO Item # 48 43 RUCS0129 Product Description UltiCare™ Safety Insulin Syringe, 1cc, 29g x 1/2”, 100 ct. RUCS1229 UltiCare™ Safety Insulin Syringe, 1/2cc, 29g x 1/2”, 100 ct. www.gemcomedical.com Phone: 800-733-7976 Packaging Unit of Measure Sold By Mfg. Product Code Retail 100/Bx Bx 03219 Retail 100/Bx Bx 03259 Fax: 330-342-9444 UltiCare™ Disposable Pen Needles UltiCare™ pen needles offer the same important benefits as the leading brands, including comfortable needles and convenient boxes of 100. GEMCO Item # RUC831 RUC631 Packaging Unit of Measure Sold By Mfg. Product Code Retail 100/Bx Bx 09512 RUC1229 Product Description UltiCare™ Disposable Pen Needles, 12mm (1/2”), 29 Gauge, 100 ct. RUC631 UltiCare™ Disposable Pen Needles, 6mm (1/4”), 31 Gauge, 100 ct. Retail 100/Bx Bx 09563 RUC831 UltiCare™ Disposable Pen Needles, 8mm (5/16”), 31 Gauge, 100 ct. Retail 100/Bx Bx 09583 UltiGuard™ All-In-One Dispense & Dispose Solution UltiGuard™ is the complete home syringe dispenser system. The patented, tamper proof container provides security & safety. UltiGuard™ is ready-to-use. Premium UltiCare™ syringes are shipped and stored within the container until needed. With one easy movement, the syringes are discarded into the top of the UltiGuard™ container, virtually eliminating accidental needle sticks. GEMCO Item # RUG91 RUG93 RUG95 RUG01 RUG03 RUG05 RUG11 RUG13 RUG15 Product Description UltiGuard™ U-100, 1cc, 29 Gauge x 1/2” Needle, 100 ct. Packaging Unit of Measure Sold By Mfg. Product Code Retail 10 x 10 Packages Bx 07219 UltiGuard™ U-100, 3/10cc, 29 Gauge x 1/2” Needle, 100 ct. UltiGuard™ U-100, 1/2cc, 29 Gauge x 1/2” Needle, 100 ct. Retail 10 x 10 Packages Bx 07239 Retail 10 x 10 Packages Bx 07259 UltiGuard™ U-100, 1cc, 30 Gauge x 5/16” Short Needle, 100 ct. UltiGuard™ U-100, 3/10cc, 30 Gauge x 5/16” Short Needle, 100 ct. Retail 10 x 10 Packages Bx 07319 Retail 10 x 10 Packages Bx 07339 UltiGuard™ U-100, 1/2cc, 30 Gauge x 5/16” Short Needle, 100 ct. UltiGuard™ U-100, 1cc, 31 Gauge x 5/16” Short Needle, 100 ct. Retail 10 x 10 Packages Bx 07359 Retail 10 x 10 Packages Bx 07419 UltiGuard™ U-100, 3/10cc, 31 Gauge x 5/16” Short Needle, 100 ct. Ultiguard™ U-100, 1/2cc, 31 Gauge x 5/16” Short Needle, 100 ct. Retail 10 x 10 Packages Bx 07439 Retail 10 x 10 Packages Bx 07459 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Syringes & Pen Needles RUC1229 49 Ancillary Products GlucoPro™ Sterile Lancets are manufactured by NIPRO, the world’s leading needle manufacturer. When comfort matters, testers reach for Glucopro Sterile Lancets. Product Specifications • Extra Thin - Minimizes tissue damage and significantly reduces pain. • Effective - Easily promotes adequate sample size. • Safe - Manufactured to the highest quality standards. • Compatible - Fits all the popular universal lancing devices. Ancillary Products 28, 30 & 33 Gauge Lancets GEMCO Item # LGP1 LGP130 LGP133 Description GlucoPro™ Lancets, 28 Gauge, 100 ct. GlucoPro™ Lancets, 30 Gauge, 100 ct. GlucoPro™ Lancets, 33 Gauge, 100 ct. Unit of Measure Sold By Mfg. Product Code NDC Number 50 Bxs/cs Bx 480009 41405280001 50 Bxs/cs Bx 480015 41405300001 50 Bxs/cs Bx LA33G 41405330001 Lancets GEMCO Item # Product Description Unit of Measure Sold By Mfg. Product Code NDC Number LSS1 SMS Safety Seal Lancets, 28 Gauge, 100 ct. 50 Bxs/cs Bx 1000-28 38415010028 LSS130 SMS Safety Seal Lancets, 30 Gauge, 100 ct. 50 Bxs/cs Bx 0100-30 38415010030 LET1 SMS Easy Twist Lancets, 28 Gauge, 100 ct. 50 Bxs/cs Bx 4000-28 38415040028 Lancing Devices 50 45 GEMCO Item # Product Description LDSM SMS Adjustable Lancing Device Unit of Measure Sold By Mfg. Product Code NDC Number Ea Ea 0510-01 38415051001 38415051002 LDSMC SMS AST Lancing Device with Clear Cap Ea Ea 0510-02 LDSCC SMS Clear Cap Only Ea Ea 51001-AC www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 SteriLance™ Soft Twist Top Lancets Ultra thin design with easy twist and pull cap. Ultra fine tri-bevel tip for virtually painless sampling. Consistent depth penetration and sterilized by gamma irradiation. Universal design fits most manufacturers’ lancing devices. GEMCO Item # Description Unit of Measure Sold By Mfg. Product Code NDC Number LSL30 SteriLance™ Twist Top Lancets, 30G, 100 ct. 50 Bxs/Cs Bx 01-0130 08565016915 LSL32 SteriLance™ Twist Top Lancets, 32G, 100 ct. 50 Bxs/Cs Bx 01-0132 08565017915 LSL33 SteriLance™ Twist Top Lancets, 33G, 100 ct. 50 Bxs/Cs Bx 01-0133 08565018915 SteriLance™ Clix Pull Top Lancets GEMCO Item # Description Unit of Measure Sold By Mfg. Product Code NDC Number LSLPT30 SteriLance™ Clix Pull Top Lancets, 30G, 100 ct. 50 Bxs/Cs Bx 01-0430D 08565256915 LSLPT33 SteriLance™ Clix Pull Top Lancets, 33G, 100 ct. 50 Bxs/Cs Bx 01-0433D 08565258915 SteriLance™ Adjustable Lancing Device Auto-ejection feature eliminates possibility of touching an exposed, sharp lancet. Comes with clear cap for alternate site testing. GEMCO Item # Description LDSL SteriLance™ Adjustable Lancing Device with Clear Cap Unit of Measure Sold By Mfg. Product Code NDC Number 100/Cs Ea 02-1002 08565180011 SteriLance™ Press - Pressure Activated Safety Lancets Needle is fully shielded before and after use, cannot be reused. Convenient pre-loaded pressure activated design, making testing easy and efficient. GEMCO Item # Unit of Measure Description Sold By Mfg. Product Code NDC Number LSLSP28 SteriLance™ Pressure Activated Safety Lancets, 28G, 100 ct. 50 Bxs/Cs Bx 05-052818 08565045415 LSLSP26 SteriLance™ Pressure Activated Safety Lancets, 26G, 100 ct. 50 Bxs/Cs Bx 05-052618 08565044414 LSLSP21 SteriLance™ Pressure Activated Safety Lancets, 21G, 2.2mm, 100 ct. 10 Bxs/Cs Bx 05-052122 08565042515 LSLSP21L SteriLance™ Pressure Activated Safety Lancets, 21G, 2.8mm, 100 ct. 10 Bxs/Cs Bx 05-052128 08565042715 Syringes & Pen Needles Universal design fits most manufacturers’ lancing devices. SteriLance™ Lite 2 - Button Activated Safety Lancets Needle is fully shielded before and after use, cannot be reused. Easy to use button operated design. GEMCO Item # Description Unit of Measure Sold By Mfg. Product Code NDC Number LSLSB28 SteriLance™ Button Activated Safety Lancets, 28G, 100 ct. 50 Bxs/Cs Bx 01-132818 08565035415 LSLSB26 SteriLance™ Button Activated Safety Lancets, 26G, 100 ct. 50 Bxs/Cs Bx 01-132618 08565134415 SteriLance™ Flex - Adjustable Depth Safety Lancets Adjustable design provides three different penetration depths from a single unit. Easy to use pre-loaded and pressure activated device. Pressure activation ensures a consistent blood flow with every use. GEMCO Item # Description Unit of Measure Sold By Mfg. Product Code NDC Number LSLSA26 SteriLance™ Adjustable Depth Safety Lancets, 26G, 100 ct. 10 Bxs/Cs Bx 01-142600 08565054014 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 51 Ancillary Products Alcohol Swabs 52 GEMCO Item # Description Packaging Unit of Measure Sold By Mfg. Product Code GGM1 GemCare™ Alcohol Swabs Retail 100/Bx Ea 10-0301 GSMS1 Specialty Medical Alcohol Swabs Retail 100/Bx Ea 10-0301 Glucose Supplements GEMCO Item # Description Packaging Unit of Measure Sold By DDBB DDG1 DDO1 Dex-4 Orange 10 Tablet Flavor Tube DDR1 Dex-4 Raspberry 10 Tablet Flavor Tube DDW1 Dex-4 Watermelon 10 Tablet Flavor Tube Retail DDTB Dex-4 Tropical Blast 10 Tablet Flavor Tube Retail DDG5 Dex-4 Grape 50 Tablet Flavor Bottle Retail DDO5 Dex-4 Orange 50 Tablet Flavor Bottle Retail DDR5 Dex-4 Raspberry 50 Tablet Flavor Bottle Retail DDW5 Dex-4 Watermelon 50 Tablet Flavor Bottle DDAF5 DDTFG DDGG Dex-4 Liquid Blast Mixed Berry Bottle Retail 120 Bottles/Cs Bottle 006720 Dex-4 Grape 10 Tablet Flavor Tube Retail 36 Tubes/Cs Tube 006318X Retail 36 Tubes/Cs Tube 006312X Retail 36 Tubes/Cs Tube 006316XV 36 Tubes/Cs Tube 006315XV 36 Tubes/Cs Tube 006367XV 12 Bottles/Cs Bottle 006358 12 Bottles/Cs Bottle 006352 12 Bottles/Cs Bottle 006356 Retail 12 Bottles/Cs Bottle 006355 Dex-4 Assorted Fruit 50 Tablet Flavor Bottle Retail 12 Bottles/Cs Bottle 006370 Dex-4 6 Tube Glucose Gel Tropical Fruit Flavor Retail 36 Tubes/Cs Tube 006637 Dex-4 6 Tube Glucose Gel Tropical Blast Flavor Retail 36 Tubes/Cs Tube 00667X www.gemcomedical.com Phone: 800-733-7976 Mfg. Product Code Fax: 330-342-9444 Acrylic Buttonhook, Retail Easy to clean clear acrylic handle, 3/4” diameter. For one-handed buttoning. Limited Six Month Warranty. Item # Description 15RTL2025D 1/cs Pocket Magnifier Provides 4.5 x magnification. Lens can be stored in pouch and is easy to hold. Item # Description 15RTL1113D 1/cs Hand Held Reachers Stocking aid holds the sock open and allows the user to easily pull the sock or stocking up with minimal effort. Curved cut outs on the sides hold the sock while it is being pulled up the leg. Item # Description 15RTL2010D 1/cs Transfer Board, Wood with Cut Out Handles Made of sturdy Baltic birch with a clear lacquer finish. Ends tapered, corners rounded. Weight capacity: 250 lbs. Lightweight aluminum frame with only 7 ounces of pressure required at trigger to close jaws. Folding model folds flat for convenient storage. Item # Description 15RTL5020D 26.5” Long, 1/cs 15RTL5021D 32” Long, 1/cs 15RTL5022D 26.5” Folding, 1/cs Elastic Shoe Laces Elastic laces that stay tied and in place, which allow you to easily slip your shoe on and off. Laces are 27” long. Item # Description Item # Description 15RTL2050D Black, 2 pr/pk 15RTL6044D 24” x 8”, 1/cs 15RTL2051D Brown, 2 pr/pk 15RTL6045D 30” x 8”, 1/cs 15RTL2052D White, 2 pr/pk Transfer Disc Top and bottom surfaces are non-slip for safety while rotating the person so they are able to transfer with minimal physical effort. Eating Utensils Perfect for anyone with arthritis or some limited hand grasp, yet attractive enough for family use. Dishwasher safe. Item # Description Item # Description 15RTL6047D 12”, 1/cs 15RTL1410D Fork with Large Grip, 1/cs 15”, 1/cs 15RTL1411D Spoon with Large Grip, 1/cs 15RTL1413D Knife with Large Grip, 1/cs 15RTL6048D Folding Exercise Peddler with Electronic Display Five function display indicates exercise time, revolution count, revolutions per minute (rpm’s) and calories burned. Ideal for leg and arm muscle exercising. Four anti-slip rubber pads prevent sliding and protect surfaces. Resistance easily adjusted with tension screw. Limited Lifetime Warranty. Item # Description 15RTL10273D www.gemcomedical.com Retail, 1/cs Phone: 800-733-7976 Aids to Daily Living Molded Stocking Aid, Retail Advocate® Moist & Dry Heating Pad Absorbent anti-microbial sponge for penetrating deep heat relief. Automatically shuts off after 40 minutes. Extra long cord, measures 9 feet. Machine washable cover. Four heat settings: high, medium, low, and warm. Item # Description G315 King Size Heating Pad, 12” x 24”, 1/ea G327 Classic Size Heating Pad, 12” x 15”, 1/ea Fax: 330-342-9444 53 2-in-1 Curved Grab Bar, 16” Plastic Transfer Bench, Knock Down Comes complete with non-slip rubber grips, polished chrome finish, and mounting hardware included. Height adjusts in ½” increments with “Dual Column” extension legs. Tool-free assembly requires connecting back, legs and arm. No exposed hardware. Limited Lifetime Warranty. Item # Description 1512011KDD Knock Down, 2/cs Item # Description 4230186 1/cs 15RTL12011KDRD Knock Down, 1/cs Handheld Shower Spray Comes with diverter valve that allows either the regular shower head to operate or be used as a hand held shower spray. Built in on/off switch, wall holder and 80” white reinforced nylon hose come standard. Limited Lifetime Warranty. Bariatric Aluminum Transfer Bench, Knock Down Bath Safety Height adjusts in ½” increments with “Dual Column” extension legs. Durable blowmolded plastic bench and backrest. Extra large, locking suction cups come standard. Limited Lifetime Warranty. Item # Item # Description 1512037D White, Retail, 1/bx Description 1512025KD-1D Tool-Free Assembly, 1/cs 1512025KD-2D Tool-Free Assembly, 2/cs Handheld Shower Massager, 3 Massaging Options Chrome shower arm mount and 84” chrome/ mylar reinforced tangle free hose. Can be used as hand held shower spray or used in handle mount as traditional showerhead. Limited Lifetime Warranty. Transfer Bench, Bariatric, Assembled Aluminum frame is lightweight, sturdy, and corrosion resistant. Extra middle legs for added strength. Limited Lifetime Warranty. Description 1512009D Fully Assembled, 2/cs Description 15RTL12045D Chrome, Retail, 1/bx Width (Outside Legs) Width Seat Depth (Outside Legs) Depth Seat Seat Height (Highest) Seat Height (Lowest) Product Weight Carton Shipping Weight Weight Limit 1512011KDD 33” 26” 24” 18.5”-19.5” 22.25” 18” 21 lbs 46 lbs 400 lbs 15RTL12011KDRD 33” 26” 24” 18.5”-19.5” 22.25” 18” 11 lbs 12 lbs 400 lbs 1512025KD-1D 33” 26.5” 25” 16.5” 23.25” 18.25” 12 lbs 13.8 lbs 500 lbs 1512025KD-2D 33” 26.5” 25” 16.5” 23.25” 18.25” 12 lbs 27 lbs 500 lbs 1512009D 32” 27” 22.25” 16” 21” 16” 14 lbs 32 lbs 600 lbs GEMCO Item # 54 Item # Item # www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Aluminum Bath Bench, Knock Down Bath Stool with Padded Rotating Seat Drainage holes in seat reduces slipping. Height adjustable, angled legs with suction style tips provide additional stability. Limited Lifetime Warranty. Item # Description The rotating padded seat reduces twisting and reaching while in the shower. The rotating top of the seat can be removed for easy cleaning. Comes with removable tray for storing personal items. Seat height can be adjusted from 16” to 23”. 15RTL12202KDRD With Tool Free Removable Back, Retail, 1/cs 1512202KDD 1512202KDD Item # Description 15RTL12061D 4 Retail Boxes/cs With Tool Free Removable Back, 4/cs 15RTL12203KDRD Without Back, Tool Free Assembly, Retail, 1/cs 1512203KD-4D Without Back, Tool Free Assembly, 4/cs Knock Down Bath Stool Bariatric Bath Bench Cross brace attached with aircraft type rivets. Drainage holes in seat reduce slipping. Limited Lifetime Warranty. 1512021D Item # Description 1512021D With Back, Assembled, 4/cs 1512021KD-1D With Back, Knock Down, 1/cs 1512022-4D Without Back, Assembled, 4/cs 1512022KD-1D Without Back, Knock Down, 1/cs 1512445D With Back, 2/cs 1512440D Without Back, 2/cs 15RTL12004KDD Knock Down, White, Retail, 1/cs Knurled grab bar diameter provides a no-slip grip. Mounts vertically or horizontally. 1 1/2” distance from wall. Limited Lifetime Warranty. Removable padded armrests provide comfort and added security. Drainage holes in seat reduce slipping and aluminum frame is lightweight, durable and corrosion proof. Tool free assembly. Limited Lifetime Warranty. Description Description Chrome, Knurled Grab Bar Bath Bench with Removable Padded Arms Item # Item # Item # Description 1512112-3D 12” Retail, 3/bx 1512116-3D 16” Retail, 3/bx 1512118-3D 18” Retail, 3/bx 1512124-3D 24” Retail, 3/bx 1512132-3D 32” Retail, 3/bx Bath Safety Aluminum frame is lightweight, durable and corrosion proof. Height adjustable legs are crackproof and tarnish resistant. Support collar reduces rattle. Limited Lifetime Warranty. 1512445D Width (Outside Legs) Width Depth (Outside Legs) Depth Seat Seat Height (Highest) Seat Height (Lowest) Product Weight Carton Shipping Weight Weight Limit 1512021D 18” 20” 17.5” 12” 19.5” 14” 7.5 lbs 32.5 lbs 500 lbs 1512021KD-1D 18” 20” 17.5” 12” 19.5” 14” 7.5 lbs 8.5 lbs 500 lbs 1512022-4D 18” 20” 17.5” 12” 19.5” 14” 6 lbs 27 lbs 500 lbs 1512022KD-1D 18” 20” 17.5” 12” 19.5” 14” 6.0 lbs 8.0 lbs 500 lbs 15RTL12202KDRD 17” 20” 17” 14.5” 19.75” 15.75” 6.5 lbs 8.5 lbs 400 lbs 1512202KDD 17” 20” 17” 14.5” 19.75” 15.75” 6.5 lbs 29 lbs 400 lbs 1512203KD-4D 17” 20” 17” 12” 19.75” 15.75” 4.5 lbs 21 lbs 400 lbs 15RTL12203KDRD 17” 20” 17” 12” 19.75” 15.75” 5 lbs 7 lbs 400 lbs 1512445D 16” 16” 17.3” 14”, 15”, 16.5” 20” 16” 8 lbs 21 lbs 300 lbs 1512440D 16” 16” 17.3” 14” 20” 16” 7 lbs 17.2 lbs 300 lbs 15RTL12061D 15” 14” 15” 14” 23” 16” 7.5 lbs 33 lbs 450 lbs 13.5” 13” 13.5” 13” 17” 13.5” 3.5 lbs 5.5 lbs 300 lbs GEMCO Item # 15RTL12004KDD www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 55 Elevated Toilet Seat, Locking Clamp on Tub Rail Available with or without arms. Improved locking device engineered with a larger, heavy-duty “worm screw” and locking plate. Full length removable arms with 18” width between front of arms on 15RTL12027RAD. Limited Lifetime Warranty. 15RTL12026D Tool free installation. 14”-17” Height adjustment and 3”-7” width adjustment. Stainless steel locking mechanism and nonwearing rubber pads provide scratch proof security. Fits most tubs (not for use with fiberglass tubs). Limited Lifetime Warranty. Item # Description Item # 15RTL12026D Without Arms, Retail, 1/cs 15RTL12036ADJD White, Retail, Adjustable Height, 1/bx 15RTL12027RAD With Removable Arms, Retail, 1/cs Elevated Toilet Seat, 2 in 1, Knock Down 2-in-1 Grab Bar and Toilet Paper Holder Tool-free arms can be removed or added as needed. 18” width between arms. Easily attaches to toilet bowl and fits most toilets. Limited Lifetime Warranty. Item # Description 1512008KDRD Knock Down, Retail, 1/cs Design ensures safer mobility in key “fall risk” zones of the bathroom (elevating and descending from seated position). Easy access to paper roll. Comes complete with non-slip rubber grips, polished chrome finish and mounting hardware. Bath Safety Toilet Safety Frame Description 4230182 1/cs 1512001D Assembled, Width Between Arms 18.5” - 22.75”, 4/cs 15RTL12000D Knock Down, Width Between Arms 19” - 23.5”, 4 Retail bxs/cs Sleek curved design to blend in with your existing fixtures. Mounts around the Hot/ Cold shower valve plate to hold onto while standing under the shower or around the tub spout to assist all ages when rising from and descending to seated position in the tub. Comes complete with non-slip rubber grips, polished chrome finish, and mounting hardware. Seat Rizer, With Removable Arms Item # Description 4230180 1/cs 2-in-1 Grab Towel Bar Allows person to hold on while storing or retrieving their towel on the integrated towel bar. Comes complete with non-slip rubber grips, polished chrome finish, and mounting hardware. Allows individual to use their existing toilet seat and lid. Tool free removable arms offers flexibility to the user. Easily attaches to toilet bowl. Color: White. Limited Lifetime Warranty. Item # Description Item # Description 1512402D Standard Toilets, 1/cs 4230184 1/cs GEMCO Item # 15RTL12026D 15RTL12027RAD 1512008KDRD 1512402D 56 Item # 2-in-1 Tub or Shower Grab Ring Arms are height and width adjustable. Powder coated aluminum bracket easily attaches frame to toilet. Limited Lifetime Warranty. Item # Description 19” Width Between Arms Description www.gemcomedical.com Width (Seat) Depth (Seat) Seat Height Product Weight Carton Shipping Weight Weight Limit 17” 16.5” 5” 4.5 lbs 6 lbs 300 lbs 17” 16.5” 5” 5 lbs 8.5 lbs 300 lbs 15.5” 16” 5” 4.5 lbs 6.5 lbs 300 lbs 14” 17” 3.5” 3.5 lbs 4.5 lbs 300 lbs Phone: 800-733-7976 Fax: 330-342-9444 Delta™ Ultra Light 1000, Full Electric Bed Delta™ Ultra Light 1000, Semi-Electric Bed Item # 1515030D Once installed, the high/low shaft will stay with the bed. The transition box allows you to change the rotation of the high-low shaft. The wood grain panels are break and scratch resistant. Labels and color-coded springs assure accurate installation of side rails for patient safety. The unique motor is completely selfcontained to reduce weight and noise. In the event of a power failure, a 9 volt battery, located in the motor, can lower the head and foot sections nine times. No crank needed. Warranty: (Original Purchaser) 5 years on motor and hand control, Limited Lifetime on welds and frame, 1 year on all other parts and components. Item # Description Description 1515033D Ultra Light Full Electric Bed, 1/cs, (Variation of bed packages available on page 58) Ultra Light Plus SemiElectric Bed, 1/cs (Variation of bed packages available on page 58) Mattresses Up To Inner Spring & Bariatric: Vinyl cover is waterproof, anti-bacterial, anti-static for easy use and care. Two screened brass side vents allow mattress to breathe. Warranty: 1 Year. Foam mattress: The polyester fiber construction provides maximum support and the highest flammability standards. Full Electric Bed, Bariatric All steel construction. Larger sleep surface than conventional bed. Split pan design with removable bed ends. No tools necessary for set up. Hand control (included) provides for multiple bed positioning. Emergency manual crank included. Warranty: (Original Purchaser) Lifetime on welds, 5 years on frame, 1 year on all other parts. Item # Description 1515006D 36” x 80” Inner Spring Mattress, 1/ea Item # Description 1515300D Bariatric Full Electric Bed, 42” Width, 600 lb Capacity, 1/cs 1515302D Bariatric Full Electric Bed, 48” Width, 750 lb Capacity, 1/cs 1515017D 36” x 80” Premium Foam Mattress, 1/ea 1515303D Bariatric Full Electric Bed, 54” Width, 1000 lb Capacity, 1/cs 1515310D 48” x 80” Weight Capacity 750 lbs, Foam Mattress, 1/cs (Variation of bed packages available on page 58) 1515014D 36” x 84” Inner Spring Mattress, 1/ea 1515007D 36” x 80” Foam Mattress, 1/ea 1515301D 42” x 80” Weight Capacity 600 lbs, Foam Mattress, 1/cs 1515312D 54” x 80” Weight Capacity 1000 lbs, Foam Mattress,1/cs GEMCO Item # Bed Height (Min) Bed Height (Max) Overall Length Overall Width Product Weight Carton Shipping Weight Weight Limit 1515033D 12.75” 24” 88” 36” 162 lbs 175 lbs 450 lbs 1515300D 18.25” 26.25” 88” 42” 276 lbs 313 lbs 600 lbs 1515302D 18.25” 26.25” 88” 48” 328 lbs 365 lbs 750 lbs 1515303D 18.25” 26.25” 88” 54” 338 lbs 370 lbs 1000 lbs 1515030D 12.75” 24” 88” 36” 155 lbs 170 lbs 450 lbs www.gemcomedical.com Beds Once installed, the high/low shaft will stay with the bed. The transition box allows you to change the rotation of the high-low shaft. The wood grain panels are break and scratch resistant. Labels and color-coded springs assure accurate installation of side rails for patient safety. Unique motor is completely selfcontained to reduce weight and noise. In the event of a power failure, a 9 volt battery, located in the motor, can lower the head and foot sections nine times. No crank needed. New and improved hand pendant has large, easy to use controls. Warranty (Original Purchaser) 5 years on motor and hand control, Limited Lifetime on welds and frame. 1 year on all other parts and components. Phone: 800-733-7976 Fax: 330-342-9444 57 Half Rail, No Gap Bed Rail, Home Style, Adjustable Length Constructed of 1” steel with brown vein finish. Not for use with “pan-style” bed surface. Prevents individuals from being lodged between bars. Easy to install. Limited Lifetime Warranty. Item # Description 1515201BVD 1 pr/cs Brown vein finish. Fits all home style beds. Easily adjusts up or down with spring loaded release. Crossbars adjusts between 36”-72”. Rail length can be adjusted without tools to 37”, 43” or 57” long. Crossbars come with extensions that will accommodate a king size bed. Limited Lifetime Warranty. Half Rails, “T” Style Constructed of 1” steel with brown vein finish. For use with “Pan Style” and Bariatric Beds (1515300, 1515302, & 1515303). For use with most manufacturers’ beds. Limited Lifetime Warranty. Item # Description 1515021BVD 1 pr/cs Beds 1515001ABVD 1515001G With 3 Bars, Chrome, 1 pr/cs 1515001ABVD With 4 Bars, Brown Vein, 1 pr/cs 1 pr/cs 1516500CBVD Cross Bars for 1516500BVD, 1 pr/cs (Replacements) Designed to keep mattress clean, protected from dust, incontinence, odors and stains. Made of water-proof, non-allergenic vinyl. Available in zippered and contoured designs. Telescopes with movement of bed. Spring loaded crossbars are easy to install and remove. Limited Lifetime Warranty. Description Description 1516500BVD Mattress Covers Full Rails, Telescoping Item # Item # Item # Description 1515010D Contoured, 80” x 36”, 36/cs 1515011D Zippered, 80” x 36”, 36/cs 1515034D Bariatric Zippered, 80” x 42”, 36/cs Bed Packages GEMCO Item # Style of Bed Mattress Type 1515030BV-PKGD Delta Semi-Electric, Ultra Light Full Inner Spring 1515030BV-PKG-2D Delta Semi-Electric, Ultra Light Full Foam 1515030BV-PKG1D Delta Semi-Electric, Ultra Light Half, Brown Vein Inner Spring Style of Bed Rail Type Mattress Type Delta Full Electric, Ultra Light Full Inner Spring GEMCO Item # 1515033BV-PKGD 1515033BV-PKG-2D Delta Full Electric, Ultra Light Full Foam 1515033BV-PKG1D Delta Full Electric, Ultra Light Half, Brown Vein Inner Spring Style of Bed Rail Type Mattress Type Full Electric, Bariatric 42” 1 Pr “T” Style, Brown Vein Bariatric GEMCO Item # 1515300BVPKGD GEMCO Item # 1515302BV-PKGD Style of Bed Rail Type Mattress Type Full Electric, Bariatric 48” 1 Pr “T” Style, Brown Vein Bariatric Style of Bed Rail Type Mattress Type Full Electric, Bariatric 54” 1 Pr “T” Style, Brown Vein Bariatric GEMCO Item # 1515303BV-PKGD 58 Rail Type www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Quad Canes Push Button Aluminum Crutches Four point base and offset vinyl grip handle provide additional stability. No assembly required and height adjustment ranges from 30”-39”. 300 lb weight capacity. Limited Lifetime Warranty. Push pin height adjustment makes it easy to adjust crutch in 1” increments. Double extruded center tube provides additional strength to weight bearing area. Non-skid, jumbo size vinyl contoured tips provide excellent traction. Limited Lifetime Warranty. Item # Description 1510300D Large Base, Chrome, 4/cs Item # Description 1510301D Small Base, Chrome, 4/cs 1510400D Adult, 8 pr/cs 1510308D Large Base, Black, 4/cs 1510401D Youth, 8 pr/cs 1510309D Large Base, Bronze, 4/cs 1510402D Tall Adult, 8 pr/cs 15RTL10310D Small Base, Black, 4/cs 1510311D Small Base Bronze, 4/cs Contoured underarm design and large, non-skid jumbo size vinyl contoured tips come standard. Push button height adjustment makes it easy to adjust crutch in 1” increments. Limited Lifetime Warranty. Offset Handle Aluminum Canes Handle height adjusts from 28 1/2” to 38 1/2”. Comes standard with a wrist strap and foam rubber grips. 300 lb weight capacity. Limited Lifetime Warranty. Item # Description Item # Description 1510303D Silver, 6/cs 1510406D Adult, 500 lb Weight Capacity,1 pr/cs 15RTL10306D Black, 6/cs 1510408D 15RTL10307D Bronze, 6/cs Tall Adult, 500 lb Weight Capacity, 1 pr/cs Round Handle Aluminum Canes Aluminum Folding Canes Attractive finish resists scratches. Easy-to-use, one-button height adjustment with locking ring to prevent rattling. Handle height adjusts from 30” - 39”. 300 lb weight capacity. Limited Lifetime Warranty. Cane folds into four convenient parts for easy storage. Handle height adjusts from 33” to 37”. 300 lb weight capacity. Limited Lifetime Warranty. Item # Description 15RTL10304D Black, 1/cs 15RTL10304BZD Bronze, 1/cs GEMCO Item # Item # Description 1510302D Round Handle, Vinyl Grip, 6/cs Height (Highest Setting) Height (Lowest Setting) Patient Height (Highest) Patient Height (Lowest) Weight Limit 1510400D 53” 45” 5’10” 5’2” 350 lbs 1510401D 46” 37” 5’2” 4’6” 350 lbs 1510402D 61” 53” 6’6” 5’10” 350 lbs 1510406D 55” 47” 5’10” 5’2” 500 lbs 1510408D 63” 55” 6’6” 5’10” 500 lbs www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Canes & Crutches Bariatric Steel Crutches 59 Knock Down Steel Drop-Arm Commode (Tool Free) All-In-One Welded Steel Commode Durable plastic snap-on seat and lid. Easy-torelease drop arm mechanism allows for safe lateral patient transfers to and from commode. Comes with 12 qt. commode bucket with carry handle and splash shield. Limited Lifetime Warranty. Durable plastic snap-on set with lid. Removable tool free back. Comes complete with a 12 qt. commode bucket with metal handle, cover and splash shield. Limited Lifetime Warranty. Item # Description 1511105ND Assembled, 4/cs Item # Description 1511125KD-1D Knock-Down Frame, 1/cs 1511125KD-2D Knock-Down Frame, 2/cs Folding Steel Commode Easily opens and folds flat for storage. Durable plastic snap-on seat with lid and plastic arms. Includes a 7.5 qt. commode bucket, cover and splash shield. Limited Lifetime Warranty. Item # Description 1511148ND Deeper Seat Depth, 4/cs 15RTL11148KDRD Retail Box, Standard Seat Depth, 1/cs Knock Down Steel Drop-Arm Commode with Padded Seat (Tool Free) Padded open front vinyl toilet seat. Easy-torelease drop arm mechanism allows for safe lateral patient transfers to and from commode. Padded armrests and back provide extra comfort and support. Comes with 12 qt. commode bucket with carry handle and splash shield. Limited Lifetime Warranty. Commodes Item # Description 1511125PSKD Knock-Down Frame, 1/cs Biodegradable Sanitary Bag Commode Pail Liner A single use medical device to be positioned over a commode. The liner is equipped with a super-absorbent pad which turns bodily waste (up to 17 oz.) into a gel within seconds. Prevents the soiling/contamination of commode pails and reduces unpleasant odors. Safe and secure collection, transport and disposal of contaminated bodily fluids. Splash Guard Item # Description Item # Description 12 Commode Liners per Box, 6 bx/cs 1511107D 1/ea, For use with: 1511105N, 1511112, 1511125KD, 1511148N, 1511149, 1511117N, 151114KD 15RTL12085D Pre-Moistened Wash Glove The ideal solution for waterless bathing. The wash glove is pre-moistened with a non-rinse, protective washing lotion without soap or alcohol, leaving the skin clean and dry. The wash glove is hypoallergenic and dermatologically tested. Safe to use on all types of skin from newborns to seniors. Comes in a resealable pack and can be microwaved for more comfort. Single use. GEMCO Item # 1511105ND 15RTL11148KDRD 1511148ND 60 Item # Description 15RTL12086D 12 Gloves in Resealable Pack, 18 Packs/Cs Width (Between Arms) Outside Width Width Seat Depth Seat Seat Height (Highest) Seat Height (Lowest) Product Weight Carton Shipping Weight Weight Limit 18.5” 25” 13.5” 16.5” 22.5” 16.5” 14.1 lbs 60.4 lbs 350 lbs 18” 22.5” 13.5” 14.5” 22.5” 16.5” 14.8 lbs 16.2 lbs 350 lbs 18.5” 22.5” 13.5” 16.5” 22.5” 16.5” 14.8 lbs 63 lbs 350 lbs 1511125KD-1/2D 19.5” 24” 14” 19.75” 24” 19.5” 18.1 lbs 20.1/39.2 lbs 300 lbs 1511125PSKD 17.5” 24” 13.5” 16.5” 23” 19” 20.2 lbs 22.2 lbs 300 lbs www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Bariatric Drop-Arm Steel Commode Deluxe Bariatric Commode Large, padded backrest for added comfort. Heavy duty, grey powder coated steel tubing. Large, durable “snap-on” seat. Comes complete with 12 qt. commode bucket and cover that removes from behind. Limited Lifetime Warranty. Description 1511130D Assembled, 2/cs Bariatric Folding Steel Commode Description 1511138D Assembled, 1/cs Extra Large Bariatric Steel Drop-Arm Commode Easily opens and folds flat for storage. Comes complete with 16 1/2” deep snap on seat, 12 qt. commode bucket with carry handle, cover, and splash shield. Limited Lifetime Warranty. Item # Item # Extra large opening in toilet seat, 8.5” x 12”. Easy-to-release drop-arm mechanism for safe transfers. Comes complete with extra large commode bucket, cover that removes from behind and padded armrests. Limited Lifetime Warranty. Description 1511117ND Folding, 2/cs Item # Description 1511132D Assembled, 1/cs Deluxe Bariatric Drop-Arm Commode Easy-to-release arm mechanism allows for safe lateral patient transfers. Comes with padded armrests, 12 qt bucket, and cover that removes from behind. Limited Lifetime Warranty. GEMCO Item # 1511130D Item # Description 1511135D Assembled, 1/cs Width (Between Arms) Outside Width Width Seat Depth Seat Bariatric Commode Bucket with Cover Seat Height (Highest) Seat Height (Lowest) Item # Description 1511109D 1/ea, For use with: 1511132D & 1511138D Product Weight Carton Shipping Weight Weight Limit 23.5” 26” 23” 18.5” 22” 15” 20.5 lbs 46 lbs 650 lbs 1511117ND 24” 31.5” 13.5” 16.5” 21” 15” 17.5 lbs 41 lbs 650 lbs 1511135D 26” 28” 23” 18.5” 23” 19” 22 lbs 26 lbs 1000 lbs 1511138D 25.5” 27.5” 24” 21” 18.5” 18.5” 37 lbs 41 lbs 850 lbs 1511132D 36.5” 40” 36” 21” 18.5” N/A 49 lbs 53 lbs 1000 lbs www.gemcomedical.com Phone: 800-733-7976 Commodes Item # Extra large opening in toilet seat, 8.5” x 12”. Easy-to-release drop-arm mechanism for safe transfers. Comes complete with extra large commode bucket, cover that removes from behind, and padded armrests. Limited Lifetime Warranty. Fax: 330-342-9444 61 Economy Dual Channel TENS For chronic, acute and postoperative pain. Designed for rehabilitation and physical therapy. Dual isolated channels with constant mode selector. Intensity control is adjustable from 0-80 mA, 500 load. Pulse frequency adjustable from 2-150 Hz and pulse width is adjustable from 40-250 micro-seconds. Wave form: asymmetrical, bi-phase, square pulse. Plastic belt clip. Comes complete with carrying case, 2 lead wires, 9-volt battery, 1 package of 4 pre-gelled electrodes and operating manual. 3 Year Limited Warranty. Item # Description 15AGF-3ED 1/bx Adhesive Pre-Gelled Electrode 15AGF101D Item # Description 15AGF101D Square, 1.75” x 1.75”, 4/pkg 15AGF103D Oval, 2” x 4.15”, 4/pkg 15AGF105D Round, 1.75”, 4/pkg 15AGF-106D Round, 2”, 4/pkg 15AGF107D Round, 3”, 4/pkg Electrotherapy Deluxe Dual Channel TENS, Horizontal Design Horizontal design provides an improved ergonomic fit on belt. New and improved lead wire connector will not disengage from TENS unit. Easy and convenient “Flip Down” control panel and battery cover reduces cover loss or damage. Dual isolated channels with adjustable 0-80 mA, 500 ohm load. Pulse frequency adjustable from 2-150 Hz and pulse width is adjustable from 60-250 micro-seconds. Wave form: asymmetrical, bi-phase, square pulse. Modulation selector offers wave delivery in Normal, Burst or Modulation modes. Plastic belt clip. Comes complete with carrying case, 2 lead wires with deluxe connector, 9-volt battery, 1 package of 4 pre-gelled electrodes and operating manual. 3 Year Limited Warranty. 15AGF105D 15AGF-106D 15AGF107D Pre-Gelled Electrode Butterfly Style Item # Description Item # Description 15AGF-3XD 1/bx 15AGF104D 4” x 5.9” (10 x 15 cm), 1/pkg 15AGF104D Batteries 62 Item # Description 15AGF-9VBATTD Alkaline, 1/ea 15AGF-BATTD NiCd Rechargeable, 1/ea www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Adult Briefs & Underwear Moisture-proof backing and elastic leg gathers provide superior protection. Features a built-in wetness sensor, blue dryness strip for optimum skin protection, and a super absorbent polymer for moderate absorbency. Wings Choice™ Plus Quilted Adult Brief, Super Absorbency Combines super-absorbent polymer, blue dryness strip and breathable topsheet for added comfort, protection and odor control. Item # Description Description 3166032 Small, 20”-31”, 96/cs 3160043 Medium, 32”-44”, 96/cs 3166033 Medium, 32”-44”, 96/cs 3160044 Large, 45”-58”, 72/cs 3166034 Large, 45”-58”, 72/cs 3160045 X-Large, 59”-64”, 60/cs 3166035 X-Large, 59”-64”, 60/cs Item # Wings™ XXL Adult Brief, Maximum Absorbency Larger size brief with a four tape fastening system and landing zone allowing for unlimited refastenability. Combines superabsorbent polymer, blue dryness strip and breathable backsheet for added comfort, protection and odor control. SIMPLICITY™ 3D™ Adult Brief Uses the Uni-Tab™ fastening system, with one oversized tab per side for easy on/off handling. Customized comfort fit provides a higher leg cut-out that improves fit and ensures more skin is exposed for greater air contact. Item # Description 3163013 Medium, 32”-44”, 96/cs Item # Description 3163014 Large, 45”-58”, 72/cs 3167093 XXL (up to 69”), 48/cs 3163015 X-Large, 59”-64”, 60/cs Wings Choice™ Plus Adult Brief, Super Absorbency The full absorbent mat brief is designed for persons restricted by total incontinence, with leg gathers for superior fit and containment. Padded wings and extra soft stay-dry facing and moisture-proof backing for greater comfort and absorbency. Item # Description Sure Care™ Protective Underwear Tear away sides for easy removal. Cloth-like moisture barrier protects against leaks and contains super-absorbent polymer for maximum fluid retention while reducing odor and keeping wetness away from skin. Regular Absorbency 3160032 Small, 20”-31”, 26.5”L, 96/cs Item # Description 3160033 Medium, 32”-44”, 96/cs 311605 Medium, 34”-46”, 4 bags of 20, 80/cs 3160034 Large, 45”-58”, 72/cs 311615 Large, 44”-54”, 4 bags of 18, 72/cs 3160035 X-Large, 59”-64”, 60/cs 311625 X-Large, 48”-66”, 4 bags of 14, 56/cs 311602 Medium, 34”-46”, 2 bags of 20, 40/cs 311603 Large, 44”-54”, 2 bags of 18, 36/cs 311645 X-Large, 48”-66”, 3 bags of 14, 42/cs www.gemcomedical.com Phone: 800-733-7976 Incontinence Wings Choice™ Adult Brief, Moderate Absorbency Fax: 330-342-9444 63 Cleanse Underpads & Skin Care Body Wash & Shampoo Maxi Care™ Underpad, Super Absorbency A gentle no rinse cleanser for the hair, body and perineal area. Contains jojoba oil to restore moisture to compromised skin. Hypoallergenic, pH balanced formula. Extra large size provides maximum coverage, absorption and protection. Contains super-absorbent polymer for maximum fluid retention while reducing odor and keeping wetness away from skin. Item # Description 31948 30” x 30”, 100/cs 31958B10 30” x 36”, 50/cs 31968 36” x 36”, 48/cs I nI nc o c on nt itni ne en nc e ce 31949 17” x 24”, Bulk Pack, 300/cs 311038 23” x 24”, 4 bags of 50, 200/cs 311093 23” x 36”, 15 bags of 10, 150/cs 31949B10 30” x 30”, 10 bags of 10, 100/cs 3161025 5 fl oz. Foamer, 1/ea 3161029 9 fl oz. Foamer, 1/ea A no rinse cleanser and moisturizer in one step. Contains 1.5% dimethicone, vitamin E and jojoba oil. Cleanses and protects the skin from damage associated with incontinence in one step. Hypoallergenic, pH balanced formula. Item # Description Spunbond non-woven topsheet, diamondembossed and polypropylene backsheet with fluff core. Description Description 2-in-1 Cleanser DURASORB™ Underpad, Heavy Absorbency Item # Item # 3161014 4 fl oz. Spray Bottle, 1/ea 3161018 8 fl oz. Spray Bottle, 1/ea Moisturize Moisture Barrier Cream A light moisture barrier that spreads easily and allows visibility to the skin beneath. Contains 5% dimethicone, vitamin E and jojoba oil. Acts as a barrier to moisture and irritants when the natural barrier ability of the skin has been compromised. Item # TENDERSORB™ Underpad, Moderate Absorbency Spunbond non-woven topsheet, diamond-embossed pattern and polypropylene backsheet with fluff core. Description 3161052 2 fl oz. Tube, 1/ea 3161054 4 fl oz. Tube, 1/ea Soothing Ointment Item # Description 317105 17” x 24”, Bulk Pack, 300/cs 317107 17” x 24”, 30 bags of 10, 300/cs 317134 23” x 24”, 4 bags of 50, 200/cs 317136 23” x 24”, 20 bags of 10, 200/cs 317174 23” x 36”, 3 bags of 50, 150/cs Item # Description 317176 23” x 36”, 15 bags of 10, 150/cs 3161062 2 fl oz. Tube, 1/ea 31849B10 30” x 30”, 15 bags of 10, 150/cs 3161064 4 fl oz. Tube, 1/ea A zinc oxide and petrolatum based ointment that spreads easily and provides a durable, visible barrier for the skin. Contains 10% zinc oxide, vitamin E and jojoba oil. Acts as a barrier to moisture and irritants when the natural barrier ability of the skin has been compromised. Treat Antifungal Cream A light cream that spreads easily and allows visibility to the skin beneath. Contains 2% miconazole nitrate, vitamin E and jojoba oil. Effective relief for the itching, soreness and irritation associated with jock itch (tinea cruris), athlete’s foot (tinea pedis) and ringworm (tinea corporis). Hypoallergenic, pH balanced formula. 64 www.gemcomedical.com Phone: 800-733-7976 Item # Description 3161074 4 fl oz. Tube, 1/ea Fax: 330-342-9444 Color Matching System To help you select compatible New Image components, every box label is color-coded. First, select the proper skin barrier; then select a matching color-coded pouch (“red” skin barrier box label is compatible to “red” pouch box label). 1-3/4” (44 mm) 2-1/4” (57 mm) 4” (102 mm) 2-3/4” (70 mm) New Image Two-Piece Pouching System Flat Skin Barriers with Floating Flanges Box of 5 149xx (Pre-Sized) Flextend (extended wear) Skin Barrier-Flat with tape border. HCPCS for 2214602, 2214603 & 2214604: A4409. HCPCS for 2214606: A4410 GEMCO Item # Color Match Flange Size Barrier Opening 2214602 1-3/4” (44 mm) Up to 1-1/4” (32 mm) 2214603 2-1/4” (57 mm) Up to 1-3/4” (44 mm) 2214604 2-3/4” (70 mm) Up to 2-1/4” (57 mm) 2214606 4” (102 mm) Up to 3-1/2” (89 mm) 1560x (Cut-To-Fit) Box of 5 Flextend (extended wear) Skin Barrier-Flat without tape border. HCPCS for 2215602 & 2215603 : A4409. HCPCS for 2215604: A4410 GEMCO Item # Color Match Flange Size Barrier Opening 2215602 1-3/4” (44 mm) Up to 1-1/4” (32 mm) 2215603 2-1/4” (57 mm) Up to 1-3/4” (44 mm) 2215604 2-3/4” (70 mm) Up to 2-1/4” (57 mm) 1420x (Cut-To-Fit) Color Match Flange Size Barrier Opening 2214202 1-3/4” (44 mm) Up to 1-1/4” (32 mm) 2214203 2-1/4” (57 mm) Up to 1-3/4” (44 mm) 2214204 2-3/4” (70 mm) Up to 2-1/4” (57 mm) 2214206 4” (102 mm) Up to 3-1/2” (89 mm) www.gemcomedical.com GEMCO Item # Color Match 2214901 Flange Size Barrier Opening 1-3/4” (44 mm) 5/8” (16 mm) 2214902 1-3/4” (44 mm) 3/4” (19 mm) 2214903 1-3/4” (44 mm) 7/8” (22 mm) 2214904 1-3/4” (44 mm) 1” (25 mm) 2214905 2-1/4” (57 mm) 1-1/8” (29 mm) 2214906 2-1/4” (57 mm) 1-1/4” (32 mm) 2214907 2-1/4” (57 mm) 1-3/8” (35 mm) 2214908 2-1/4” (57 mm) 1-1/2” (38 mm) 2214909 2-3/4” (70 mm) 1-5/8” (41 mm) 2214910 2-3/4” (70 mm) 1-3/4” (44 mm) 2214911 2-3/4” (70 mm) 2” (51 mm) 1450x (Pre-Sized) Box of 5 FlexWear (standard wear) Skin BarrierConvex with tape border. HCPCS: A4373 Box of 5 FlexWear (standard wear) Skin Barrier-Flat with tape border. HCPCS for 2214202, 2214203 & 2214204: A4414. HCPCS for 2214206: A4415 GEMCO Item # Box of 5 Flextend (extended wear) Skin BarrierConvex with tape border. HCPCS: A4407 Ostomy 1460x (Cut-To-Fit) Convex Skin Barriers with Floating Flanges GEMCO Item # Color Match Flange Size Barrier Opening 2214503 1-3/4” (44 mm) 2214504 1-3/4” (44 mm) 1” (25 mm) 2214505 2-1/4” (57 mm) 1-1/8” (29 mm) 2214506 2-1/4” (57 mm) 1-1/4” (32 mm) Phone: 800-733-7976 7/8” (22 mm) Fax: 330-342-9444 65 Adapt Drainable Pouch Clamp Drainable Pouches 1810x/1812x/1817x Transparent Item # Beige Item # Ultra-Clear Item # 2218102 2218122 2218103 Color Match 8770 Box of 10 Drainable pouch without integrated filter. Pouch clamp closure. Odor-barrier rustle-free filmtransparent and beige. Odor-barrier film-ultra clear with belt tabs and ComfortWear panels. Transparent and ultra clear- body side only. Beige - both sides. HCPCS: A5063 Flange Size Pouch Length 2218172 1-3/4” (44 mm) 12” (30 cm) 2218123 2218173 2-1/4” (57 mm) 12” (30 cm) 2218104 2218124 2218174 2-3/4” (70 mm) 12” (30 cm) N/A N/A 2218176 4” (102 mm) 12” (30 cm) Box of 20 Drainable pouch clamp. HCPCS: A4363 Item # Color 228770 Beige Adapt Skin Barrier Paste 79300 Adapt paste. HCPCS: A4406 Item # 2279300 Description Quantity 2 oz. (57 gm) tube Box of 1 Urostomy Pouches 1840x/1841x/1842x Box of 10 Ostomy Urostomy pouch. Odor-barrier rustle-free film. Odor-barrier film-ultra clear with belt tabs and ComfortWear panels - transparent and ultra clear - body side only - beige - both sides. HCPCS: A4432 Adapt Stoma Powder 7906 Transparent Item # Beige Item # Ultra-Clear Item # 2218402 2218412 2218403 2218404 Color Match Flange Size Pouch Length 2218422 1-3/4” (44 mm) 9” (23 cm) Item # Description 2218413 2218423 2-1/4” (57 mm) 9” (23 cm) 227906 1 oz. (28.3 gm) Puff Bottle 2218414 2218424 2-3/4” (70 mm) 9” (23 cm) Medical Adhesive Premier One-Piece Pouching System Medical grade silicone adhesive is unaffected by moisture. Can be used on sensitive skin. Allows skin to breathe. Remains flexible and comfortable; provides a secure and reliable seal. HCPCS: A4364 Drainable Pouches with Convex Barriers 851x/859x (Pre-Sized) Box of 5 Drainable pouch. Flextend (extended wear) skin barrier - convex with tape border, without integrated filter. Lock ‘n Roll closure. Odor-barrier, rustle free-film with belt tabs, with ComfortWear panels - Transparent - body side only, Beige - Both sides. HCPCS: A4390 66 Box of 1 Adapt stoma powder. HCPCS: A4371 Item # Description 227730 3.2 oz. Spray Can 1/ea Transparent Item # Beige Item # Barrier Opening 228510 228590 3/4” (19 mm) 12” (30 cm) 228511 228591 7/8” (22 mm) 12” (30 cm) 228512 228592 1” (25 mm) 12” (30 cm) 228513 228593 1-1/8” (29 mm) 12” (30 cm) Item # 228514 228594 1-1/4” (32 mm) 12” (30 cm) 227732 Unscented, Pump Spray, 2 oz. 1/ea 228515 228595 1-3/8” (35 mm) 12” (30 cm) 227733 Unscented, Pump Spray, 8 oz. 1/ea 227734 Scented, Pump Spray, 2 oz. 1/ea 227735 Scented, Pump Spray, 8 oz. 1/ea www.gemcomedical.com Pouch Length Sold By m9 Odor Eliminator Spray 773x Effectively and safely eliminates odors. Available unscented or with a pleasant apple scent. Phone: 800-733-7976 Description Sold By Fax: 330-342-9444 Non-Tilt Overbed Table Trapeze Bar, Silver Vein Walnut, wood grain low pressure laminate top. Table top can be raised or lowered in infinite positions between 28”-45”. 15” x 30” table top is locked securely when height adjustment handle is released. 2” swivel casters allow for easy maneuverability. Limited Lifetime Warranty. The kit contains trapeze bar, triangle, chains and clamps. Mounts easily to metal frame headboards, and fits most major manufacturers. Easy to adjust height, length, and horizontal position. 250 lbs weight capacity. Limited Lifetime Warranty. Description Item # Description 1513009KTSVD Includes Bar, Triangle, Chains & Clamps, 1/cs 1513067D Silver Vein Base and Mast, Walnut Top, 1/cs 1513017SVD Trapeze Base, 1/cs Home Bed Assist Handle Can be used on either side of the bed. Special extra long safety strap enables user to be in a single, twin, double, queen, or king size bed. Made of powder coated steel for long life and easy cleaning. Rail dimension: 11.5” (W) x 20.75” (H) x 21.5” (D). Weight limit: 250 lbs. 1513017SVD Manual, Standard Patient Lift with Six Point Cradle, Silver Vein Safely raises or lowers individuals from any stationary position with high performance hydraulics. 6 point cradle design, adjustable width base and comes with chains. Limited Lifetime Warranty (frame), 1 Year Limited Warranty (pump). Item # Description 1513010SVD 1/cs GEMCO Item # 1513067D Retail Packaged, 1/cs When magnetic pull switch is removed, alarm is activated. Convenient On/Off switch for easy activation-deactivation. Easily mounted on wheelchair or bed. Cord adjusts from 28” to 58”. One 9 volt battery included. Heavy-duty head halter comes complete with metal support and self-attaching closures. Complete with 12” adjustable spreader bar, 8’ traction rope, double-sealed rings, water bag and “S” hook. Machine washable. One size fits all. Attractive retail packaging. Limited Lifetime Warranty. 1513010SVD Description 1515064D Tamper Proof Magnetic Pull Cord Alarm Cervical Traction Set GEMCO Item # Item # Item # Description 1513004D 1/bx 1513004HD Head Halter, only 1/ea (For use with 1513004D) 1513004WD Water Bag, only 1/ea (For use with 1513004D) 1513005PD Pulley, only 1/ea (For use with 1513004D and 1513005D) 1513004RD Rope, only 1/ea (For use with 1513004D) Item # Description 1513603D 1/ea Tri-Fold Bedside Fall Mat Conveniently folds in 3 sections for storage. Made of high density foam to absorb impact from bed falls. Non-skid bottom reduces the chance of the mat slipping. Comes with durable, vinyl cover that is easy to clean. Boom Maximum Height Boom Minimum Height Base Width (Open) Base Width (Closed) Base Height Base Clearance 67” 17” 43” 23” 5.5” N/A Item # Description 1514700D 72” x 30” x 2”, 1/cs Casters Product Weight Carton Shipping Weight Weight Limit 4” 76 lbs 95 lbs 400 lbs Tabletop Adjustment (highest) Tabletop Adjustment (lowest) Tabletop Surface (width) Tabletop Surface (depth) Overall Width at Base Overall Depth at Base Product Weight Carton Shipping Weight Weight Limit 45” 28” 30” 15” 26.5” 15.5” 22 lbs 25 lbs 40 lbs www.gemcomedical.com Patient Room 1513009KTSVD Item # Phone: 800-733-7976 Fax: 330-342-9444 67 SureLife® Arm Blood Pressure Monitor Large memory stores 40 results. Irregular heart beat detection. Automatic shut off after 3 minutes. Low battery indicator. Measurement range: pressure +/-3 mmHg, pulse rate +/- 5%. Warranty: 5 year on the monitor, 1 year on the cuff. Item # Description G860213 Cuff Size 9”-14”, Package Contents: Main Unit, Arm Cuff, Manual, 4 AA Batteries SureLife® Talking Arm Blood Pressure Monitor Personal Care Speaks in 3 different languages (English, Spanish, and French). Four user memory/ 396 total results. Irregular heart beat detection. Automatic shut off after 3 minutes. Low battery indicator. Measurement range: pressure +/-3 mmHg, pulse rate +/-5%. Warranty: 5 year on the monitor, 1 year on the cuff. Item # Description G860214 Cuff Size 9”-17”, Package Contents: Main Unit, Arm Cuff, Manual, 4 AA Batteries The Bio-Back provides an effective, noninvasive and drug free tool for treating low back pain. Patented lumbar back dome and bi-lateral opposing forces to correct posture and reduce strain on key muscles in the lower back. Near total mobility. Can be worn under clothing. Washable sleeves. Not for retail sale. Item # Description 40BB200 Standard Size, 22”-50” Waist 40BB300 Large Size, up to 78” Waist Rapport™ Classic Impotence Management System Clinically tested vacuum action. Drug-free. Reliable system with significant cost savings. Up to 95% success rate. HCPCS Code: L7900 Item # Description GSM2000 68 www.gemcomedical.com Rapport™ Classic System Includes: Clear Plastic Vacuum Tube, Hand Pump with a Pressure Relief Valve, 5 Penile Ring Sizes, 2 Transfer Sleeve Sizes, Loading Cone, Tube of Water Soluble Lubricating Jelly, Discreet Carrying Case, and Instructional Video Phone: 800-733-7976 Advocate™ Arm Blood Pressure Monitor Measuring Method: Oscillometric with automatic inflation. Measures both Systolic and Diastolic and Pulse Rates. Blood Pressure Measuring Range: 0 mmHg300 mmHg. Pulse Rate Range: 30-180/ min. Power Source: 4 AAA size batteries. Pressurization: automatic air inflation by an air pump. Deflation: automatic exhaust. Automatic power off after 3 minutes. Item # Description GPSAABPM Cuff Size 8.7”-11.8” GPSAABPL Cuff size 11.8”-16.5” Advocate™ Wrist Blood Pressure Monitor Measuring Method: Oscillometric with automatic inflation. Measures both Systolic and Diastolic and Pulse Rates. Blood Pressure Measuring Range: 0 mmHg-295 mmHg. Pulse Rate Range: 30-180/min. Measuring accuracy within + 3 mmHg. Item # Description GPSAWBPM Cuff Size 5.51” x 7.67” Advocate™ Bilingual Speaking Wrist Blood Pressure Monitor Measuring Method: Oscillometric with automatic inflation. Measures both Systolic and Diastolic and Pulse Rates. Blood Pressure Measuring Range: 0 mmHg-300 mmHg. Pulse Rate Range: 30-180/min. Power Source: 2 AAA size batteries. Pressurization: automatic air inflation by an air pump. Deflation: automatic exhaust. Automatic power off after 1 minute. Item # Description GPSAWSBPM Cuff Size 2.75” x 11.81” GemCare™ Digital Thermometers Great add on for your customers during the cold/flu season. Reads temperature in 60 seconds or less. Automatically turns off to save battery life. Great for all ages - can be used orally, rectally or under the arm. Has high (>109.9o F) and low (<90o F) warnings. Item # Description GC10100 1/ea Fax: 330-342-9444 Personal Emergency Response Systems NO MONTHLY FEES, EASY SET UP 24/7 EMERGENCY PROTECTION Guardian Alert® 911 Item # Description GA911 Guardian Alert® 911 (Includes: Pendant, Base Station, 7 Ft. Phone Cord, AC Adapter, Lanyard, Belt Clip, AAA Alkaline Battery) GA911BB Guardian Alert® Battery Backup System GA911TD Guardian Alert® Promotional Counter-Top Display FreedomAlert® FreedomAlert® is the world’s first 2-way emergency pendant communicator. Your FreedomAlert® pendant will allow you to communicate your message instantly and efficiently from anywhere in and around your home. All with ONE button activation. Program Up To 4 Numbers - friends, family, neighbors, and emergency personnel. Voice Prompted System - provides announcement during set-up, testing, battery test and full system check. System has standby emergency battery power - provides up to 24 hours of standby power in the event of a power failure. Two rechargeable batteries included. One charges in the base station charger, while the other is in the pendant. Simply swap the batteries around every few months. Pendant can be carried in 3 convenient methods - included with each system is a Lanyard, a Wrist Strap/Wheelchair Strap holder and a Belt Clip. Meets the requirements of NENA - National Emergency Number Association is the affiliation of 911 emergency operators. www.gemcomedical.com Phone: 800-733-7976 Item # Description FA911 Freedom Alert® (Includes: Pendant, Base Station, Phone Cord, AC Adapter, Lanyard, Wrist Strap, Belt Clip, 2 Rechargeable Batteries) FA911DTP Freedom Alert® Demo Talking Pendant FA911TD Freedom Alert® Talking Display Fax: 330-342-9444 Personal Care Guardian Alert® 911 enables you to call “911” in an emergency situation (accident, fall, illness, or danger). You talk directly to the emergency operator, not to a call center. In an emergency, press the activation button on the Guardian Alert® 911. The pendant immediately calls 911. Two-Way Voice Speakerphone Pendant - talk and listen. Pendant can be worn around the neck, clipped on a belt, or carried in a pocket at all times. No Charging Necessary - replaceable alkaline battery (included) lasts 1 year in standby or for up to 30 minutes of talk time. Auto Power Off - after 5 minutes or inactivity. 69 Power Wheelchairs & Scooters “BEST IN CLASS” PREMIUM ANTI-FATIGUE FLOOR MATS GFAB-105 Take a stand on WellnessMats® and say goodbye to back, knee and foot pain that is often associated with standing for any period of time. WellnessMats® are medically proven to promote and increase proper circulation and encourage better posture, muscle conditioning, and improve overall health and well-being. Easy to clean and lightweight, these onepiece construction mats feature a non-skid top and bottom. All WellnessMats® are engineered with Advanced Polyurethane Technology™ (APT) that allows the mats to be safe and non-toxic, soft, strong, and never lose their “bounce”. Medical ID Jewelry GFAB-48 The interchangeable medical ID bracelets feature lobster clasps at each end which attaches to a medical alert tag. The alert tags come blank with adhesive stickers for common medical conditions or pre-engraved. GFAB-68 GFAB-80 Personal Care Standing is believing®... 70 • • • • • • • Fashion Alert offers styles for men, women and children of all ages. From stylish, interchangeable medical ID bracelets and stainless steel pendants for adults to fun, comfortable pieces for kids your customers are sure to find something they’ll love. GFAT-00 Unmatched comfort No-trip beveled edge (ADA Compliant) Puncture, heat, and stain resistant Inherently anti-microbial No unfriendly odors All components are 100% made in the USA Backed by a comprehensive 7-year warranty GFAT-04 GFAT-13 Item # Description GWMOS32-BLK Original Smooth Wellness Mat, 3’ x 2’, Black, 1/ea GWMOS32-BRN Original Smooth Wellness Mat, 3’ x 2’, Brown, 1/ea GWMOS32-BUR Original Smooth Wellness Mat, 3’ x 2’, Burgundy, 1/ea GWMOS32-GRY Original Smooth Wellness Mat, 3’ x 2’, Grey, 1/ea GWMOS32-TAN Original Smooth Wellness Mat, 3’ x 2’, Tan, 1/ea Bracelets GWMOS62-BLK Original Smooth Wellness Mat, 6’ x 2’, Black, 1/ea Item # Description GWMOS62-BRN Original Smooth Wellness Mat, 6’ x 2’, Brown, 1/ea GFAB-105 Stainless Steel Figaro Large Chain, 1/ea GWMOS63-BLK Original Smooth Wellness Mat, 6’ x 3’, Black, 1/ea GFAB-48 Black Bolo Leather Bracelet Strand, 1/ea GWMOS63-BRN Original Smooth Wellness Mat, 6’ x 3’, Brown, 1/ea GFAB-68 Stainless Steel Curb Chain, 1/ea GWMOS63-GRY Original Smooth Wellness Mat, 6’ x 3’, Grey, 1/ea GFAB-80 Silver Ice Bracelet Strand, 1/ea GWMOS54-BLK Original Smooth Wellness Mat, 5’ x 4’, Black, 1/ea GWMOS54-BRN Original Smooth Wellness Mat, 5’ x 4’, Brown, 1/ea GWMOS54-GRY Original Smooth Wellness Mat, 5’ x 4’, Grey, 1/ea GWMBM32-BLK Bella Motif Wellness Mat, 3’ x 2’, Black, 1/ea GWMBM32-BRN Bella Motif Wellness Mat, 3’ x 2’, Brown, 1/ea GWMBM32-BUR Bella Motif Wellness Mat, 3’ x 2’, Burgundy, 1/ea GWMBM32-GRY Bella Motif Wellness Mat, 3’ x 2’, Grey, 1/ea GWMBM62-BLK Bella Motif Wellness Mat, 6’ x 2’, Black, 1/ea GWMBM62-GRY Bella Motif Wellness Mat, 6’ x 2’, Grey, 1/ea Item # Description GWMTM32-BRN Trellis Motif Wellness Mat, 3’ x 2’, Brown, 1/ea GFAKDT-03 Green Diabetes Dog Tag Necklace, 18” Ball Chain, 1/ea GWMTM62-BRN Trellis Motif Wellness Mat, 6’ x 2’, Brown, 1/ea GFAKDT-05 Blue Asthma Dog Tag, 18” Ball Chain, 1/ea GWMMM32-BRN Moire Motif Wellness Mat, 3’ x 2’, Brown, 1/ea GWMMM62-BRN Moire Motif Wellness Mat, 6’ x 2’, Brown, 1/ea GWMXR23 Maxum Wellness Mat, 3’ x 2’, Black, 1/ea GWMXR35 Maxum Wellness Mat, 5’ x 3’, Black, 1/ea www.gemcomedical.com GFAKDT-03 GFAKDT-05 GFASWA-01 Tags Item # Description GFAT-00 Diabetes Pre-Engraved Tag, 1/ea GFAT-01 Penicillin Allergy Pre-Engraved Tag, 1/ea GFAT-04 Asthma Pre-Engraved Tag, 1/ea GFAT-11 Blank Stainless Steel Tag, 1/ea GFAT-13 Diabetes Type 2 Pre-Engraved Tag, 1/ea Dog Tag Necklaces Silicone Bands Item # Description GFASWA-01 Black, Red, Blue Silicone Diabetes Band Set 8”, 1/ea GFASWK-01 Black, Red, Blue Silicone Diabetes Band Set 7”, 1/ea GFASWK03 Black, Red, Blue Silicone Peanut Allergy Band Set 7”, 1/ea Phone: 800-733-7976 Fax: 330-342-9444 Gravity 7 Long Term Care Pressure Redistribution Mattress Seat Cushion, 3” Gel Viscous Gel provides maximum support and comfort. Removable and replaceable cover has water resistant “top” and “non-slip” vinyl base. 18 Month Limited Warranty on cover and cushion. Item # Description 1514891D 16” x 16” x 3”, 275 lb Weight Capacity, 1/cs, HCPCS Code: E2603 1514886D 18” x 16” x 3”, 275 lb Weight Capacity, 1/cs, HCPCS Code: E2603 1514894D 20” x 16” x 3”, 275 lb Weight Capacity, 1/cs, HCPCS Code: E2603 1514902D 22” x 18” x 3”, 375 lb Weight Capacity, 1/cs, HCPCS Code: E2604 Item # Description 1515770D 80” (L) x 36” (W) x 6” (H), 1/ea 1515777D 80” (L) x 36” (W) x 6” (H) with Raised Side Rails, 1/ea 1514903D 24” x 18” x 3”, 500 lb Weight Capacity, 1/cs, HCPCS Code: E2604 Med-Aire Plus Alternating Pressure Mattress Replacement System with Low Air Loss Med-Aire Alternating Pressure Mattress Replacement System with Low Air Loss HCPCS Code: E0277 This combination therapy system provides both alternating pressure and low air loss to optimize pressure redistribution and manage skin maceration. Mattress can operate in an alternating or static pressure mode. 2-way stretch cover is low sheer, fluidresistant, vapor permeable, quilted and zippered. 3 diagnostic alarms tell you whether a problem is with the mattress or the pump for more efficient servicing. CPR valve allows for rapid deflation. Item # Description 1514027D 80” (L) x 36” (W) x 8” (H) Mattress and Pump System, 1/cs 1514027-CELLD Replacement Bladder, 1/ea HCPCS Code: E0277 1514027-CELL1D Replacement Bladder w/Laser Holes, 1/ea www.gemcomedical.com Phone: 800-733-7976 This combination therapy system provides both alternating pressure and low air loss to optimize pressure redistribution and manage skin maceration. Digital pump allows for customization to individual patients’ comfort and safety needs, and will auto return to alternating pressure mode if system is left on static mode for >2 hours. 4-way stretch cover is low sheer, fluid-resistant, vapor permeable, quilted and zippered. 3 diagnostic alarms tell you whether a problem is with the mattress or the pump for more efficient servicing. CPR valve allows for rapid deflation. Item # Description 1514029D 80” (L) x 36” (W) x 8” (H), Mattress & Pump System, 1/cs 1514029-CELLD Replacement Bladder, 1/ea Pressure Prevention Economical option maximizes value and comfort with 3 full layers of foam available with or without raised side rails. Top layer uses unique die-cutting and a true memory foam heel section to optimize zoned pressure redistribution. Bottom layer provides full length horizontally scored articulation cuts extending the durability and life of the mattress significantly. Cover is fire retardant, fluid proof, tear resistant, low sheer, and easy to clean. 1 Year Warranty on the cover. 7 Year Limited Warranty. 1514029-CELL1D Replacement Bladder with Laser Holes, 1/ea Fax: 330-342-9444 71 Pacifica Elite Nebulizer Roscoe Roo Pediatric Nebulizer System Delivers consistent particle size of <5 microns and fast treatment times with a maximum pressure of 35 psi. Comes complete with disposable neb kit. Comes complete with compressor, nebulizer, child mask, tubing, angled mouthpiece, five extra filters and a five year warranty. Item # Description Item # Description 1518070D Nebulizer, Retail, 1/cs 4250040 Nebulizer, 1/cs 15NEB500D Nebulizer Kit, 50/cs (Contains: 1 each medication cup, mouthpiece and tubing) 4250042 Nylon Carry Bag, 1/ea Mini Nebulizer Compressor Frog Nebulizer System Comes complete with compressor, nebulizer, angled mouthpiece, tubing, five extra filters and instruction manual. Weighs only 2.55 lbs. Item # Description 42NEB-ROS 1/ea Comes complete with compressor, nebulizer, child mask, tubing, angled mouthpiece, five extra filters and a five year warranty. Item # Description 42NEB-50000 Nebulizer, 1/cs 4250002 Nylon Carry Bag, 1/ea Panda & Penguin Nebulizers Respiratory 1518090-PBD Comes complete with ampule, mouthpiece, pediatric aerosol mask, tubing, two replacement filters and instructions. Item # Description 1518090-PBD Panda, 1/cs Dog Nebulizer System Comes complete with compressor, nebulizer, child mask, tubing, angled mouthpiece, five extra filters and a five year warranty. 1518090-PGD Penguin, 1/cs 1518090-PGD Item # Description 42NEB-DOG Nebulizer, 1/cs 42BAG-NEBDOG Nylon Carry Bag, 1/ea Checker® Nebulizer Comes complete with ampule, mouthpiece, pediatric aerosol mask, tubing, two replacement filters and instructions. Item # Description 1518040YD Yellow, 1/bx 1518040YD 1518040PD Pink, 1/bx 1518040FD Filter for Checker Nebulizer, 10/bx Specifications 1518070D 42NEB-ROS 1518090-PB & PG 1518040 4250040 Method of Nebulization Piston Compressor Piston Compressor Piston Compressor Piston Compressor Piston Compressor Particle Size 0.5 µm to 5 µm Less than 5 microns 0.5 µm to 5 µm 0.5 µm to 5 µm Less than 5 microns Maximum Pressure 35 PSI 29 PSI 36 PSI 30 PSI 42 PSI Operating Pressure 16 PSI 7.25 to 10 PSI 16 PSI 16 PSI 8 to 13 PSI Liter Flow 9 LPM 4.5 ~ 7.0 LPM 8 LPM 8 LPM 5 ~ 8 LPM Electrical Requirements 115 VAC 60Hz 120 VAC/60 Hz 120 VAC 60 Hz 120 VAC 60Hz 120 VAC/60 Hz Warranty 5 Years 5 Years 5 Years 5 Years 5 Years Specifications 72 www.gemcomedical.com 42NEB-50000 42NEB-DOG Method of Nebulization Piston Compressor Piston Compressor Particle Size Less than 5 microns Less than 5 microns Maximum Pressure 29 to 43 PSI 43 PSI Operating Pressure 10 to 16 PSI 10 to 16 PSI Liter Flow 5 ~ 8 LPM 5 ~ 8 LPM Electrical Requirements 120 VAC 60Hz 120 VAC 60 Hz Warranty 5 Years 5 Years Phone: 800-733-7976 Fax: 330-342-9444 Patient Room P o w e r W h e e l c h a i r s &P aStci oe o s om n tt eRr o CHAD® Regulators 15NEB600D 15NEB700D Nebulizer Kits (Disposable) 42NEB-ROSKT cylinders. Item # Description Item # Description 15CH4808-L-BLUED 1/ea, 0-8 lpm, .5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8 15NEB500D Medication Cup, Mouthpiece, and 7’ Tubing, 50/cs 15CH4815-L-BLUED 1/ea, 0-15 lpm, .5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 15 15NEB600D Nebulizer Cup, 7’ Crush Resistant Tubing, Adult Aerosol Mask, 50/cs 15NEB700D Nebulizer Cup, 7’ Crush Resistant Tubing, Pediatric Aerosol Mask, 50/cs 42NEB-ROSKT Tee Adapter, Mouthpiece, 6” Reservoir Tube and 7’ Supply Tubing, 50/cs Humidifier Bottles Audible pressure-relief alarm activates at 6 psi. Easy-on/easy-off lid provides positive seal, no gasket required. Jar permanently etched, large print minimum/maximum water level markings that are easy to read and will not rub or wash off. Soft plastic diffuser resists clogging due to mineral build up from water. Disposable, singleuse and latex-free. Item # Description 42HUM-ROS6 6 PSI Pop-Off Alarm, 350 cc, Disposable, Latex Free, 50/cs Roscoe Heavy-Duty Medical Aspirator New anti-bacteria filter design helps prevent contamination. Oil-free, permanent lubrication. Maximum vacuum: 560 +/- 3% mm Hg. Flow range: > 40 LPM. Bacteria filter pore size: 0.45 microns. Collection capacity: 800 cc with overflow protection. Limited Lifetime Warranty. Item # Description Evolution™ Electronic Oxygen Conserver The Evolution™ delivers 5:1 savings ratio at all settings and has a minimum 2 year battery life utilizing 2 AA batteries (average 4 hrs per day usage). It delivers a uniform oxygen pulse from 14-40 breaths per minute. Liter flow increments: 1, 2, 3, 4, 5, 6, 7 Plus CF preset @ 2 LPM. Operating pressure range: 200-3,000 PSI. Senses a breath/delivers oxygen in the first half of the inspiratory cycle. Auto shut off feature conserves battery life. Item # Description 15OM-900D 1/ea Respiratory 15NEB500D The CHAD® regulators have brass components in high-pressure areas and relief valve zones. FDA recommended viton and brass seal washers. All flows test to accuracy within +/- 15% tolerances. Has an ergonomic t-handle for easy tightening. Inlet pressure: 200-3,000 PSI 870 For use with and outlet pressure of 50 PSI. 100% quality QC M2 through E sized tested in the USA. Bonsai® Pneumatic Oxygen Conserver Highest savings ratio available on any pneumatic conserver, delivering up to a 6:1 savings ratio. Liter flow increments: 1, 2, 3, 4, 5, 6, 7 Plus CF preset @ 2 LPM. Operating pressure range: 200-3,000 PSI. Senses a breath/delivers oxygen in the first half of the inspiratory cycle. Delivers a uniform oxygen pulse from 14-40 breaths per minute. Easy to operate single selector knob. 2 Year Limited Warranty. Item # Description 15OM-810D 1/ea 42ROS-COMP Heavy-Duty Aspirator, 1/cs 42610C 800 cc Disposable Collection Jar, 12/pk 4290386 Suction Kit (Includes Elbow, Bacteria Filter, Collection Jar, 6’ Tubing and Two 7” Tubing, 1/ea www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 73 Health-OX Clip Style Fingertip Pulse Oximeter Large digital LED one way display. Ideal for individuals that exercise. No prescription required. Portable, non-invasive spot check oxygen saturation and pulse rate. Two AAA batteries can be continuously operated for 30 hours. Rubber boot included. Nail polish tolerant. 2 Year Limited Warranty. Item # Description 1518710D Retail, 1/bx Six-Display Mode Pediatric Pulse Oximeter Special mark on unit helps children with proper finger placement. Low power consumption allows for more than 30 hours of continuous operation with two AAA batteries. Large, easy-to-read, dual color OLED screen. Low voltage warning indicator light. SPO2 measurement range: 70-99%. Includes two AAA batteries, operating manual, clear protective rubber boot and lanyard. One Year Warranty. Item # Description 4250020 1/ea Clip Style Fingertip Pulse Oximeter Four way OLED display. Portable non-invasive, spot-check of oxygen saturation of arterial hemoglobin (SpO2) and pulse rate of adult and pediatric patient at home and in clinical settings. Not for continuously monitoring. Uses AAA batteries. 2 Year Limited Warranty. Respiratory Comes with Black Item # Rubber Protective 1518705D Boot. Description 1/bx Oxygen Cylinder Shoulder Bags Attractive, durable, lightweight nylon construction with easy to adjust shoulder strap. Cannula holes allow for tubing to be connected to regulator when bag is closed. Comes with carry pouch to carry personal items. 3 Year Limited Warranty. Item # Description 1518101D Use with ML6/C Cylinders, 1/ea 1518102D Use with D Cylinders, 1/ea Color Display Finger Oximeter 42RMI-POX2D Simple operation for immediate real-time spot checks. Low power consumption allows unit to run for more than 30 hours of continuous operation with two AAA batteries. Large, easyto-read, two color OLED screen with adjustable brightness. Two-way screen display with low power indicator. Oxygen saturation rate of 70% to 99% and a pulse rate range of 30-235 BPM. Includes: 2 AAA batteries, operating manual, protective rubber boot, and hang string. 3 Year Warranty. Item # Description 42RMI-POX2D 1/cs 42SPO2-CASEBL Blue Carrying Case for Roscoe Pulse Ox, 1/ea 42SPO2-CASEGR Green Carrying Case for Roscoe Pulse Ox, 1/ea Universal Oxygen Cylinder Carry Bag For Wheelchair Adjustable, for use with “D” and “E” cylinders. Top and bottom clasps easily attach for secure fit to wheelchair. Made of durable, easy-to-clean nylon. Size: 26.5” x 7.5” x 4.75”. For use with most manufacturers’ wheelchairs. Warranty: 90 days. Item # Description 15STDS6008-1D 1/ea 42SPO2-CASEBL 42SPO2-CASEGR 74 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Patient Room Patient Room DreamEasy™ Full Face Masks Soft Nasal Cannula w/Non-Kink Tubing All cannulas are made of extra-soft disposable material for long-term use. Comes standard with non-kink tubing in various lengths up to 50 feet. Adjustable tubing fits comfortably over the ears to hold the cannula firmly in place. Adult available in all lengths; Pediatric available in 7-foot length. Curved Cannula Item # Description 15SOFT001D Cannula Only, 50/cs 15SOFT004D 4’ Length, 50/cs 15SOFT007D 7’ Length, 50/cs 15SOFT007PEDD 7’ Length, 50/cs, Pediatric 15SOFT014D 14’ Length, 50/cs 15SOFT025D 25’ Length, 25/cs 15SOFT050D 50’ Length, 20/cs 4270086 Small, 1/ea 4270088 Medium, 1/ea 4270090 Large, 1/ea The headgear buckle comes with a quick snap design making it easy to fasten and unfasten. Headgear with Velcro® fasteners provide maximum versatility and movement. 360o rotational elbow with standard 22 mm tubing connector. Item # Description 4270008 Small, 1/ea 4270010 Medium, 1/ea 4270012 Large, 1/ea Item # Description 15SOFT200D Cannula, 50/cs 15SOFT204D 4’ Length, 50/cs 15SOFT207D 7’ Length, 50/cs 15SOFT214D 14’ Length, 50/cs 15SOFT225D 25’ Length, 25/cs Item # Description 15SOFT250D 50’ Length, 20/cs 1518240D Small, Medium and Large Cushions All Included, 1/cs 1518342D Replacement Cushion, Small, 1/ea 1518341D Replacement Cushion, Medium, 1/ea 1518340D Replacement Cushion, Large, 1/ea Straight Tipped Cannula Straight Description DreamEasy™ Nasal Mask Cozy Cannula Non Kinking Tubing Cozy Cannula Item # One Size Fits All Freedom Nasal CPAP Mask/ Kit Item # Description 15SOFT100D Cannula Only, 50/cs 15SOFT104D 4’ Length, 50/cs 15SOFT107PD 7’ Length, 50/cs, Pediatric 15SOFT114D 14’ Length, 50/cs Freedom Max Full Face CPAP Mask/Kit 15SOFT125D 25’ Length, 25/cs Item # 15SOFT150D 50’ Length, 20/cs 1518245D Medium and Large Cushions All Included, 1/cs Roscoe Medical Oxygen Supply Tubing A six channel inner lumen design providing uninterrupted flow of oxygen that provides maximum safety for the patient. Universal connectors at each end come standard. www.gemcomedical.com Item # Description 42TUB-ROS7 7’ Length, 50/cs 42TUB-ROS25 25’ Length, 25/cs 42TUB-ROS50 50’ Length, 20/cs Phone: 800-733-7976 Respiratory Curved Headgear with Velcro® fasteners provide maximum versatility and movement. 360o rotational elbow with standard 22 mm tubing connector. Description 1518344D Replacement Cushion, Medium, 1/ea 1518343D Replacement Cushion, Large, 1/ea Features: New soft, silicon cushion with frosted texture optimizes seal and maximizes facial contouring. Tubing and headgear both have quick disconnects. Fax: 330-342-9444 75 Respiratory - Oxygen Go-Lite Bariatric, Steel Rollator, Padded Seat, Loop Lock, 8” Casters 4 Wheel Padded Seat Aluminum Rollator, Loop Lock, 6” Casters The removable, hinged, padded backrest can be folded up or down as necessary. Comes with standard carry pouch under the seat for added privacy and security of personal items. Limited Lifetime Warranty. Tool free removable padded backrest for comfort. Comes with large 21” (W) x 9” (D) x 6” (H) basket that can be mounted under the seat. Limited Lifetime Warranty. Item # Description Item # Description 15R726BKD Black, 1/cs 1510215BLD Blue, 1/cs 15R726BLD Blue, 1/cs 1510215RDD Red, 1/cs 15R726GRD Green, 1/cs 15R726RDD Red, 1/cs 15R726SLD Silver, 1/cs Universal Seat Height, Aluminum Rollator, Padded Seat, 6” Casters Durable 4 Wheel Rollator, Loop Lock, 8” Casters Rollators Universal height adjustment on frame allows seat height to be adjusted from 18” to 22” in 1” increments. Removable, hinged padded backrest can be folded up or down. Comes with standard carry pouch under the seat for added privacy and security of personal items. Easy to use deluxe loop locks. Limited Lifetime Warranty. Item # Description 15RTL10261BLD Blue, 1/cs 15RTL10261RDD Red, 1/cs Removable, hinged padded backrest can be folded up or down. Comes with basket to store personal items. Durable steel frame. Limited Lifetime Warranty. Item # Description 76 15R728BLD Padded Seat, Blue, 1/cs 15R728RDD Padded Seat, Red, 1/cs 1510257RD1-D Red, 1/cs Comes standard with basket, tray and pouch. Adjustable handle height. Easy, one hand folding. Limited Lifetime Warranty. Removable, hinged, padded backrest can be folded up or down as necessary. Height adjustable handles, carry pouch and padded seat with zipper pouch under seat come standard. Limited Lifetime Warranty. Description Blue, 2/cs Deluxe 3 Wheel Aluminum Rollator, Loop Lock, 8” Casters 4 Wheel Padded Seat Rollator, Loop Lock, 8” Casters Item # 1510257BL-2D Item # Description 1510289BLD Flame Blue, 1/cs 1510289RDD Flame Red, 1/cs GEMCO Item # Handle Height (Highest) Handle Height (Lowest) Unit Width Unit Length Seat (Depth) Seat (Width) Seat (Height) Product Weight Carton Shipping Weight Weight Limit 15R726 37” 32” 24” 28” 14” 12” 21” 12 lbs 16 lbs 300 lbs 15RTL10261 38” 29.5” 21” 25” 12” 13” 18”-22” 14 lbs 18 lbs 300 lbs 15R728 38” 33” 24” 28” 14” 14” 23” 14 lbs 18 lbs 300 lbs 1510215 39” 34” 30” 29” 13” 18” 22” 26 lbs 30.5 lbs 500 lbs 1510257 37” 32” 23” 24” 8.5” 15” 21” 23 lbs 27 lbs 300 lbs 1510289 38” 31” 25” 24” N/A N/A N/A 12 lbs 20.5 lbs 300 lbs www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Patient Room P o w e r W h e e l c h a i r s &P aStci oe o s om n tt eRr o Coloplast Self-Cath® Straight Tip Intermittent Catheters Single-use catheters designed for intermittent self-catheterization with fire-polished eyelets and a siliconized surface for smooth insertion. Ultra-smooth eyelets, latex free. 15” Length Item # Size 221007 6Fr 16” Length Item # Size 16” Length Item # Size Description Sold By HCPCS 20408 8Fr Straight Tip, Funnel End 1/ea A4351 20410 10Fr Straight Tip, Funnel End 1/ea A4351 20412 12Fr Straight Tip, Funnel End 1/ea A4351 20414 14Fr Straight Tip, Funnel End 1/ea A4351 20416 16Fr Straight Tip, Funnel End 1/ea A4351 20418 18Fr Straight Tip, Funnel End 1/ea A4351 Description Sold By HCPCS Firm 1/ea A4351 Description Sold By HCPCS 20450 14Fr Funnel End, Curved Packaging 1/ea A4351 20460 12Fr Funnel End, Curved Packaging 1/ea A4351 221018 8Fr Firm 1/ea A4351 221034 10Fr Firm 1/ea A4351 221048 12Fr Firm 1/ea A4351 221064 14Fr Firm 1/ea A4351 221082 16Fr Firm 1/ea A4351 221096 18Fr Firm 1/ea A4351 221036 10Fr Soft 1/ea A4351 221046 12Fr Soft 1/ea A4351 221061 14Fr Soft 1/ea A4351 221083 16Fr Soft 1/ea A4351 221049 12Fr Curved Pkg 1/ea A4351 221065 14Fr Curved Pkg 1/ea A4351 221074A 14Fr Soft, Curved Pkg 1/ea A4351 221050 12Fr Coude 1/ea A4352 221066 14Fr Coude 1/ea A4352 221086 16Fr Coude 1/ea A4352 221021 8Fr Coude, Olive Tip 1/ea A4352 221035 10Fr Coude, Olive Tip 1/ea A4352 221097 18Fr Coude, Olive Tip 1/ea A4352 221087 16Fr Coude, Curved Pkg 1/ea A4352 221051 12Fr Red Rubber Latex 1/ea A4351 221067 14Fr Red Rubber Latex 1/ea A4351 221084 16Fr Red Rubber Latex 1/ea A4351 Sold By HCPCS 6” Length Item # Size Description 221016 8Fr Firm 30 A4351 221033 10Fr Firm 30 A4351 221047 12Fr Firm 30 A4351 221062 14Fr Firm 30 A4351 221063 14Fr No Funnel 30 A4351 www.gemcomedical.com Coloplast Self-Cath® Female Single-use catheters designed for intermittent self-catheterization for the shorter female urethra. 6” Length Item # Size Description Sold By HCPCS 20208 8Fr Funnel End 1/ea A4351 20210 10Fr Funnel End 1/ea A4351 20212 12Fr Funnel End 1/ea A4351 20214 14Fr Funnel End 1/ea A4351 20240 14Fr Luer End 1/ea A4351 Coloplast Self-Cath® Soft Soft single-use catheters designed for intermittent self-catheterization that is firmer and clearer than a red rubber catheter. 16” Length Item # Size Description Sold By HCPCS 20110 10Fr Funnel End 1/ea A4351 20112 12Fr Funnel End 1/ea A4351 20114 14Fr Funnel End 1/ea A4351 20116 16Fr Funnel End 1/ea A4351 Urologicals Hollister Apogee Intermittent Catheter Coloplast Self-Cath® Olive Tip Coude with Guide Stripe Guide Stripe® indicator allows for monitoring of the catheter tip position throughout the catheterization process. The eyelets have been repositioned to the sides of the catheter for greater comfort. 16” Length Item # Size Description Sold By HCPCS 20806 6Fr Funnel End 1/ea A4352 20808 8Fr Funnel End 1/ea A4352 20810 10Fr Funnel End 1/ea A4352 20812 12Fr Funnel End 1/ea A4352 20814 14Fr Funnel End 1/ea A4352 20816 16Fr Funnel End 1/ea A4352 20818 18Fr Funnel End 1/ea A4352 Phone: 800-733-7976 Fax: 330-342-9444 77 Hollister Male External Catheters InView Male External Catheters Everyday Male External Catheter Self-adhesive, latex-free and clear material enables skin visibility. HCPCS: A4349 Self-adhesive, latex with easy applicator collar. HCPCS: A4349 Item # Special: shorter length sheath Item # Box of 30 Item # Box 0f 100 Sold by Size 2297425 2297725 25mm Bx 2297429 2297729 29mm Bx 2297432 2297732 32mm Bx 2297436 2297736 36mm Bx 2297441 2297741 41mm Bx Urologicals Standard: the daily catheter for general use Item # Box of 30 Item # Box 0f 100 Size 2297525 2297825 25mm Sold by Size U.O.M. 229106 22-25mm 30/bx 229107 26-30mm 30/bx 229108 31-35mm 30/bx 229109 36-39mm 30/bx DOVER™ ROB-NEL™ Urethral Catheters, 16” Two staggered eyes to maximize urine flow. Latex free. Thermosensitive polyvinyl chloride (PVC) material. HCPCS Code: A4351. Bx Item # Size 8 Fr DOVER™ Vinyl Urethral Catheter Description 1/ea Size 2297529 2297829 29mm Bx 318888492017 2297532 2297832 32mm Bx 318888492025 10 Fr DOVER™ Urethral PVC Catheter 1/ea 2297536 2297836 36mm Bx 318888492033 12 Fr DOVER™ Urethral PVC Catheter 1/ea Bx 318888492041 14 Fr DOVER™ Urethral PVC Catheter 1/ea 318888492058 16 Fr DOVER™ Urethral PVC Catheter 1/ea 318888492120 20 Fr DOVER™ ROB-NEL™ Urethral Catheter 1/ea 318888492122 22 Fr DOVER™ ROB-NEL™ Urethral Catheter 1/ea 318888492124 24 Fr DOVER™ ROB-NEL™ Urethral Catheter 1/ea 318888492126 26 Fr DOVER™ ROB-NEL™ Urethral Catheters 1/ea 318888492128 28 Fr DOVER™ ROB-NEL™ Urethral Catheters 1/ea 318888492130 30 Fr DOVER™ ROB-NEL™ Urethral Catheters 1/ea 2297541 2297841 41mm Extra: 70% more adhesive than Standard for added security Item # Box of 30 Item # Box 0f 100 Size Sold by 2297625 2297925 25mm Bx 2297629 2297929 29mm Bx 2297632 2297932 32mm Bx 2297636 2297936 36mm Bx 2297641 2297941 41mm Bx Extended Wear Male External Catheter Self-adhesive, latex, unique inner flap and easy applicator collar. HCPCS: A4349 78 Item # Size U.O.M. 229206 22-25mm 30/bx 229207 26-30mm 30/bx 229208 31-35mm 30/bx 229209 36-39mm 30/bx www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Patient Room Trigger Release Walker Aluminum Folding Two Button Walker Trigger release finger feature is ideal for individuals with limited finger dexterity. Durable, composite trigger release resists cracking and breaking. Limited Lifetime Warranty. 1510200-4D Item # Description 1510200-4D Adult, 4/cs 1510201-4D Junior, 4/cs 1510210-4D* Adult, 5” Wheels, 4/cs 1510211-4D* Junior, 5” Wheels, 4/cs 1510224-4D Two Walkers in One! *Includes rear glide caps and glide covers. Bariatric Two Button Walker Wider and deeper frame design accommodates individuals up to 500 lbs. Precision design provides additional strength while adding minimal weight. Steel legs and side braces. Limited Lifetime Warranty. Item # Description Adult, 2/cs 1510223D Junior, 2/cs Description 1510224-4D Adult, Crossbrace, Flame Blue, 4/cs 1510225-4D Junior, Crossbrace, Flame Blue, 4/cs 1510226-4D* Adult, 5” Wheels, Flame Blue, 4/cs 1510227-4D* Junior, 5” Wheels, Flame Blue, 4/cs *Includes rear glide caps and glide covers. Universal (Adult/Junior) Deluxe Folding Walker, Two Button with 5” Wheels Walker height can be adjusted from 28” - 38”. Easy push-button mechanisms may be operated by fingers, palms or side of hand. Sturdy 1” diameter anodized, extruded aluminum construction ensures maximum strength while remaining lightweight. Comes with wheels, rear glide caps, (item #1510107D) and glide covers, (item #1510107CD) allowing use on all surfaces. Limited Lifetime Warranty. 1510210-4D 1510220D Item # Item # Description 1510253-1D 1/cs 1510253-4D 4/cs Wa l ke r s Easy push button release can be operated by fingers, palm, or side of hand. Unique U-shaped design creates greater clearance bringing walker closer to assist in standing (only for 1510200-4 and 1510201-4 walkers). Limited Lifetime Warranty. Bariatric Steel Folding Two Button Walker Sturdy, steel construction and vinyl contoured hand grips. Easy push-button mechanisms may be operated by fingers, palm or side of hand. Limited Lifetime Warranty. 700lb GEMCO Item # 1510200-4D Item # Description 1510220HDD Heavy Duty, Adult, 2/cs Width (Inside Hand Grip) Width (Inside Back Legs) Overall Width Depth (Open at Base) Height (Highest Setting) Height (Lowest Setting) Product Weight Carton Shipping Weight Weight Limit 17” 19” 21.75” 16.5” 39” 32” 6.4 lbs 28.1 lbs 350 lbs 1510201-4D 17” 19” 21.75” 16.5 “ 32” 25” 6.2 lbs 27.8 lbs 350 lbs 1510210-4D 17” 20” 25” 18” 39” 32” 7.4 lbs 33.6 lbs 350 lbs 1510211-4D 17” 20” 24” 16.5” 32” 25” 7.2 lbs 33.2 lbs 350 lbs 1510220D 20” 23” 24” 21” 39” 32” 7.5 lbs 18.1 lbs 500 lbs 1510223D 20” 23” 24” 20” 32” 25” 7.3 lbs 17.6 lbs 500 lbs 1510220HDD 19.5” 22.5” 22.5” 22” 39.5” 32.5” 7.8 lbs 18.2 lbs 700 lbs 1510224-4D 18” 21” 24” 18” 39” 32” 6.5 lbs 25 lbs 350 lbs 1510225-4D 18” 21” 24” 17” 32.5” 25.5” 6 lbs 30 lbs 350 lbs 1510226-4D 18” 21” 27” 21.5” 39.5” 32.5” 7.5 lbs 28 lbs 350 lbs 1510227-4D 18” 20.5” 25.5” 19” 33.15” 26.5” 6.5 lbs 33 lbs 350 lbs 1510253-1/4D 17” 21” 25.5” 19.5” 38” 28” 7 lbs 8/30.5 lbs 300 lbs www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 79 Sneaker Walker Glides Roscoe Knee Scooter, Padded Knee Platform Fits all size tubing. Stylish tennis shoes glides personalize the walker. Allows walker to glide easily and smoothly over most surfaces. Easy, tool free installation. Replaces rubber tip. Scooter can be steered for increased maneuverability. 8” rubber wheels with sealed bearings. Padded knee platform with easyadjustment mechanism, 31”-41” handle height. Patient height range: 4’11” -6’6”. Weight capacity: 350 lb. Two Year Warranty. Item # Description 42ROS-KSB Black, 1/ea 42ROS-KSW White, 1/ea 42ROS-KSR Burgundy, 1/ea Item # Description 15100014D 1 pr/bx Universal Cup Holder Easily attaches to wheelchairs, rollators or wheeled walkers with tubing diameter from 5/8” to 1”. Special clamp insert can be added or removed as necessary to accommodate different size tubing. Dimensions: 3” (L) x 3” (W). Limited 1 Year Warranty. Side Walker Wa l ke r s Designed for individuals with the use of only one hand or arm. Lighter than a walker and more stable than a cane. Easily folds with one hand. Limited Lifetime Warranty. Item # Description 1510240-1D Adult, 300 lbs. 1/cs Item # Description Adult (Hemi-Walker), 500 lbs. 1/cs 15STDS1040D 1/ea 1510242D 1510240-1D Pictured Platform Walker/Crutch Attachment Universal 5” Walker Wheels with Dual Hole Adjustment Converts folding walker into wheeled walker. Allows for 8 height adjustments. Rubber wheel allows walker to glide easily and smoothly over irregular surfaces Cradles forearm with soft vinyl padding for comfortable weight bearing. Large top bracket allows the platform attachment to be placed over the hand grip of the walker. Adjustable strap securely holds arm in place. Limited Lifetime Warranty. Item # Description Item # Description 1510109D* 5” Universal Wheels, 1 pr/bx 1510105D 300 lb Weight Capacity, 2/cs 1510105HD-2D 500 lb Weight Capacity, 2/cs 1510109D GEMCO Item # Overall Width Overall Depth Height (Highest Setting) Height (Lowest Setting) Product Weight Carton Shipping Weight Weight Limit 1510105D 6” 18” 50.5” 35.5” 3 lbs 4.5 lbs 300 lbs 1510105HD-2D 6” 18” 52” 40” 3 lbs 9 lbs 500 lbs 1510240-1D 17.5” 15.5” 37” 30” 3.5 lbs 5.5 lbs 300 lbs 1510242D 16.5” 16” 36” 30” 10 lbs 13 lbs 500 lbs * Universal walker wheels with “two-sided” positioning holes fit most leading manufacturers’ walkers, including Invacare®, Guardian, Sunrise®, & Rubbermaid®. Not endorsed or authorized by Invacare®, Sunrise® or Rubbermaid®. 80 www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Tennis Ball Glides Extension Legs w/ Wheels Provides quiet, smooth and durable glide experience when used with a walker. Easy and safe to install. Allows for height adjustments from 36” to 43” (walker handgrip to floor). For use with Drive and most manufacturers’ walkers. Includes rear glide caps, (1510107) and glide covers (1510107C) allowing for walker use on all surfaces. Item # Description 1510108WCD Combo Pack includes 1 pair of Extension Legs w/5” Wheels (1510180W) & 1 pair of Extension Legs (1510108) Item # Description 1510119D 1 pr/bx 1510123D Replacement Tennis Ball Glide Pad, 4/pkg 1510123D 1510119D Walker Basket Makes height adjustments from 36” to 43” on a standard adult walker. Allows for 8 height adjustments. For use with Drive and most manufacturers’ walkers. Item # Description 1510108D 4/bx Item # Description 1510200BR-6D Basket (Insert Included), 6/cs 1510200B-1D Walker Basket Insert Replacement, 1/ea 1510200BR-6D Walker Tray Glide Cover Tip style glide cover for use over existing rubber tip. Easily added to walker. Two cup holders. Size 16” (W) x 12” (D). Easy to install and folds down when not in use. Item # Description Item # Description 1510107CD 1pr/poly-bag, Black 1510125D 1/bx Wa l ke r s For use with all 1” folding walkers. Tall Extension Legs Glide Cap Replaces rubber tip. Item # Description 1510107D 1pr/bx, Gray Fits most manufacturers’ walkers. Allows you to carry personal items from room to room. Made of easy to clean, durable plastic. One cup holder. Size: 23” (W) x 17” (D) x 1.5” (H). Glide Ski For use with all 1” folding walkers. Durable composite construction ensures long life. Ideal on most surfaces. 1510110D Item # Description 1510110D 1pr/bx, White 1510110BD 1 pr/bx, Black www.gemcomedical.com Universal Walker Tray with Cup Holder Phone: 800-733-7976 Item # Description 1510124D 1/bx E-Z Walker Caddy Includes a removable top that conceals personal items. Fits most manufacturers’ 2 button walkers. Easily attaches with side clips. Made of easy to clean, durable plastic. Size: 15 1/2” (W) x 12 1/2” (D) x 5” (H). Item # Description 15RTL10131-1D 1/ea Fax: 330-342-9444 81 Aluminum Transport Chair Duet Transport Chair/Rollator Comes with swingaway footrest, padded armrests, a seat belt, nylon upholstery and 8” casters. Back release hinge allows back to fold down for easy storage and transport. Combines the features of a transport chair and a rollator so an individual can ambulate independently or be pushed by a caregiver. Carry pouch, 8” casters and padded seat are included. Height adjustable footrest with safety wheels to prevent tipping that folds down when used as a transport chair and folds up out of the way when used as a rollator. Description 15ATC17-BLD 17” Blue Frame, 1/cs 15ATC19-BLD 19” Blue Frame, 1/cs 15ATC17-RDD 17” Red Frame, 1/cs 15ATC19-RDD 19” Red Frame, 1/cs Item # Description 15ATC17-BKD 17” Black Frame, 1/cs 15795BD Blue, 1/cs 15ATC19-BKD 19” Black Frame, 1/cs 15795BKD Black, 1/cs 15ATC17-SLD 17” Silver Frame, 1/cs 15795BUD Burgundy, 1/cs 15ATC19-SLD 19” Silver Frame, 1/cs 15LELR-TFD Swingaway, Elevated Legrest, 1/cs (Optional Front Riggings) 15ATC19BL Poly-Fly High Strength, Light Weight Wheelchair/ Transport Chair Combo 15795B Wheelchairs Item # Can be used as standard self propelled wheelchair or a transport chair all in one. Quick release 24” wheels can be removed to transition self propelled chair to a transport chair. Fold down back, nylon black upholstery, and swingaway footrests come standard. Silver Sport 2 Wheelchair, Dual Axle Powder coated silver vein steel frame. Embossed vinyl upholstery is durable and easy to clean. 8” front casters, adjustable in 3 positions and push to lock wheel locks come standard. Carry pocket on backrest provides additional convenience. Limited 3 Year Warranty. Description 15TR16D 16” Seat Width, Silver Frame, 1/cs Pictured as Transport Chair 15TR18D 18” Seat Width, Silver Frame, K0001/K0002 Item # Item # 1/cs Riggings Arm Style 15TR20D 15SSP2(16, 18, 20)DDA SF/EL Detachable Desk Arm 15SSP2(16, 18, 20)DFA SF/EL Detachable Full Arm 20” Seat Width, Silver Frame, 1/cs Replacement Front Riggings Item # Description 15LELRSV-TFD Elevating Legrest, Silver Vein, Tool Free, 1 pr/cs 15L3-4SFSV-TFD Swingaway Footrest, Silver Vein, Tool Free, 1 pr/cs Pictured as Self Propelled Wheelchair Overall Width (Open) Overall Width (Closed) Overall Height Seat-toFloor Height Back Height Width (Seat) Depth (Seat) Overall Length w/ Riggings Product Weight Carton Shipping Weight Weight Limit 25.5” N/A 37” 21” 36” 13.5” 13” 26” 19 lbs 23 lbs 300 lbs 15SSP216 24” 12.5” 36” 17.5”-19.5” 16” 16” 16” 42” 36 lbs 41 lbs 250 lbs 15SSP218 26” 12.5” 36” 17.5”-19.5” 16” 18” 16” 42” 37 lbs 42 lbs 300 lbs 15SSP220 28” 12.5” 36” 17.5”-19.5” 16” 20” 16” 42” 39 lbs 44 lbs 350 lbs 15ATC17 20” 9” 39.5” 19” 18” 17” 16” 33” 19 lbs 24 lbs 300 lbs 15ATC19 22” 9” 39.5” 19” 18” 19” 16” 33” 19 lbs 24 lbs 300 lbs GEMCO Item # 15795 82 Quick Release on 24” Wheel 15TR16 23.5” 12” 37” 19.5” 16” 16” 16” 42” 33 lbs 38 lbs 250 lbs 15TR18 24.5” 12” 37” 19.5” 16” 18” 16” 42” 34 lbs 39 lbs 250 lbs 15TR20 25.5” 13” 39.5” 19.5” 16” 20” 16” 41” 36 lbs 41 lbs 250 lbs www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Patient Room P o wPeor wWe hr eWe hl ceheal ci rhsa & iPr asStc& o oeRro sttoeRm ro s om iPoeaS ntctti e no Bariatric Sentra EC, Heavy Duty Wheelchair Bariatric Sentra Extra Heavy Duty Wheelchair Standard dual axle provides easy transition of seat to hemi-level. Double embossed vinyl, upholstery and padded armrests. No maintenance, sealed, precision bearings. 8” front casters, adjustable in 3 positions and push to lock wheel locks come standard. Limited 3 year warranty. Reinforced steel gussets at all weight bearing points. Heavy gauge reinforced naugahyde upholstery. Dual position front fork and front frame. Precision sealed wheel bearings in front and rear and push to lock wheel locks come standard. Limited Lifetime Warranty. K0002/K0007 K0001/K0002/K0007 Item # Item # Riggings Riggings Arm Style Arm Style 15STD(22, 24)DDA SF/EL Detachable Desk Arm, Chrome 15STD(22, 24)ECDDA SF/EL Detachable Desk, Dual Cross Brace, Chrome 15STD(22, 24)DFA SF/EL Detachable Full Arm, Chrome 15STD(22, 24)ECDFA SF/EL Detachable Full, Dual Cross Brace, Chrome Chrome frame with padded armrests and embossed black vinyl upholstery. Comes with 8” front casters adjustable in 3 positions and carry pocket on backrest. Limited 3 Year Warranty. K0003 Adjustable seat rail extension and extendable upholstery easily adjusts seat depth from 16” to 18”. Weighs under 36 lbs (excluding front riggings). Removable flip back arms with padded armrests. Nylon upholstery is durable and easy to clean. Dual axle provides easy transition of seat height to hemi level. Limited Lifetime Warranty. K0001/K0002/K0007 Item # Riggings Arm Style 15CS(16, 18, 20)DDA SF/EL Detachable Desk Arm 15CS(16, 18, 20)DFA SF/EL Detachable Full Arm Item # Riggings Arm Style 15K3(16, 18, 20)DDA SF/EL Detachable Desk Arms Replacement Front Riggings 15K3(16, 18, 20)DFA SF/EL Detachable Full Arms Item # Description Detachable Desk, Adj Height Arms 15L34SFTFD Swing-Away Footrest, Tool Free, 1 pr/cs 15LK3JELR-ELRD Elevating Legrest, 1 pr/cs 15K3(16, 18, 20)ADDA SF/EL Overall Width (Open) Overall Width (Closed) Overall Height Seat-toFloor Height Back Height Width (Seat) Depth (Seat) Overall Length w/ Riggings Product Weight Carton Shipping Weight Weight Limit 15STD22EC 29” 13.5” 36” 17.5”-19.5” 18” 22” 18” 42” 57 lbs 63 lbs 450 lbs 15STD24EC 30” 14.5” 36” 17.5”-19.5” 18” 24” 18” 42” 58 lbs 64 lbs 450 lbs GEMCO Item # 15K316 24” 12” 35” 17.5”-19.5” 16” 16” 16”-18” 42” 35 lbs 40 lbs 300 lbs 15K318 26” 12” 35” 17.5”-19.5” 16” 18” 16”-18” 42” 36 lbs 41 lbs 300 lbs 15K320 28” 12” 35” 17.5”-19.5” 16” 20” 16”-18” 42” 38 lbs 43 lbs 350 lbs 15STD22 31” 13” 37” 17.5”-19.5” 18” 22” 18” 42” 56 lbs 62 lbs 500 lbs 15STD24 32.5” 13” 37” 17.5”-19.5” 18” 24” 18” 42” 67 lbs 72 lbs 500 lbs 15CS16 24” 12.5” 36” 17.5”-19.5” 16” 16” 16” 42” 35.8 lbs 40.8 lbs 250 lbs 15CS18 26” 12.5” 36” 17.5”-19.5” 16” 18” 16” 42” 37 lbs 42 lbs 300 lbs 15CS20 28” 12.5” 36” 17.5”-19.5” 16” 20” 16” 42” 39 lbs 44 lbs 350 lbs www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Wheelchairs Chrome Sport Wheelchair Cruiser III Lightweight, Dual Axle, Silver Vein Wheelchair 83 Sentra Full Reclining Wheelchair Wheelchair Bags Hydraulic reclining mechanism allows for infinite adjustments up to 180o. 8” front casters, rear anti-tippers, carry pocket, and padded armrests come standard. Headrest extension with cushioned head immobilizer standard. Limited Lifetime Warranty. Item # Description 42BAG-5045R Wheelchair Bag, 50” x 45”, 250/roll Bariatric Swing-Away Footrests Item # Description Item # Description 15STD(14, 16, 18, 20, 22) RBDDAD Full Reclining Back, Detachable Desk Arms, Swing-Away Elevating Legrest, 1/cs 15PHSFD 15STD(16, 18, 20) RBDFAD Full Reclining Back, Detachable Full Arms, Swing-Away Elevating Legrest, 1/cs Aluminum Footplate, Chrome Extension, 1 pr/cs. For use with Bariatric Sentra EC Heavy Duty (Standard) Extra Wide (15STD26EC thru 15STD30EC Series) 15PHSFD 15HDSFD Aluminum Footplate, Chrome Extension, 1 pr/cs. For use with Bariatric Sentra Heavy Duty (Deluxe) Extra Wide (15STD26 thru 15STD30 Series) Anti-Tippers Wheelchairs 15STDS819D Item # Description 15STDS819D Black, 1 pr/bx. For use with Cruiser III wheelchairs 15STDS829D Standard, 1 pr/bx. For use with Silver Sport II, and Chrome Sport Wheelchairs 15HDSFD Bariatric Elevating Legrests 15STDS829D Seat Belts 15PHELRD Item # Description 15STDS850D Auto Type, Black, 1/bx 15STDS851D Velcro® Type Closure, Black, 1/bx, For use with all Drive and other leading manufacturers’ wheelchairs. Can accommodate waist sizes up to 48 inches. Item # Description 15PHELRD Aluminum Footplate, Chrome Extensions, Vinyl Calf Pads, 1 pr/cs. For use with Bariatric Sentra EC Heavy Duty (Standard) Extra Wide (15STD26EC thru 15STD30EC Series) 15HDELRD Aluminum Footplate, Chrome Extensions, Vinyl Calf Pads, 1 pr/cs. For use with Bariatric Sentra Heavy Duty (Deluxe) Extra Wide (15STD26 thru 15STD30 Series) 15HDELRD 84 GEMCO Item # Overall Width (Open) Overall Width (Closed) Overall Height Seat-toFloor Height Back Height Width (Seat) Depth (Seat) Overall Length w/ Riggings Product Weight Carton Shipping Weight Weight Limit 15STD14 23” 12.5” 48” 19.5” 23”/33” 14” 16” 42” 46 lbs 52 lbs 300 lbs 15STD16 25” 12.5” 50” 19.5” 23”/33” 16” 16” 42” 49 lbs 55 lbs 300 lbs 15STD18 27” 12.5” 50” 19.5” 23”/33” 18” 16” 42” 51 lbs 57 lbs 300 lbs 15STD20 28” 12.5” 50” 19.5” 23”/33” 20” 16” 42” 53 lbs 58.25 lbs 300 lbs 15STD22 30” 16” 51” 21” 23”/33” 22” 18” 46” 55 lbs 62 lbs 450 lbs www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 AlgiSite® M Calcium Alginate Dressing IV3000 Transparent Film Dressing Forms a hydrophilic gel that remains in intimate contact with the wound surface, helping to create and maintain a moist wound environment. Designed to meet the needs of catheter fixation and IV site protection. Keeps the catheter site dry and provides a barrier to contamination. GEMCO Item # Description Sold By 254007 2 3/8” x 2 3/4” 254008 4” x 4 3/4” GEMCO Item # Description Sold By 100/bx 2559480100 2” x 2” 10/bx 50/bx 2559480200 4” x 4” 10/bx 2559480400 3/4” x 12” 10/bx I.V. Prep Antiseptic Wipes COVRSITE® Composite Dressing GEMCO Item # Description Sold By 2559421200 Antiseptic Wipes 50/bx GEMCO Item # Description Sold By 2559714000 4” x 4” 10/bx 2559714100 4” x 4” 30/bx 2559714300 6” x 6” 10/bx 2559714400 6” x 6” 30/bx No-Sting Skin-Prep® Protective Dressings SOLOSITE® Gel Hydrogel Wound Dressing Donates moisture to rehydrate non-viable tissue and absorbs exudate while retaining its structure in the wound. Used to treat minor conditions such as: minor burns, superficial lacerations, cuts and abrasions (partial thickness wounds), and skin tears. Creates a moist wound environment, which assists in autolytic debridement of wounds covered with necrotic tissues. Fast drying, sterile, liquid film forming skin protectant that provides a flexible transparent barrier that is waterproof, hypoallergenic and breathable. GEMCO Item # Description Sold By 2559420600 1mL Wipe 50/bx GEMCO Item # Description Sold By 2559420700 3mL Swab 50/bx 25449600 3 oz. Tube 1/ea Wo u n d Ca re Designed as a secondary cover dressing for gels, gel sheets, alginates, wound fillers and non-adhesive foams. Provides a single-step replacement for tape and gauze that is waterresistant, extensible, and conformable. The gentle adhesive is designed so that the dressing can be changed daily. Provides clear, one-step antiseptic for I.V. site preparation. HYPAFIX™ Dressing Retention Rolls Remove® Adhesive Remover Indicated for retention and post-operative wound dressings, gauze and absorbent pads, and to secure catheters and drainage tubes. Non-woven dressing retention tape that stretches for easy application and patient comfort. Water resistant. Reduces the risk of skin trauma and irritation related to acrylic and rubber-based adhesive removal. GEMCO Item # Description Sold By 25403100 Wipes 50/bx 25403300 8 oz. Bottle 1/ea www.gemcomedical.com GEMCO Item # Description Sold By 254209 2” x 10 Yard Roll 1/ea 254210 4” x 10 Yard Roll 1/ea 254211 6” x 10 Yard Roll 1/ea 254215 2” x 2 Yard Roll 1/ea 254216 4” x 2 Yard Roll 1/ea 254217 6” x 2 Yard Roll 1/ea Phone: 800-733-7976 Fax: 330-342-9444 85 DERMACEA™ Nonwoven Sponges 4 Ply PREPPIES™ Adhesive Remover Wipes Cost effective, highly absorbent dressing ideal for applying ointments, prepping, wiping needles, cleaning slides and more. GEMCO Item # Description Ship Case 31441403 2” x 2”, 4 Ply Sterile 2’s 3,000 31441410 3” x 3”, 4 Ply Sterile 2’s 2,400 31441411 3” x 4”, 4 Ply Sterile 2’s 1,200 31441412 4” x 4”, 4 Ply Sterile 2’s 1,200 31441400 2” x 2”, 4 Ply Non-Sterile 8,000 31441401 3” x 3”, 4 Ply Non-Sterile 4,000 31441402 4” x 4”, 4 Ply Non-Sterile 2,000 Wo u n d Ca re CURITY™ Gauze Sponges Sterile CURITY™ Gauze Sponges Sterile are made from high-grade 100% ring spun cotton which maximizes absorbency and vertical wicking ability. GEMCO Item # Description 311806 2” x 2”, 8 Ply Sterile 2’s 100/pk 311903 3” x 3”, 12 Ply Sterile 2’s 50/pk 312187 4” x 4”, 8 Ply Sterile 2’s 50/pk 313033 4” x 4”, 12 Ply Sterile 2’s 50/pk 312259 4” x 8”, 12 Ply Sterile 2’s 50/pk 313967 4” x 4”, 12 Ply Sterile 5’s in Soft Pouch 50/pk 313968 4” x 4”, 8 Ply Sterile 10’s in Soft Pouch 100/pk Gently removes barrier films, wafer barriers, adhesive and tape residues while at the same time helps to soften and soothe the skin through a unique adhesive remover formulation containing aloe extracts. GEMCO Item # Description Per Box Ship Case 3121480 Large, 2 ply 100 1,000 Webcol™ Alcohol Preps, Sterile Premium pad material provides maximum absorbency for scrubbing and cleansing. 70% isopropyl alcohol, helps prepare sight for insertion or incision. GEMCO Item # Description Per Box Ship Case 315033 Large, 1 ply 200 4,000 316818 Medium, 2 ply 200 4,000 315110 Large, 2 ply 200 4,000 Sold By Polyskin™ II Transparent Dressings Ideal dressing for I.V. sites, burns and ulcers. Simple, effective delivery system allows one-handed application. Outstanding barrier to bacteria and fluid contaminants offering powerful protection. Sterile 1’s in Peel-Back Package PREPPIES™ Skin Barrier Wipes Forms protective barrier between skin and adhesive products protecting skin from feces, urine, chemical irritants and gastrointestinal fluids. Helps reduce the chance of excoriation. 86 GEMCO Item # 316560 Description Per Box Ship Case Large, 2 ply 50 1,000 www.gemcomedical.com GEMCO Item # Description Per Box Ship Case 316651 1 1/2” x 1 1/2” 100 400 316640 2” x 2 3/4” 100 400 316641 4” x 4 3/4” 50 200 316647 4” x 8” 20 120 316642 6” x 8” 10 40 316648 8” x 10” 10 80 Phone: 800-733-7976 Fax: 330-342-9444 The Definition of Medicare Medicare is a federal health insurance program for United States citizens over 65 years of age, permanently disabled people under the age of 65, and people with end-stage renal disease (ESRD). The Definition of a Medicare Beneficiary A Medicare Beneficiary is any United States citizen over the age of 65. OR • Anyone under the age of 65 who has been receiving Social Security disability benefits for more than 24 months. • Anyone under the age of 65 who has been receiving Railroad Retirement benefits. • Anyone at any age with end-stage renal disease (ESRD). • Anyone at any age who is the spouse or dependent of a person with ESRD. • Anyone unable to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which is expected to last not less than 24 months. • Anyone age 65 or older who is eligible for Social Security or Railroad Retirement benefits. • Anyone age 65 or older who worked at least 10 years for the federal, state or local government. Enrolling in Medicare Medicare beneficiaries become enrolled in the Medicare Program either through automatic enrollment or by applying to the program when they become eligible. Social Security Administration: (800) 772-1213 www.ssa.gov Railroad Retirement Board: (800) 808-0772 The Center for Medicare and Medicaid Services (CMS) The Medicare Program is administered by the Center for Medicare and Medicaid Services (CMS), a division of the United States Department of Health and Human Services located in Baltimore, Maryland. The primary function of CMS is to assure its contractors and state agencies properly administer Medicare. CMS website: www.cms.gov Medicare website: www.medicare.gov or 1-800-MEDICARE (1-800-633-4227) CMS has established several regional offices/carriers to ensure proper support for all Medicare contractors. Medicare contractors are organizations that have agreements with CMS to locally/regionally administer the program for all providers in their specific states or region. Their primary responsibility is to process and reimburse Medicare claims submitted by providers. Medicare Part A contractors are called Intermediaries. Medicare Part B contractors are called Carriers. The 2 Parts of Medicare • Medicare Part A - Hospital Insurance (HI) that pays for inpatient hospital care and skilled nursing facility care. Hospice care and some home healthcare is also covered. • Medicare Part B - Medical Insurance that pays for physician and non-physician services, outpatient hospital services, durable medical equipment, diagnostic tests, and various other medical services and supplies not covered by Part A. Medicare Part B is the largest single payer source for Home Health Care (HHC) products and services. Medicare reimbursement for HHC products revolves around the basic definition of DMEPOS, which is an acronym for Durable Medical Equipment (DME) and Prosthetics, Orthotics and Supplies (POS). DME is defined as equipment or supplies that: • Are primarily & customarily medical in nature, AND • Can withstand repeated use, AND • Are appropriate for use in the home, AND • Are generally not useful to a person in the absence of the illness or injury which the equipment is intended for. • Supplies can be further defined as items or accessories required for the effective use of medically necessary DME and are covered by Medicare. • A physician must prescribe all DME to a Medicare beneficiary in order for it to be covered. • In order for a service or supply to be covered by Medicare, it must be considered reasonable and necessary for the diagnosis or treatment of an illness or injury. A physician’s order, or prescription is proof of medical necessity. Coverage and reimbursement for Home Blood Glucose Meters and their associated supplies and other DME (Durable Medical Equipment) such as wheelchairs, canes, oxygen equipment and hospital beds fall under Medicare Part B. Coverage of DME is subject to the requirement that the equipment be necessary and reasonable for the treatment of the illness. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 87 Medicare Providers The definition of Medicare Provider is any person or entity that provides medical care or services to Medicare Beneficiaries. Part B Medicare Providers service Medicare patients by becoming “participating” or “non-participating” in the Medicare program. Facts about Participating Providers All Medicare claims must be filed on behalf of the patient. Reimbursement comes directly from Medicare. Medigap/Supplemental Insurance is automatically crossed over. Access is given to beneficiary eligibility information. Assignment MUST be taken on all Medicare covered items. Facts about Non-Participating Providers All Medicare claims must be filed on behalf of the patient. Reimbursement comes directly from Medicare. Medigap/Supplemental Insurance is automatically crossed over. Assignment does not have to be taken on any or all Medicare covered items. Assignment is chosen on a claim-by-claim basis. The Basics of Medicare Claim Processing The procedure of claims processing begins when a provider submits a claim to a Medicare contractor. Medicare providers submit their claims electronically. Once the contractor receives the claim, it is verified and then the determination of payment amount and the issue of that payment amount is made. The contractor sends the Medicare patient a Medicare Summary Notice (MSN) every 30 days itemizing what services have been billed by the provider, the amount paid, and the amount the beneficiary is responsible for paying to the provider. The contractor also sends the provider a Medicare Remittance Notice (MRN) on “assigned claims”. Medicare Reimbursement Medicare mandates that a beneficiary must pay a deductible of $140.00 for calendar year 2013 before a benefit payment can be made. • Bills for services or supplies are applied toward the deductible. • The deductible is applied to the approved charge; non-covered services do not count toward the deductible. • Expenses are allocated to the deductible in the order in which the bills are received by Medicare. After the beneficiary’s deductible is met, Medicare (as the Primary Payer) reimburses 80% of the Medicare Allowed Amount (MAA) incurred during the balance of the calendar year. The remaining 20% of the MAA is the payment responsibility of the patient and is referred to as the coinsurance. (This coinsurance could be covered by a Medicare supplemental type of insurance). The Medicare Allowed Amount (MAA) is determined through a national coding system called HCPCS Level II National Codes. HCPCS (Health Care) Procedure Coding System is a uniform method for healthcare providers and medical supplies to report the use of professional services, procedures and supplies. Note: Accepting assignment means accepting the MAA. A provider cannot bill for their costs that may be greater than the MAA; those costs cannot be covered if the MAA is too low. Medicare as Primary or Secondary Payer 88 Medicare is a Primary Payer for those individuals who are eligible for Part B benefits. This means that claims for medical benefits must be submitted to Medicare first before other insurance is filed. There are some exceptions to this Primary Payer rule listed below. Exceptions where Medicare may become a Primary Payer: • Veterans Administration (VA) • Federal Black Lung Program • End-Stage Renal Disease (ESRD) Exceptions where Medicare is considered the Secondary Payer (MSP): • Bodily Injury Liability • Workplace Injuries • Employer Group Health Plans (EGHP) For any questions about who pays first, call the Coordination of Benefits Contractor at 1-800-999-1118. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Blood Glucose Meters and Medicare Home Blood Glucose Meters are covered under Medicare Part B as Durable Medical Equipment. For the proper testing and functioning of the meter, Medicare also covers lancets, reagent strips and other ancillary supplies necessary for testing, for patients for whom the device is indicated. Eligibility for Home Blood Glucose Meters Home Blood Glucose Meters and supplies are covered, under the basic definition of DME, for Medicare eligible patients who meet the following criteria: 1. The patient has diabetes, insulin or non-insulin treated, which is being treated by a physician (ICD-9 Codes 249.00-250.93); AND 2. The glucose meter and related supplies have been ordered by the physician who is treating the patient’s diabetes; AND 3. The patient, or patient’s caregiver, has successfully completed training or is scheduled to begin training in the use of the meter and supplies; AND 4. The patient, or patient’s caregiver, is capable of using the test results to assure the patient’s appropriate glycemic control; AND 5. The device is designed for home use. For all glucose meters and related supplies, if the basic coverage criteria (1-5) are not met, then the items will be denied as NOT medically necessary. Source: DMERCs in conjunction with The American Diabetes Association. Medical Necessity Documentation The supplier must have an original written order for use of the home blood glucose meter. When the testing frequently changes, a new order is required. The order must contain the following: • • • • • • A written order is required before submitting a claim to Medicare and this original must remain on file with the supplier. List of item(s) to be dispensed Quantity of item(s) to be dispensed Frequency of testing (“as needed” is not acceptable on the order) The reason for the DMEPOS item (which can take the form of an ICD-9-CM Code) and/or diagnosis narrative information Whether the patient has insulin treated or non-insulin treated diabetes If a special-featured meter is requested, the patient’s visual acuity must be documented. Coverage of Blood Glucose Meters and Supplies Supplies necessary for the proper functioning of the blood glucose meter are covered, but only if the meter itself meets the basic coverage requirements. The following items are covered: • • • • • • The following supplies are NOT covered for Medicare beneficiaries because they are NOT considered to be required for the proper functioning of the meter. • Alcohol, peroxide • Urine test reagent strips or tablets • Syringes Standard Meters and Special-Feature Meters Replacement batteries Calibrator solution/chips Lancets Spring-powered devices for lancets Blood glucose test reagent strips Special Coverage Considerations Blood Glucose Meter with special features: Meters with special features such as voice synthesizers enable visually impaired patients with diabetes to use the equipment without assistance. These types of meters are covered if certain conditions are met. First, the patient and device must meet the basic coverage criteria (1-5) for a standard home blood glucose meter. Then the patient’s physician must certify that the patient has a severe visual-impairment, defined as a best corrected visual acuity of 20/200 or worse, that requires the use of this special monitoring system. ** Calibrator Solutions/Chips and Code Keys/Chips - Code A4256 describes Control Solutions (Calibrator Solutions) containing high, normal, and low concentrations of glucose that can be applied to the test strips to check the integrity of the strips and functionality of the meter. This code does not describe the strip or chip which is included in a vial of test strips which calibrates the glucose monitor to that particular vial of strips. Customer Rebates - Medicare patients are not eligible for the customer mail-in rebate included in many home blood glucose meters and kits. In order to be compliant with Medicare’s Anti-Kickback Statute, a rebate must be redeemed at the time of sale and identified on the Medicare claim form when submitting. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 89 Utilization Limits Medicare puts limits on when, where and how often items/procedures may be provided. It does this by reimbursing claims based on the level of usage that is considered medically necessary. The Standard Utilization Limits are as follows: Item Test Strips Lancing Device Lancets Meter Control Solution Batteries A maximum 3-month supply of diabetes testing supplies may be dispensed to a Medicare beneficiary at one time. Supplies may ONLY be dispensed when a beneficiary has nearly exhausted the supply of test strips and lancets that had been previously dispensed. A beneficiary, or their caregiver, must specify refills of supplies before they are dispensed; the supplier cannot automatically dispense supplies on a predetermined regular basis, even if the beneficiary has “authorized” this in advance. The refill cannot be authorized more than 14 days prior to their next eligible date, and cannot be shipped more than 10 days prior. Insulin Treated Patients 100 every month 1 every 6 months 100 every month 1 every 5 years 1 every 3 months 1 every 3 months Non-Insulin Treated Patients 100 every 3 months 1 every 6 months 100 every 3 months 1 every 5 years 1 every 3 months 1 every 3 months Increasing the Utilization Limits If a treating physician has ordered a frequency of testing that exceeds the Utilization Limits above, it must be documented in the patient’s medical record the specific reason for the additional supplies. In addition, the patient must keep a logbook that documents the frequency of testing to support the claim for supplies above the established utilization limits. When a particular patient requires supplies that exceed the standard guidelines, the following criteria must be met: • • • • Standard coverage criteria for a glucose meter must be met. The patient must have nearly exhausted their supply of test strips. The treating physician must have seen the patient and evaluated their diabetes control within the last six months prior to prescribing. Must be a medical reason documented in the medical record for the excess amount. If these criteria are NOT met, all testing supplies in excess amounts of the standard will be denied as NOT medically necessary. HCPCS Coding System Importance of HCPCS The following list summarizes the importance of using HCPCS Codes: 1. HCFA mandated the use of HCPCS codes on Medicare claims, and many state Medicaid offices require them too. 2. HCPCS codes improve the ability to correctly communicate services or supplies given to a patient without resorting to narrative descriptions. 3. Using HCPCS properly reduces the chance of resubmission of claims for correction or review. 4. Since most insurance carriers use HCPCS codes, claims coding and processing is more efficient and compatible. 5. Consistent submission of “clean claims” (those claims with all correct information needed for accurate and timely reimbursement) will prevent audits for incorrect claims submission. 6. HCPCS is essential for accurate and complete reimbursement. HCPCS Codes for Blood Glucose Meters & Supplies 90 Medicare covered HCPCS Codes A4253 Blood glucose test or reagent strips for home blood glucose meter, per 50 strips A4233 Replacement alkaline battery for use with medically necessary home blood glucose meter owned by patient, each A4234 Replacement j-cell battery for use with medically necessary home blood glucose meter owned by patient, each A4235 Replacement lithium battery for use with medically necessary home blood glucose meter owned by patient, each A4236 Replacement silver oxide battery for use with medically necessary home blood glucose meter owned by patient, each A4256 Normal, low and high calibrator solution/chips (control solution) A4258 Spring-powered device for lancet, each A4259 Lancets, per box of 100 E0607 Home blood glucose meter E2100 Blood glucose meter with integrated voice synthesizer (previous code E0609 has been deleted for 2002) E2101 Blood glucose meter with integrated lancing/blood sample (NEW code) The listing of any codes of HCPCS does not guarantee coverage of the specific item or service and Medicare will only reimburse items and services considered reasonable and necessary for the diagnosis. Non-Medicare covered HCPCS Codes A4244 Alcohol or peroxide, per pint A4245 Alcohol wipes, per box A4246 Betadine or pHisohex solution, per pint A4247 Betadine or iodine swabs/wipes, per box A4250 Urine test or reagent strips or tablets, 100 count A9270 Non-covered item or service www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 Blood Glucose Meter “Kits”: There is no HCPCS code that designates a Meter “Kit”. Specifically the DMERCS have declared that these items in a “Kit” all may be coded for and billed separately: the meter (E0607), the control solution (A4256) and the lancing device (A4258). HCPCS Two-Digit Modifier Codes Modifiers are used with the five digit HCPCS codes when a procedure or device is altered by specific circumstances but does not change its basic definition. Modifiers KS or KX must be included with every HCPCS code being billed to Medicare to obtain reimbursement. If more than one modifier applies, simply add them both after the code. (Example: E0607 NU KS - a new meter for a non-insulin treated patient with diabetes). KS KL KX NU 52 Any supplies billed for a patient with diabetes who is NOT insulin treated Mail Order Any supplies billed for a patient with diabetes who IS insulin treated New equipment Reduced charges, not the usual or customary charge (if only 25 strips are dispensed, use the modifier A4253-52) Billing Reminders to Prevent Denials Denials will occur without the proper codes or modifiers. Remember these important points: • Choose ALL proper codes that match the items prescribed to the patient. • Place ALL proper code-modifiers after every code being billed. • Include the diagnosis code on the claim form. • Verify the date of service is correct. If items are being sent/mailed to a patient, then the date of service is the date that the items where shipped. • Verbal orders from the treating physician are appropriate to dispense the items to the patient; but a written order must be obtained prior to the time of billing. The diagnosis MUST be on the order along with a statement of whether the patient is being treated with insulin or not. • A physician’s order is the proof of medical necessity. A new written order is required when there is a change in the testing frequency. ICD-9-CM Codes ICD-9-CM Codes are diagnosis codes that explain why a particular item of DME has been ordered. They refer to a health condition, injury or illness that a particular patient has been diagnosed with. Codes 250.0 through 250.9 refer specifically to diabetes and its complications. It is expected that the patients medical records will reflect the need for the care provided. ICD-9-CM Codes specifically for Diabetes Mellitus: 249.00 Secondary diabetes mellitus without mention of complication, not stated as uncontrolled, or unspecified 249.01 Secondary diabetes mellitus without mention of complication, uncontrolled 249.10 Secondary diabetes mellitus with ketoacidosis, not stated as uncontrolled, or unspecified 249.11 Secondary diabetes mellitus with ketoacidosis, uncontrolled 249.20 Secondary diabetes mellitus with hyperosmolarity, not stated as uncontrolled, or unspecified 249.21 Secondary diabetes mellitus with hyperosmolarity, uncontrolled 249.30 Secondary diabetes mellitus with other coma, not stated as uncontrolled, or unspecified 249.31 Secondary diabetes mellitus with other coma, uncontrolled 249.40 Secondary diabetes mellitus with renal manifestations, not stated as uncontrolled, or unspecified 249.41 Secondary diabetes mellitus with renal manifestations, uncontrolled 249.50 Secondary diabetes mellitus with ophthalmic manifestations, not stated as uncontrolled, or unspecified 249.51 Secondary diabetes mellitus with ophthalmic manifestations, uncontrolled 249.60 Secondary diabetes mellitus with neurological manifestations, not stated as uncontrolled, or unspecified 249.61 Secondary diabetes mellitus with neurological manifestations, uncontrolled 249.70 Secondary diabetes mellitus with peripheral circulatory disorders, not stated as uncontrolled, or unspecified 249.71 Secondary diabetes mellitus with peripheral circulatory disorders, uncontrolled 249.80 Secondary diabetes mellitus with other specified manifestations, not stated as uncontrolled, or unspecified 249.81 Secondary diabetes mellitus with other specified manifestations, uncontrolled 249.90 Secondary diabetes mellitus with unspecified complication, not stated as uncontrolled, or unspecified 249.91 Secondary diabetes mellitus with unspecified complication, uncontrolled 250.0 Diabetes mellitus without mention of complication or manifestation 250.1 Diabetes mellitus with ketoacidosis 250.2 Diabetes mellitus with hyperosmolarity 250.3 Diabetes mellitus with other coma 250.4 Diabetes mellitus with renal manifestations 250.5 Diabetes mellitus with ophthalmic manifestations 250.6 Diabetes mellitus with neurological manifestations 250.7 Diabetes mellitus with peripheral circulatory disorders 250.8 Diabetes mellitus with other specified manifestations 250.9 Diabetes mellitus with unspecified complications A fifth digit is added to the ICD-9-CM Code to further indicate whether the disease is insulin dependant, type 1 (juvenile type) or non-insulin dependant, type 2 (adult onset type). 0 = type 2, non-insulin dependant, without mention of complications 1 = type 1, insulin dependant, without mention of complications 2 = type 2, non-insulin dependant, uncontrolled 3 = type 1, insulin dependant, uncontrolled www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 91 DMERC - Durable Medical Equipment Regional Carriers DMERC - Durable Medical Equipment Regional Carriers - Since 1993, CMS has regionalized the processing of claims for DMEPOS into 4 regional carriers called Durable Medical Equipment Regional Carriers (DMERCs). A DMERC is a financial institution, usually an insurance company, responsible for the screening and payment of claims, interpretation and implementation of federal regulations and collection of data. All Medicare claims for DME must be submitted to these special regional carriers (claims Processors) called DMERCs. Each DMERC has a defined territory encompassing a number of states. Claims jurisdiction and Medicare Allowed Amounts are determined by the state in which the beneficiary resides (beneficiary’s permanent address). Region Carrier A National Heritage 75 Sgt. William Terry Dr. Hingham, MA 02044 www.medicarenhic.com General Info. (570) 735-9400 • Supplier Claims (866) 419-9458 Patient Claims: (800) 842-2052 • www.medicarenhic.com B General Info. (877) 299-7900 • Supplier Claims (877) 299-7900 Patient Claims: (800) 270-2313 • www.adminastar.com C General Info. (803) 691-4300 • Supplier Claims (866) 238-9650 Patient Claims: (800) 583-2236 • www.cigmagovernmentservices.com D General Info. (615) 251-8182 • Supplier “Claims (877) 320-0390 Patient Claims: (800) 899-7095 • www.noridianmedicare.com States Connecticut, DC, Delaware, Maine, Massachusetts, New Hampshire, New Jersey, New York, Maryland, Pennsylvania, Rhode Island, Vermont National Government Services P.O. Box 6036 Indianapolis, IN 46206-6036 Cigna Government Services PO Box 20010 Nashville, TN 37202 cqsmedicare.com Noridian Administrative Services P.O. Box 6727 Fargo, ND 58108 www.noridianmedicare.com Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio, Virginia, Wisconsin Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, Puerto Rico, South Carolina, Tennessee, Texas, US Virgin Islands, West Virginia Alaska, Arizona, California, Guam/American, Hawaii, Idaho, Iowa, Kansas, Marianna Islands, Missouri, Montana, Nebraska, Nevada, North Dakota, Oregon, Samoa, South Dakota, Utah, Washington, Wyoming PDAC - Medicare Pricing, Data Analysis and Coding 92 Noridian Administrative Services, LLC (NAS) serves as the Pricing, Data Analysis and Coding (PDAC) Contractor, performing the following activities that Palmetto GBA’s Statistical Analysis DME Regional Carrier (SADMERC) performed prior to August 2008: • • • • Provide data analysis support to the DME Program Safeguard Contractors PPSCs). Guide manufacturers and suppliers on the proper use of the Healthcare Common Procedure Coding System (HCPCS) through product reviews and decisions. Conduct national pricing functions for DMEPOS services. Assist CMS with DMEPOS fee schedules. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 DMEPOS Supplier Enrollment Any DMEPOS Supplier that will be submitting claims to Medicare on the behalf of patients must obtain a Supplier Number by enrolling through the NSC - The National Supplier Clearinghouse. The Supplier Number may also be called a Supplier Authorization Number or a Medicare Supplier Number. The NSC - National Supplier Clearinghouse - assigns the supplier numbers through an application process. A HCFA 855S application must be completed and submitted to NSC. For more information on becoming a provider/supplier, obtaining a HCFA 855S application, or learning more about the Supplier Standards, contact the NSC at 1-866-238-9652. National Supplier Clearinghouse (NSC) P.O. Box 100142 Columbia, SC 29202-3142 Toll Free: (866) 238-9652 www.palmettogba.com (select “other Medicare partners”) Approved providers/suppliers of DMEPOS are notified by letter of their National Supplier Identification Number assignment, a 10 digit number that must be used on all claims filed to the DMERC. NSC will also release new supplier numbers to the appropriate DMERCs so claims can be processed without delay. Please note: The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of standard unique identifiers for health care providers, as well as the adoption of standard unique identifiers for health plans. The purpose of these provisions is to improve the efficiency and effectiveness of the electronic transmission of health information. The Centers for Medicare and Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign these unique identifiers. Filling Claims DMEPOS Suppliers, both participating and non-participating, must submit claims for Medicare Part B/DMEPOS equipment electronically. Suppliers cannot charge patients a fee for completing/filling out these forms. GEMCO Medical has included medical billing information in this catalog, as a service to our customers. The medical billing information is not a guarantee of payment or coverage. We cannot guarantee the accuracy of the information printed herein and are not responsible for claims or liabilities that may result from the use of this information. The medical billing information and coverage policies are frequently revised. Please review policies before submitting claims. No independent verification of the data is claimed or implied. Fee Schedules can be obtained through the HCFA website www.hcfa.com. www.gemcomedical.com Phone: 800-733-7976 Fax: 330-342-9444 93 5640 Hudson Industrial Parkway P.O. Box 429 Hudson, OH 44236 www.gemcomedical.com 800-733-7976 Helping You Help Your Customers! Version V 13
