Ideal tips for application and aspiration. BUY 3 100/BAG, GET 1 AT NO CHARGE*

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1 2018 COMPARISON LINE Why pay MORE for comparable products? SAVINGS OF OVER $15,000 A YEAR COMPARED TO ULTRADENT * PRODUCTS Appli-Vac - 3/4 Bendable Tips Ideal tips for application and aspiration. Save up to 65% Blunt end, dead-soft needle resists crimping Extended 3/4 length for pockets, fistulas and surgical sites Universal luer lock style hub COLOR GAUGE 100 / BAG 18ga - Pink [ WSA] $ ga - Brown 20ga - Yellow 22ga - Black 25ga - Blue [ WSA] [ WSA] [ WSA] [ WAS] Compare Ultradent * Product [1431] Endo-Eze * Tips $ /4 Bendable Combo Kit 120 / pk [ WSA] (20 tips of each gauge) $30.99 Appli-Vac Tips - 1 Bendable Irrigating Tips Save up to 45% Slotted and side-vented for safe irrigation Luer Lock Hub Appli-Vac tips come individually capped in 100 / bag COLOR GAUGE 23ga - Blue 27ga - Yellow 30ga - Purple 20 / PK [ WSA] [ WSA] [ WSA] [ WSA] $13.99 [ WSA] [ WSA] $9.99 Endo-Eze * 20 / pk [207] $ / BAG $38.49 $43.99 Vista-Probe - 1 Bendable Tips Vista-Probe tips are closed-end for side-port delivery. Save up to 39% Stat-Flo Tip - Pre-bent 19ga Tips Ideal for application of hemostatic agents. Save up to 12% Curved cannula for optimal visibility Padded-end brush tip Spira-Flo Brush Tip Nylon brush fiber for controlled delivery of viscous materials, etchants and resins. BUY 3, GET 1 AT NO CHARGE* Save up to 17% Curved cannula for optimal entry Internal spiral channel Adjustable brush tip fiber length Minimizes bubbles Luer lock hub Luer Lock Hub COLOR TIP GAUGE 20 / CUP 100 / BAG 27ga - Yellow [ WSA] 20 / cup [ WSA] $ ga - Purple [ WSA] 100 / bag [ WSA] $69.99 $24.49 $ Compare Ultradent * Product Metal Dento-Infusor * Tips Vista-Probe tips come individually capped in 100 / bag 100 / pkg [2559] Luer Lock Hub 100 / bag [ WSA] $65.49 Compare Ultradent * 100 / pk [123] Product Inspiral * Brush Tips

2 Secure-Lock Appli-Vac - 1 Bendable Tips Appli-Vac tips are slotted and side-vented for safe irrigation. Luer lock hub with Secure-Lock threads to lock tip in place for increased safety and ease of use. Pre-Bent Tip Ideal for use with etchants, resins, and flowable composites. Save up to 54% Opaque photo-sensitive hub Blunt end pre-bent needle Universal luer lock hub Sol-u-Flo Applicator Tip Ideal for use with low viscosity solutions 19ga tip with adjustable brush fiber length Curved cannula for optimal entry Opaque luer lock hub COLOR GAUGE 100 / BAG COLOR TIP GAUGE 80 / BAG 23ga - Blue [ WSA] $ ga - Yellow [ WSA] 30ga - Purple [ WSA] Compare Ultradent * Product LOK-TITE * feature. 20ga - Opaque 22ga - Opaque Black 25ga - Blue [ WSA] [ WSA] [ WSA] $15.99 Blue Micro * Tips [127] $34.49 Black Micro * Tips [1085] $ / PK Sol-u-Flo Applicator Tip [ WSA] $20.99 Black Mini * Brush Tips [193] 100 / PK [ WSA] $61.99 [1169] Volu-Flo Tip Large 18ga tip opening to allow easy extrusion of viscous materials BUY 3, GET 1 AT NO CHARGE* Save up to 22% Designed to deliver large volumes of material Photo sensitive opaque tip maintains the flow of light-cured materials Luer lock hub Blue-Flo Tip Ideal for irrigation, aeration, and impression materials. AUTOCLAVABLE 23ga soft plastic tip Luer lock hub Flexi-Glide Utility Tip (Patented) Our best choice for irrigation Save up to 22% Luer Lock Hub 30ga disposable (single use) tip Flexible, bendable needle facilitates access Tip can be cut to desired length Volu-Flo Brush Tips 100 / PK [ WSA] $33.99 Black Mini * Tips [514] $34.49 Blue-Flo Brush Tips 20 / PK [ WSA] $12.99 White Mini * [1247] White Mac * 100 / PK [ WSA] $49.69 [1361] Flexi-Glide Utility TIp 20 / PK [ WSA] $40.99 NaviTip * [1351] 50 / PK [ WSA] $67.99 [3319] $68.49

3 Pocket-Probe (Patented) Ideal tips for irrigation of inter-dental spaces and perio pockets. 21ga tip Multiple perforations for thorough flushing Closed end, flexible 2-piece bent plastic irrigation tip Universal luer lock style hub US-12 Utility Syringe Ideal syringe for surgical site and post-surgical home irrigation. Luer Lock Syringes Ideal for surgical site preparation. Textured finger grips to minimize slippage Graduated (cc) increments AUTOCLAVABLE, non-sterile Standard luer lock style Use with ANY Vista tips 1.2CC SYRINGE 3CC SYRINGE 12CC SYRINGE 100 / cup [ WSA] $ / pack [ WSA] $ / Pack [ WSA] [ WSA] [ WSA] $32.29 $16.99 $28.29 Micro-Evac Tip (Patented) Ideal for removing moisture from canals BUY 3 50/CUP, GET 1 AT NO CHARGE* 25ga flexible, narrow tip Easily navigates curved canals Reduces the need for paper points Secure-Lock hub for greater security Includes (1) NO CHARGE Luer HVE Adapter Fluorescent Doctor s Take-Home Whitening Kit WHITENING: BUY 5 OF THE SAME, GET 3 AT NO CHARGE* Save up to 19% REFILL KIT: BUY 4 OF THE SAME, GET 2 AT NO CHARGE* Clear, easy-to-use viscous take-home whitening gel formulated in 16% or 22% carbamide peroxide PLUS fluoride to help lower sensitivity. Comes in a convenient zippered cloth pouch with tiewrap holder for syringes. Includes: (8) 1.2mL prefilled syringes with tips (2) EVS tray sheets 5 x 5 (.040mm) (1) Tray case Fluorescent EXpress White In-Office Whitening System 35% hydrogen peroxide, non-light activated! Works incredibly fast! BUY 4, GET 2 AT NO CHARGE* Includes: (1) Dual-barrel Whitening syringe (2) 1.2mL Desensitizer syringes (1) 2mL Liquid Dam syringe (5) 20ga Pre-bent tips (2) Micro brush applicators (5) 20ga Micro Flowthru tips (1) White surgical evac tube (1) Cheek retractor (1) Whitening shade guide 16% Carbamide Peroxide 22% Carbamide Peroxide MINT [ WSA] [ WSA] $45.99 $ / cup [ WSA] $ / cup [ WSA] $49.99 Compare to Ultradent *Product: Opalescence * Doctor Kit 16% Refill Kit 22% Refill Kit [5382] [ WSA] [ WSA] $ $ EXpress White In-Office Whitening Kit [ WSA] $75.99 Compare Ultradent * 20 / pk [341] $14.49 Product Capillary Tip 50 / pk [3099] $27.99 Opalescence * Refill Kit [5397] Opalescence * Boost PF Patient Kit [4751]

4 Quick-Stat FREE 25% Aluminum Chloride Clear Hemostatic Gel Save up to 29% Surfactant lowers surface tension for better wound penetration Controls bleeding fast - WILL NOT stain tissue Viscous gel will not flow onto surrounding tissue Includes Stat-Flo applicator tips QUICK-STAT FREE [6409] [ WSA] [6407] [ WSA] [6408] Standard Kit [ WSA] $19.99 (4) 1.2mL prefilled syringes and (8) Stat-Flo tips ViscoStat * Dento-Infusor * Kit Bulk Syringe Kit (1) 30mL prefilled syringe, (20) Stat-Flo tips, (20) 1.2mL empty syringes, and (1) docking port ViscoStat * Clear Dento-Infuser * Kit Bulk Refill (1) 30mL prefilled syringe and (1) docking port ViscoStat * Clear 30mL IndiSpense * Refill Value Pack (40) 1.2mL prefilled syringes and (50) Stat-Flo tips $27.99 $45.99 $56.49 $34.99 $36.99 [ WSA] $ Quick-Stat FS 15.5% Ferric Sulfate Hemostatic Gel BUY 3 BULK REFILLS, GET 1 AT NO CHARGE* Save up to 25% Will not flow onto surrounding tissue Effective tissue management Quickly controls bleeding Includes Stat-Flo applicator tips QUICK-STAT FS Standard Kit [ WSA] (4) 1.2mL prefilled syringes and (8) Stat-Flo tips ViscoStat * Dento-Infusor * Kit Bulk Syringe Kit (1) 30mL prefilled syringe, (20) Stat-Flo tips, (20) 1.2mL empty syringes, and (1) docking port ViscoStat * Dento-Infuser * IndiSpense * Kit Bulk Refill (1) 30mL prefilled syringe and (1) docking port ViscoStat * 30mL IndiSpense * Refill Value Pack [3093] [ WSA] [647] [ WSA] [645] [ WSA] (40) 1.2mL prefilled syringes and (50) Stat-Flo tips $20.99 $26.99 $44.49 $54.99 $33.79 $35.49 $ Best-Etch 37% Phosphoric Acid Etch Designed to etch and prepare dentin and enamel. Save up to 35% Viscous solution that stays in place Rinses clean with water and leaves no residue Pre-bent applicator tips ensure precise delivery Includes 22ga Pre-Bent Tips (25ga Pre-Bent tips are available on request.) Available in unit dose. Standard Kit - BUY 3, GET 1 AT NO CHARGE (4) 1.2mL prefilled syringes & (25) 22ga pre-bent tips Ultra-Etch * Kit [ QAK] $26.99 [163] $30.99 Bulk Etch Kit [ QAK] (1) 30 ml prefilled syringes, (50) 22ga pre-bent tips, $48.99 (5) empty 6cc syringes, and (1) docking port Ultra-Etch * IndiSpense * Kit Bulk Syringe (1) 30 ml prefilled syringe & (1) docking port Ultra-Etch * IndiSpense * Syringe [383] $66.49 [ QAK] $36.99 [685] $56.49 Value Pack - BUY 3, GET 1 AT NO CHARGE [ QAK] (12) 3 ml prefilled syringes & (75) 2ga pre-bent tips $65.99 Stat-Pak Knitted Retraction Cord Save up to 16% Knitted Stat-Pak cords are color coded for easy identification of cord size Cords place easily with no fraying and no memory Conform to sulcular anatomy with gentle outward force Cords remain in-situ, even when touched by a bur or diamond Each bottle contains 100 in / 245 cm Stat-Pak +E Braided Retraction Cord Cord is Impregnated with Epinephrine. BUY 4 OF THE SAME, GET 1 AT NO CHARGE* Save up to 14% Easy to place WHITE cord Cord will not fray and has no memory Conforms to sulcular anatomy with gentle outward force Cords remain in-situ, even when touched by a bur or diamond Each bottle contains 72 in / 176 cm Impression Trays Rigid acrylic with key-way perforations and side wall slots to ensure material retention. BUY 6 OF THE SAME, GET 4 AT NO CHARGE* Superior retention Occlusal surface space minimizer Posterior rimlock minimizes secondary flow or gagging Finger rest ledges for easier removal from mouth Packaged: 12 / bag IMPRESSION TRAYS (GREEN) (CLEAR) #1 Large Upper [ QAK] $16.49 [ QAK] $19.29 COLOR Compare to ULTRADENT * Product: SIZE Ultrapak * Cord [ QAK] $16.99 [ QAK] $16.99 [ QAK] $16.99 [ QAK] $16.99 [ QAK] $16.99 [137] [136] [131] [132] [133] SIZE [ QAK] [ QAK] [ QAK] $16.49 $16.49 $16.49 Compare to ULTRADENT * Product: Ultrapak * E Cord [197] [198] [199] #2 Large Lower #3 Medium Upper [ QAK] #4 Medium Lower [ QAK] #5 Small Upper #6 Small Lower #7 Upper Right / Lower Left #8 Lower Left / Upper Right #9 Anterior [ QAK] [ QAK] [ QAK] [ QAK] [ QAK] [ QAK] [ QAK] [ QAK] [ QAK] [ QAK] [ QAK] [ QAK] [ QAK] [ QAK]

5 Porcelain Etch Viscous 9.5% Hydrofluoric Acid Solution. For porcelain veneers and inlays prior to cementation or repairs. Save up to 39% Viscous solution Rinses clean away Silane solution used after etchant enhances the bonding of resin material Caries Indicator - Vista-Red & Vista-Green BUY 3 REFILL PACKS, GET 1 AT NO CHARGE* Save up to 14% Glycol-based solution to facilitate removal of carious dentin. Ensures maximum amount of inner dentin is preserved and infected dentin is removed. Use Sol-u-Flo applicator tips Chlor-XTRA (Multiple Patents Pending) Vista s Chlor-XTRA is an enhanced 6% sodium hypochlorite solution designed for irrigation, debridement and cleansing of root canals during and after instrumentation. The addition of powerful wetting agents and proprietary surface modifiers enables it to penetrate into lateral canals and isthmuses by lowering the surface tension. Caries Indicator Standard Kit [ QAK] (2) 1.2mL prefilled etch syringes (2) 1.2mL prefilled silane syringes (25) Spira-Flo brush tips Compare Ultradent * Product: Porcelain Etch Kit Silane Refill (4) 1.2mL prefilled syringes Silane - (2) 1.2mL syringes [405] [ QAK] [406] $50.99 $56.99 $16.99 $20.99 Standard Pack - Red [ WSA] $33.99 Standard Pack - Green [ WSA] (4) 1.2mL prefilled syringes, (20) Sol-u-Flo tips Compare Ultradent * Product Seek * [209] Ultradent * Product Sable * Seek * [233] $39.49 Refill Pack - Red Refill Pack - Green [ WSA] $32.29 (4) 1.2mL prefilled syringes Compare Ultradent * Product Seek * - Refill [210] Ultradent * Product Sable * Seek * - Refill [234] Unit Dose - Red [ WSA] $51.99 Unit Dose - Green [ WSA] (30) individually packaged vials & brush applicators 16oz. (480mL) bottle 3cc Pre-filled syringes (individually packaged) 12cc Pre-filled syringes (individually packaged) [ WSA] [ WSA] [ WSA] $66.79 $17.99 $18.99 Kits Include: 10 pre-filled syringes and 27ga side-vent irrigating tips SmearOFF (Patent Pending) Proprietary EDTA / CHX mix. Save up to 26% Formulated with wetting agents and surface modifiers. For best outcomes, our patent pending 2-in-1 mix effectively replaces two commonly used solutions: EDTA and CHX. Superior chelation Won t form a precipitate when mixed with NaOCl No additional rinse needed when used with NaOCl Better calcium suspension Removes BOTH smear layer AND bacteria! EDTA Less is MORE. Lower ph means MORE Effective Outcomes. BUY 3 16oz. EDTA BOTTLES, GET 1 16 oz. EDTA BOTTLE AT NO CHARGE* Save up to 18% Prepares dentin walls for better ADHESION of filling materials Opens dentin tubules Removes smear layer and dentin mud Enhances cleansing CHX-Plus (Multiple Patents Pending) BUY 3 16oz. CHX-PLUS BOTTLES, GET 1 16 oz. CHX-PLUS BOTTLE AT NO CHARGE* BUY 3 ENDO KITS, GET 1 ENDO KIT AT NO CHARGE* Save up to 30% Enhanced 2% Chlorhexidine Gluconat aolution kills multispecies biofilm 2X faster than standard 2% Chlorhexidine. Contains 2% Chlorhexidine Gluconate plus powerful wetting agents and proprietary surface modifiers to improve the depth of penetration and kills bacteria 10X faster than normal 2% Chlorhexidine. SmearOFF 16oz. (480mL) bottle [ WSA] $ oz. (120mL) bottle [ WSA] $42.99 Compare QMix * 2-in-1 brand $ EDTA 30mL Bulk Syringe Bulk Syringe 16oz. (480mL) bottle 4oz. (120mL) bottle [ WSA] [162] [ WSA] [ WSA] $11.49 $13.99 $87.99 $28.99 Unit Dose [ WSA] $23.99 (20) 1.2mL Individually packaged prefilled syringes (20) 27ga side-vent irrigating tips CHX-Plus 16oz. (480mL) bottle Consepsis * 16oz. bottle Endo Kit [ WSA] (4) 1.2 ml prefilled syringes (20) 27ga side-vent irrigating tips Endo Refill Pack [ WSA] Consepsis * Econo Refill [491] 30mL Bulk Syringe [ WSA] (1) 30mL prefilled bulk syringe (1) docking port Consepsis V [ WSA] [4614] [2210] $66.99 $19.49 $24.99 $35.49 $29.99 $ mL Bulk Syringe Kit [ WSA] $41.99 (1) 30mL prefilled bulk syringe, (20) 1.2cc syringes, (20) 27ga side-vent irrigating tips, and (1) docking port

6 Sodium Hypochlorite 6% Solution For the debridement and irrigation of root canals during and after instrumentation. (10) prefilled syringes (10) 27ga-vent irrigating tips CanalClean 2S Kit Complete Endodontic Irrigation Save time, save money and improve outcomes in cleansing root canals Includes: (2) 30ga side-vented irrigating tips Step 1 12cc NaOCl pharmacy controlled 6% concentration (Sodium Hypochlorite) Step 2 6cc SmearOFF Dry: Micro-Aspirator with tip included Save Money, Space, and Mess Ideal product for GP s doing occasional endo Simple. Convenient. Affordable. Vista-Blue (Methylene Blue) Detects fractures and hard-to-find root canal orifices. BUY 3, GET 1 AT NO CHARGE* Unit dose pack 10mL bottle kit Individually packaged Unique vial with applicator brush 3mL syringes 12mL syringes 10/PK 10/PK [ WSA] $17.99 [ WSA] $ oz. (480mL bottle) Each [ WSA] $ Kit [ WSA] $7.99 Unit Dose 30 / BOX [ WSA] $51.99 Patented Superior activation* (compared to sonic devices) The EndoUltra provides the ultrasonic energy required to effectively produce cavitation resulting in significantly better endodontic procedures. Patent Pending Automatic delivery of endo solutions at the press of a button! Eliminate hand fatigue associated with standard syringe irrigation Quick-Connect, 20mL canisters that are easily filled and exchanged Adjustable flow rate settings ensure safe apical pressure Fully compatible with NaOCl Vista-Cal 12.5 ph aqueous solution Ideal for temporary filling and cleansing root canals. Save up to 17% Contains no more than 35% Calcium Hydroxide paste Includes patented Visco-Tip and high pressure syringe for the most effective delivery of Calcium Hydroxide. Complete EndoUltra Kit [ WSA] $ (1) cordless handpiece, (3) autoclavable handpiece sleeves, (3) Activator tips, (1) charger, and (1) tip wrench. PACK Activator tips (3) [ WSA] $ Complete AutoSyringe Kit [ WSA] $ (1) cordless handpiece, (2) 20mL canisters, (3) autoclavable sleeves, 100) plastic barrier sleeves, and (1) charging base. Vista-Cal Standard Kit [ WSA] $41.99 (10) Visco-Tips and (4) 1.2mL prefiled high pressure syringes UltraCal * XS [1027] $51.49

7 Visco-Tip (Patented) The ONLY tip specially designed for easy delivery of Calcium Hydroxide BUY 4, GET 1 AT NO CHARGE* Save up to 19% Bendable, flexible 25ga tip NiTi SuperFlex Tips (Patented) SuperFlex tips are slotted and side-vented for safe irrigation 2.5 X more flexible Longer life cycle with less clogging 30ga nickel-titanium irrigating needle tips Adjustable needle angle for maximum flexibility AUTOCLAVABLE for cost-effective repeated use Versa-Brush Rotational Utility Brush Ideal for enhanced cleansing of endodontic access cavities and for removing contaminants. BUY 4, GET 1 AT NO CHARGE* For cleaning post holes and coronal access openings Cleansing and removal of smear layer Use with EDTA 17mm Secure-Lock hub for safe delivery 25mm 20 / CUP [ WSA] $35.99 NaviTip * 20 / pk [5116] $39.49 SIZE Mixed Pack 6 / BOX [ WSA] $ / cup [ WSA] $ Compare Ultradent * Product STARbrush * 30 / pk [1091] $54.65 Fill Station (Patented) A simple, convenient way to fill syringes! No mess... no waste... less time! BUY 1 CASE OF SOLUTIONS, (CHLOR-XTRA, CHX-PLUS, EDTA OR SMEAROFF ) GET 1 FILL STATION AT NO CHARGE* Simple, convenient way to fill syringes with solutions Connect several units to easily fill multiple solutions Syringe-activated valve and low level light indicator Easy to wall mount or use as tabletop modular unit Therma-Flo Composite Warming Kit Incease the flowability of highly filled composites without compromising tensile strength, wear-resistance or aesthetics. Heats up to 176 F - ideal for composite Base unit warms multiple capsules Includes: (1) Warming Unit (2) Composite Syringes (20) 2X Step Down Tips (20) 4X Step Down Tips Micro-Applicator Brushes For etchants, sealants, bonding agents and hemosatic agents. Lint-free brush tip Non-absorbent Bendable AS LOW AS 13 EACH HEAD SIZE COLOR [ WSA] $ Therma-Flo 110V 2X Step Down Tips 4X Step Down Tips [ WSA] [ WSA] [ WSA] $ $37.29 $37.29 Fine Pink [ WSA] 100 / box $12.79 Regular Silver [ WSA] 100 / box Regular Purple [ WSA] 100 / box Regular Green [ WSA] 100 / box Compare Ultradent * Product [1106] 400 Pk $36.99 Micro Applicators

8 Surgical Aspirators All Stainless Steel Construction Fits HVE cutt-off valve 1.5mm 2.5mm 3.0mm 4.0mm Length: 6 inches Tapered tip helps reduce clogging in the tube Tissue relief slots preventgrabbing of soft tissue [801004] Disposable HVE Screens Use with high-volume aspirators to trap debris. Disposable and cost-efficient Adapts to plastic or metal high-volume aspirators Helps prevent grasping of soft tissue and stops amalgam Surgical Evacuation Tubes For micro-aspiration use white (1/8 ) Pre-bent to a 30 angle for greater access AUTOCLAVABLE 25 / bag Length: 6 inches OPENING (same as) 1.5mm 15P1A [ WSA] $ mm 15P2A [ WSA] 3.0mm 15P3A [ WSA] 4.0mm 16RSAA [ WSA] Length: 6 inches Large size tube for higher volume suctioning Tapered tip helps prevent clogging Made of 1/4" stainless steel OPENING (same as) 1.5mm 46P1A [ WSA] $ mm 46P2A [ WSA] 3.0mm 46P3A [ WSA] Air / Water Syringe Tips Quick-change AUTOCLAVABLE Durable, stainless steel construction 5 / bag [ WSA] $29.79 [ WSA] NEW! Elasti-Vac Tips Intended for endodontic evacuation, though not limited to. Save up to 21% 100 / Bag $22.79 Narrow, flexible tip easily navigates curved canals. Allows for quick and easy removal of moisture from endodontic canal systems Luer lock hub Easily attached to a luer HVE adapter 50 / cup [ WSA] $22.79 Compare Ultradent * Product Capillary Tips 50 / pk [3099] $28.99 VAC COLOR DIAMETER 1/8 VENTED Non-Vented [ WSA] *For NO CHARGE GOODS, fax a copy of your Henry Schein Dental invoice to OR invoice to jbarreno@vista-dental.com. *Pricing and offers are good 03/05/18-06/29/18. *Henry Schein invoices must be submitted by 09/15/18. For more information or to place an order, contact your Henry Schein Dental sales consultant. *Ultradent, Endo-Eze, Metal Dento-Infusor, Inspiral, LOK-TITE, NaviTip, Black Mini, White Mini, White Mac, Blue Micro, Black Micro, Opalescence PF, ViscoStat, Dento-Infusor, Clear Dento-Infusor, IndiSpense, Ultrapak, Ultra-Etch, Sable, Seek, Consepsis, STARbrush, and UltraCal are all registered trademark of ULTRADENT Products, Inc. *zdentsply and Qmix are registered trademarks of DENTSPLY International. *Please mention promo code WSA when placing order. *All saving percentages are based on Vista s quantity discount prices and competitors 2017 prices. $ Henry Schein, Inc. No copying without permission. Not responsible for typographical errors. Note: Participating in a promotional discount program (e.g., points, discount redemptions or other special awards) is only permissible in accordance with discount program rules. By participation in such program, you agree that, to your knowledge, your practice complies with the program requirements. For HS promotions: This promotion offers a bundled discount. The cost of any buy/get (or no charge ) items is a discount applied to your other purchases on the same invoice. The reportable value (unit price) of the no charge item will be identified on the invoice. To calculate the applicable discount on the other items on the same invoice, divide the total value (unit price(s)) of any no-charge item(s) by the total value (extension price(s)) of all other items purchased on the same invoice, and apply the resulting percentage equally to each item to determine net prices. For manufacturer promotions: The prices stated in the invoice or statement may reflect a discount or be subject to a rebate. You must fully and accurately report this stated discount price, or if applicable, any net pricing, after giving effect to any rebates, to Medicare, Medicaid, Tricare and any other federal or State program upon request by any such program. Accordingly, you should retain these records. It is your responsibility to review any agreements or other documents applicable to these prices to determine if they are subject to a rebate.

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