SOLUTIONS GUIDE SUMMER 2012 EDITION

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1 12MS6734 SOLUTIONS GUIDE SUMMER 2012 EDITION MOHS SURGERY TIPS & STRATEGIES

2 How Can Henry Schein Medical Help Your Ambulatory Surgery Center (ASC)? We understand your unique needs and have the resources to meet your expectations. Supporting Your Facility s Every Need Whether you perform minor surgical procedures in your office or you operate a freestanding, multi-specialty surgery center, Henry Schein Medical provides the products and services you rely upon to improve your efficiency and profitability. Partnering for Success Our team of knowledgeable professionals can work with your team to achieve all of your business goals. Through our SurgiTeam Solutions Program, we have partnered with leading surgical supply manufacturers in the industry, enabling us to offer all the latest products. SurgiTeam Solutions innovative programs to optimize your supply chain and ensure your success Enhanced center workflow Improved surgical case throughput Clinical supply chain management Financial services and customized supply cost-management programs Technology to improve center performance One-stop shopping for convenience in ordering Quarterly business reviews Facility design and set-up program according to your specifications In-service educational programs SurgiTeam encompasses a complete range of products and innovative programs to optimize your supply chain management, as well as expertise to facilitate a comprehensive setup of your facility and financial services you ll need to support your goals. For more information visit:

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6 12MS6734_SurgiTeam Brochure:09MS1421ConnectHealth 7/20/12 4:13 PM Page 2 MOHS SURGERY GAINS GROUND AMONG SENIORS By Nancy Walsh, Staff Writer, MedPage Today, Published: April 16, 2012; Reviewed by Zalman S. Agus, MD; Emeritus Professor, Perelman School of Medicine at the University of Pennsylvania and Dorothy Caputo, MA, BSN, RN, Nurse Planner We hypothesize that younger patients and their physicians may be more concerned with cosmetic outcome, tissue preservation, and minimizing recurrence compared with older individuals, who may have comorbidities or other medical needs in which {Mohs micrographic surgery} would not be an appropriate treatment option, Gross and colleagues observed. You can rely on the Henry Schein Brand name for high-quality products that provide extra value at reasonable prices. From exam room supplies, gloves, and rapid diagnostics to diagnostic equipment, you ll find diverse product options that help you achieve greater patient satisfaction, enhanced productivity, and increased revenue for your practice. Additionally, our product line has met our high standards to earn the Henry Schein Seal of Excellence your guarantee of satisfaction. Treatment of nonmelanoma skin cancer with Mohs micrographic surgery in which malignant tissue is removed one thin layer at a time and the complete surgical margin examined for the presence of residual tumor has doubled among the Medicare population in the past decade, particularly among patients in their 60s. From 2001 to 2006, the rate of Mohs surgery rose from 0.75 per 100 patients to 1.5 per 100, according to Cary P. Gross, MD, of Yale University, and colleagues. Among patients ages 67 to 69, 40.6% of procedures in recent years were Mohs surgery, while among those 85 and older, the percentage was only 33.5% (P<0.001), the researchers reported in the April Archives of Dermatology. For more details on the research, visit: A practice currently sending out 300 tissue samples per month can generate an additional $240,000 in revenue without adding to its current patient caseload. Primary source: Archives of Dermatology; Viola K, et al Mohs micrographic surgery and surgical excision for nonmelanoma skin cancer treatment in the Medicare population Arch Dermatol 2012; 148: Privileges Rewards ESSENTIALS FOR PHYSICIANS WHO PERFORM MOHS MICROGRAPHIC SURGERY Limit uncertainty with an extensive selection of surgical instruments that can be used for dermal reconstructive procedures such as Mohs surgery, chemosurgery, microsurgery and cryosurgery. Are you a member? Enroll today! With our PRIVILEGES PROGRAM, we believe in rewarding our loyal customers with products and services that will help their business stay competitive and profitable. By using any of our electronic ordering solutions, PRIVILEGES members earn Reward Points which are automatically posted to your online PRIVILEGES Rewards account. Visit your account often to check your points, browse the gift catalog and redeem for thousands of brand-name gift items including FREE travel and event tickets! You can reward an employee or redecorate your office with PRIVILEGES points! Sign up now to start enjoying all the special attention and exclusive benefits that you deserve. Membership is FREE! To enroll or learn more, speak with your Henry Schein Sales Consultant or visit PSCHEIN Comprehensive selection of scalpels, dermal and biopsy punches Quality stainless steel forceps and scissors Also available care and cleaning and storage solutions As a PRIVILEGES member, you ll receive: PRIVILEGES Rewards Points for all electronic purchases Value Certificates offer you the opportunity to earn Bonus Points PRIVILEGES Monthly E-Promotions Exclusive Quarterly E-Newsletters Access to Practice Marketing Services Discounts on ProRepair Services throughout the year MED.VIPS privilegesmd@henryschein.com Topical Anesthetic Agents Biopsy and Excision Supplies (For Specimen Collection) Lidocaine Compare to Xylocaine HCl Jelly 2% HCl Viscous Solution 2% Jelly Urojet 10 ml 2% Ointment 5% Ointment Tube 5% Topical Solution 4% Lidocaine w/prilocaine Cream 30 ml Tube 100 ml Bottle 25/Pkg. 50 Gm. Jar 11 4 oz. 50 ml Bottle 30 Gm. Tube Fox Dermal Curette 5-2" 3mm Iris Scissors 3-1 2" Curved Delicate Adson Forceps with Platform 1" x 2" Steven Tenotomy Scissors 4-1 2" Curved Halsted Mosquito Forceps 3-1 2" Straight Halsted Mosquito Forceps 3-1 2" Curved Webster Needle Holder 4-3 4" Smooth Siegel Knife Handle 6" BiopBlade Derma Blade 1 50/Bx 50/Bx Care and Cleaning Solutions Storage Solutions - Range of solutions designed to extend service life - Available in single use and bulk containers - Large variety of trays and rigid containers available - Designed to organize and help to protect instruments during sterilization, transportation and storage Source: CMS Data To Fax: Hrs The percentage of Americans who develop melanoma has more than doubled in the past 30 years. Source: The American Society for Mohs Surgery Source: National Cancer Institute Biopsy Punches Sterile, Blue mm mm mm mm mm 3.5mm 5.0mm 8.0mm Scalpel Blades Carbon Steel 10/Box #10 Blades #15 Blades Scalpel Blades Stainless Steel 10/Box #10 Blades #15 Blades Surgical Markers Blue (Contains Non-Irritating Gentian Violet Ink) For more information or to place an order, please contact: Integra 589 Davies Drive, York, PA USA outside USA Integra, the Integra logo and Miltex are registered trademarks of Integra LifeSciences Corporation or its subsidiaries in the United States and/or other countries Integra LifeSciences Corporation. All rights reserved. PM To Order: P.SCHEIN ( ) 8am 9pm, et The five-year cure rates for Mohs approach 99% for new cancers and 95% for recurrent cancers. Sterile w/ruler and 6-Up Labels, Taper Tip...50/Box Non-Sterile Pen, Taper Tip...100/Box Non-Sterile Mini Pen...100/Box MOHS NATIONAL AVERAGE PAYMENTS* CPT Code Short Description Mohs, stage 1, h/n/hf/g Mohs addl stage Mohs, 1 stage, t/a/l Mohs, addl stage, t/a/l Mohs Surgery, addl block 2012 $ $ $ $ $79.31 *Source CMS Data. Consult your local fee schedule for actual reimbursements, facility fees, and modifiers.

7 EXPAREL (bupivacaine liposome injectable suspension) for Postsurgical Pain Control Henry Schein is now an authorized distributor for Exparel by Pacira Pharmaceuticals, Inc. What is Exparel? EXPAREL Postsurgical Pain Control That Starts When Surgery Ends and Continues Days Into Recovery* EXPAREL is a local analgesic that utilizes bupivacaine in combination with the proven product delivery platform, DepoFoam. A single intraoperative injection given at the close of surgery delivers postsurgical pain control with reduced opioid requirements for up to 72 hours.*1 EXPAREL is the first and only multivesicular liposome-based local anesthetic that can be utilized in the peri- or postsurgical setting in the same fashion as current local anesthetics. Local infiltration of EXPAREL results in significant systemic plasma levels of bupivacaine that can persist for 96 hours.1 Systemic plasma levels of bupivacaine following administration of EXPAREL are not correlated with local efficacy Other formulations of bupivacaine should not be administered within 96 hours following administration of EXPAREL EXPAREL is indicated for administration into the surgical site to produce postsurgical analgesia.1 For Important Safety Information and to learn more about Exparel, go to: For medical inquiries related to EXPAREL, contact Medical Information at medinfo@pacira.com or RX-EXPAREL ( ). *Pivotal studies have demonstrated the safety and efficacy of EXPAREL in patients undergoing bunionectomy or hemorrhoidectomy procedures; additional studies are underway to further demonstrate the safety and efficacy in other procedures. The clinical benefit of the attendant decrease in opioid consumption was not demonstrated. ¹EXPAREL [prescribing information]. Parsippany, NJ: Pacira Pharmaceuticals, Inc.; ²Gorfine SR, Onel E, et al. Bupivacaine extended-release liposome injection for prolonged postsurgical analgesia in patients undergoing hemorrhoidectomy: a multicenter, randomized, double-blind, placebo-controlled trial. Diseases of the Colon & Rectum. 2011;54(12): The EXPAREL Difference Same Infiltration Technique Provides Several Days of Postsurgical Analgesia.* Surgeons who infiltrate local anesthetics can use the same technique to administer EXPAREL at the close of surgery. As a non-opioid, single-dose analgesic1, EXPAREL can: Provide up to 72 hours* of analgesia with Reduced opioid requirements Without the need for catheters or pumps In a pivotal hemorrhoidectomy trial of EXPAREL compared to placebo, where all patients with inadequate pain control received opioids for rescue pain relief, a single intraoperative injection of EXPAREL demonstrated: A 30% reduction in cumulative pain scores and more pain-free patients at all time points up to and including 24 hours (P<0.0001)2 A 45% decrease in the use of opioid rescue medication at 72 hours and more than a 12-fold increase in the median time to first opioid use (P= and P<0.0001, respectively)2; the clinical benefit of the attendant decrease in opioid consumption was not determined EXPAREL is contraindicated in obstetrical paracervical block anesthesia. EXPAREL has not been studied for use in patients younger than 18 years of age.

8 Call: P-SCHEIN ( ) 8am 9pm (et) Fax: Hours Due to manufacturer price increases, prices are subject to change without notification. Offer valid on our full array of products, excluding flu vaccine and Synagis. Upon any request by Medicare, Medicaid, Tricare or other payer, you must report the value of any benefit received from a discount program (e.g., points redemptions, gifts or other special awards) Henry Schein, Inc. No copying without permission. Not responsible for typographical errors. No adjustments from prior sales. Offer not to be combined with other promotions and/or special contract pricing. Void where prohibited. Local regulatory requirements may apply to use or installation of certain products. It is your responsibility to understand and comply with any such requirements prior to purchase, use or installation of products. For informational purposes only. Source: ReimbursementCodes.com and/or Customer is responsible for verification of billing/coding in accordance with applicable specific circumstances. 12MS6734 To Order: P.SCHEIN ( ) 8am 9pm, et To Fax: Hrs For more information visit: 12MS6734

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