Louis Dallago Pfizer Inc. Vice President, US Trade Group 235 East 42 nd Street New York, NY. 10017 February 13, 2017 Dear Customer, Important Information Regarding Customer Service Support by Product Line The Customer Service functions will be separated by product lines to provide you, our customers, more focused support. Effective February 27, 2017 there will be a dedicated Customer Service team for each of the Hospira, a Pfizer company, Sterile Injectable Pharmaceuticals (SIP) and ICU Medical/Hospira Infusion Systems (HIS) product lines. Please see the key changes below: Customer Service contact information for Hospira SIP will be updated. Detailed information can be found in the attached reference guide. o Updated contact information will apply to Hospira SIP products only. o Contact information for ICU Medical/ HIS products will not change. Hospira SIP and ICU Medical/HIS products should be on separate and distinct purchase orders beginning with orders placed on February 27, 2017. Please update your purchasing processes accordingly. o o You may continue to use your existing systems for ordering product. Please note there should be no change to the location in which invoice payments are submitted. Please continue to submit payment to the same legacy Hospira address until further notice. A separate communication will be delivered in the event of a modification to the current remittance address. Pfizer Injectable products should be ordered using the National Drug Code (NDC) instead of material or catalog number. Additionally, these changes are necessary in order to enable upgrades to phone and order management systems. The attached reference guides detail the contact information for Pfizer Injectables and ICU Medical/ HIS Customer Service. Hospira SIP products include legacy Hospira sterile injectable pharmaceuticals. (Please see Exhibit B for a list of products). ICU Medical/ HIS products include IV solutions, gravity sets and disposables, dedicated sets and infusion devices, LCPCA prefilled syringes and empties, and Hospira MedNet software. (Please see Exhibit A for a list of products). If you have any questions, please contact the Customer Service team at 1-877-946-7747, PICustomerService@pfizer.com. Sincerely, Louis Dallago VP, US Trade Group Pfizer Inc.
ICU Medical Contact and Product List (EXHIBIT A) ICU MEDICAL CONTACT LIST Effective February 27, 2017 Need Assistance For Call Us Email Us FAX Healthcare providers inquiries, questions or issues related to orders, shipping, discrepancy reports, requests for certificates, Safety Data Sheets, and sales representative request. Medical/Surgical distributors and wholesalers inquiries related to order/shipping inquiries, discrepancy reports, requests for certificates, Safety Data Sheets, and sales representative request. Infusion Systems pump orders, shipping questions, serial number tracking, warranty information and sales representative request. Puerto Rico healthcare providers and Medical/Surgical distributors and wholesalers inquiries related to order/shipping inquiries, discrepancy reports. SetSource inquiries, questions or issues. Plant Delivery inquiries, questions or issues. Government order requests and shipping inquiries. Healthcare providers inquiries, questions or issue for solutions or consumable products in short supply. e.hospira issues or questions. Customer Care: 1-877-946-7747 Option 1, then prompt 1 Monday through Friday 7:00 a.m. to 6:00 p.m. CST Customer Care: 1-877-946-7747 Option 1, then prompt 2 Monday through Friday 7:00 a.m. to 5:00 p.m. CST Customer Care: 1-877-946-7747 Option 1, then prompt 4 Monday through Friday 7:00 a.m. to 5:15 p.m. CST Customer Care: 1-888-833-6390 Option 1 Monday through Friday 8:30 a.m. to 3:30 p.m. CST Customer Care: 1-877-946-7747 Option 1, then prompt 1 Monday through Friday 7:30 a.m. to 4:00 p.m. CST Customer Care: 1-877-946-7747 Option 1, then prompt 6 Monday through Friday 7:00 a.m. to 3:30 p.m. CST Customer Care: 1-877-946-7747 Option 1, then prompt 1 Monday through Friday 7:00 a.m. to 4:30 p.m. CST Allocations Team: 1-844-804-4677 Option 1 Monday through Friday 7:00 a.m. to 4:30 p.m. CST Customer Care: 1-877-946-7747 Option 1, then prompt 5 Monday through Friday 7:00 a.m. to 4:30 p.m. CST uscustomercare@pfizer.com 262-577-6917 DWT@pfizer.com 262-577-6912 mmscustomercare@pfizer.com 262-577-6914 ServicioalClientePR@pfizer.com 888-833-6451 customercare.setsource@pfizer.com 262-577-6917 Plant.Delivery@pfizer.com 262-577-6917 svc-governmentorders@pfizer.com 262-577-6917 allocationsupportus@pfizer.com uscustomercare@pfizer.com 262-577-6917 262-577-6917
For reference a list of products are available at www.hospira.com ICU MEDICAL PRODUCT LIST as of February 13, 2017 List Tuc Number Product Name Unit of Sale NDC 07730-36 0.45% Sodium Chloride Injection, USP 00409-7730-36 07730-37 0.45% Sodium Chloride Injection, USP 00409-7730-37 07985-02 0.45% Sodium Chloride Injection, USP 00409-7985-02 07985-03 0.45% Sodium Chloride Injection, USP 00409-7985-03 07985-09 0.45% Sodium Chloride Injection, USP 00409-7985-09 07985-25 0.45% Sodium Chloride Injection, USP 00409-7985-25 07983-02 0.9% Sodium Chloride Injection, USP 00409-7983-02 07983-03 0.9% Sodium Chloride Injection, USP 00409-7983-03 07983-09 0.9% Sodium Chloride Injection, USP 00409-7983-09 07983-25 0.9% Sodium Chloride Injection, USP 00409-7983-25 07983-53 0.9% Sodium Chloride Injection, USP 00409-7983-53 07983-55 0.9% Sodium Chloride Injection, USP 00409-7983-55 07983-61 0.9% Sodium Chloride Injection, USP 00409-7983-61 07984-06 0.9% Sodium Chloride Injection, USP 00409-7984-06 07984-11 0.9% Sodium Chloride Injection, USP 00409-7984-11 07984-13 0.9% Sodium Chloride Injection, USP 00409-7984-13 07984-20 0.9% Sodium Chloride Injection, USP 00409-7984-20 07984-23 0.9% Sodium Chloride Injection, USP 00409-7984-23 07984-36 0.9% Sodium Chloride Injection, USP 00409-7984-36 07984-37 0.9% Sodium Chloride Injection, USP 00409-7984-37 06138-03 0.9% Sodium Chloride Irrigation, USP 00409-6138-03 06138-22 0.9% Sodium Chloride Irrigation, USP 00409-6138-22 07138-09 0.9% Sodium Chloride Irrigation, USP 00409-7138-09 07138-36 0.9% Sodium Chloride Irrigation, USP 00409-7138-36 07972-05 0.9% Sodium Chloride Irrigation, USP 00409-7972-05 07972-07 0.9% Sodium Chloride Irrigation, USP 00409-7972-07 07972-08 0.9% Sodium Chloride Irrigation, USP 00409-7972-08 12627-01 1 Gang 1o2 Manifold 11241-03 100 ml Burette PlumSet HemoSet, 170 Micron Filter, 105 Inch 14923-65 100 ml Burette PlumSet, Clave Y-Site, 122 Inch 19231-12 150 ml Burette PlumSet, Clave Y-Site, 0.2 Micron Filter, 124 Inch 11944-02 150 ml Burette PlumSet, Clave Y-Sites, 0.2 Micron Filter, 139 Inch 12564-02 150 ml Burette PlumSet, Clave Y-Sites, 114 Inch 19356-02 150 ml Burette PlumSet, Clave Y-sites, 123 Inch 11948-02 150 ml Burette PlumSet, Clave Y-Sites, 124 Inch 11949-02 150 ml Burette PlumSet, Prepierced Y-Sites, 0.2 Micron Filter, 139 Inch 11980-03 150 ml Burette PlumSet, Prepierced Y-Sites, 0.2 Micron Filter, 139 Inch 11979-02 150 ml Burette PlumSet, Prepierced Y-Sites, 114 Inch 11670-02 150 ml Burette PlumSet, Prepierced Y-Sites, 124 Inch Page 2 of 14
List Tuc Number Product Name Unit of Sale NDC 11710-02 150 ml Burette PlumSet, Prepierced Y-Sites, 124 Inch 11977-03 150 ml Burette PlumSet, Prepierced Y-Sites, 124 Inch 14270-28 150 ml Burette Set, Macrobore, Clave Y-Site, 78 Inch 12728-65 150 ml Burette Set, Macrobore, Prepierced Y-Site, 78 Inch 12425-01 150 ml Inline Burette Set, Macrobore, 18 Inch 12725-65 150 ml Inline Burette Set, Macrobore, 18 Inch 11302-01 18-Gauge Blunt Cannula 12629-01 2 Gang 1o2 Manifold with Inline Check Valve 12628-01 3 Gang 1o2 Manifold with Inline Check Valve 12419-01 3-Port Adapter 12630-01 4 Gang 1o2 Manifold with Inline Check Valve 20119-01 5 ml Adapter with Clave Connector 07924-02 5% Dextrose and 0.225% Sodium Chloride Injection, USP 00409-7924-02 07924-03 5% Dextrose and 0.225% Sodium Chloride Injection, USP 00409-7924-03 07924-09 5% Dextrose and 0.225% Sodium Chloride Injection, USP 00409-7924-09 07925-03 5% Dextrose and 0.3% Sodium Chloride Injection, USP 00409-7925-03 07925-09 5% Dextrose and 0.3% Sodium Chloride Injection, USP 00409-7925-09 07926-02 5% Dextrose and 0.45% Sodium Chloride Injection, USP 00409-7926-02 07926-03 5% Dextrose and 0.45% Sodium Chloride Injection, USP 00409-7926-03 07926-09 5% Dextrose and 0.45% Sodium Chloride Injection, USP 00409-7926-09 07941-03 5% Dextrose and 0.9% Sodium Chloride Injection, USP 00409-7941-03 07941-09 5% Dextrose and 0.9% Sodium Chloride Injection, USP 00409-7941-09 07922-02 5% Dextrose Injection, USP 00409-7922-02 07922-03 5% Dextrose Injection, USP 00409-7922-03 07922-09 5% Dextrose Injection, USP 00409-7922-09 07922-25 5% Dextrose Injection, USP 00409-7922-25 07922-53 5% Dextrose Injection, USP 00409-7922-53 07922-55 5% Dextrose Injection, USP 00409-7922-55 07922-61 5% Dextrose Injection, USP 00409-7922-61 07923-06 5% Dextrose Injection, USP 00409-7923-06 07923-11 5% Dextrose Injection, USP 00409-7923-11 07923-13 5% Dextrose Injection, USP 00409-7923-13 07923-20 5% Dextrose Injection, USP 00409-7923-20 07923-23 5% Dextrose Injection, USP 00409-7923-23 07923-36 5% Dextrose Injection, USP 00409-7923-36 07923-37 5% Dextrose Injection, USP 00409-7923-37 11374-05 50 ml Burette PlumSet, Prepierced Y-Site, 0.2 Micron Filter, 101 Inch 06446-03 50 ml Burette PlumSet, Prepierced Y-Sites, 105 Inch 06143-09 Acetic Acid Irrigation, USP 00409-6143-09 06143-22 Acetic Acid Irrigation, USP 00409-6143-22 04858-01 Additive Hinge Cap 04196-05 Aminosyn 3.5% M, Sulfite-Free 00409-4196-05 Page 3 of 14
List Tuc Number Product Name Unit of Sale NDC 04203-03 Aminosyn 8.5% with Electrolytes, Sulfite-Free 00409-4203-03 04171-03 Aminosyn II 8.5% with Electrolytes, Sulfite-Free 00409-4171-03 04162-03 Aminosyn II, Sulfite-Free 00409-4162-03 04164-03 Aminosyn II, Sulfite-Free 00409-4164-03 04164-05 Aminosyn II, Sulfite-Free 00409-4164-05 07171-17 Aminosyn II, Sulfite-Free 00409-7171-17 07172-17 Aminosyn II, Sulfite-Free 00409-7172-17 04187-03 Aminosyn, Sulfite-Free 00409-4187-03 04191-03 Aminosyn, Sulfite-Free 00409-4191-03 04191-05 Aminosyn, Sulfite-Free 00409-4191-05 04168-03 Aminosyn -HBC 7%, Sulfite-Free 00409-4168-03 04179-05 Aminosyn -PF 10% Sulfite-Free 00409-4179-05 04178-03 Aminosyn -PF 7% Sulfite-Free 00409-4178-03 04166-03 Aminosyn -RF 5.2% Sulfite-Free 00409-4166-03 20123-01 Bag Access Spike Closed System Transfer Set, Macrobore, Spiros Connector, 5 Inch 13814-01 Bag Spike with Clave Additive Port and Dry Spike 13815-01 Bag Spike with Clave Additive Port, 10 Units 20126-01 Bag Spike with Integrated Clave Connector 14211-28 Blood Administration PlumSet, 200 Micron Filter, 110 Inch 14212-28 Blood Administration PlumSet, 200 Micron Filter, 110 inch 12259-02 Blood Administration PlumSet, Clave Y-Site, 210 Micron Filter, 122 Inch 14220-28 Blood Administration PlumSet, Macrobore, Clave Y-Site, 200 Micron Filter, 110 Inch 16400-01 Blood Administration Sapphire Infusion Set, Clave Y-Site, 200 Micron Filter, 114.4 Inch 12694-02 Blood Administration Set, 200 Micron Filter, Prepierced Y-Site, 80 Inch 03039-48 Blood Administration Set, Macrobore, 170 Micron Filter, 105 Inch 14949-28 Blood Administration Set, Macrobore, 170 Micron Filter, 27 Inch 19209-48 Blood Administration Set, Macrobore, 170 Micron Filter, 80 Inch 11349-20 Blood Administration Set, Macrobore, 170 Micron Filter, Blood Bulb Pump, 82 Inch 14200-28 Blood Administration Set, Macrobore, 200 Micron Filter, 36 Inch 14205-28 Blood Administration Set, Macrobore, 200 Micron Filter, 80 Inch 11141-48 Blood Administration Set, Macrobore, 210 Micron Filter, 40 Inch 12908-65 Blood Administration Set, Macrobore, Clave Y-Site, 170 Micron Filter, 79 Inch 12435-01 Blood Administration Set, Macrobore, Clave Y-Site, 170 Micron Filter, Blood Bulb Pump, 80 Inch 12436-02 Blood Administration Set, Macrobore, Clave Y-Site, 200 Micron Filter, 80 Inch 14218-28 Blood Administration Set, Macrobore, Clave Y-Site, 200 Micron Filter, 80 Inch 12435-02 14219-28 Blood Administration Set, Macrobore, Clave Y-Site, 200 Micron Filter, Blood Bulb Pump, 80 Inch Blood Administration Set, Macrobore, Clave Y-Site, 200 Micron Filter, Cylinder Pump, 80 Inch 12436-01 Blood Administration Set, Macrobore, Clave Y-Site, 210 Micron Filter, 80 Inch 19352-48 Blood Administration Set, Macrobore, Clave Y-Site, 210 Micron Filter, Blood Pump, 98 Inch Page 4 of 14
List Tuc Number Product Name Unit of Sale NDC 14603-65 Blood Administration Set, Macrobore, Clave Y-Sites, 210 Micron Filter, Blood Bulb Pump, 98 Inch 19330-48 Blood Administration Set, Macrobore, Clave Y-Sites, 210 Micron Filter, Blood Pump, 100 Inch 12731-65 Blood Administration Set, Macrobore, Prepierced Y-Site, 170 Micron Filter, 78.5 Inch 12693-28 Blood Administration Set, Macrobore, Prepierced Y-Site, 170 Micron Filter, 79 Inch 12730-65 12720-65 Blood Administration Set, Macrobore, Prepierced Y-Site, 170 Micron Filter, Blood Bulb Pump, 78.5 Inch Blood Administration Set, Macrobore, Prepierced Y-Site, 170 Micron Filter, Blood Bulb Pump, 81 Inch 14217-28 Blood Administration Set, Macrobore, Prepierced Y-Site, 200 Micron Filter, 80 Inch 12699-65 Blood Administration Set, Macrobore, Prepierced Y-Site, 210 Micron Filter, 80.5 Inch 12719-65 Blood Administration Set, Macrobore, Prepierced Y-Site, 210 Micron Filter, 81 Inch 19531-65 12718-02 11592-48 Blood Administration Set, Macrobore, Prepierced Y-Sites, 170 Micron Filter, Blood Bulb Pump, 115 Inch Blood Administration Set, Macrobore, Prepierced Y-Sites, 200 Micron Filter, Blood Bulb Pump, 100 Inch Blood Administration Set, Macrobore, Prepierced Y-Sites, 210 Micron Filter, Blood Pump, 100 Inch 39009-01 Casters (Locking) for I.V. Stands 12115-01 Clave IV Bag Access Device 12114-01 Clave IV Bag Access Device with Backcheck Valve 13813-01 Clave IV Bag Access Device, 10 Units 11956-01 Clave Port Male Adapter Plug 11075-48 Convertible Adapter Pin, 3 Inch 07120-07 Dextrose Injection, USP 0409-7120-07 07918-19 Dextrose Injection, USP 0409-7918-19 07930-02 Dextrose Injection, USP 0409-7930-02 07930-03 Dextrose Injection, USP 0409-7930-03 07930-09 Dextrose Injection, USP 0409-7930-09 07935-19 Dextrose Injection, USP 0409-7935-19 07936-19 Dextrose Injection, USP 0409-7936-19 07937-19 Dextrose Injection, USP 0409-7937-19 07938-19 Dextrose Injection, USP 0409-7938-19 08004-15 Dextrose Injection, USP 0409-8004-15 12009-02 Double Female Connector 13821-01 Double MicroClave Syringe Transfer Set 12217-01 EffectIV Disinfectant Cap 12201-01 EffectIV -Cap for Needleless Valves 07927-20 Empty Container 07927-21 Empty Container 07951-12 Empty Container 07951-13 Empty Container 07951-19 Empty Container 07951-23 Empty Container 06514-01 Extension LifeCare PCA Set, Microbore, Backcheck Valve, 10 Inch Page 5 of 14
List Tuc Number Product Name Unit of Sale NDC 14278-28 Extension LifeCare PCA Set, Microbore, Backcheck Valve, 10 Inch 14277-28 Extension LifeCare PCA Set, Microbore, PAV, Backcheck Valve, 67 Inch 14279-28 Extension LifeCare PCA Set, Minibore, PAV, Backcheck Valve, PCA Injector, 86 Inch 14280-28 Extension LifeCare PCA Set, Minibore, PAV, PCA Injector, 80 Inch 19098-48 Extension Macrobore PlumSet, 12 Inch 12655-28 Extension Set, Macrobore, 20 Inch 14695-28 Extension Set, Macrobore, 29 Inch 12656-28 Extension Set, Macrobore, 30 Inch 12544-01 Extension Set, Macrobore, 5 Inch 12646-28 Extension Set, Macrobore, 5 Inch 12651-28 Extension Set, Macrobore, 5 Inch 12645-28 Extension Set, Macrobore, 5.5 Inch 20659-28 Extension Set, Macrobore, 5.9 Inch 12333-28 Extension Set, Macrobore, 7 Inch 12515-01 Extension Set, Macrobore, 7 Inch 12519-01 Extension Set, Macrobore, 7 Inch 12551-01 Extension Set, Macrobore, 7 Inch 12654-28 Extension Set, Macrobore, 7 Inch 12738-01 Extension Set, Macrobore, 7 Inch 12660-28 Extension Set, Macrobore, 7.25 Inch 14698-28 Extension Set, Macrobore, 71 Inch 19141-30 Extension Set, Macrobore, 8.5 Inch 19903-39 Extension Set, Macrobore, 9 Inch 20710-01 Extension Set, Macrobore, Bifurcated, 8 Inch 12518-01 Extension Set, Macrobore, Bifuse, 9 Inch 20668-28 Extension Set, Macrobore, Clave Y-Site, 0.2 Micron Filter, 17 Inch 12354-05 Extension Set, Macrobore, Clave Y-Site, 1.2 Micron Filter, 15 Inch 20657-28 Extension Set, Macrobore, Clave Y-Site, 32 Inch 20654-28 Extension Set, Macrobore, Clave Y-Site, 8 Inch 20667-28 Extension Set, Macrobore, Clave Y-Site, Dial-A-Flo Flow Controller, 18 Inch 12394-01 Extension Set, Macrobore, Clave Y-Site, Stopcock, 38 Inch 12678-28 Extension Set, Macrobore, Clave Y-Sites, 32 Inch 19116-28 Extension Set, Macrobore, Four-Way Stopcock, 32 Inch 14929-28 Extension Set, Macrobore, High-Pressure, 7 Inch 19715-01 Extension Set, Macrobore, High-Pressure, 7 Inch 11716-28 Extension Set, Macrobore, Prepierced T-Site, 5 Inch 12689-28 Extension Set, Macrobore, Prepierced Y-Site, 0.2 Micron Filter, 16.5 Inch 11415-05 Extension Set, Macrobore, Prepierced Y-Site, 1.2 Micron Filter, 15 Inch 14281-28 Extension Set, Macrobore, Prepierced Y-Site, 13 Inch 11742-28 Extension Set, Macrobore, Prepierced Y-Site, Dial-A-Flo Flow Controller, 18 Inch 12648-28 Extension Set, Macrobore, Prepierced Y-Sites, 32 Inch Page 6 of 14
List Tuc Number Product Name Unit of Sale NDC 04064-01 Extension Set, Macrobore, Y-Connector, 10 Inch 06457-28 Extension Set, Microbore, 12 Inch 12658-28 Extension Set, Microbore, 36 Inch 12546-28 Extension Set, Microbore, 4 Inch 12545-02 Extension Set, Microbore, 5 Inch 12550-02 Extension Set, Microbore, 5 Inch 12650-28 Extension Set, Microbore, 5.25 Inch 12677-28 Extension Set, Microbore, 5.5 Inch 12330-28 Extension Set, Microbore, 6 Inch 12330-28 Extension Set, Microbore, 6 Inch 12677-28 Extension Set, Microbore, 6 Inch 20653-28 Extension Set, Microbore, 6 Inch 12652-28 Extension Set, Microbore, 6.25 Inch 13360-28 Extension Set, Microbore, 60 Inch 12513-01 Extension Set, Microbore, 7 Inch 12516-01 Extension Set, Microbore, 7 Inch 12549-01 Extension Set, Microbore, 7 Inch 12657-28 Extension Set, Microbore, 7 Inch 12657-28 Extension Set, Microbore, 7 Inch 19186-28 Extension Set, Microbore, 7 Inch 12649-28 Extension Set, Microbore, 7.625 Inch 06464-01 Extension Set, Microbore, 74 Inch 12241-28 Extension Set, Microbore, 8 Inch 12241-28 Extension Set, Microbore, 8 Inch 12649-28 Extension Set, Microbore, 8 Inch 12120-01 Extension Set, Microbore, Bifurcated, 5 Inch 12547-01 Extension Set, Microbore, Bifurcated, 8 Inch 20658-28 Extension Set, Microbore, Clave Y-Site, 8 Inch 12514-01 Extension Set, Microbore, High-Pressure, 7 Inch 12517-01 Extension Set, Microbore, High-Pressure, 7 Inch 11549-28 Extension Set, Microbore, Prepierced Male Adapter Plug, Y-Type Set, 7 Inch 11402-28 Extension Set, Microbore, Prepierced T-Site, 5 Inch 12053-28 Extension Set, Microbore, Prepierced T-Site, 5 Inch 02694-28 Extension Set, Microbore, Prepierced Y-Site, 0.2 Micron Filter, 10 Inch 20655-28 Extension Set, Microbore, Removable Clave Connectors, 8 Inch 14696-28 Extension Set, Minibore, 29 Inch 14699-28 Extension Set, Minibore, 59 Inch 14699-28 Extension Set, Minibore, 59 Inch 14402-28 Extension Set, Minibore, 60 Inch 14402-28 Extension Set, Minibore, 60 Inch 04693-01 Extension, Irrigation Set, Urological Connector, 71 Inch 20132-01 Genie Access Device, 20 mm Page 7 of 14
List Tuc Number Product Name Unit of Sale NDC 13829-01 Genie Closed Access Device, 10 Units 13831-01 Genie Closed Access Device, 28 mm 13830-01 Genie Closed Access Device, 5 Units 07974-08 Glycine Irrigation, USP 0409-7974-08 13822-01 Graduated Adapter with Clave Connector 39001-01 I.V. Pole 11986-28 I.V. Syringe Adapter (Non-DEHP) 39005-01 ICU Cart 30003-01 Infusion Stand Hanger, 11 Inch 07372-03 Ionosol MB and 5% Dextrose Injection 0409-7372-03 07372-62 Ionosol MB and 5% Dextrose Injection 0409-7372-62 06544-01 Irrigation Set, For Cystoscopy with Urological Connector, 77 Inch 15239-01 Irrigation Set, Large Bore, 4-Lead, Urological Connector, 85 Inch 06542-02 Irrigation Set, T-U-R System with Flow-Pouch Reservoir, 24 Inch 06543-01 Irrigation Set, T-U-R, Urological Connector, 96 Inch 06599-01 Irrigation Set, Urological Connector, 100 Inch 07929-03 Lactated Ringer's and 5% Dextrose Injection, USP 0409-7929-03 07929-09 Lactated Ringer's and 5% Dextrose Injection, USP 0409-7929-09 07953-02 Lactated Ringer's Injection, USP 0409-7953-02 07953-03 Lactated Ringer's Injection, USP 0409-7953-03 07953-09 Lactated Ringer's Injection, USP 0409-7953-09 07828-08 Lactated Ringer's Irrigation 0409-7828-08 20709 LifeCare PCA Infusion System 04831-48 LifeCare PCA Injector 06021-03 LifeCare PCA Sterile Empty and Injector 12510-01 LifeShield Antimicrobial Clave MAP 12575-01 LifeShield MicroClave Locking Blunt Connector 12595-01 LifeShield Neutron Needlefree Catheter Patency Device 39002-01 Lily Pad 06892-03 Liposyn III (Intravenous Fat Emulsion) 0409-6892-03 09790-02 Liposyn III (Intravenous Fat Emulsion) 0409-9790-02 09790-03 Liposyn III (Intravenous Fat Emulsion) 0409-9790-03 09791-02 Liposyn III (Intravenous Fat Emulsion) 0409-9791-02 09791-03 Liposyn III (Intravenous Fat Emulsion) 0409-9791-03 11952-01 Locking Blunt Cannula 11955-01 Male Sterile Cap 11477-01 Male/Female Sterile Cap 07715-02 Mannitol Injection, USP 0409-7715-02 07715-03 Mannitol Injection, USP 0409-7715-03 06030-04 Meperidine Hydrochloride Injection, USP, CII (for use with PCA) (10 mg/ml) 0409-6030-04 12512-01 MicroClave Clear Connector 12568-01 MicroClave Port Male Adapter Plug Page 8 of 14
List Tuc Number Product Name Unit of Sale NDC 02029-02 Morphine Sulfate Injection, USP Cll (Preservative-Free )(FOR PCA USE ONLY) 0409-2029-02 06028-04 Morphine Sulfate Injection, USP, CII, (Preservative-Free)(For PCA Use Only) 0409-6028-04 39007-01 Multi-Device Adapter 12417-01 Multi-Dose Adapter 07965-03 Normosol -M and 5% Dextrose Injection 0409-7965-03 07965-09 Normosol -M and 5% Dextrose Injection 0409-7965-09 07967-09 Normosol -R 0409-7967-09 07968-09 Normosol -R and 5% Dextrose Injection 0409-7968-09 07670-03 Normosol -R ph 7.4 0409-7670-03 07670-09 Normosol -R ph 7.4 0409-7670-09 14499-01 Nurse Call Cable 07914-01 Nutri-Clamp Closure Device 07915-01 Nutri-Clamp Closure Device 11172-01 Nutri-Clamp Closure Device 01968-48 Nutrimix Macro Vented Adapter Pin 39006-01 Oxygen Tank Bracket 06141-09 Physiosol Irrigation 0409-6141-09 30010 Plum 360 Infusion System with Hospira MedNet 12618 Plum A+3 Infusion System 20678 Plum A+3 Infusion System with Hospira MedNet 12096-01 Plum A+ I.V. Mini Pole 12391 Plum A+ Infusion System 20792 Plum A+ Infusion System with Hospira MedNet 12095-03 Plum A+ Secondary Container Support 13853-01 Plum360 I.V. Mini Pole 01513-02 Potassium Chloride for Injection Concentrate, USP 0409-1513-02 09257-39 Potassium Chloride in 0.45% Sodium Chloride Injection 0409-9257-39 07115-09 Potassium Chloride in 0.9% Sodium Chloride Injection, USP 0409-7115-09 07116-09 Potassium Chloride in 0.9% Sodium Chloride Injection, USP 0409-7116-09 07901-03 Potassium Chloride in 5% Dextrose and 0.225% Sodium Chloride Injection, USP 0409-7901-03 07901-09 Potassium Chloride in 5% Dextrose and 0.225% Sodium Chloride Injection, USP 0409-7901-09 07902-03 Potassium Chloride in 5% Dextrose and 0.45% Sodium Chloride Injection, USP 0409-7902-03 07902-09 Potassium Chloride in 5% Dextrose and 0.45% Sodium Chloride Injection, USP 0409-7902-09 07903-09 Potassium Chloride in 5% Dextrose and 0.45% Sodium Chloride Injection, USP 0409-7903-09 07904-09 Potassium Chloride in 5% Dextrose and 0.45% Sodium Chloride Injection, USP 0409-7904-09 07993-09 Potassium Chloride in 5% Dextrose and 0.45% Sodium Chloride Injection, USP 0409-7993-09 07107-09 Potassium Chloride in 5% Dextrose and 0.9% Sodium Chloride Injection, USP 0409-7107-09 07109-09 Potassium Chloride in 5% Dextrose and 0.9% Sodium Chloride Injection, USP 0409-7109-09 07905-09 Potassium Chloride in 5% Dextrose Injection 0409-7905-09 07111-09 Potassium Chloride in Lactated Ringer's and 5% Dextrose Injection, USP 0409-7111-09 07074-26 Potassium Chloride in Water for Injection 0409-7074-26 07075-14 Potassium Chloride in Water for Injection 0409-7075-14 Page 9 of 14
List Tuc Number Product Name Unit of Sale NDC 07075-26 Potassium Chloride in Water for Injection 0409-7075-26 07077-14 Potassium Chloride in Water for Injection 0409-7077-14 07077-26 Potassium Chloride in Water for Injection 0409-7077-26 11391-01 Prepierced Reseal Male Adapter Plug-Long with Locking Luer 11301-01 Prepierced Reseal Male Adapter Plug-Short with Locking Luer 20122-01 Primary Closed System Transfer Set, Macrobore, Spiros Connector, 14 Inch 20127-01 Primary Closed System Transfer Set, Macrobore, Spiros Connector, 40 Inch 20121-01 Primary Closed System Transfer Set, Macrobore, Spiros Connector, 41 Inch 14258-28 Primary PlumSet, Air Filter, 40 mm Screw Cap, Enteral Adapter, 98 Inch 12336-05 Primary PlumSet, Clave Y-Site, 0.2 Micron Filter, 112 Inch 14255-28 Primary PlumSet, Clave Y-Site, 0.2 Micron Filter, PE-Lined Tubing, 104 Inch 14687-28 Primary PlumSet, Clave Y-Site, 103 Inch 14242-28 Primary PlumSet, Clave Y-Site, 104 Inch 14247-28 Primary PlumSet, Clave Y-Site, Distal Microbore Tubing, 104 Inch 12339-12 Primary PlumSet, Clave Y-Site, Orange PE-Lined Light-Resistant Tubing, 103 Inch 12563-12 Primary PlumSet, Clave Y-Sites, 0.2 Micron Filter, 112 Inch 14253-28 Primary PlumSet, Clave Y-Sites, 0.2 Micron Filter, 112 Inch 12539-05 Primary PlumSet, Clave Y-Sites, 1.2 Micron Filter, 104 Inch 14243-28 Primary PlumSet, Clave Y-Sites, 104 Inch 14251-28 Primary PlumSet, Clave Y-Sites, Backcheck Valve, 103 Inch 14257-28 Primary PlumSet, Enteral Adapter, 98 Inch 14248-28 Primary PlumSet, PE-Lined Tubing, 107 inch 11373-05 Primary PlumSet, Prepierced Y-Site, 0.2 Micron Filter, 112 Inch 14256-28 Primary PlumSet, Prepierced Y-Site, 0.2 Micron Filter, PE-Lined Light-Resistant Tubing, Distal Microbore Tubing, 104 Inch 11893-05 Primary PlumSet, Prepierced Y-Site, 1.2 Micron Filter, 104 Inch 11003-78 Primary PlumSet, Prepierced Y-Site, 104 Inch 14679-28 Primary PlumSet, Prepierced Y-Site, 104 Inch 14246-28 Primary PlumSet, Prepierced Y-Site, Distal Microbore Tubing, 104 Inch 14252-28 Primary PlumSet, Prepierced Y-Sites, 0.2 Micron Filter, 112 Inch 14249-28 Primary PlumSet, Prepierced Y-Sites, 104 Inch 06440-13 Primary PlumSet, Yellow-Striped Tubing, 107 Inch 16363-01 Primary Sapphire Infusion Set, 0.2 Micron Filter, Yellow-Striped Tubing, 110.2 Inch 16373-01 Primary Sapphire Infusion Set, 0.2 Micron Filter, Yellow-Striped Tubing, Backcheck Valve, 110.2 Inch 16335-01 Primary Sapphire Infusion Set, 1.2 Micron Filter, 121.2 Inch 16388-01 Primary Sapphire Infusion Set, 112.9 Inch 16346-01 Primary Sapphire Infusion Set, 115.6 Inch 16351-01 Primary Sapphire Infusion Set, Backcheck Valve, 110.2 Inch 16364-01 Primary Sapphire Infusion Set, Backcheck Valve, 110.2 Inch 16362-01 Primary Sapphire Infusion Set, Clave Y-Site, 0.2 Micron Filter, 119.1 Inch 16391-01 Primary Sapphire Infusion Set, Clave Y-Site, 1.2 Micron Filter, 117.3 Inch 16324-01 Primary Sapphire Infusion Set, Clave Y-Site, 1.2 Micron Filter, 82.7 Inch Page 10 of 14
List Tuc Number Product Name Unit of Sale NDC 16387-01 Primary Sapphire Infusion Set, Clave Y-Site, 114.9 Inch 16389-01 16390-01 Primary Sapphire Infusion Set, Clave Y-Sites, 0.2 Micron Filter, Backcheck Valve, 120.2 Inch Primary Sapphire Infusion Set, Clave Y-Sites, 0.2 Micron Filter, Microdrip, Backcheck Valve, 120.2 Inch 16385-01 Primary Sapphire Infusion Set, Clave Y-Sites, Backcheck Valve, 117.9 Inch 16386-01 Primary Sapphire Infusion Set, Clave Y-Sites, Backcheck Valve, 119.8 Inch 16393-01 Primary Sapphire Infusion Set, Orange PE-Lined Light-Resistant Tubing, 115.8 Inch 16339-01 Primary Sapphire Infusion Set, Yellow-Striped Tubing, 115.6 Inch 16374-01 Primary Sapphire Infusion Set, Yellow-Striped Tubing, Backcheck Valve, 110.2 Inch 14221-28 Primary Set, Macrobore, 100 Inch 12661-28 Primary Set, Macrobore, Clave Y-Site, 100 Inch 20670-28 Primary Set, Macrobore, Clave Y-Site, 100 Inch 12642-48 Primary Set, Macrobore, Clave Y-Site, Dial-A-Flo Flow Controller, 79 Inch 20669-28 Primary Set, Macrobore, Clave Y-Sites, 0.2 Micron Filter, Backcheck Valve, 101 Inch 12662-28 Primary Set, Macrobore, Clave Y-Sites, Backcheck Valve, 100 Inch 12664-28 Primary Set, Macrobore, Clave Y-Sites, Backcheck Valve, 100 Inch 20671-28 Primary Set, Macrobore, Clave Y-Sites, Backcheck Valve, 100 Inch 19320-48 Primary Set, Macrobore, Clave Y-Sites, Backcheck Valve, Four-Way Stopcock, 120 Inch 19348-48 Primary Set, Macrobore, Clave Y-Sites, Backcheck Valve, Three-Gang Stopcock Manifold, 110 Inch 19324-48 Primary Set, Macrobore, Clave Y-Sites, Backcheck Valve, Three-Port Manifold, 111 Inch 19277-48 Primary Set, Macrobore, Clave Y-Sites, Backcheck Valve, Three-Port Manifold, 112 Inch 12663-28 Primary Set, Macrobore, Clave Y-Sites, Microdrip, Backcheck Valve, 100 Inch 14222-28 Primary Set, Macrobore, Prepierced Y-Site, 70 Inch 12672-28 Primary Set, Macrobore, Prepierced Y-Site, 80 Inch 19111-48 Primary Set, Macrobore, Prepierced Y-Site, Backcheck Prepierced Reseal Y-Site, Stopcock, Three-Port Manifold, 111 Inch 12669-28 Primary Set, Macrobore, Prepierced Y-Site, Backcheck Prepierced Y-Site, 80 Inch 14224-28 Primary Set, Macrobore, Prepierced Y-Sites, 100 Inch 12717-65 Primary Set, Macrobore, Prepierced Y-Sites, Four-Way Stopcock, 123 Inch 14235-28 12668-28 14227-28 Primary Set, Macrobore, Prepierced Y-Sites, Upper Backcheck Valve Prepierced Y- Site, 0.2 Micron Filter, 100 Inch Primary Set, Macrobore, Prepierced Y-Sites, Upper Backcheck Valve Prepierced Y- Site, 100 Inch Primary Set, Macrobore, Prepierced Y-Sites, Upper Backcheck Valve Prepierced Y- Site, 100 Inch 12665-28 Primary Set, Macrobore, Upper Backcheck Valve Prepierced Y-Site, 80 Inch 07982-09 Ringer's Injection, USP 0409-7982-09 06140-09 Ringer's Irrigation, USP 0409-6140-09 16395 SapphirePlus Infusion System 16360-01 Sapphire Annual Certification Kit 16354-01 Sapphire Battery 16320-01 Sapphire Bolus Cord Page 11 of 14
List Tuc Number Product Name Unit of Sale NDC 16359-01 Sapphire CD User Manual - English 16353-02 Sapphire Communications Cable 16312 Sapphire Epidural Infusion Pump Kit 16402-01 Sapphire External Battery Pack 16318-01 Sapphire Infusion Pouch - 500 ml 16316-01 Sapphire Large Backpack 16411-01 Sapphire Lockbox 250 ml Strap & Pouch 16313-01 Sapphire Mini Cradle & Splitter Kit 16314-01 Sapphire Mini-Cradle 16358-01 Sapphire Mini-Cradle Knob Key 16311 Sapphire Multi-Therapy Infusion Pump Kit 16365 Sapphire Multi-Therapy Infusion Pump with Bolus Handle 16317-01 Sapphire PCA Lockbox - 100 ml Kit 16394-01 Sapphire PCA Lockbox - 250 ml Kit 16315-01 Sapphire PCA Lockbox - 500 ml Kit 16414-01 Sapphire Power Supply 16319-01 Sapphire Splitter 16352-01 Sapphire Travel Case 16382-01 Sapphire Triple Mount 16361-01 Sapphire USB to 4-Port RS232 Adapter 20124-01 Secondary Closed System Transfer Set, Macrobore, Spiros Connector, 30 Inch 20131-01 Secondary Closed System Transfer Set, Macrobore, Spiros Connectors, 40 Inch 12182-65 Secondary PlumSet, 16.5 Inch 20619-28 Secondary PlumSet, 19 Inch 11181-05 Secondary Plum Set, 0.2 Micron Filter, 40 Inch 11831-05 Secondary Plum Set, 0.2 Micron Filter, PE-Lined Tubing, 40 Inch 01783-02 Secondary Plum Set, 210 Micron Blood Filter, 36 Inch 01139-48 Secondary Plum Set, 40 Inch 40522-48 Secondary Plum Set, Green-Striped Tubing, 40 Inch 11140-58 Secondary Plum Set, Orange PE-Lined Light-Resistant Tubing, 40 Inch 40521-48 Secondary Plum Set, Orange-Striped Tubing, 40 Inch 40524-48 Secondary Plum Set, Purple-Striped Tubing, 40 Inch 04602-58 Secondary Set, Macrobore, 170 Micron Filter, 26 Inch 14229-28 Secondary Set, Macrobore, 34 Inch 14230-28 Secondary Set, Macrobore, Extension Hook, 34 Inch 06541-01 Secondary, Irrigation Set, 26 Inch 12397-01 Single Dose Adapter 07981-08 Sorbitol-Mannitol Irrigation 0409-7981-08 01721-48 Specialty Application Set, Decanting, Large Bore, Vented Piercing Pin, Air Filter, 14 Inch 04510-58 Specialty Blood Set, Macrobore, 170 micron Non-Wettable Inline Filter, 14.5 Inch 12338-28 Specialty PlumSet, Clave Y-Sites, 76 Inch Page 12 of 14
List Tuc Number Product Name Unit of Sale NDC 02422-22 Specialty PlumSet, Prepierced Y-Site, 76 Inch 13818-01 Spinning Spiros Connector 13832-01 Spinning Spiros Connector with Purple Cap and Priming Cap 20130-01 Spinning Spiros Connector with Red Cap 13820-01 Spinning Spiros Connector with Red Cap, 10 Units 13819-01 Spinning Spiros Connector, 10 Units 20120-01 Spiros Connector 13817-01 Spiros Connector with Red Cap 13816-01 Spiros Connector, 10 Units 20115-01 Sterile Cap (single) 20117-01 Sterile Priming Cap 07118-07 Sterile Water for Injection, USP 0409-7118-07 07990-09 Sterile Water for Injection, USP 0409-7990-09 06139-03 Sterile Water for Irrigation, USP 0409-6139-03 06139-22 Sterile Water for Irrigation, USP 0409-6139-22 07139-09 Sterile Water for Irrigation, USP 0409-7139-09 07139-36 Sterile Water for Irrigation, USP 00409-7139-36 07973-05 Sterile Water for Irrigation, USP 0409-7973-05 07973-07 Sterile Water for Irrigation, USP 0409-7973-07 07973-08 Sterile Water for Irrigation, USP 0409-7973-08 SP21201 Supercath 5 IV Catheter, Non-Winged (14 g x 1.25") SP21001 Supercath 5 IV Catheter, Non-Winged (16 g x 1.25") SP20401 Supercath 5 IV Catheter, Non-Winged (18 g x 1.25") SP20601 Supercath 5 IV Catheter, Non-Winged (20 g x 1.25") SP20001 Supercath 5 IV Catheter, Non-Winged (22 g x 1.00") SP20201 Supercath 5 IV Catheter, Non-Winged (22 g x 1.25") SP20801 Supercath 5 IV Catheter, Non-Winged (24 g x 0.75") SP21301 Supercath 5 IV Catheter, Winged (14 g x 1.25") SP21101 Supercath 5 IV Catheter, Winged (16 g x 1.25") SP20501 Supercath 5 IV Catheter, Winged (18 g x 1.25") SP20701 Supercath 5 IV Catheter, Winged (20 g x 1.25") SP20101 Supercath 5 IV Catheter, Winged (22 g x 1.00") SP20301 Supercath 5 IV Catheter, Winged (22 g x 1.25") SP20901 Supercath 5 IV Catheter, Winged (24 g x 0.75") 39011-01 T-Bar Accessory 03232-01 Three-Way Stopcock 03233-01 Three-Way Stopcock with Male Locking Luer Adapter 03002-04 Two-Way Transfer Device 20133-01 Universal Access Device 13823-01 Universal Access Device, 10 Units 20116-01 Vented Bag Spike with Clave Connector 13824-01 Vented Access Device, 13 mm Page 13 of 14
List Tuc Number Product Name Unit of Sale NDC 12007-01 Adapter with Clave 20125-01 Adapter with Clave Connector 10133-03 VisCap Port Cover 12006-01 Y-Connector 19361-01 Yellow Cap for use with Hospira PCA Page 14 of 14
Hospira SIP Contact and Product List (EXHIBIT B) HOSPIRA SIP CONTACT LIST Effective February 27, 2017 Need Assistance For Call Us Email Us FAX Healthcare providers inquiries, questions or issues related to orders, shipping, discrepancy reports, requests for certificates, safety data sheets, and sales representative request. Medical/Surgical distributors and wholesalers inquiries related to order/shipping inquiries, discrepancy reports, requests for certificates, safety data sheets, and sales representative request. Healthcare providers inquiries, questions or issue for injectable products in short supply. Puerto Rico healthcare providers and Medical/Surgical distributors and wholesalers inquiries related to order/shipping inquiries, discrepancy reports for. Kit Packer inquiries, questions or issues. Government order requests or shipping inquiries. Customer Service: 1-844-646-4398 Option 1 Monday through Friday 7:00 a.m. to 6:00 p.m. CST Customer Service: 1-844-646-4398 Option 2 Monday through Friday 7:00 a.m. to 5:00 p.m. CST Supply Continuity: 1-844-646-4398 Option 3 Monday through Friday 7:00 a.m. to 6:00 p.m. CST Customer Service: 1-800-981-4748 Option 2 Monday through Friday 7:00 a.m. to 3:30 p.m. CST Customer Service: 1-844-646-4398 Option 2 Monday through Friday 8:30 a.m. to 3:30 p.m. CST Customer Service: 1-844-646-4398 Option 1 Monday through Friday 7:00 a.m. to 6:00 p.m. CST PICustomerService@pfizer.com 262-577-6503 PICustomerService@pfizer.com 262-577-6503 PIsupplyContinuity@pfizer.com PIServicioalClientePR@pfizer.com PIKitPacker@pfizer.com PIGovernmentOrders@pfizer.com 262-577-6503 262-577-6503 262-577-6503 262-577-6503
For reference, a list of products is available at www.pfizerinjectables.com HOSPIRA SIP PRODUCT LIST as of February 13, 2017 Unit of Sale NDC Molecule Description 00409-3307-03 Acetylcysteine Acetylcysteine Solution, USP 3 g/30 ml (100 mg/ml) Multiple Dose Glass Teartop 00409-3308-03 Acetylcysteine Acetylcysteine Solution, USP 6 g/30 ml (200 mg/ml) Multiple Dose Glass Teartop 00409-0051-01 ADD-Vantage ADD-Vantage ADDaptor Connector Pharmacy Admixing Accessories 00409-1932-01 Adenosine Adenosine Injection, USP 60 mg/20 ml (3 mg/ml) Single Dose Glass 00409-1932-02 Adenosine Adenosine Injection, USP 90 mg/30 ml (3 mg/ml) Single Dose Glass 00409-2266-02 Alfentanil Alfentanil Injection, USP 1 mg/2 ml (500 mcg/ml) Glass Ampul 00409-2266-05 Alfentanil Alfentanil Injection, USP 2.5 mg/5 ml (500 mcg/ml) Glass Ampul 00409-8060-29 Amidate Amidate (etomidate injection, USP) 40 mg/20 ml (2 mg/ml) LifeShield ABBOJECT Glass Syringe With Male Luer Lock Adapter 00409-6695-01 Amidate Amidate (etomidate injection, USP) 40 mg/20 ml (2 mg/ml) Single Dose Glass Fliptop 00409-6695-02 Amidate Amidate (etomidate injection, USP) 40 mg/20 ml (2 mg/ml) Single Dose Glass Fliptop 00409-6695-10 Amidate Amidate (etomidate injection, USP) 20 mg/10 ml (2 mg/ml) Single Dose Glass Fliptop 00409-6695-20 Amidate Amidate (etomidate injection, USP) 40 mg/20 ml (2 mg/ml) Single Dose Glass Fliptop 00409-4346-10 Aminocaproic Acid Aminocaproic Acid Injection, USP 5 g/20ml (250 mg/ml) Single Dose Plastic 00409-4346-73 Aminocaproic Acid Aminocaproic Acid Injection, USP 5 g/20 ml (250 mg/ml) Single Dose Plastic 00409-5921-01 Aminophylline Aminophylline Injection, USP 250 mg/10 ml (25 mg/ml) Single Dose Glass 00409-5921-10 Aminophylline Aminophylline Injection, USP 250 mg/10 ml (25 mg/ml) 00409-5922-01 Aminophylline Aminophylline Injection, USP 500 mg/20 ml (25 mg/ml) Single Dose Glass 61703-0418-18 Aquasol A Aquasol A Parenteral (water miscible vitamin A palmitate) 100,000 Units/2 ml (30 mg Parenteral retinol/2 ml) 50,000 USP Units/mL (15 mg retinol/ml) Single Dose Glass 00409-1105-02 Atracurium Atracurium Besylate Injection, USP 100 mg/10 ml (10 mg/ml) Multiple Dose Glass Fliptop Besylate 00409-1109-01 Atracurium Besylate Atracurium Besylate Injection, USP 50 mg/5 ml (10 mg/ml) Single Dose Glass 00409-1630-10 Atropine Sulfate Atropine Sulfate Injection, USP (Adult) 1 mg/10 ml (0.1 mg/ml) ANSYR Plastic Syringe 00409-4910-34 Atropine Sulfate Atropine Sulfate Injection, USP (Adult) 0.5 mg/5 ml (0.1 mg/ml) LifeShield ABBOJECT Glass Syringe (20 G x 1 1/2") 00409-4911-34 Atropine Sulfate Atropine Sulfate Injection, USP (Adult) 1 mg/10 ml (0.1 mg/ml) LifeShield ABBOJECT Glass Syringe (20 G x 1 1/2") 00409-9630-05 Atropine Sulfate Atropine Sulfate Injection, USP (Pediatric) 0.25 mg/5 ml (0.05 mg/ml) ANSYR Plastic Syringe 00409-0144-11 Azithromycin Azithromycin for Injection, USP 500 mg Single Dose ADD-Vantage Glass 00409-1966-05 Bacteriostatic Bacteriostatic 0.9% Sodium Chloride Injection, USP 20 ml Multiple Dose Plastic Fliptop 00409-1966-07 Bacteriostatic Bacteriostatic 0.9% Sodium Chloride Injection, USP 30 ml Multiple Dose Plastic Fliptop 00409-1966-12 Bacteriostatic Bacteriostatic 0.9% Sodium Chloride Injection, USP 10 ml Multiple Dose LifeShield Plastic 00409-3977-03 Bacteriostatic Bacteriostatic Water for Injection, USP 30 ml 00409-8300-10 Bivalirudin Bivalirudin for Injection 250 mg Single Dose Glass 00409-8300-15 Bivalirudin Bivalirudin for Injection 250 mg Single Dose ADD-Vantage Glass 61703-0323-22 Bleomycin Bleomycin for Injection, USP 30 Units Single Dose ONCO-TAIN Glass 61703-0332-18 Bleomycin Bleomycin for Injection, USP 15 Units Single Dose ONCO-TAIN Glass 00409-1412-04 Bumetanide Bumetanide Injection, USP 1 mg/4 ml (0.25 mg/ml) Multiple Dose Glass 00409-1412-10 Bumetanide Bumetanide Injection, USP 2.5 mg/10 ml (0.25 mg/ml) Multiple Dose Glass 00409-1159-01 Bupivacaine Bupivacaine Hydrochloride Injection, USP 25 mg/10 ml (2.5 mg/ml) Single Dose Glass Teartop 00409-1159-02 Bupivacaine Bupivacaine Hydrochloride Injection, USP 75 mg/30 ml (2.5 mg/ml) Single Dose Glass Teartop 00409-1159-10 Bupivacaine Bupivacaine Hydrochloride Injection, USP 75 mg/30 ml (2.5 mg/ml) TTV Page 2 of 16
Unit of Sale NDC Molecule Description 00409-1160-01 Bupivacaine Bupivacaine Hydrochloride Injection, USP 125 mg/50 ml (2.5 mg/ml) Multiple Dose Glass 00409-1161-01 Bupivacaine Bupivacaine Hydrochloride Injection, USP 150 mg/30 ml (5 mg/ml) Glass Ampul 00409-1162-01 Bupivacaine Bupivacaine Hydrochloride Injection, USP 50 mg/10 ml (5 mg/ml) Single Dose Glass Teartop 00409-1162-02 Bupivacaine Bupivacaine Hydrochloride Injection, USP 150 mg/30 ml (5 mg/ml) Single Dose Glass Teartop 00409-1163-01 Bupivacaine Bupivacaine Hydrochloride Injection, USP 250 mg/50 ml (5 mg/ml) Multiple Dose Glass 00409-1165-01 Bupivacaine Bupivacaine Hydrochloride Injection, USP 75 mg/10 ml (7.5 mg/ml) Single Dose Glass Teartop 00409-1165-02 Bupivacaine Bupivacaine Hydrochloride Injection, USP 225 mg/30 ml (7.5 mg/ml) Single Dose Glass Teartop 00409-3613-01 Bupivacaine Bupivacaine Spinal (bupivacaine in dextrose injection, USP) 15 mg/2 ml (7.5 mg/ml) 00409-9042-01 00409-9042-10 Bupivacaine Hyrdochloride Bupivacaine Hyrdochloride Glass Ampul Bupivacaine Hydrochloride and Epinephrine Injection, USP 25 mg/10 ml (2.5 mg/ml) Single Dose Glass Teartop Bupivacaine Hydrochloride and Epinephrine Injection, USP (Bupivacaine Hydrochloride and Epinephrine 1:200,000 as the bitartrate) 75 mg/30 ml (2.5 mg/ml) Single Dose Glass Teartop 00409-9042-17 Bupivacaine Bupivacaine Hydrochloride and Epinephrine Injection, USP 75 mg/30 ml (2.5 mg/ml) Hyrdochloride Single Dose Glass Teartop 00409-9043-01 Bupivacaine Bupivacaine Hydrochloride and Epinephrine Injection, USP 125 mg/50 ml (2.5 mg/ml) Hyrdochloride Multiple Dose Glass 00409-9045-01 Bupivacaine Bupivacaine Hydrochloride and Epinephrine Injection, USP 50 mg/10 ml (5 mg/ml) Single Hyrdochloride Dose Glass Teartop 00409-9045-17 Bupivacaine Bupivacaine Hydrochloride and Epinephrine Injection, USP 150 mg/30 ml (5 mg/ml) Hyrdochloride Single Dose Glass Teartop 00409-9046-01 Bupivacaine Bupivacaine Hydrochloride and Epinephrine Injection, USP 250 mg/50 ml (5 mg/ml) Hyrdochloride Multiple Dose Glass 00409-2012-32 Buprenorphine Buprenorphine Hydrochloride Injection, CIII 0.3 mg/ml CARPUJECT Luer Lock Glass Hyrdochloride Syringe (no needle) 00409-1623-01 Butorphanol Butorphanol Tartrate Injection, USP, CIV 1 mg/ml Single Dose Glass 00409-1626-01 Butorphanol Butorphanol Tartrate Injection, USP, CIV 2 mg/ml Single Dose Glass 00409-1626-02 Butorphanol Butorphanol Tartrate Injection, USP, CIV 4 mg/2 ml (2 mg/ml) Single Dose Glass Fliptop 00409-1626-10 Butorphanol Butorphanol Tartrate Injection, USP, CIV 2 mg/ml Single Dose Glass 00409-1631-10 Calcium Calcium Chloride Injection, USP 1 g/10 ml (100 mg/ml) ANSYR Plastic Syringe 00409-4928-34 Calcium 00409-1036-30 Carbocaine 00409-1038-50 Carbocaine 00409-1041-30 Carbocaine 00409-1067-20 Carbocaine 00409-2047-50 Carbocaine 61703-0339-18 Carboplatin 61703-0339-22 Carboplatin 61703-0339-50 Carboplatin 61703-0339-56 Carboplatin Calcium Chloride Injection, USP 1 g/10 ml (100 mg/ml) LifeShield ABBOJECT Glass Syringe (20 G x 1½") Carbocaine (mepivacaine hydrochloride injection, USP) 300 mg/30 ml (10 mg/ml) Single Dose Glass Carbocaine (mepivacaine hydrochloride injection, USP) 500 mg/50 ml (10 mg/ml) Multiple Dose Glass Carbocaine (mepivacaine hydrochloride injection, USP) 450 mg/30 ml (15 mg/ml) Single Dose Glass Carbocaine (mepivacaine hydrochloride injection, USP) 400 mg/20 ml (20 mg/ml) Single Dose Glass Carbocaine (mepivacaine hydrochloride injection, USP) 1,000 mg/50 ml (20 mg/ml) Multiple Dose Glass Carboplatin Injection 50 mg/5 ml (10 mg/ml) Multiple Dose ONCO-TAIN Glass Fliptop Carboplatin Injection 150 mg/15 ml (10 mg/ml) Multiple Dose ONCO-TAIN Glass Carboplatin Injection 450 mg/45 ml (10 mg/ml) Multiple Dose ONCO-TAIN Glass Carboplatin Injection 600 mg/60 ml (10 mg/ml) Multiple Dose ONCO-TAIN Glass 00409-2049-02 Carpuject Carpuject Holder 00409-0805-01 Cefazolin Cefazolin for Injection, USP 1 g Single Dose Glass Page 3 of 16
Unit of Sale NDC Molecule Description 00409-0806-01 Cefazolin Cefazolin for Injection, USP 10 g Pharmacy Bulk Package Glass 00409-2585-01 Cefazolin Cefazolin for Injection, USP 1 g Single Dose ADD-Vantage Glass 00409-7332-01 Ceftriaxone Ceftriaxone for Injection, USP 1 g FTV 00409-7333-04 Ceftriaxone Ceftriaxone for Injection, USP 1 g Single Dose ADD-Vantage Glass 00409-7333-49 Ceftriaxone Ceftriaxone for Injection, USP 1 g Single Dose ADD-Vantage Glass 00409-7334-10 Ceftriaxone Ceftriaxone for Injection, USP 10 g Pharmacy Bulk Package Glass 00409-7335-03 Ceftriaxone Ceftriaxone for Injection, USP 2 g Single Dose Glass 00409-7336-04 Ceftriaxone Ceftriaxone for Injection, USP 2 g Single Dose ADD-Vantage Glass 00409-7337-01 Ceftriaxone Ceftriaxone for Injection, USP 250 mg Single Dose Glass 00409-7338-01 Ceftriaxone Ceftriaxone for Injection, USP 500 mg Single Dose Glass 00409-4093-01 Chromium Chromium (chromic chloride injection, USP) 40 mcg/10 ml (4 mcg/ml) Single Dose Plastic 00409-4093-10 Chromium Chromium (Chromic Chloride Injection, USP) 4 mcg/ml 40 mcg/10 ml 00409-4777-02 Ciprofloxacin Ciprofloxacin in 5% Dextrose Injection, USP 400 mg/200 ml (2 mg/ml) Flexible Container 00409-4777-23 Ciprofloxacin Ciprofloxacin in 5% Dextrose Injection, USP 200 mg/100 ml (2 mg/ml) Flexible Container 00409-4777-49 Ciprofloxacin Ciprofloxacin in 5% Dextrose Injection, USP 200 mg/100 ml (2 mg/ml) Flexible Container 00409-4777-50 Ciprofloxacin Ciprofloxacin in 5% Dextrose Injection, USP 400 mg/200 ml (2 mg/ml) Flexible Container 00409-4092-01 Copper Copper (cupric chloride injection, USP) 4 mg/10 ml (0.4 mg/ml) Single Dose Plastic 00409-2304-01 Corlopam Corlopam (fenoldopam mesylate injection, USP) 10 mg/ml Glass Ampul 00409-2304-02 Corlopam Corlopam (fenoldopam mesylate injection, USP) 20 mg/2 ml (10 mg/ml) Glass Ampul 61703-0303-46 Cytarabine Cytarabine Injection 1,000 mg/50 ml (20 mg/ml) Pharmacy Bulk Package Glass 61703-0304-36 Cytarabine 61703-0305-38 Cytarabine Cytarabine Injection 500 mg/25 ml (20 mg/ml) Multiple Dose ONCO-TAIN Glass Fliptop Cytarabine Injection 100 mg/5 ml (20 mg/ml) Single Dose ONCO-TAIN Glass Fliptop 61703-0319-22 Cytarabine Cytarabine Injection 2 g/20 ml (100 mg/ml) Single Dose ONCO-TAIN Glass 61703-0327-22 Dacarbazine Dacarbazine for Injection, USP 200 mg Single Dose ONCO-TAIN Glass 00409-0106-01 Daptomycin Daptomycin for Injection 500 mg/vial 00409-2336-10 Deferoxamine Deferoxamine Mesylate for Injection, USP 500 mg Single Dose Glass 00409-2337-25 Deferoxamine Deferoxamine Mesylate for Injection, USP 2 g Single Dose Glass 00409-1176-30 Demerol Demerol (meperidine hydrochloride injection, USP) CII 25 mg/ml CARPUJECT Luer Lock Glass Syringe (no needle) 00409-1178-30 Demerol Demerol (meperidine hydrochloride injection, USP) CII 50 mg/ml CARPUJECT Luer Lock Glass Syringe (no needle) 00409-1179-30 Demerol Demerol (meperidine hydrochloride injection, USP) CII 75 mg/ml CARPUJECT Luer Lock Glass Syringe (no needle) 00409-1180-69 Demerol Demerol (meperidine hydrochloride injection, USP) CII 100 mg/ml CARPUJECT Luer Lock Glass Syringe (no needle) 00409-1181-30 Demerol Demerol (meperidine hydrochloride injection, USP) CII 1,500 mg/30 ml (50 mg/ml) Multiple Dose Glass 00409-1201-20 Demerol Demerol (meperidine hydrochloride injection, USP) CII 2,000 mg/20 ml (100 mg/ml) Multiple Dose Glass 00409-1203-01 Demerol Demerol (meperidine hydrochloride injection, USP) CII 25 mg/0.5 ml (50 mg/ml) Glass Ampul 00409-1253-01 Demerol Demerol (meperidine hydrochloride injection, USP) CII 50 mg/ml Glass Ampul 00409-1254-01 Demerol Demerol (meperidine hydrochloride injection, USP) CII 75 mg/1.5 ml (50 mg/ml) Glass Ampul 00409-1255-02 Demerol Demerol (meperidine hydrochloride injection, USP) CII 100 mg/2 ml (50 mg/ml) Glass Ampul 00409-1256-01 Demerol Demerol (meperidine hydrochloride injection, USP) CII 100 mg/ml Glass Ampul 00409-1775-10 Dextrose 00409-4902-34 Dextrose 25% Dextrose Injection, USP (For Infant Use) 2.5 g/10 ml (250 mg/ml) ANSYR Plastic Syringe 50% Dextrose Injection, USP 25 g/50 ml (500 mg/ml) LifeShield ABBOJECT Glass Syringe (18 G x 1 1/2") 00409-6648-02 Dextrose 50% Dextrose Injection, USP 25 g/50 ml (500 mg/ml) Single Dose Glass 00409-7100-02 Dextrose Dextrose Injection, USP 250 ml ADD-Vantage Flexible Container (5% concentration) Page 4 of 16
Unit of Sale NDC Molecule Description 00409-7100-66 Dextrose 5% Dextrose Injection, USP 50 ml ADD-Vantage Flexible Container 00409-7100-67 Dextrose 5% Dextrose Injection, USP 100 ml ADD-Vantage Flexible Container 00409-7418-03 Dextrose 10% LMD in 5% Dextrose Injection (dextran 40 in dextrose injection, USP) 500 ml Flexible Container 00409-7517-16 Dextrose 50% Dextrose Injection, USP 25 g/50 ml (500 mg/ml) ANSYR II Plastic Syringe (side/side) 00409-1273-32 Diazepam Diazepam Injection, USP, CIV 10 mg/2 ml (5 mg/ml) CARPUJECT Luer Lock Glass Syringe (no needle) 00409-3213-10 Diazepam Diazepam Injection, USP, CIV 50 mg/10 ml (5 mg/ml) Multiple Dose Glass 00409-3213-12 Diazepam Diazepam Injection, USP, CIV 50 mg/10 ml (5 mg/ml) Multiple Dose Glass 00409-1171-01 Diltiazem Diltiazem Hydrochloride Injection 25 mg/5 ml (5 mg/ml) Single Dose Glass 00409-1171-02 Diltiazem Diltiazem Hydrochloride Injection 50 mg/10 ml (5 mg/ml) Single Dose Glass 00409-4350-03 Diltiazem Diltiazem Hydrochloride for Injection 100 mg Single Dose ADD-Vantage Glass 00409-2290-31 Diphenhydramine Diphenhydramine Hydrochloride Injection, USP 50 mg/ml CARPUJECT Luer Lock Glass Syringe (no needle) 00409-2025-20 Dobutamine Dobutamine Injection, USP 250 mg/20 ml (12.5 mg/ml) Single Dose Glass 00409-2025-54 Dobutamine Dobutamine Injection, USP 500 mg/40 ml (12.5 mg/ml) Single Dose Glass 00409-2344-01 Dobutamine Dobutamine Injection, USP 250 mg/20 ml (12.5 mg/ml) Single Dose Glass 00409-2344-02 Dobutamine Dobutamine Injection, USP 250 mg/20 ml (12.5 mg/ml) Single Dose Glass 00409-2344-88 Dobutamine Dobutamine Injection, USP 250 mg/20 ml (12.5 mg/ml) Single Dose Glass 00409-2346-32 Dobutamine Dobutamine in 5% Dextrose Injection, USP 250 mg/250 ml (1 mg/ml) Flexible Container 00409-2347-32 Dobutamine Dobutamine in 5% Dextrose Injection, USP 500 mg/250 ml (2 mg/ml) Flexible Container 00409-3724-32 Dobutamine Dobutamine in 5% Dextrose Injection, USP 1,000 mg/250 ml (4 mg/ml) Flexible Container 00409-0201-02 Docetaxel Docetaxel Injection, USP 20 mg/2 ml (10 mg/ml) Single Dose ONCO-TAIN Glass 00409-0201-10 Docetaxel Docetaxel Injection, USP 80 mg/8 ml (10 mg/ml) Multiple Dose ONCO-TAIN Glass 00409-0201-20 Docetaxel Docetaxel Injection, USP 160 mg/16 ml (10 mg/ml) Multiple Dose ONCO-TAIN Glass 00409-0366-01 Docetaxel Docetaxel Injection, USP 20 mg/ml (20 mg/ml) Single Dose Onco-Tain Glass Fliptop 00409-0367-01 Docetaxel Docetaxel Injection, USP 80 mg/4 ml (20 mg/ml) Multiple Dose Onco-Tain Glass 00409-5820-01 Dopamine Dopamine Hydrochloride Injection, USP 200 mg/5 ml (40 mg/ml) Single Dose Glass 00409-7808-22 Dopamine Dopamine Hydrochloride in 5% Dextrose Injection, USP 200 mg/250 ml (800 mcg/ml) Flexible Container 00409-7808-24 Dopamine Dopamine Hydrochloride in 5% Dextrose Injection, USP 400 mg/500 ml (800 mcg/ml) Flexible Container 00409-7809-22 Dopamine Dopamine Hydrochloride in 5% Dextrose Injection, USP 400 mg/250 ml (1,600 mcg/ml) Flexible Container 00409-7809-24 Dopamine Dopamine Hydrochloride in 5% Dextrose Injection, USP 800 mg/500 ml (1,600 mcg/ml) Flexible Container 00409-7810-22 Dopamine Dopamine Hydrochloride in 5% Dextrose Injection, USP 800 mg/250 ml (3,200 mcg/ml) Flexible Container 00409-9104-20 Dopamine Dopamine Hydrochloride Injection, USP 400 mg/10 ml (40 mg/ml) Single Dose Glass 00409-0124-01 DOXOrubicin DOXOrubicin Hydrochloride Injection, USP 50 mg/25 ml (2 mg/ml) CYTOSAFE Singleuse 00409-1068-01 Dyloject Dyloject (diclofenac sodium injection) 37.5 mg/ml Single Dose Glass 00409-5816-11 Empty Empty Sterile 10ml 00409-5816-31 Empty Empty Sterile 30ml 00409-2122-01 Enalaprilat Enalaprilat Injection, USP 1.25 mg/ml Multiple Dose Glass 00409-2122-02 Enalaprilat Enalaprilat Injection, USP 2.5 mg/2 ml (1.25 mg/ml) Multiple Dose Glass 00409-4921-34 Epinephrine Epinephrine Injection, USP 1 mg/10 ml (0.1 mg/ml) LifeShield ABBOJECT Glass Syringe (20 G x 1 1/2") 00409-7241-01 Epinephrine Epinephrine Injection, USP 1 mg/ml Glass Ampul 00409-7241-25 Epinephrine Epinephrine Injection, USP 1 mg/ml Glass Ampul Page 5 of 16