Boston Scientific, Corp. PC65898

Group 12601, Award 21174

May 2014

Guidant - Boston Scientific CRM Group - 12601 Cardiac Rhythm Management Contract Period January 1, 2010 - December 31, 2014 Lot 1 Cardiac Rhythm Products

Item #

Item Description

List Price

Discount Offered

NYS Net Price after Discount

Item #

BRADY DEVICES-SINGLE AND DUAL CHAMBER PACEMAKERS DUAL-CHAMBER ADAPTIVE-RATE K274 K273 K174 K173 K064 K063 S606 S602/03 S402/03 S404 S202/03/05 S208 1290/91 1297/98 1294/1295/1296 SINGLE-CHAMBER ADAPTIVE-RATE K272 K172 K062 S601 S401 S201/04 1190 1194 1195/1198

VITALIO DR EL VITALIO DR INGENIO DR EL INGENIO DR ADVANTIO DR EL ADVANTIO DR ALTRUA 60 DR EL ALTRUA 60 DR ALTRUA 40 DR ALTRUA 40 DR EL ALTRUA 20 DR ALTRUA 20 DR EL INSIGNIA ULTRA DR INSIGNIA PLUS DR INSIGNIA ENTRA DR

$16,945 $14,995 $16,045 $14,295 $15,045 $13,295 $11,595 $10,995 $10,895 $10,895 $10,025 $10,025 $10,495 $9,995 $9,125

44.32% 41.75% 43.07%

40.99% 40.28% 37.68% 30.35% 28.74% 32.66% 32.66% 31.67% 31.67% 39.57% 41.47% 46.71%

VITALIO SR INGENIO SR ADVANTIO SR ALTRUA 60 SR ALTRUA 40 SR ALTRUA 20 SR INSIGNIA ULTRA SR INSIGNIA PLUS SR INSIGNIA ENTRA SR

$12,995 $12,395 $11,495 $9,995 $9,495 $8,625 $9,495 $8,995 $8,125

42.32% 39.10% 34.47% 33.04% 31.93% 43.57% 45.91% 46.12%

42.67%

$9,435 $8,735 $9,135 $8,435 $8,985 $8,285 $8,076 $7,835 $7,337 $7,337 $6,850 $6,850 $6,342 $5,850 $4,863

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

$7,450 $7,150 $7,000 $6,550 $6,358 $5,871 $5,358 $4,865 $4,378

1

1 1 1 1 1 1 1 1

1

Boston Scientific, Corp. PC65898

Group 12601, Award 21174 IMPLANTABLE LEADS 4058 4045/46/47 4015/16/17/18 4285 4243/44/45 4033/34/35 4063/64 4053/54/55 4456/57/58/59/79/80 4469/70/71/72/73/74

May 2014

MYOCARDIAL (5xxxx Series) FLEXION - OSCOR (PR Series) SELUTE SWEET TIP RX SELUTE PICOTIP SWEET PICOTIP ATRIAL 'J' SWEET PICOTIP RX FINELINE II STEROX FINELINE II STEROX EZ

$1,000 $975 $925 $1,025 $1,025 $1,025 $1,075 $1,175 $1,175

21.00% 29.23% 25.41% 32.78% 23.02% 23.02% 26.60% 28.68% 28.68%

$790 $690 $690 $689 $789 $789 $789 $838 $838

1 1 1 1 1 1 1 1 1

4086/4087/4088

FLEXTEND

$1,275

DEXTRUS

$1,375

30.43% 31.93%

$887

4135/36/37

1 1

$936

ACCESSORIES 6709/6713/7115-20

SAFE SHEATH INTRODUCERS

Item # Item Description CARDIAC RESYNCHRONIZATION THERAPY PRODUCTS

$375

List Price

CRT-D DEVICE DYNAGEN MINI DF4 DR DYNAGEN MINI DR INCEPTA RF HE DF4 INCEPTA RF HE INOGEN MINI DF4 DR INOGEN MINI DR ENERGEN RF HE DF4 ENERGEN RF HE

$47,600 $46,600 $44,000 $43,000 $45,800 $44,800 $42,200 $41,200

N051 N118/N119

PUNCTUA RF HE COGNIS RF HE

$40,200 $39,200

H227/H229

LIVIAN RF HE

$35,700

H220/H225 H217/H219 H210/H215

LIVIAN RF RENEWAL 3 RF HE RENEWAL 3 RF

$34,950 $34,200 $32,250

G158 G156 N160 N161/164 G148 G146 N140 N141

21.07% $296 1 Discount NYS Net Price Offered after Discount Item # 3 3 12.82% $41,500 3 14.16% $40,000 3 10.23% $39,500 3 11.63% $38,000 3 15.94% $38,500 3 19.64% $36,000 3 13.51% $36,500 3 17.48% $34,000 3 22.89% $31,000 3 23.19% $30,108 3 19.77% $28,643 3 20.89% $27,648 3 20.59% $27,158 3 17.28% $26,678 3

2

Group 12601, Award 21174

Boston Scientific, Corp. PC65898

May 2014

H177/79 H170/75 H135

CONTAK RENEWAL 3 HE CONTAK RENEWAL 3 CONTAK RENEWAL

$31,700 $30,950 $29,200

17.40% 20.22% 18.81%

$26,183 $24,691 $23,708

3 3 3

V272/3 V172/3 H120/25

INTUA INVIVE CONTAK RENEWAL TR

$15,795 $14,995 $12,500

35.42%

35.81% 29.00%

$10,200 $9,625 $8,875

3 3

ACUITY STEERABLE ACUITY SPIRAL EASYTRAK 3 EASYTRAK 2 EASYTRAK LATHF SYSTEM RAPIDO ADVANCE LDS ACUITY BREAKAWAY LEAD DELIVER SYS LDS

$7,890 $7,890 $7,390 $7,390 $6,900 $900 $995 $1,695 $900

50.30% 50.30% 53.64% 53.64% 57.52% 6.56% 5.53% 5.25% 6.56%

$3,921 $3,921 $3,426 $3,426 $2,931 $841 $940 $1,606 $841

3 3 3 3 3 3 3 3 3

GC 6F ACUITY BA 7063 68 CM CS-IC 90 US GC 6F ACUITY BA 7064 63 CM CS-IC 90 US GC 6F ACUITY BA 7065 68 CM CS-IC 130 US GC 6F ACUITY BA 7066 63 CM CS-IC 130 US GC 8F ACUITY BA 7067 54CM CS-EH US GC 8F ACUITY BA 7068 49CM CS-EH US GC 8F ACUITY BA 7069 54CM CS-EH ST R GC 8F ACUITY BA 7070 49CM CS-EH ST R GC 8F ACUITY BA 7071 54CM CS-W US GC 8F ACUITY BA 7072 49CM CS-W US GC 8F ACUITY BA 7073 54CM CS-MP US GC 8F ACUITY BA 7074 49CM CS-MP US GC 8F ACUITY BA 7075 54CM CS-H US GC 8F ACUITY BA 7076 49CM CS-H US GC 8F ACUITY BA 7077 54CM CS-A6 US GC 8F ACUITY BA 7078 49CM CS-A6 US

$195 $195 $195 $195 $445 $445 $445 $445 $445 $445 $445 $445 $445 $445 $445 $445

20.51% 20.51% 20.51% 20.51% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67%

$155 $155 $155 $155 $353 $353 $353 $353 $353 $353 $353 $353 $353 $353 $353 $353

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

CRT-P DEVICE

3

HF LEADS 4554/55 4591/92/93 4524/25/27/48/49/50 4517/18/20/42/43/44 4537/38 LHLC/MC/SC RLDS ALDS DSYS ACCESSORIES 7063 7064 7065 7066 7067 7068 7069 7070 7071 7072 7073 7074 7075 7076 7077 7078

3

Group 12601, Award 21174 7079 7080 7008 7009 7011 7012 7014 7015 7017 7018 7020 7021 7023 7024 7026 7027 7038 7039 7041 7042 8100 8101 8102 8103 8104 8105 8106 8107 8108 8109 8110 8111 8112 8113

Boston Scientific, Corp. PC65898 GC 8F ACUITY BA 7079 54CM CS-ST US GC 8F ACUITY BA 7080 49CM CS-ST US GC 8F ACUITY CA 7008 54CM CS-EH US GC 8F ACUITY CA 7009 49CM CS-EH US GC 8F ACUITY CA 7011 54CM CS-EH ST R US GC 8F ACUITY CA 7012 49CM CS-EH ST R US GC 8F ACUITY CA 7014 54CM CS-W US GC 8F ACUITY CA 7015 49CM CS-W US GC 8F ACUITY CA 7017 54CM CS-MP US GC 8F ACUITY CA 7018 49CM CS-MP US GC 8F ACUITY CA 7020 54CM CS-H US GC 8F ACUITY CA 7021 49CM CS-H US GC 8F ACUITY CA 7023 54CM CS-A6 US GC 8F ACUITY CA 7024 49CM CS-A6 US GC 8F ACUITY CA 7026 54CM CS-ST US GC 8F ACUITY CA 7027 49CM CS-ST US GC 6F ACUITY CA 7038 74CM CS-IC 90 US GC 6F ACUITY CA 7039 69CM CS-IC 90 US GC 6F ACUITY CA 7041 74CM CS-IC 130 US GC 6F ACUITY CA 7042 69CM CS-IC 130 US GC 7F ACUITY PRO 69CM CS-IC 90 GC 7F ACUITY PRO 60CM CS-IC 90 GC 7F ACUITY PRO 69CM CS-IC 130 GC 7F ACUITY PRO 60CM CS-IC 130 GC 9F ACUITY PRO 54CM CS-EH GC 9F ACUITY PRO 45CM CS-EH GC 9F ACUITY PRO 54CM CS-EH ST R GC 9F ACUITY PRO 45CM CS-EH ST R GC 9F ACUITY PRO 54CM CS-EH R GC 9F ACUITY PRO 45CM CS-EH R GC 9F ACUITY PRO 54CM CS-W GC 9F ACUITY PRO 45CM CS-W GC 9F ACUITY PRO 54CM CS-MP GC 9F ACUITY PRO 45CM CS-MP

May 2014 $445 $445 $445 $445 $445 $445 $445 $445 $445 $445 $445 $445 $445 $445 $445 $445 $195 $195 $195 $195 $245 $245 $245 $245 $495 $495 $495 $495 $495 $495 $495 $495 $495 $495

20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.67% 20.51% 20.51% 20.51% 20.51% 16.33% 16.33% 16.33% 16.33% 18.59% 18.59% 18.59% 18.59% 18.59% 18.59% 18.59% 18.59% 18.59% 18.59%

$353 $353 $353 $353 $353 $353 $353 $353 $353 $353 $353 $353 $353 $353 $353 $353 $155 $155 $155 $155 $205 $205 $205 $205 $403 $403 $403 $403 $403 $403 $403 $403 $403 $403

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

4

Group 12601, Award 21174 8114 8115 8116 8117 8118 8119 6709/6713/7115-20 6663-6666 6089-6096 7711-19 6776/7552/7720-1 7511/16/16/21/53-60/63/64/98/99 6778/7592-3/7605-6 6705/16/17/52/54/56/58 7300/7369/7438/7507/7576 4634/35/36/37/38/39/6726/6737-8 6720/22/23 6724-25

6002-7 6730-3/6790 6681-84 6137 6714/6747 6744 4402-3 6727-28 6729 6789/6799 7568 6748

Boston Scientific, Corp. PC65898

May 2014

GC 9F ACUITY PRO 54CM CS-H GC 9F ACUITY PRO 45CM CS-H GC 9F ACUITY PRO 54CM CS-A6 GC 9F ACUITY PRO 45CM CS-A6 GC 9F ACUITY PRO 54CM CS-ST GC 9F ACUITY PRO 45CM CS-ST SAFE SHEATH INTRODUCERS PEEL-AWAY INTRODUCERS (23cm) PEEL-AWAY INTRODUCERS (14 cm) RAPIDO ADVANCE GUIDE CATHETERS RAPIDO (INNER) GUIDE CATHETERS RAPIDO CUT-AWAY™ GUIDE CATHETERS RAPIDO GUIDE CATHETERS EASYTRAK® GUIDE CATHETERS EASYTRAK® GUIDE CATHETERS WHISPER GUIDE WIRES BALANCE GUIDE WIRES HI-TORQUE GUIDE WIRES

$495 $495 $495 $495 $495 $495 $375 $325 $275 $295 $125 $125 $125 $105 $105 $140 $140 $140

18.59% 18.59% 18.59% 18.59% 18.59% 18.59% 21.07% 8.92% 10.18% 16.27% 21.60% 21.60% 21.60% 16.19% 16.19% 8.57% 8.57% 8.57%

$403 $403 $403 $403 $403 $403 $296 $296 $247 $247 $98 $98 $98 $88 $88 $128 $128 $128

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

UNIVERSAL FINISHING GUIDE WIRES EASYTRACK GUIDE WIRES

$140 $140

8.57% 8.57%

$128 $128

3 3

SUPPORTRACK GUIDE WIRES GUIDE WIRE ACCESORY KIT

$140 $35

$128 $29

BALLOON CATHETER LEAD ADAPTER UNIPOLAR LEAD ADAPTER BIS/BLV-17 MC DEFLATABLE TIP CURVE MC CONNECTING CABLE HEMOSTASIS VALVE BLEEDBACK CONTROL VALVE COPILOT®BBC

$50 $350 $650 $400 $125 $50 $50 $49

8.57% 17.14% 12.00% 15.43% 8.77% 13.50% 21.60% 12.00% 12.00% 10.20%

3 3 3 3 3 3 3 3 3 3

$44 $296 $593 $346 $98 $44 $44 $44

5

Boston Scientific, Corp. PC65898

Group 12601, Award 21174 6743/6998 6773 6742/6623 6749 6745 7566 7565 6798 6740 6616 6946 6517 6501 6563 6942 6628 0085 7600 6032-36/38/39/42/44-52/57-59/66-79/98/99 / 6101; 6505-08/21/22/43/44/83-86/ 660104/6625 - 6772/ 6826/6962-64/697172/6983/85

Item #

PORT PLUG SUTURE SLEEVE LEAD CAP TUOHY BORST ADAPTER ROTATING HEMOSTATIC VALVE RAPIDO CUT-AWAY CUTTER RAPIDO CUT-AWAY RHV THREE-WAY STOPCLOCK TORQUE DEVICE FIXATION TOOL LEAD REPAIR KIT MEDICAL ADHESIVE WRENCH KIT #2, #4, #6, #6-L WRENCH #2 WRENCH BIDIRECTIONAL TORQUE, #2 BIDIRECTIONAL WRENCH (ORANGE) SQ ARRAY TRANSVALVULAR INTRODUCER

STYLETS

Item Description

May 2014

$35 $30 $25 $25 $25 $25 $25 $20 $5 $30 $100 $30 $40 $35 $50 $50 $2,500 $20

17.14% 20.00% 24.00% 24.00% 24.00% 24.00% 24.00% 30.00% 40.00% 20.00% 11.00% 20.00% 15.00% 17.14% 12.00% 12.00% 21.00% 30.00%

$29 $24 $19 $19 $19 $19 $19 $14 $3 $24 $89 $24 $34 $29 $44 $44 $1,975 $14

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

$50

12.00%

$44

3

List Price

Discount Offered

NYS Net Price after Discount Item #

IMPLANTABLE CARDIOVERTER DEFIBRILLATORS (ICDs) TIERED THERAPY - DUAL CHAMBER E162 E163 D022 D023 E142 E143 D012 D013

INCEPTA DR HE DF4 INCEPTA DR HE DYNAGEN MINI DF4 DR DYNAGEN MINI DR ENERGEN DR HE DF4 ENERGEN DR HE INOGEN MINI DF4 DR INOGEN MINI DR

$38,000 $37,000 $39,200 $38,200 $36,500 $35,500 $37,700 $36,700

21.00% 21.00% 22.14% 22.17% 21.00% 21.00% 22.19% 22.22%

$30,020 $29,230 $30,520 $29,730 $28,835 $28,045 $29,335 $28,545

4 4 4 4 4 4 4 4 6

Group 12601, Award 21174

Boston Scientific, Corp. PC65898

E053 PUNCTUA DR HE E110 TELIGEN RF HE DR E030 CONFIENT RF HE T167 VITALITY 2 EL T165 VITALITY 2 DR A155/A135 VITALITY AVT T180 VITALITY HE T127 VITALITY EL T125 VITALITY DS DR 1858 PRIZM HE DR TIERED THERAPY - SINGLE CHAMBER E160 INCEPTA VR HE DF4 E161 INCEPTA VR HE DYNAGEN MINI DF4 VR D020 DYNAGEN MINI VR D021 E140 ENERGEN VR HE DF4 E141 ENERGEN VR HE INOGEN MINI DF4 VR D010 INOGEN MINI VR D011 E051 PUNCTUA VR HE E102 TELIGEN RF HE VR T177 VITALITY 2 EL VR T175 VITALITY 2 VR T135 VITALITY DS VR 1857 PRIZM HE VR TACHY LEADS 0292/3/5/6, 0282/3/5/6 RELIANCE GORE DF4 0275/6, 0265/6 RELIANCE DF4 0180-81, 0184-87 RELIANCE G AF 0170-71, 0174-76 RELIANCE G PF 0157-59, 0137-38 RELIANCE AF 0147-49, 0127-28 RELIANCE PF ACCESSORIES 7001 RELIANCE EZ-4 TOOL

May 2014

$34,500 $33,500 $30,000 $29,500 $28,500 $28,000 $28,500 $29,000 $28,000 $27,500

21.00% 24.88% 21.00% 21.34% 21.00% 29.57% 23.81% 25.14% 27.79% 37.36%

$27,255 $25,165 $23,700 $23,205 $22,515 $19,720 $21,715 $21,710 $20,220 $17,225

4 4 4 4 4 4 4 4 4 4

$36,500 $35,500 $37,700 $36,700 $35,000 $34,000 $36,200 $35,200 $33,000 $32,000 $28,000 $27,000 $26,000 $25,000

21.00% 21.00% 22.19% 22.22% 21.00% 21.00% 22.24% 22.27% 21.00% 30.13% 23.43% 24.22% 25.08% 50.00%

$28,835 $28,045 $29,335 $28,545 $27,650 $26,860 $28,150 $27,360 $26,070 $22,360 $21,440 $20,460 $19,480 $12,500

4 4 4 4 4 4 4 4 4 4 4 4 4 4

$10,500 $10,000 $9,500 $9,500 $9,000 $8,500

21.00% 21.00% 29.95% 29.95% 28.78% 24.53%

$8,295 $7,900 $6,655 $6,655 $6,410 $6,415

4 4 4 4 4 4

$500

21.00%

$395

4

7

Group 12601, Award 21174 2930 6709/6713/7115-20 0085

6162 6931

Boston Scientific, Corp. PC65898

May 2014

PARTNER PATIENT ACTIVATOR $795 25.53% $592 4 SAFE SHEATH INTRODUCERS $375 21.07% $296 4 SQ ARRAY $2,500 21.00% $1,975 4 LD ADAPTER BI-POLAR TWO 5 MM TO IS-1 616 $350 21.14% $276 4 Accessory - Lead Adapter Model 6931/ 6.1 mm Conn $350 / DF-1 Conn 21.14% / 14 cm / Silicone $276 Insulation 4 / AICD

8