| No | Primary DI | Version or Model | Catalog Number | Device Description | Product Code | Product Code Name | Device Class | Brand Name |
|---|---|---|---|---|---|---|---|---|
| 1 | 00610570176519 | 08148200 | EYJ | Holder, Ureteral Catheter | CHAS CATH-MATE STRAP | |||
| 2 | 00610570191055 | 90001701 | ITW | Joint, Ankle, External Brace | 1 | F8X LACER ANKLE W/STAYS XS | ||
| 3 | 00610570191000 | 90001681 | ITW | Joint, Ankle, External Brace | 1 | ANKLIZER PUMP AIR WALKER XS | ||
| 4 | 00610570191246 | 90005134 | ILI | Sling, Arm | 1 | VELPEAU IMMOBILIZER/SLING LG | ||
| 5 | 00610570191291 | 90005144 | IQI | Orthosis, Limb Brace | 1 | VELPEAU IMMOBILIZER/SLING LG | ||
| 6 | 00610570191208 | 90001618 | ITQ | Joint, Knee, External Brace | 1 | 18" PEDIATRIC KNEE IMMOBILIZER | ||
| 7 | 00610570190898 | 90001524 | ITW | Joint, Ankle, External Brace | 1 | ANKLIZER II PNEUMATIC WALKER FIXED LG | ||
| 8 | 00610570190768 | 90001501 | ITW | Joint, Ankle, External Brace | 1 | ANKLIZER PUMP AIR WALKER XS | ||
| 9 | 00610570190690 | 90001444 | ILI | Sling, Arm | 1 | VELPEAU IMMOBILIZER/SLING LG | ||
| 10 | 00610570190584 | 08142850 | ITQ | Joint, Knee, External Brace | 1 | B-COOL KNEE IMMOB 16" W/2,2.0 PKS | ||
| 11 | 00610570190492 | 08140084 | IQI | Orthosis, Limb Brace | 1 | VELPEAU IMMOBILIZER/SLING LG | ||
| 12 | 00610570190126 | 90001288 | ITW | Joint, Ankle, External Brace | 1 | ANKLIZER II LOW-TOP FIXED XL | ||
| 13 | 00610570189939 | 90000935 | ITW | Joint, Ankle, External Brace | 1 | SPRINT AIR ANKLE WLKR LOW TOP XL | ||
| 14 | 00610570189908 | 90000932 | ITW | Joint, Ankle, External Brace | 1 | SPRINT AIR ANKLE WLKR LOW TOP SM | ||
| 15 | 00610570189892 | 90000931 | ITW | Joint, Ankle, External Brace | 1 | SPRINT AIR ANKLE WLKR LOW TOP XS | ||
| 16 | 00610570189854 | 90000902 | ITW | Joint, Ankle, External Brace | 1 | SPRINT AIR ANKLE WALKER SM | ||
| 17 | 00610570189748 | 90000824 | ILI | Sling, Arm | 1 | VELPEAU IMMOBILIZER/SLING LG | ||
| 18 | 00610570189687 | 90000130 | ILI | Sling, Arm | 1 | SUPER SLING PILLOW WITH WAIST STRAP | ||
| 19 | 00610570189427 | 50004032 | IQI | Orthosis, Limb Brace | 1 | U2 WRIST W/ THUMB UNIV PED RT | ||
| 20 | 00610570189359 | 90000814 | ILI | Sling, Arm | 1 | VELPEAU IMMOBILIZER/SLING LG | ||
| 21 | 00610570189076 | 90001305 | ITW | Joint, Ankle, External Brace | 1 | ANKLIZER II LOW-TOP FIXED XL | ||
| 22 | 00610570188871 | 08146487 | ITQ | Joint, Knee, External Brace | 1 | HKO KNEE W/ ROM HINGE 3XL | ||
| 23 | 00610570188796 | 08146499 | ITQ | Joint, Knee, External Brace | 1 | HKO 16" KNEE W/ ROM HINGE 5XL | ||
| 24 | 00610570188734 | 08146390 | ITQ | Joint, Knee, External Brace | 1 | HKO 16" ANT. CLOSURE KNEE 6XL | ||
| 25 | 00610570188680 | 90001021 | ITQ | Joint, Knee, External Brace | NEOPRENE KNEE SLEEVE W/CO 6X | |||
| 26 | 00610570188628 | 08142024 | IQI | Orthosis, Limb Brace | 1 | MESH VELPEAU SHOULDER IMMOB LG | ||
| 27 | 00610570188536 | 50008448 | ITQ | Joint, Knee, External Brace | 1 | L'TIMATE HINGED KNEE W/LATERAL PULL 4XL | ||
| 28 | 00610570188529 | 50008447 | ITQ | Joint, Knee, External Brace | 1 | L'TIMATE HINGED KNEE W/LATERAL PULL 3XL | ||
| 29 | 00610570188475 | 50008442 | ITQ | Joint, Knee, External Brace | 1 | L'TIMATE HINGED KNEE W/LATERAL PULL SM | ||
| 30 | 00610570188468 | 50008441 | ITQ | Joint, Knee, External Brace | 1 | L'TIMATE HINGED KNEE W/LATERAL PULL XS | ||
| 31 | 00610570188437 | 08144352 | IQI | Orthosis, Limb Brace | 1 | COMFOR ELBOW IMMOBILIZER SM | ||
| 32 | 00610570188338 | 08144754 | ITW | Joint, Ankle, External Brace | 1 | P.F.S. COMPRESSION SLEEVE LG | ||
| 33 | 00610570187973 | 90000546 | ILI | Sling, Arm | 1 | ENVELOPE ARM SLING W/PAD XXL | ||
| 34 | 00610570187966 | 90000545 | ILI | Sling, Arm | 1 | ENVELOPE ARM SLING W/FM PAD XL | ||
| 35 | 00610570187867 | 08144517 | FSD | Binder, Abdominal | 1 | 8" ABDOMINAL BINDER 54-60 IN. 3XL | ||
| 36 | 00610570187270 | 08140452 | IKX | Aid, Transfer | 45" WALKING BELT BLUE | |||
| 37 | 00610570185894 | 08146495 | ITQ | Joint, Knee, External Brace | 1 | HKO 16" KNEE W/ ROM HINGE XL | ||
| 38 | 00610570185290 | 08140611 | IME | Pack, Hot Or Cold, Reusable | B-COOL 3.0 COLD PACK 5.5" X 11" | |||
| 39 | 00610570185139 | 90009998 | ILI | Sling, Arm | 1 | VELPEAU IMMOBILIZER/SLING LG | ||
| 40 | 00610570184835 | 08147206 | IQI | Orthosis, Limb Brace | 1 | ULNAR S FRACTURE BRACE MD RT | ||
| 41 | 00610570184828 | 08147205 | IQI | Orthosis, Limb Brace | 1 | ULNAR S FRACTURE BRACE SM RT | ||
| 42 | 00610570183791 | 08142572 | FSD | Binder, Abdominal | 1 | Y MATE LUMBOSACRAL SM | ||
| 43 | 00610570183258 | 50002532 | ITW | Joint, Ankle, External Brace | 1 | F8X LACER ANKLE SUPPORT W/STAYS SM | ||
| 44 | 00610570182992 | 90003372 | IME | Pack, Hot Or Cold, Reusable | 1 | B-COOL UNIV WRAP COLD THERAPY KIT | ||
| 45 | 00610570180820 | 08142532 | ITW | Joint, Ankle, External Brace | 1 | F8X LACER ANKLE W/STAYS SM | ||
| 46 | 00610570180813 | 08142531 | ITW | Joint, Ankle, External Brace | 1 | F8X LACER ANKLE W/STAYS XS | ||
| 47 | 00610570180059 | 1-518A-03 | ITW | Joint, Ankle, External Brace | GRID IRON XR WALKER MD | |||
| 48 | 00610570179909 | 90004431 | ITW | Joint, Ankle, External Brace | 1 | ANKLIZER PUMP AIR WALKER XS | ||
| 49 | 00610570177929 | 08149308 | IKX | Aid, Transfer | TERI-TREDS ADULT 9-10 | |||
| 50 | 00610570177851 | 08149202 | IKX | Aid, Transfer | TERI-TREDS CHILD SM |
| No | Primary DI | Version or Model | Catalog Number | Device Description | Brand Name | Organization Name |
|---|---|---|---|---|---|---|
| 1 | 00618125169641 | 1027 | TIDI Foot and Ankle Spaceboots Various Various 5.63in x 11.94in x 18.19in 1 per Each | TIDI | TIDI PRODUCTS, LLC | |
| 2 | 00618125169634 | 1023 | TIDI Foot and Ankle Spaceboots Various Various 5.63in x 10.69in x 16.19in 1 per Each | TIDI | TIDI PRODUCTS, LLC | |
| 3 | 00618125169627 | 1019 | TIDI Foot and Ankle Spaceboots Various Various 5.63in x 11.9in x 18.2in 1 per Each | TIDI | TIDI PRODUCTS, LLC | |
| 4 | 00614138123991 | 9800Y1 | 9800Y1 | EFO 3/4 INSOLE F 5-6 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 5 | 00614138123168 | 141404 | 141404 | TETRA ULTRA ORTHO SHOE X-LARGE | N/A | TETRA MEDICAL SUPPLY CORP. |
| 6 | 00614138122840 | 9600-03 | 9600-03 | BETTERFORM HEEL LIFT LARGE | N/A | TETRA MEDICAL SUPPLY CORP. |
| 7 | 00614138122499 | 141413 | 141413 | TETRA ULTRA ORTHO SHOE FEMALE LARGE | N/A | TETRA MEDICAL SUPPLY CORP. |
| 8 | 00614138122482 | 141412 | 141412 | TETRA ULTRA ORTHO SHOE FEMALE MEDIUM | N/A | TETRA MEDICAL SUPPLY CORP. |
| 9 | 00614138122475 | 141411 | 141411 | TETRA ULTRA ORTHO SHOE FEMALE SMALL | N/A | TETRA MEDICAL SUPPLY CORP. |
| 10 | 00614138122468 | 141403 | 141403 | TETRA ULTRA ORTHO SHOE MALE LARGE | N/A | TETRA MEDICAL SUPPLY CORP. |
| 11 | 00614138122451 | 141402 | 141402 | TETRA ULTRA ORTHO SHOE MALE MEDIUM | N/A | TETRA MEDICAL SUPPLY CORP. |
| 12 | 00614138122444 | 141401 | 141401 | TETRA ULTRA ORTHO SHOE MALE SMALL | N/A | TETRA MEDICAL SUPPLY CORP. |
| 13 | 00614138122024 | 9800Y2 | 9800Y2 | EFO 3/4 INSOLE F 6-7.5 & M 7-7.5 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 14 | 00614138122017 | 9800Y3 | 9800Y3 | EFO 3/4 INSOLE F 8-9.5 & M 8-8.5 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 15 | 00614138121928 | 9900-B1 | 9900-B1 | ADAPTER 3/4 INSOLE F 5/6 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 16 | 00614138121737 | 9700W1 | 9700W1 | BASIC 3/4 INSOLE F 5-6 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 17 | 00614138121331 | 9800Y5 | 9800Y5 | EFO 3/4 INSOLE F 11 & M 10-10.5 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 18 | 00614138121324 | 9800Y4 | 9800Y4 | EFO 3/4 INSOLE F 10 & M 9-9.5 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 19 | 00614138120990 | 9900-B5 | 9900-B5 | ADAPTER 3/4 INSOLE F 11 & M 10-10.5 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 20 | 00614138120983 | 9900-B4 | 9900-B4 | ADAPTER 3/4 INSOLE F 10 & M 9-9.5 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 21 | 00614138120976 | 9900-B3 | 9900-B3 | ADAPTER 3/4 INSOLE F 8-9.5 & M 8-8.5 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 22 | 00614138120969 | 9900-B2 | 9900-B2 | ADAPTER 3/4 INSOLES F 6-7.5 & M 7-7.5 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 23 | 00614138120945 | 9600-01 | 9600-01 | BETTERFORM HEEL LIFT SMALL | N/A | TETRA MEDICAL SUPPLY CORP. |
| 24 | 00614138120884 | 9900-B7 | 9900-B7 | ADAPTER 3/4 INSOLE M 12+ | N/A | TETRA MEDICAL SUPPLY CORP. |
| 25 | 00614138120877 | 9900-B6 | 9900-B6 | ADAPTER 3/4 INSOLE F 12 & M 11-12 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 26 | 00614138120860 | 9800Y7 | 9800Y7 | EFO 3/4 INSOLE M 12+ | N/A | TETRA MEDICAL SUPPLY CORP. |
| 27 | 00614138120853 | 9800Y6 | 9800Y6 | EFO 3/4 INSOLE F 12 & M 11-12 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 28 | 00614138120839 | 9500-04 | 9500-04 | PLASTAZOTE FULL LENGTH 1/4IN XL | N/A | TETRA MEDICAL SUPPLY CORP. |
| 29 | 00614138120822 | 9500-03 | 9500-03 | PLASTAZOTE FULL LENGTH 1/4IN LG | N/A | TETRA MEDICAL SUPPLY CORP. |
| 30 | 00614138120815 | 9500-02 | 9500-02 | PLASTAZOTE FULL LENGTH 1/4IN MD | N/A | TETRA MEDICAL SUPPLY CORP. |
| 31 | 00614138120808 | 9500-01 | 9500-01 | PLASTAZOTE FULL LENGTH 1/4IN SM | N/A | TETRA MEDICAL SUPPLY CORP. |
| 32 | 00614138120686 | 9700W2 | 9700W2 | BASIC 3/4 INSOLE F 6-7.5 & M 7-7.5 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 33 | 00614138120679 | 9600-02 | 9600-02 | BETTERFORM HEEL LIFT MEDIUM | N/A | TETRA MEDICAL SUPPLY CORP. |
| 34 | 00614138120518 | 9700W7 | 9700W7 | BASIC 3/4 INSOLE M 12+ | N/A | TETRA MEDICAL SUPPLY CORP. |
| 35 | 00614138120501 | 9700W6 | 9700W6 | BASIC 3/4 INSOLE F 12 & M 11-12 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 36 | 00614138120495 | 9700W5 | 9700W5 | BASIC 3/4 INSOLE F 11 & M 10-10.5 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 37 | 00614138120488 | 9700W4 | 9700W4 | BASIC 3/4 INSOLE F 10 & M 9-9.5 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 38 | 00614138120471 | 9700W3 | 9700W3 | BASIC 3/4 INSOLE F 8-9.5 & M 8-8.5 | N/A | TETRA MEDICAL SUPPLY CORP. |
| 39 | 00614138109933 | 140413 | 140413 | DELUXE POST-OP SHOE FEMALE LARGE | N/A | TETRA MEDICAL SUPPLY CORP. |
| 40 | 00614138109926 | 140412 | 140412 | DELUXE POST-OP SHOE FEMALE MEDIUM | N/A | TETRA MEDICAL SUPPLY CORP. |
| 41 | 00614138109919 | 140411 | 140411 | DELUXE POST-OP SHOE FEMALE SMALL | N/A | TETRA MEDICAL SUPPLY CORP. |
| 42 | 00614138109902 | 140404 | 140404 | DELUXE POST-OP SHOE MALE XLARGE | N/A | TETRA MEDICAL SUPPLY CORP. |
| 43 | 00614138109896 | 140403 | 140403 | DELUXE POST-OP SHOE MALE LARGE | N/A | TETRA MEDICAL SUPPLY CORP. |
| 44 | 00614138109889 | 140402 | 140402 | DELUXE POST-OP SHOE MALE MEDIUM | N/A | TETRA MEDICAL SUPPLY CORP. |
| 45 | 00614138109872 | 140401 | 140401 | DELUXE POST-OP SHOE MALE SMALL | N/A | TETRA MEDICAL SUPPLY CORP. |
| 46 | 00610570189830 | 90000885 | POST-OP SHOE DLX 2 MALE XL | BIRD & CRONIN, LLC | ||
| 47 | 00610570189823 | 90000884 | POST-OP SHOE DLX 2 MALE LG | BIRD & CRONIN, LLC | ||
| 48 | 00610570189816 | 90000883 | POST-OP SHOE DLX 2 MALE MD | BIRD & CRONIN, LLC | ||
| 49 | 00610570189809 | 90000882 | POST-OP SHOE DLX 2 MALE SM | BIRD & CRONIN, LLC | ||
| 50 | 00610570189793 | 90000874 | POST-OP SHOE DLX 2 FEMALE LG | BIRD & CRONIN, LLC |