VETERANS AFFAIRS CANADA PAGE 1 PRINT DATE: JANUARY 07, 2019 BENEFIT GRID
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1 ************************************************************************************************************************************************************************************************* * CUSTOMER...VAC/ACC * PROVINCE...YT * POC...07 * LANGUAGE...E *************************************************************************************************************************************************************************************************
2 VETERANS AFFAIRS CANADA PAGE 1 AEROCHAMBER FOR PUFFER/INHALER MAC 1/CY PUFFER/INHALER IS A POC TEN BENEFIT AEROSOL COMPRESSOR (E.G. MAXIMIST, MEDIMIST, MD,NP MAC 1/5 CY $ ETC.) - PURCHASE AEROSOL COMPRESSOR (E.G. MAXIMIST, MEDIMIST, MD,NP MAC 4/4 CM VERIFY WHETHER PURCHASE IS ETC.) - RENTAL MORE ECONOMICAL THAN AEROSOL COMPRESSOR SUPPLIES (E.G. NEBULIZER, MAC TUBING, MASK) BANDAGES - TENSOR MAC BANDAGES AND DRESSINGS - PREMEDICATED MD,NP MAC MAC /CLM, /LT Y BANDAGES/DRESSINGS MD,RN,NP MAC BLADDER/BOWEL SUPPLIES - BED/WHEELCHAIR PAD MD,RN,NP MAC $350.00/CM BLADDER/BOWEL SUPPLIES - CATHETER SUPPLIES MD,ET,RN,NP MAC $350.00/CM
3 VETERANS AFFAIRS CANADA PAGE 2 BLADDER/BOWEL SUPPLIES - COLOSTOMY SUPPLIES MD,ET,RN,NP MAC $500.00/CM BLADDER/BOWEL SUPPLIES - DISPOSABLE ENEMAS MD,RN,ET,NP MAC BLADDER/BOWEL SUPPLIES - ILEOSTOMY SUPPLIES MD,ET,RN,NP MAC $500.00/CM BLADDER/BOWEL SUPPLIES - INCONTINENT SUPPLIES MD,RN,ET,NP MAC /CM (DIAPERS, BODY, PAD) BLADDER/BOWEL SUPPLIES - URINE DRAINAGE BAGS AND MD,RN,ET,NP MAC $500.00/CM RELATED ITEMS BLADDER/BOWEL SUPPLIES - UROSTOMY SUPPLIES MD,RN,ET,NP MAC $500.00/CM BLOOD PRESSURE MONITOR MD,NP MAC 1/5 CY $ CALLUS PADS/CORN REMOVERS MD,RN,NP MAC DIABETIC SUPPLIES - BATTERY FOR GLUCOSE METER MAC 4/1 CY
4 VETERANS AFFAIRS CANADA PAGE 3 DIABETIC SUPPLIES - BLOOD LETTING DEVICE MD,RN,NP MAC 1/CY DIABETIC SUPPLIES - GLUCOSE METER MD,NP MAC MAC 1/5CY Y DIABETIC SUPPLIES - LANCETS MD,RN,NP MAC 24 BOXES/CY DIABETIC SUPPLIES - NEEDLES MD,RN,NP MAC 12 BOXES/CY DIABETIC SUPPLIES - OTHER, ALCOHOL SWABS, CONTROL MD,RN,NP MAC SOLUTION, ETC. DIABETIC SUPPLIES - SYRINGES - DISPOSABLE MD,RN,NP MAC 12 BOXES/ 1 $200.00/CM CY DIABETIC SUPPLIES - SYRINGES - NEEDLELESS MD,RN,NP MAC 1 IN A LIFETIME DIABETIC SUPPLIES - TEST STRIPS - BLOOD MD,RN,NP MAC $300.00/CM DIABETIC SUPPLIES - TEST STRIPS - URINE MD,RN,NP MAC MAC Y
5 VETERANS AFFAIRS CANADA PAGE 4 DISPOSABLE GLOVES MAC 24 BOXES/1 CY DISTILLED WATER/SALINE SOLUTION MD,ET,RN,NP MAC 12/CY SEE NOTE 9 ELECTRIC HEATING PAD MD,RN,NP,PT MAC 1/2 CY $ OT EXCEPTIONAL PRODUCT OR SERVICE MAC MAC Y EYE PATCH RN,MD,NP MAC 6/CY FEEDING PUMP - PURCHASE MD,NP MAC MAC Y FEEDING PUMP - RENTAL MD,NP MAC MAC 4/4 CM Y VERIFY WHETHER PURCHASE IS MORE ECONOMICAL THAN FEEDING PUMP ACCESSORIES (EXCLUDING TUBING) MAC MAC $ /CY HOT & COLD PACK MD,RN,NP,PT MAC 2/1 CY C,OT
6 VETERANS AFFAIRS CANADA PAGE 5 INVALID RING AND COVER MD,OT,RN,NP MAC 2/1 CY IV POLE - PURCHASE MD,NP MAC MAC Y IV POLE - RENTAL MD,NP MAC 4/4 CM VERIFY WHETHER PURCHASE IS MORE ECONOMICAL THAN IV SUPPLIES MAC MAC Y JOINT WARMER MD,RN,NP,PT MAC 2 PAIR/1 CY OT MEDICAL WARNING BRACELET OR NECKLACE-PURCHASE MAC 1/3 CY $ ONGOING FEES ARE THE RESPONSIBILITY OF THE CLIENT MEDICAL WARNING BRACELET OR NECKLACE-REGISTRATION MAC $25.00/LT ONGOING FEES ARE THE FEE RESPONSIBILITY OF THE CLIENT MUCOUS SUCTION APPARATUS - PURCHASE MD,RN,RT,NP MAC MAC 1/5 CY Y MUCOUS SUCTION APPARATUS - RENTAL MD,RN,NP MAC MAC 4/4 CM Y VERIFY WHETHER PURCHASE IS MORE ECONOMICAL THAN
7 VETERANS AFFAIRS CANADA PAGE 6 MUCOUS SUCTION APPARATUS - SUPPLIES (TUBING, MAC MAC Y WAND, ETC.) NMES UNIT (NEURO-MUSCULAR ELECTRICAL STIMULATOR) MAC $300.00/1 CY - ACCESSORIES AND SUPPLIES NMES UNIT (NEURO-MUSCULAR ELECTRICAL STIMULATOR) N,PH,OS,OT MAC MAC Y - PURCHASE NP,PT,MD NMES UNIT (NEURO-MUSCULAR ELECTRICAL STIMULATOR) N,PH,OS,OT MAC MAC 4/4 CM Y VERIFY WHETHER PURCHASE IS - RENTAL NP,PT,MD MORE ECONOMICAL THAN PILL ORGANIZER/BOX (BASIC ONLY) MAC 1/1 CY $25.00 PRESSURE GRADIENT OTHER SUPPLIES (SOAP, GLOVES, MAC GARTERS, GLUE) PRESSURE GRADIENT/SURGICAL STOCKINGS MD,NP MAC $600.00/CY PROVINCIAL SALES TAX (PST) 0PST REPAIRS AND MAINTENANCE TO MEDICAL SUPPLIES MAC MAC Y
8 VETERANS AFFAIRS CANADA PAGE 7 SHIPPING AND DELIVERY CHARGES SUPPORT SOCKS MD,NP MAC 6 PAIR/1 CY $150.00/PAIR SUPPORT STOCKINGS MD,NP MAC 4/1 CY $150.00/PAIR TAXES - GST/HST (GST/HST REGISTRATION NUMBER 0GST REQUIRED) TENS/ACUHEALTH UNIT (NERVE STIMULATOR) MAC MAC $300.00/1 CY ACCESSORIES AND SUPPLIES TENS/ACUHEALTH UNIT (NERVE STIMULATOR) - PURCHASE MD,OT,PT,NP MAC 1/5 CY $ TENS/ACUHEALTH UNIT (NERVE STIMULATOR) - RENTAL MD,OT,PT,NP MAC MAC 4/4 CM Y VERIFY WHETHER PURCHASE IS MORE ECONOMICAL THAN TRACHEOTOMY SUPPLIES MD,RN,NP MAC MAC $200.00/CM VAPOURIZER - MEDICAL CANNABIS MAC MAC 1/3 CY $ Y FOR VAC APPROVED MEDICAL MARIJUANA CLIENTS ONLY.
9 VETERANS AFFAIRS CANADA PAGE 8 VAPOURIZER - REGULAR MD,NP MAC 1/3 CY $45.00 Y
10 VETERANS AFFAIRS CANADA PAGE 9 - GENERAL NOTES - COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". - SPECIAL NOTES - NOTE 9- CAN ALSO BE PROVIDED IF THE CLIENT HAS POC 9 "A" OR "B" COVERAGE.
CANADIAN ARMED FORCES PAGE 1 PRINT DATE: NOVEMBER 20, 2018 BENEFIT GRID
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