December 21, 2017

1. December 21, 2017

2. Welcome to NuMed “It’s a New Day in Wound Care”

3. NuMed Overview • Products • Targeting • Market $ Potential • Competition

4. NuMed Corporate Team: Larry Leder, CEO Sharon Packard, VP of Operations

5. NuMed Commitment: Quality Products, Cost Savings, Exceptional Service • Our approach to the Advanced Wound Care Market is simple; offer a high quality wound care product line, represented by Professional local Independent Representatives at a very competitive price. • We search for products globally in order to find wound care items to meet or exceed the needs of our customer, cost effectively. By keeping our costs under control we can pass the savings on to your customer. • Our goal is to offer the customer exceptional value while offering you a line of products that you will be proud to promote and financially rewarded for your efforts.

6. A successful IR: • Ability to Communicate • Existing relationships

7. Ideal wound dressing No single dressing is suitable for all types of wounds. Often a number of different types of dressings will be used during the healing process of a single wound. Dressings should perform one or more of the following functions: • Maintain a moist environment at the wound/dressing interface • Absorb excess exudate without leakage to the surface of the dressing • Provide thermal insulation and mechanical protection • Provide bacterial protection • Allow gaseous exchange • Leave no foreign particles in wound • Absorb wound odor • Be non-adherent to the wound and easily removed without trauma • Provide some debridement action (remove dead tissue and/or foreign particles) • Be non-toxic, non-allergenic and non-sensitizing (to both patient and medical staff) • Sterile

8. NuMed Dressings: • Foams • Hydrogel Dressings • Hydrocolloids • Alginates • Composites • Collagen

9. Foam Dressings - Overview • Especially useful for wounds with moderate to heavy exudate (drainage) production. • The absorptive ability of a foam dressing must match the exudative property of the wound. A dressing labeled "light" or "thin" won't absorb as much exudate as a product labeled "extra" or "plus." • Foam dressings may be used as a primary or secondary dressing.

10. Hydrocolloid Dressings – Overview • Occlusive, they do not allow water, oxygen, or bacteria into the wound • Provide a moist wound healing environment • They cause the pH of the wound surface to drop; the acidic environment can inhibit bacteria growth. • Hydrocolloids cannot be used if the wound or surrounding skin is infected.

11. Hydrogel Dressings – Overview • Hydrogels are indicated for management of pressure ulcers, skin tears, surgical wounds, and burns • Because they contain up to 95% water, hydrogels cannot absorb much exudate and should be reserved for dry wounds or wounds with minimal drainage.

12. Calcium Alginate – Overview • For wounds with moderate to heavy drainage • The alginate forms a gel when it comes in contact with wound fluid • Capable of absorbing up to 20 times its weight in fluid • Can be used in infected and non infected wounds • It should not be used with dry wounds or wounds with minimal drainage; it could dehydrate the wound, delaying healing • With silver provides antimicrobial protection

13. NuMed Calcium Alginates: • Alginate Dressing • Alginate Rope • Silver Alginate Dressing • Silver Alginate Rope

14. Composite Dressings – Post Operative • Composite dressings have multiple layers and can be used as primary or secondary dressings • They are appropriate for wounds in most healthcare settings including; emergency care, surgical incisions, intensive care and chronic wounds

15. Collagen Dressings and Particles - overview • Stimulate new tissue development in the wound bed • Stimulate wound debridement • Primary dressing for infected and non infected wounds • Help create an environment conducive to healing • May be used in combination with topical agents

16. Terms you will hear: • Wound Treatment Protocol • Wound Treatment Formulary • HCPCS codes

17. The Healthcare Common Procedure Coding System (HCPCS) was established in 1978 to provide a standardized coding system for describing the specific items and services provided in the delivery of health care. Such coding is necessary for Medicare, Medicaid, and other health insurance programs to ensure that insurance claims are processed in an orderly and consistent manner.

18. Dressing Market

19. Chronic Wound Market = $25 Billion Chronic Wound = wound not healed in 30 days Causes: • Aging Population • Diabetes • Obesity

20. Acute Wound Market: $20 Billion 70 million+ surgeries • Surgical site infections (SSI) 2%-10% • Pressure Ulcers (post admittance) Traumatic wounds Abrasions Burns

21. Targeting: • Nursing Homes • Podiatrist • Hospitals • DME • Wound Clinics • Home Health, Hospice • Anywhere wounds are cared for • Regional Distributors Wound Care is a large market and growing at a double digit rate.

22. $ Potential: • Nursing Home (100 beds) $10,000 - $20,000+ • Podiatrist $1,000 - $20,000+ • Hospital $5,000 - $100,000+ • Wound Clinic $5,000 - $50,000+ • Regional Distributor $5,000 - $500,000+

23. HME / DME • Dr. prescription • Dr. may recommend a supplier (local, Mercy Surgical, Advanced Tissue…) • Patient/family may have to find Discharge Planner

24. Selling Process: • Presentation • Evaluation if needed Note: each of our products has an average change rate of every 3 days. • Conversion

25. Key Wound Care Contacts: Hospital – CWOCN, WCN, SURGEON, PT, PA, MM, ICN, NP, ORS… Nursing Home – DON, ADON, DR, CWOCN, WCN, PT, NP, MM… Home Health - CWOCN, WCN, DIRECTOR, DR, PA, NP… DME - Owner You need a Champion/Coach!

26. Who makes the buying decision? • Economic Buyer - Purchasing • Technical Buyer - Committee • User Buyer – Nurse, Dr.

27. Competition: • Medline • Smith & Nephew • Molnlyke • McKesson, Cardinal… • Regional Distributors

28. Best Practice: • Know your products • You don’t need to be a WC expert • Too hot, too cold = not good for products • GPO’s 15% - 20% set asides 99% of being successful or lucky is preparation.

29. NuMed Commitment: Quality Products, Cost Savings, Exceptional Service • Our approach to the Advanced Wound Care Market is simple; offer a high quality wound care product line, represented by Professional local Independent Representatives at a very competitive price. • We search for products globally in order to find wound care items to meet or exceed the needs of our customer, cost effectively. By keeping our costs under control we can pass the savings on to your customer. • Our goal is to offer the customer exceptional value while offering you a line of products that you will be proud to promote and financially rewarded for your efforts.

30. Questions?

31. Good Luck and Good Selling! “It’s a New Day in Wound Care”