This document describes Roche Health Solutions Inc.'s Scheduled Delivery Service (SDS), which arranges for regular home delivery of insulin pump supplies and blood glucose monitoring supplies. SDS allows members to have supplies delivered every 30, 60, or 90 days with free shipping. Members can select from a variety of ACCU-CHEK products including infusion sets, test strips, lancets, and more. Enrolling is free and members can cancel at any time without obligations.

1. Experience what’s possible.
ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK NANO, ACCU-CHEK
SMARTVIEW, ACCU-CHEK COMPACT, fastclix, ACCU-CHEK
MULTICLIX, SOFTCLIX, ACCU-CHEK SPIRIT, ACCU-CHEK SPIRIT
combo, ACCU-CHEK aviva combo, ULTRAFLEX, RAPID and
ACCU-CHEK TENDER are trademarks of Roche. All other product
names and trademarks are the property of their respective owners.
© 2013 Roche. 346-52712-0813
07050445001
Roche Health Solutions Inc.
Scheduled Delivery Service
YOUR RESOURCE for ACCU-CHE ump and blood glucose monitoring supplies.
Thanks to Scheduled Delivery Service, you won’t
find ordering insulin pump supplies on her list.

2. Enjoy the freedom and flexibility of
Scheduled Delivery Service
As an insulin pump user, you already know the freedom and flexibility that
pump therapy has to offer. Now, thanks to Scheduled Delivery Service (SDS)
from Roche Health Solutions Inc., you can free yourself from having
to remember to order your insulin pump supplies too. With a simple
phone call, you can arrange to have your supplies delivered right
to your front door every 30, 60 or 90 days with FREE shipping. That
includes all your blood glucose monitoring supplies too!
The supplies you need when you need them
from one trusted source
With your pump supplies delivered right to your door on the schedule you
choose, you’ll always know when your next shipment will arrive. That means
no surprises or scrambling at the last minute to order what you need. Most
important, SDS works with you to optimize your supply levels and only sends you
what you want when you want it.
For a complete list of insulin pump supplies available through SDS, see the
product catalog in this brochure. Select the items you need, from ACCU-CHEK®
infusion sets, insulin cartridges, test strips, lancets, service packs, adapter and
battery cover kits, plus dressings and wipes.
Joining SDS is free and easy—and there
are no obligations!
Enroll today by calling 1-800-280-7801. We’ll walk you through enrollment, verify
your insurance coverage* and help you place your first order. We’ll also schedule your
first home delivery. Best of all, there are no obligations or long-term commitments.
You can cancel at any time.
Join the thousands of other satisfied insulin pump users who
depend on the convenience, reliability, customer support,
flexibility and peace of mind that Roche Health Solutions Inc.
provides through its Scheduled Delivery Service.
Call 1-800-280-7801 now to
enroll and schedule your deliveries
with FREE shipping.
Scheduled Delivery Service members
enjoy these great benefits:
• Your insulin pump supplies, including blood glucose monitoring supplies, delivered
to your door on your schedule
• No need to place orders over the phone
• Flexibility to change your standing order and shipping date as needed
• No up-front fees, membership dues or monthly obligations—you can cancel at any time
• FREE shipping to your home
• All enrollment, insurance verification and paperwork handled for you
*Services provided will be billed to your medical or pharmacy plan and are subject to insurance coverage.
Customers purchasing supplies using Medicare, Medicaid or other government healthcare program benefits are
not eligible for Scheduled Delivery Service from Roche Health Solutions Inc.

3. Product Description Details Quantity
Dressings/Wipes
IV Prep Wipes
Box 1 box of 50
Opsite IV 3000®
Sterile
Dressing Box 1 box of 100
Opsite IV 3000®
Frame
Delivery
Dressing Box 1 box of 100
Tegaderm™
Sterile
Dressing Box 1 box of 100
Tegaderm™ HP
Sterile
Dressing Box 1 box of 50
Call 1-800-280-7801 now to enroll
and place your first order.
ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK NANO, ACCU-CHEK SMARTVIEW, ACCU-CHEK COMPACT, fastclix, ACCU-CHEK MULTICLIX, SOFTCLIX, ACCU-CHEK SPIRIT, ACCU-CHEK SPIRIT
combo, ACCU-CHEK aviva combo, ULTRAFLEX, RAPID and ACCU-CHEK TENDER are trademarks of Roche. All other product names and trademarks are the property of their respective owners.
© 2013 Roche. 323-52044-0213
Final out-of-pocket costs are determined by your insurance coverage.
Talk to your ACCU-CHEK Customer Service representative if you have any questions.
Product Description Details Quantity
ACCU-CHEK Infusion Sets
ACCU-CHEK Ultraflex
(10 count)
90° insertion angle,
siliconized soft cannula
Available in:
6 mm, 60 cm (24)
6 mm, 80 cm (31)
6 mm, 110 cm (43)
8 mm, 60 cm (24)
8 mm, 80 cm (31)
8 mm, 110 cm (43)
10 mm, 60 cm (24)
10 mm, 80 cm (31)
10 mm, 110 cm (43)
1 box of
10 infusion sets
ACCU-CHEK Rapid-D 90° insertion angle,
surgical-stainless steel cannula
Available in:
6 mm, 60 cm (24)
6 mm, 80 cm (31)
6 mm, 110 cm (43)
8 mm, 60 cm (24)
8 mm, 80 cm (31)
8 mm, 110 cm (43)
10 mm, 60 cm (24)
10 mm, 80 cm (31)
10 mm, 110 cm (43)
1 box of 15 needles,
5 transfer sets and
5 protective caps
ACCU-CHEK Tender 1 20°–45° insertion angle,
siliconized soft cannula
Available in:
13 mm, 60 cm (24)
13 mm, 80 cm (31)
13 mm, 110 cm (43)
17 mm, 60 cm (24)
17 mm, 80 cm (31)
17 mm, 110 cm (43)
1 box of
10 infusion sets
ACCU-CHEK Tender 2 20°–45° insertion angle,
siliconized soft cannula
Available in:
13 mm, 60 cm (24)
13 mm, 80 cm (31)
13 mm, 110 cm (43)
17 mm, 60 cm (24)
17 mm, 80 cm (31)
17 mm, 110 cm (43)
1 box of 10 infusion sets
and 10 additional
cannula heads
1-800-280-78011-800-280-7801
Roche Health Solutions Inc.
Scheduled Delivery Service
Roche Health Solutions Inc.
Scheduled Delivery Service
Final out-of-pocket costs are determined by your insurance coverage.
Talk to your ACCU-CHEK Customer Service representative if you have any questions.

4. Product Description Details Quantity
ACCU-CHEK Insulin Pump Supplies
ACCU-CHEK Spirit Combo
Service Pack, Small
Color: Black
Includes:
(1) Adapter
(1) Battery Cover
(1) Battery Key
For use with the
ACCU-CHEK Spirit Combo
insulin pump
1 set per package
ACCU-CHEK Plastic
Insulin Cartridge
3.15 mL
For use with the
ACCU-CHEK Spirit Combo
and ACCU-CHEK Spirit
insulin pumps
1 box of 5
ACCU-CHEK Spirit
Adapter Kit
Color: Blue
For use with the
ACCU-CHEK Spirit
insulin pump
2 kits
per package
ACCU-CHEK Spirit
Battery Cover Kit
Color: Blue
For use with the
ACCU-CHEK Spirit
insulin pump
2 kits
per package
Product Description Details Quantity
ACCU-CHEK Blood Glucose Test Strips
ACCU-CHEK Aviva Plus
50 or 100 test strips
For use with the ACCU-CHEK Aviva Combo
“smart” meter (part of the ACCU-CHEK
Combo insulin pump system) or the
ACCU-CHEK Aviva blood glucose meter
50-ct.: 1 vial
of 50 strips
or
100-ct.: 2 vials
of 50 strips
ACCU-CHEK SmartView
50 or 100 test strips
For use with the ACCU-CHEK Nano
blood glucose meter
50-ct.: 1 vial
of 50 strips
or
100-ct.: 2 vials
of 50 strips
ACCU-CHEK Compact
51 test strips (3 drums of 17 test strips)
or 102 test strips (6 drums of 17 test strips)
For use with the ACCU-CHEK
Compact Plus blood glucose meter
1 box of 51 strips
or 1 box of 102 strips
ACCU-CHEK Lancets
ACCU-CHEK
FastClix
102 lancets (17 drums of 6 lancets)
For use only with the
ACCU-CHEK FastClix lancing device
1 box of
102 lancets
ACCU-CHEK
Multiclix 102 lancets (17 drums of 6 lancets)
For use only with the
ACCU-CHEK Multiclix lancing device
1 box of
102 lancets
ACCU-CHEK
Softclix 100 or 200 lancets
For use with the ACCU-CHEK Softclix and
ACCU-CHEK Softclix Plus lancing devices
1 box of
100 lancets
or
1 box of
200 lancets
1-800-280-7801 1-800-280-7801
Roche Health Solutions Inc.
Scheduled Delivery Service
Roche Health Solutions Inc.
Scheduled Delivery Service
Final out-of-pocket costs are determined by your insurance coverage.
Talk to your ACCU-CHEK Customer Service representative if you have any questions.
Final out-of-pocket costs are determined by your insurance coverage.
Talk to your ACCU-CHEK Customer Service representative if you have any questions.