This document discusses strategies for Medical Technologies Corporation's (MTC) supply chain to address a new 2.3% excise tax on medical devices. Short term solutions include improving forecasting methods, reducing inventory, and removing salesperson trunk stock. Long term solutions propose returning sterilization in-house, decreasing lead times through third-party logistics and removing distributors. Connecting supply bins to hospital, MTC and 3PL systems in real-time would reduce costs and lead times, positioning MTC as a strategic partner. Improved forecasting and sourcing through increased order sizes and an online catalog can further these goals.