The document proposes three approaches for MTC to reduce costs in its supply chain. First, it recommends moving sterilization in-house or partnering with the sterilization provider to reduce lead times and transportation costs. Second, it suggests eliminating distributors and relying mainly on 3PLs to improve stock visibility and forecasting accuracy. Third, reducing the number of warehouses could lower transportation, overhead, operational, and inventory carrying costs. Implementing changes to these three areas of sterilization, distribution, and warehousing is projected to achieve meaningful cost savings for MTC.