NAICS 423450: Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
The distributor code for medical, dental, and hospital supplies sold to the VA, Defense Health Agency, Indian Health Service, and state health systems — exam gloves and wound care through diagnostic equipment. Wholesale codes use employee-based size standards rather than receipts.
Federal contracts awarded under NAICS 423450
Since Oct 2024, federal agencies recorded 1,342,320 contract awards under NAICS 423450, obligating $5.1B. The largest buyer was the Department of Defense ($3.5B).
Top buying agencies
- 1. Department of Defense$3.5B
- 2. Department of Veterans Affairs$1.6B
- 3. Agency for International Development$54.0M
- 4. Department of Health and Human Services$27.9M
- 5. Department of Justice$18.4M
Recent awards
- National Transportation Safety Board · 2027-01-21
Stereomicroscope
- Dla Troop Support$278KFederal Prison System / Bureau of Prisons · 2026-12-01
Mme - usp x-ray machine. s41ddbscst definium 656 hd gen 6 system with standard arm wall stand & premium table
- Department of Veterans Affairs · 2026-11-01
Canon highly technical medical equipment services to support biomedical engineering department at the martinsburg va medical center.
- Federal Prison System / Bureau of Prisons · 2026-10-31
Unique mobile diagnostic services oct fy27
- Department of Veterans Affairs · 2026-10-16
Modality: xr ct purchase order: 603b54055 station: vamc louisville, ky requirement: sep fy25 consolidation [kit] aquilion serve sp plus
- Federal Prison System / Bureau of Prisons · 2026-10-14
Fy27 october medline medical supplies
Source: USASpending.gov contract award data, refreshed weekly.Search awards
What work falls under NAICS 423450
- Distribution of medical consumables to government health facilities
- Medical equipment supply with delivery and warranty support
- Dental and laboratory supply contracts
- Emergency/surge medical supply response (FEMA, state health departments)
How to win contracts under this code
- Register in SAM.gov with 423450 as a primary or secondary NAICS code, and confirm you're under the size standard for set-aside eligibility.
- Set a SAM.gov saved search for NAICS 423450 filtered to your set-aside types and places of performance.
- Build a capability statement that leads with this code and your most relevant past performance.
- For each solicitation, build a compliance matrix before writing — most losses under this code are compliance losses.
Win more NAICS 423450 contracts
Create a free account to track current 423450 opportunities, build a capability statement that leads with this code, and draft compliant proposals — all in one place.
Frequently asked questions
What is the Nonmanufacturer Rule and does it apply to me?
On set-aside supply contracts, a distributor must generally have 500 or fewer employees AND supply the product of a small US manufacturer, unless the SBA has issued a class waiver for that product. Agencies verify letters of supply — secure them before quoting.
Why do medical supply quotes get rejected on country of origin?
The Trade Agreements Act restricts most federal purchases above the threshold to US-made or designated-country products, and many common medical items are manufactured in non-designated countries. Verify TAA compliance per line item before quoting — it's the most common fatal error in this market.
Full industry guide: Medical Supplies Government Contracts — including state-by-state pages for Texas, California, Florida, and more.