Osteopathic Medical Oncology and Hematology, P.C. - Page 15




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          kind, quantity, and frequency of the treatments, and reevaluate             
          the patient on an ongoing basis.  That these services are                   
          critical and essential to the furnishing of the chemotherapy                
          drugs by petitioner's staff cannot be denied.                               
               Petitioner is not a merchandiser.  Although it is true that            
          petitioner transfers the tangible quality of the chemotherapy               
          drugs to its patients when it administers the drugs to them,                
          petitioner does so only as an integral and inseparable part of              
          its service.  Petitioner is precluded by law from selling the               
          chemotherapy drugs to any person without providing the medical              
          service, and the drugs are not susceptible of self-                         
          administration.  In fact, the only way that a person may legally            
          receive the chemotherapy drugs from petitioner is to agree to               
          petitioner's overall chemotherapy service, and, when they do                
          agree to this service, they have no say in the type or quantity             
          of chemotherapy drugs which petitioner uses in their care.                  
          Usually, they are not even aware of the type or quantity of                 
          chemotherapy drugs used on them as part of their treatment.                 
          Where, as here, the service provider dispenses the drugs as an              
          indispensable and inseparable part of the rendering of its                  
          services, the service provider is not selling “merchandise”.  The           
          service provider is using the items as supplies which are                   
          essential to the provision of its services.  A medical practice             
          such as petitioner’s is inherently a service business, and the              





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