Top State Department medical, dental, and hospital equipment and supplies merchant wholesalers contractors
In the 12 months ending Oct 5, 2026, the Department of State obligated $6.8M in net prime contract dollars under NAICS 423450, up 12.3% from $6.0M in the preceding 12 months. 28 prime contractors received positive obligations, and 6 of them accounted for 80% of that spend.
Prime contracts funded by the Department of State. Latest 12 months: Oct 6, 2025 to Oct 5, 2026. Source: USAspending.gov.
Obligations by fiscal year
Net prime contract obligations by federal fiscal year (October to September).
Top State Department contractors for NAICS 423450
Ranked by positive obligations in the latest 12 months. Share is of all positive obligations in this market.
| # | Contractor | Latest 12 mo | Prior 12 mo | Share | Rank change |
|---|---|---|---|---|---|
| 1 | Metlife Life Insurance Company | $3.5M | $3.0M | 50.8% | — |
| 2 | Miscellaneous Foreign Awardees | $622K | $322K | 9.1% | ▲ 2 |
| 3 | KVG LLC | $510K | $0 | 7.5% | New |
| 4 | Rescue One Training for Life Inc | $431K | $102K | 6.3% | ▲ 4 |
| 5 | Ortho MED SPA Inc | $290K | $0 | 4.3% | New |
| 6 | Lexi Medical Technology Supplies CC | $259K | $0 | 3.8% | New |
| 7 | CPR Savers & First AID Supply, LLC | $191K | $808K | 2.8% | ▼ 5 |
| 8 | ZLC Solutions LLC | $162K | $5K | 2.4% | ▲ 23 |
| 9 | Astrea Group Corp. | $94K | $0 | 1.4% | New |
| 10 | Caprice Electronics, Inc | $79K | $71K | 1.2% | ▲ 2 |
| 11 | Zoll Data Systems, Inc. | $77K | $0 | 1.1% | New |
| 12 | Mckesson Medical-Surgical Inc. | $77K | $205K | 1.1% | ▼ 6 |
| 13 | Glaxosmithkline, LLC | $75K | $0 | 1.1% | New |
| 14 | Biofire Defense LLC | $73K | $254K | 1.1% | ▼ 9 |
| 15 | TRI-Tech Forensics, Inc. | $67K | $0 | 1.0% | New |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- KVG LLC$0 → $510K (+$510K) · now #3
- Metlife Life Insurance Company$3.0M → $3.5M (+$470K) · now #1
- Rescue One Training for Life Inc$102K → $431K (+$330K) · now #4
Largest declines
- CPR Savers & First AID Supply, LLC$808K → $191K (−$617K) · now #7
- Sanofi Vaccines US Inc.$450K → $15K (−$434K) · now #27
- Biofire Defense LLC$254K → $73K (−$182K) · now #14
New to this market
9 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| KVG LLC | Sep 30, 2026 | $510K |
| Ortho MED SPA Inc | Sep 30, 2026 | $290K |
| Lexi Medical Technology Supplies CC | May 8, 2026 | $259K |
| Astrea Group Corp. | Apr 23, 2026 | $94K |
| Zoll Data Systems, Inc. | Oct 20, 2025 | $77K |
| Glaxosmithkline, LLC | Dec 8, 2025 | $75K |
| TRI-Tech Forensics, Inc. | Jan 9, 2026 | $67K |
| Instrumentacion Analitica Y Biotecnologica Sociedad Anonima | Aug 21, 2026 | $33K |
Where the money comes from
Funding sub-agencies within the Department of State, latest 12 months. The funding organization can differ from the office that runs the requirement.
| Funding sub-agency | Latest 12 mo | Prior 12 mo | Change |
|---|---|---|---|
| Department of State | $6.8M | $6.0M | Up $737K (12.3%) |
Potential recompetes
Large awards in this market whose current period of performance ends in the next 18 months. Treat these as research leads: options, extensions, and follow-on vehicles often change the timing.
| Award | Incumbent | Obligated | Current end |
|---|---|---|---|
| 19GE5026F0007 | Metlife Life Insurance Company HEALTH AND LIFE INSURANCE | $3.5M | Oct 31, 2026 |
| 19AQMM23F7187 | Rescue One Training for Life Inc AED SUPPLIES SUPPORT SERVICES FOR PROGRAM MANAGEMENT SERVICES THAT INCLUDE EQUIPMENT/SUPPLIES, TRAINING, AND MAINTENANCE FOR THE DIVISION'S AUTOMATED EXTERNAL DEFIBRILLATOR | $1.9M | Apr 3, 2027 |
Common questions
Who are the top State Department contractors for NAICS 423450?
In the latest 12 months, Metlife Life Insurance Company ($3.5M), Miscellaneous Foreign Awardees ($622K), KVG LLC ($510K) received the most State Department obligations for medical, dental, and hospital equipment and supplies merchant wholesalers.
How concentrated is this market?
The eight largest primes held 87.0% of positive obligations, and Metlife Life Insurance Company alone held 50.8%. 9 contractors won their first obligations in this market during the latest 12 months.
Are any large State Department NAICS 423450 contracts ending soon?
2 of the largest awards in this market reach their current end date in the next 18 months. The first is 19GE5026F0007 (Metlife Life Insurance Company, $3.5M obligated), ending Oct 31, 2026. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
Related markets
NAICS 423450 across all agencies
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$11.4MFigures are net obligations on prime contracts (award types A–D) from USAspending.gov, grouped by funding agency and the NAICS code on each award. Net obligations include deobligations and corrections, so they can differ from positive-obligation totals. See methodology.

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