21. Bramlett questioned whether Novation should continue to subsidize Neoforma. 22. Novation saw the potential of such a service _ and the competitive threat.23. It is imperative that Novation implements these and other reforms fully and vigorously. 24. In August, Novation pledged to reform its operations. 25. Novation said it did not give Masimo a contract for financial and clinical reasons.26. Novation and other buying groups like it are supposed to serve as unbiased middlemen.27. Novation 's tactic persuaded some manufacturers to at least sign up for Neoforma.28. Officials of both Novation and Becton Dickinson declined to be interviewed for this article. 29. `Novation has been dragged, kicking and screaming into this process," 30. In August, Premier and Novation both pledged publicly to raise their ethical standards.