Table 1

Allocation Tiers	Description
1	• VA-ECMO • Non-dischargeable BiVAD • MCS with arrhythmia
2	• Dischargeable RVAD/BiVAD • Non-dischargeable LVAD • IABP or other percutaneous MCS • MCS with malfunction
3	• Continuous IV inotrope with hemodynamic monitoring • 30-day exception time for LVAD • MCS with complication
4	• Continuous IV inotrope without hemodynamic monitoring • Stable LVAD • Congenital Heart Disease • Restrictive Cardiomyopathy • Re-transplant
5	• Multi-organ transplant
6	• All other candidates