ABSTRACT - Conflicts of interest and self-dealing among companies that negotiate purchase of supplies for nation's hospitals are alleged by Cynthia Fitzgerald, who says she was fired from Novation, leader in field, after complaining about her company's business practices, including pressure to steer millions of dollars in business to former official of buying group's predecessor; accusations, which are disputed by Novation, are part of lawsuit that small medical device maker, Retractable Technologies, filed in Texas federal court, accusing Novation and Premier Inc of effectively locking it out of hospital market; two groups negotiate contracts for about two-thirds of nation's hospitals; graph (M) (Article in series Medicine's Middlemen)

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