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LINE ITEM NUMBER
|
COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
Combination antiasthma agents
|
|
|
1.0000
|
$5.7800
|
$5.78
|
| ALBUTEROL SULFATE, VL NEB 0.083% 2.5MG/3ML UD (25/BX) |
| Line Item Description: ALBUTEROL SULFATE, VL NEB 0.083% 2.5MG/3ML UD (25/BX) |
| Method of Procurement: Purchase under $2,500 [Rule 60A-1.002(2), F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64386360237 - |
| Object Code and Description: 344002 - |
| Account Code: 64-20-2-141001-64200700-63-040000-00 |
| Split Amount: $5.78 |
|
|
|
2
|
The diagnosis of antifungal antibiotics, systemically used
|
|
|
1.0000
|
$42.6500
|
$42.65
|
| NEOSPORIN, OINT FOIL PK 0.9GRAM (144/BX 12BX/CS) |
| Line Item Description: NEOSPORIN, OINT FOIL PK 0.9GRAM (144/BX 12BX/CS) |
| Method of Procurement: Purchase under $2,500 [Rule 60A-1.002(2), F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64386360237 - |
| Object Code and Description: 132012 - |
| Account Code: 64-20-2-141001-64200700-63-100777-00 |
| Split Amount: $42.65 |
|
|
|
3
|
The diagnosis of burn and corrosion, body region unspecified
|
|
|
1.0000
|
$11.1500
|
$11.15
|
| SILVADENE, SSD CRM 1% 20GM TU |
| Line Item Description: SILVADENE, SSD CRM 1% 20GM TU |
| Method of Procurement: Purchase under $2,500 [Rule 60A-1.002(2), F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64386360237 - |
| Object Code and Description: 132012 - |
| Account Code: 64-20-2-141001-64200700-63-100777-00 |
| Split Amount: $11.15 |
|
|
|
4
|
Lancets
|
|
|
2.0000
|
$12.1700
|
$24.34
|
| LANCET, SAFETY PUSH-BUTTON 23GNDL 1.8MM LF BLU (100/BX 20BX) |
| Line Item Description: LANCET, SAFETY PUSH-BUTTON 23GNDL 1.8MM LF BLU (100/BX 20BX) |
| Method of Procurement: Purchase under $2,500 [Rule 60A-1.002(2), F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64386360237 - |
| Object Code and Description: 341041 - |
| Account Code: 64-20-2-141001-64200700-63-040000-00 |
| Split Amount: $24.34 |
|