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LINE ITEM NUMBER
|
COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
Anaesthetic amides
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$334.7900
|
$334.79
|
| Lidocaine HCl Epinephrine Injection 1% 1:100,000 MDV 30mL 25/Package |
| Line Item Description: Lidocaine HCl Epinephrine Injection 1% 1:100,000 MDV 30mL 25/Package |
| Method of Procurement: Alternate contract source [s. 287.042(16), F.S.] & [Rule 60A-1.045, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396421223 - |
| Object Code and Description: 344001 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $167.40 |
| Split Accounting Line Number: 2 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396428223 - |
| Object Code and Description: 344001 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $167.40 |
|
|
|
2
|
Injection and aspiration needles and accessories
|
42150000-25-MMCAP-ACS
|
|
4.0000
|
$31.2600
|
$125.04
|
| Hypodermic Syringe/Needle 25gx1-1/2 3cc Orange Safety No Dead Space 100/Bx |
| Line Item Description: Hypodermic Syringe/Needle 25gx1-1/2 3cc Orange Safety No Dead Space 100/Bx |
| Method of Procurement: Alternate contract source [s. 287.042(16), F.S.] & [Rule 60A-1.045, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396421223 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $62.52 |
| Split Accounting Line Number: 2 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396421102 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $62.52 |
|
|
|
3
|
Medical device or instrument sterilants
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$124.6100
|
$124.61
|
| Maxitest Biological In Office Monitor Refill 25/Bx |
| Line Item Description: Maxitest Biological In Office Monitor Refill 25/Bx |
| Method of Procurement: Alternate contract source [s. 287.042(16), F.S.] & [Rule 60A-1.045, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396428223 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $124.61 |
|
|
|
4
|
Dermatologic agents
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$35.9400
|
$71.88
|
| Silver Nitrate Topical Applicator 75%/25% 6 Vial 100/Package |
| Line Item Description: Silver Nitrate Topical Applicator 75%/25% 6 Vial 100/Package |
| Method of Procurement: Alternate contract source [s. 287.042(16), F.S.] & [Rule 60A-1.045, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396421223 - |
| Object Code and Description: 344001 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $71.88 |
|
|
|
5
|
Anaesthetic amides
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$92.8900
|
$92.89
|
| Lidocaine HCl Injection 1% MDV 20mL 25/Package |
| Line Item Description: Lidocaine HCl Injection 1% MDV 20mL 25/Package |
| Method of Procurement: Alternate contract source [s. 287.042(16), F.S.] & [Rule 60A-1.045, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396421223 - |
| Object Code and Description: 344001 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $46.45 |
| Split Accounting Line Number: 2 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396428223 - |
| Object Code and Description: 344001 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $46.45 |
|
|
|
6
|
Dental and subspecialty instrument and device accessories
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$31.7100
|
$31.71
|
| HurriCaine Extension Tubes Topical Anesthetic Spray 200/Pk |
| Line Item Description: HurriCaine Extension Tubes Topical Anesthetic Spray 200/Pk |
| Method of Procurement: Alternate contract source [s. 287.042(16), F.S.] & [Rule 60A-1.045, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64396421223 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-64-040000-00 |
| Split Amount: $31.71 |
|