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LINE ITEM NUMBER
|
COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
General dental supplies
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$99.6900
|
$199.38
|
| Clip Provisional Filling Material Syringe 4 Gm 3/Pk |
| Line Item Description: Clip Provisional Filling Material Syringe 4 Gm 3/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: 64394550240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-45-040000-00 |
| Split Amount: $199.38 |
|
|
|
2
|
Dental and subspecialty instrument and device accessories
|
42150000-25-MMCAP-ACS
|
|
6.0000
|
$48.3300
|
$289.98
|
| Lidocaine HCl 2% Epinephrine 1:100,000 1.7 mL 50/Bx |
| Line Item Description: Lidocaine HCl 2% Epinephrine 1:100,000 1.7 mL 50/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: 64394550240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-45-040000-00 |
| Split Amount: $289.98 |
|
|
|
3
|
Dental and subspecialty instrument and device accessories
|
42150000-25-MMCAP-ACS
|
|
4.0000
|
$7.3900
|
$29.56
|
| Benzo-Jel Topical Anesthetic Gel Strawberry 1oz/Jr |
| Line Item Description: Benzo-Jel Topical Anesthetic Gel Strawberry 1oz/Jr |
| 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: 64394550240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-45-040000-00 |
| Split Amount: $29.56 |
|
|
|
4
|
Sterilization wraps and packaging supplies
|
42150000-25-MMCAP-ACS
|
|
3.0000
|
$31.7100
|
$95.13
|
| Sterilization Pouch Self Seal 3.5 in x 9 in 500/Bx |
| Line Item Description: Sterilization Pouch Self Seal 3.5 in x 9 in 500/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: 64394550240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-45-040000-00 |
| Split Amount: $95.13 |
|
|
|
5
|
Medical surface disinfectants
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$14.1900
|
$28.38
|
| CaviWipes Surface Disinfectant Large Canister 160/Cn |
| Line Item Description: CaviWipes Surface Disinfectant Large Canister 160/Cn |
| 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: 64394550240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-45-040000-00 |
| Split Amount: $28.38 |
|
|
|
6
|
General dental supplies
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$17.2100
|
$34.42
|
| Headrest Cover 11.5 in x 10 in Plastic Clear Disposable 250/Bx |
| Line Item Description: Headrest Cover 11.5 in x 10 in Plastic Clear Disposable 250/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: 64394550240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-45-040000-00 |
| Split Amount: $34.42 |
|
|
|
7
|
Medical device or instrument sterilants
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$124.6100
|
$249.22
|
| 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: 64394550240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-45-040000-00 |
| Split Amount: $249.22 |
|
|
|
8
|
General dental supplies
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$20.0100
|
$40.02
|
| Dry Tips Reflective Cotton Roll Substitute White Large 50/Bx |
| Line Item Description: Dry Tips Reflective Cotton Roll Substitute White Large 50/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: 64394550240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-45-040000-00 |
| Split Amount: $40.02 |
|
|
|
9
|
Medical gloves and accessories
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$16.8300
|
$16.83
|
| Inspire Nitrile Exam Gloves Small Standard Aegean Blue Non-Sterile |
| Line Item Description: Inspire Nitrile Exam Gloves Small Standard Aegean Blue Non-Sterile |
| 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: 64394550240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-45-040000-00 |
| Split Amount: $16.83 |
|
|
|
10
|
Surgical equipment and accessories and related products
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$150.0300
|
$300.06
|
| Personal Inhaler Plus Nasal Hood Small Variety Pack 1 24/Pk |
| Line Item Description: Personal Inhaler Plus Nasal Hood Small Variety Pack 1 24/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: 64394550240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-45-040000-00 |
| Split Amount: $300.06 |
|