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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
|
|
6.0000
|
$59.5000
|
$357.00
|
| Septocaine with EPI 1:100,000 50 -1.7ml Rx Articaine Hydrochloride 4% |
| Line Item Description: Septocaine with EPI 1:100,000 50 -1.7ml Rx Articaine Hydrochloride 4% |
| 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: 64370339240 - |
| Object Code and Description: 344001 - |
| Account Code: 64-20-2-141001-64200700-03-040000-00 |
| Split Amount: $357.00 |
|
|
|
2
|
Anaesthetic amides
|
42150000-25-MMCAP-ACS
|
|
4.0000
|
$44.7300
|
$178.92
|
| Lidocaine HCL 2% EPI 1:100,000 Red Cook-Waite 50 -1.7ml Rx 1559889 |
| Line Item Description: Lidocaine HCL 2% EPI 1:100,000 Red Cook-Waite 50 -1.7ml Rx 1559889 |
| 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: 64370339240 - |
| Object Code and Description: 344001 - |
| Account Code: 64-20-2-141001-64200700-03-040000-00 |
| Split Amount: $178.92 |
|
|
|
3
|
Anaesthetic amides
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$58.5100
|
$58.51
|
| Carbocaine 3% Plain Cook-Waite Mepivacaine HCL 3% 50 -1.7ml Rx 1430735 |
| Line Item Description: Carbocaine 3% Plain Cook-Waite Mepivacaine HCL 3% 50 -1.7ml Rx 1430735 |
| 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: 64370339240 - |
| Object Code and Description: 344001 - |
| Account Code: 64-20-2-141001-64200700-03-040000-00 |
| Split Amount: $58.51 |
|
|
|
4
|
Anaesthetic amides
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$6.4700
|
$12.94
|
| DHP Topical Anesthetic Gel Bubble Gum 1oz Jar Rx |
| Line Item Description: DHP Topical Anesthetic Gel Bubble Gum 1oz Jar Rx |
| 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: 64370339240 - |
| Object Code and Description: 344001 - |
| Account Code: 64-20-2-141001-64200700-03-040000-00 |
| Split Amount: $12.94 |
|
|
|
5
|
Anaesthetic amides
|
42150000-25-MMCAP-ACS
|
|
2.0000
|
$6.4700
|
$12.94
|
| DHP Topical Anesthetic Gel Raspberry 1oz Jar Rx |
| Line Item Description: DHP Topical Anesthetic Gel Raspberry 1oz Jar Rx |
| 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: 64370339240 - |
| Object Code and Description: 344001 - |
| Account Code: 64-20-2-141001-64200700-03-040000-00 |
| Split Amount: $12.94 |
|
|
|
6
|
Syringe accessories
|
42150000-25-MMCAP-ACS
|
|
3.0000
|
$19.0600
|
$57.18
|
| Septoject Needles 30ga Short Blue 100/box |
| Line Item Description: Septoject Needles 30ga Short Blue 100/box |
| 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: 64370339240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-03-040000-00 |
| Split Amount: $57.18 |
|
|
|
7
|
Syringe accessories
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$19.0600
|
$19.06
|
| Septoject Needles 27ga Long Yellow 100/box |
| Line Item Description: Septoject Needles 27ga Long Yellow 100/box |
| 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: 64370339240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-03-040000-00 |
| Split Amount: $19.06 |
|
|
|
8
|
Dental laboratory and sterilization equipment and supplies
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$131.5400
|
$131.54
|
| SporeCheck 24 Hour In-Office Biological Monitor Test Indicator Vials 25/pack |
| Line Item Description: SporeCheck 24 Hour In-Office Biological Monitor Test Indicator Vials 25/pack |
| 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: 64370339240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-03-040000-00 |
| Split Amount: $131.54 |
|