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LINE ITEM NUMBER
|
COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
Dental and subspecialty instrument and device accessories
|
42150000-25-MMCAP-ACS
|
|
5.0000
|
$62.6800
|
$313.40
|
| Septocaine Articaine HCl 4% Epinephrine 1:100,000 1.7 mL 50/Bx |
| Line Item Description: Septocaine Articaine HCl 4% 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: 64360674240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $313.40 |
|
|
|
2
|
Dental and subspecialty instrument and device accessories
|
42150000-25-MMCAP-ACS
|
|
4.0000
|
$48.3300
|
$193.32
|
| 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: 64360674240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $193.32 |
|
|
|
3
|
Dental and subspecialty instrument and device accessories
|
42150000-25-MMCAP-ACS
|
|
6.0000
|
$7.3900
|
$44.34
|
| Benzo-Jel Topical Anesthetic Gel Bubble Gum 1oz/Jr |
| Line Item Description: Benzo-Jel Topical Anesthetic Gel Bubble Gum 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: 64360674240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $44.34 |
|
|
|
4
|
Dental hygiene and preventive care equipment and supplies
|
42150000-25-MMCAP-ACS
|
|
1.0000
|
$40.7700
|
$40.77
|
| 3M Peridex Oral Rinse 64 oz Herbal Mint 64oz/Bt |
| Line Item Description: 3M Peridex Oral Rinse 64 oz Herbal Mint 64oz/Bt |
| 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: 64360674240 - |
| Object Code and Description: 344000 - |
| Account Code: 64-20-2-141001-64200700-06-040000-00 |
| Split Amount: $40.77 |
|