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LINE ITEM NUMBER
|
COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
Influenza virus vaccine
|
|
|
8.0000
|
$188.0800
|
$1,504.64
|
| 49281-0426-50 - FLUZONE INFLUENZA VACCINE 10 SINGLE-DOSE PREFILLED SYRINGES - 6 MONTHS OF AGE AND OLDER NDC#49281042650 RESERVATION #1136507824 |
| Line Item Description: 49281-0426-50 - FLUZONE INFLUENZA VACCINE 10 SINGLE-DOSE PREFILLED SYRINGES - 6 MONTHS OF AGE AND OLDER NDC#49281042650 RESERVATION #1136507824 |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64386350101 - |
| Object Code and Description: 344003 - |
| Account Code: 64-20-2-141001-64200700-63-040000-00 |
| Split Amount: $1,504.64 |
|
|
|
2
|
Influenza virus vaccine
|
|
|
8.0000
|
$693.9700
|
$5,551.76
|
| 49281-0126-65 - FLUZONE HIGH-DOSE INFLUENZA VACCINE 10 SINGLE-DOSE PREFILLED SYRINGES - 65 YEARS OF AGE AND OLDER NDC: 49281012665 RESERVATION #1136507824 |
| Line Item Description: 49281-0126-65 - FLUZONE HIGH-DOSE INFLUENZA VACCINE 10 SINGLE-DOSE PREFILLED SYRINGES - 65 YEARS OF AGE AND OLDER NDC: 49281012665 RESERVATION #1136507824 |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64386350101 - |
| Object Code and Description: 344003 - |
| Account Code: 64-20-2-141001-64200700-63-040000-00 |
| Split Amount: $5,551.76 |
|
|
|
3
|
Influenza virus vaccine
|
|
|
16.0000
|
$7.5000
|
$120.00
|
| EXCISE TAX SURCHARGE |
| Line Item Description: EXCISE TAX SURCHARGE |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64386350101 - |
| Object Code and Description: 344003 - |
| Account Code: 64-20-2-141001-64200700-63-040000-00 |
| Split Amount: $120.00 |
|
|
|
4
|
Rabies vaccine
|
|
|
1000.0000
|
$1.0000
|
$1,000.00
|
| RABIES IMMUNE GLOBULIN VACCINE |
| Line Item Description: RABIES IMMUNE GLOBULIN VACCINE |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64386350101 - |
| Object Code and Description: 344003 - |
| Account Code: 64-20-2-141001-64200700-63-040000-00 |
| Split Amount: $1,000.00 |
|