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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
|
|
|
6.0000
|
$678.5000
|
$4,071.00
|
| Blanket Purchase Order for Sanofi's for FLUZONE VACCINE. NDC 49281072610 FLUBLOK 26-27 908447 |
| Line Item Description: Blanket Purchase Order for Sanofi's for FLUZONE VACCINE. NDC 49281072610 FLUBLOK 26-27 908447 |
| 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: 64395501101 - |
| Object Code and Description: 344003 - |
| Account Code: 64-20-2-141001-64200700-55-040000-00 |
| Split Amount: $4,071.00 |
|
|
|
2
|
Freight fee
|
|
|
11.0000
|
$7.5000
|
$82.50
|
| 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: 64395501101 - |
| Object Code and Description: 210001 - |
| Account Code: 64-20-2-141001-64200700-55-040000-00 |
| Split Amount: $82.50 |
|
|
|
3
|
Influenza virus vaccine
|
|
|
4.0000
|
$182.0700
|
$728.28
|
| FLUZONE 26-27 NDC-49281042650 909425 |
| Line Item Description: FLUZONE 26-27 NDC-49281042650 909425 |
| 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: 64395501101 - |
| Object Code and Description: 344003 - |
| Account Code: 64-20-2-141001-64200700-55-040000-00 |
| Split Amount: $728.28 |
|
|
|
4
|
Influenza virus vaccine
|
|
|
2.0000
|
$678.5000
|
$1,357.00
|
| FLUZONE HD 26-27 NDC-49281012665 908446 |
| Line Item Description: FLUZONE HD 26-27 NDC-49281012665 908446 |
| 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: 64395501101 - |
| Object Code and Description: 344003 - |
| Account Code: 64-20-2-141001-64200700-55-040000-00 |
| Split Amount: $1,357.00 |
|