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LINE ITEM NUMBER
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COMMODITY TYPE
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STATE TERM CONTRACT ID
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AGENCY SOLICITATION NUMBER
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Quantity |
Unit Price |
Total Unit Price |
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1
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Commercial pharmaceutical services
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|
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11250.0000
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$1.0000
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$11,250.00
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| Blanket Order request from July 1, 2026 to June 30, 2027, to cover Ryan White Case Management Approved Pharmaceuticals to eligible Ryan White clients. Provider will submit a monthly invoice by the 1... |
| Line Item Description: Blanket Order request from July 1, 2026 to June 30, 2027, to cover Ryan White Case Management Approved Pharmaceuticals to eligible Ryan White clients. Provider will submit a monthly invoice by the 10th day of each month following the month of services in addition to a Ryan White Case Manager signed authorization pharmacy request for each approved pharmaceutical and/or approved durable medical equipment. Pricing will vary month to month. |
| 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: 64365657113 - |
| Object Code and Description: 132004 - |
| Account Code: 64-20-2-141001-64200700-56-100777-00 |
| Split Amount: $11,250.00 |
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2
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Commercial pharmaceutical services
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|
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750.0000
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$1.0000
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$750.00
|
| Blanket Order request from July 1, 2026 to June 30, 2027, to cover Health Insurance, co-pays share of cost and/or deductibles for Ryan White Case Management Approved Durable Medical equipment and phar... |
| Line Item Description: Blanket Order request from July 1, 2026 to June 30, 2027, to cover Health Insurance, co-pays share of cost and/or deductibles for Ryan White Case Management Approved Durable Medical equipment and pharmaceuticals for Ryan White eligible clients which are reimbursed based on negotiated rates between provider and insurance company and will vary month to month. Provider will submit a monthly invoice by the 10th day of each month following the month of services in addition to a Explanation of Benefits (EOB) provided by the client's insurance company; and a Ryan White Case Manager signed authorization pharmacy request for each approved pharmaceutical and/or approved durable medical equipment. Pricing will vary month to month. |
| 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: 64365657113 - |
| Object Code and Description: 461023 - |
| Account Code: 64-20-2-141001-64200700-56-040000-00 |
| Split Amount: $750.00 |
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