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LINE ITEM NUMBER
|
COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
Nonsteroidal anti inflammatory propionates
|
42000000-23-ACS
|
|
4.0000
|
$18.5500
|
$74.20
|
| IBUPROFEN, TAB 200MG UD 200X2 X 12BX/CS) |
| Line Item Description: IBUPROFEN, TAB 200MG UD 200X2 X 12BX/CS) |
| 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: 80413011270 - |
| Object Code and Description: 344000 - |
| Account Code: 80-20-2-685001-80400100-00-040000-00 |
| Split Amount: $74.20 |
|
|
|
2
|
Nonsteroidal anti inflammatory acetanilides
|
42000000-23-ACS
|
|
4.0000
|
$13.2400
|
$52.96
|
| ACETAMINOPHEN TAB 325MG 250 X 2 UD BX 12BX/CS |
| Line Item Description: ACETAMINOPHEN TAB 325MG 250 X 2 UD BX 12BX/CS |
| 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: 80413011270 - |
| Object Code and Description: 344000 - |
| Account Code: 80-20-2-685001-80400100-00-040000-00 |
| Split Amount: $52.96 |
|
|
|
3
|
Corticosteroid pregnenediones
|
42000000-23-ACS
|
|
1.0000
|
$2.9800
|
$2.98
|
| HYDROCORTISONE, CRM FT SM MAX STRNTH 1% 1OZ |
| Line Item Description: HYDROCORTISONE, CRM FT SM MAX STRNTH 1% 1OZ |
| 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: 80413011270 - |
| Object Code and Description: 344000 - |
| Account Code: 80-20-2-685001-80400100-00-040000-00 |
| Split Amount: $2.98 |
|
|
|
4
|
Formulas and products for nutritional support
|
42000000-23-ACS
|
|
4.0000
|
$11.2700
|
$45.08
|
| PEDIALYTE, PDR PK 4FLAVOR .3OZ(8PK/BX 8BX/CS) |
| Line Item Description: PEDIALYTE, PDR PK 4FLAVOR .3OZ(8PK/BX 8BX/CS) |
| 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: 80413011270 - |
| Object Code and Description: 344000 - |
| Account Code: 80-20-2-685001-80400100-00-040000-00 |
| Split Amount: $45.08 |
|
|
|
5
|
Combination hemorrhoidal preparations
|
42000000-23-ACS
|
|
6.0000
|
$18.4100
|
$110.46
|
| PREPARATION H, OINT 2OZ |
| Line Item Description: PREPARATION H, OINT 2OZ |
| 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: 80413011270 - |
| Object Code and Description: 344000 - |
| Account Code: 80-20-2-685001-80400100-00-040000-00 |
| Split Amount: $110.46 |
|
|
|
6
|
Dermatologic agents
|
42000000-23-ACS
|
|
7.0000
|
$19.0000
|
$133.00
|
| BENZOYL PEROXIDE, GEL 5% 60GM |
| Line Item Description: BENZOYL PEROXIDE, GEL 5% 60GM |
| 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: 80413011270 - |
| Object Code and Description: 344000 - |
| Account Code: 80-20-2-685001-80400100-00-040000-00 |
| Split Amount: $133.00 |
|
|
|
7
|
Dermatologic agents
|
42000000-23-ACS
|
|
5.0000
|
$23.4500
|
$117.25
|
| BENZOYL PEROXIDE, GEL 10% 90GM |
| Line Item Description: BENZOYL PEROXIDE, GEL 10% 90GM |
| 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: 80413011270 - |
| Object Code and Description: 344000 - |
| Account Code: 80-20-2-685001-80400100-00-040000-00 |
| Split Amount: $117.25 |
|
|
|
8
|
Virology test kits or supplies
|
42000000-23-ACS
|
|
1.0000
|
$1,742.7400
|
$1,742.74
|
| HIV TEST, ORAQUICK ADV RAPID 1/2 (100TEST/BX) |
| Line Item Description: HIV TEST, ORAQUICK ADV RAPID 1/2 (100TEST/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: 80413011270 - |
| Object Code and Description: 344000 - |
| Account Code: 80-20-2-685001-80400100-00-040000-00 |
| Split Amount: $1,742.74 |
|
|
|
9
|
Scopes and specula and accessories for medical exam diagnostic use
|
42000000-23-ACS
|
|
1.0000
|
$205.9000
|
$205.90
|
| OTOSCOPE/OPHTHALMOSCOPE POCKETSET |
| Line Item Description: OTOSCOPE/OPHTHALMOSCOPE POCKETSET |
| 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: 80413011270 - |
| Object Code and Description: 341022 - |
| Account Code: 80-20-2-685001-80400100-00-040000-00 |
| Split Amount: $205.90 |
|
|
|
10
|
Hand or body lotion or oil
|
42000000-23-ACS
|
|
10.0000
|
$10.2100
|
$102.10
|
| LOTION, LUBRIDERM ADVANCE THERAPY 16OZ (12/CS) J&JOTC |
| Line Item Description: LOTION, LUBRIDERM ADVANCE THERAPY 16OZ (12/CS) J&JOTC |
| 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: 80413011270 - |
| Object Code and Description: 344000 - |
| Account Code: 80-20-2-685001-80400100-00-040000-00 |
| Split Amount: $102.10 |
|