MANITOBA REFERENCE NUMBER: MB-MBPB-AAT-00136
ISSUING DEPARTMENT: Procurement and Supply Chain
DATE ISSUED: 18/11/2022
ISSUED BY: Chuck Bright
TELEPHONE: 204 945-6353
The following is a 2 year term contract for Medical Supplies for
Materials Distribution Agency (MDA), Government of Manitoba for the term
of: February 1, 2023 to January 31, 2025.
#0800000619 - MDA, MEDICAL SUPPLIES
EXPIRY DATES ON PRODUCTS MUST BE AT LEAST 18 MONTHS FROM TIME OF
SHIPMENT UNLESS AUTHORIZED BY MDA.
NOTE: It is important that you read the "Terms & Conditions" at the end
of this document, prior to commencing this RFQ, as they contain specific
instructions which may impact your ability to submit a quotation.
These goods are for "RESALE" and therefore "GST & PST EXEMPT". MDA's
PST number is 085981-9 and GST number is 107863847.
GENERAL TERMS & CONDITIONS:
Bidders must "login" to MERX to access the General Terms & Conditions
which apply to this RFQ, in addition to those shown below. After
"login" follow the links: Information -> Government Publications ->
Manitoba Terms and Conditions -> Request for Quotation.
SUBMISSION TERMS AND CONDITIONS:
The Bid MUST be signed by a representative of the Bidder with the
authority to bind the Bidder. The name and title of the representative
signing the Bid should also be printed below their signature.
CLARIFICATION / INQUIRIES:
It is the Bidder's responsibility to clarify interpretation of any item
of the RFQ document before the RFQ closing date.
For tender inquiries, submission information, enquiries, clarification
and/or additional information regarding any aspect of the products may
be sent by e-mail and to be directed only to the individual specified
below:
CHUCK BRIGHT
PROCUREMENT OFFICER
EMAIL: chuck.bright@gov.mb.ca
FOB/FREIGHT:
To be delivered FOB DESTINATION FREIGHT PREPAID to:
MATERIALS DISTRIBUTION AGENCY
RECEIVING DOOR #10
1715 ST. JAMES STREET
WINNIPEG, MANITOBA, R3H 1H3
The unit prices quoted above shall include all necessary charges,
freight, insurance, handling etc. to show a total landed cost. If any
charges are not included please explain in detail any/all charges which
will be extra to the unit prices quoted and will be charged on the
invoice.
FAILURE TO PROVIDE ADEQUATE INFORMATION TO EVALUATE THE ITEM OFFERED MAY
BE CAUSE FOR REJECTION OF YOUR QUOTE BY THE MANITOBA GOVERNMENT
(MANITOBA).
THE LOWEST PRICE ON ANY ITEM WILL NOT NECESSARILY BE ACCEPTED.
HOW DO YOU PREFER TO RECEIVE THE PURCHASE ORDERS FROM MDA BY
EMAIL__________ OR PHONE_______________
QUANTITY CLARIFICATION:
Quantity listed contains 2 or 3 decimals.
_________________________________________________________________________
ITEM QTY DESCRIPTION DELIVERY
NO. DATE
========================================================
ITEM 10 31/01/2025
80.000 Bottle GSIN: N8960MATERIAL: 3014
WATER, DISTILLED, 4 LITRE,
ALPINE 4 LI, STEVENS #552-903823, SOURCE #5-2100
A) MINIMUM RELEASE QUANTITY: 20
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 20 31/01/2025
24.000 Bottle GSIN: N6810MATERIAL: 5405
ALCOHOL, RUBBING, 500 ML BOTTLE,
ATLAS INC #918005, MEDICAL MART #726918005
A) MINIMUM RELEASE QUANTITY: 6
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 30 31/01/2025
2,016.000 Bottle GSIN: N6550MATERIAL: 5425
SODIUM CHLORIDE, (SALINE), 0.9%, FOR IRRIGATION, LONG SHELF LIFE, 250 ML
PLASTIC BOTTLE, 24 BOTTLES PER CASE,
HOSPIRA #O6138125
A) MINIMUM RELEASE QUANTITY: 504
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 40 31/01/2025
24.000 Can GSIN: N9150MATERIAL: 5684
LUBRICANT, INSTRUMENT, NON-SILICONE, AEROSOL, 8 OZ (0.24L), PUMP BOTTLE,
PRE-MIXED, ANTI-CORROSIVE, STEAM PERMEABLE, WATER SOLUBLE, PREVENTS
SPOTTING, STAINING AND RUSTING,
MILTEX #3-700, STEVENS #162-3-700
A) MINIMUM RELEASE QUANTITY: 6
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 50 31/01/2025
480.00 Each GSIN: N7210MATERIAL: 25193
BLANKET, MULTI FIBRE, 61 IN X 85 IN, COLOR GREY,
SAFECROSS #26154, CARDINAL HEALTH #SA26154
A) MINIMUM RELEASE QUANTITY: 120
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 60 31/01/2025
144.00 Each GSIN: N6515MATERIAL: 27497
PENLIGHT, DISPOSABLE, DIAGNOSTIC, (BULK PKG 6 EA/PKG),
NORTHLAND #161-14030, AARON #PR06666, ALMEDIC #52-2010, AARON #30968-010
A) MINIMUM RELEASE QUANTITY: 36
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 70 31/01/2025
4.00 Each GSIN: N6515MATERIAL: 27498
SPHYGMOMANOMETER, BLOOD PRESSURE TESTER, ANEROID, STANDARD, ADULT SIZE,
NON-STICKING DIAL TYPE, NO SUBSTITUTE ON QUALITY,
SOURCE #2-0651, BAXTER CORP #30500-010, MABIS #01-140-011,
AMG #106-300, IMCO #72-140-011
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 80 31/01/2025
24.00 Each GSIN: N6515MATERIAL: 27499
SPHYGMOMANOMETER, BLOOD PRESSURE TESTER, ANEROID, STANDARD, CHILD SIZE,
ALMEDIC #14-2030 (J-414), AMG #106-304, STEVENS #809-LM153-C,
MABIS #380-01-140-015
A) MINIMUM RELEASE QUANTITY: 6
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 90 31/01/2025
4.00 Each GSIN: N6515MATERIAL: 27500
STETHOSCOPE, NURSE AND RESIDENT,
ALMEDIC #10-1010, STEVENS #809-LM210, MABIS #10-422-010, AMG #108-404
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 100 31/01/2025
32.00 Each GSIN: N6515MATERIAL: 27501
SPHYGMOMANOMETER, BLOOD PRESSURE TESTER,ANEROID, STANDARD, OBESE SIZE,
ALMEDIC #14-2060, MABIS #01-140-016, AMG #106-302
(STEVENS #635-106-302)
A) MINIMUM RELEASE QUANTITY: 8
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ September 1, 2022 to August 31, 2023
Year 2 $ _____________ September 1, 2023 to August 31, 2024
========================================================
ITEM 110 31/01/2025
4.00 Each GSIN: N6515MATERIAL: 27506
STETHOSCOPE, SINGLE BELL BLOOD PRESSURE, SINGLE TUBING, LITTMAN CLASS 11
, 28 IN LONG, GREY,
3M #2203, AMG #108-180, MABIS #10-404-020
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 120 31/01/2025
40.000 Pair GSIN: N6515MATERIAL: 27518
FORCEPS, DRESSING, TWEEZER TYPE, STRAIGHT, STAINLESS STEEL, 5 IN,
NON-DISPOSABLE,
ALMEDIC #P-212, I&B #M6-12, A.M.G. #635-570-504, BARIK #P212
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 130 31/01/2025
96.000 Pair GSIN: N6515MATERIAL: 27519
SCISSORS, BANDAGE, 5 1/2 IN, NON-DISPOSABLE,
ALMEDIC #P14, (STEVENS #197-P-14), AMG #570-308, (STEVENS #635-570-308)
A) MINIMUM RELEASE QUANTITY: 24
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 140 31/01/2025
40.000 Pair GSIN: N6515MATERIAL: 27520
SCISSORS, IRIS, HEAVYWEIGHT, STRAIGHT, 4 1/2 IN, NON-DISPOSABLE,
BAXTER CORP #VHS8145, ALMEDIC #P-118
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 150 31/01/2025
400.000 Pair GSIN: N6515MATERIAL: 27523
SCISSORS, METAL, DISPOSABLE, SHARP/BLUNT, STERILE, INDIVIDUALLY WRAPPED,
IN A PEEL OPEN POUCH, 4 1/2 IN LONG, (BULK PKG 50 PR/CS),
MEDRX #85-4202, NATIONAL HEALTHCARE PRODUCT #119316A (100/CS)
A) MINIMUM RELEASE QUANTITY: 110
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 160 31/01/2025
4.00 Each GSIN: N6515MATERIAL: 27525
HANDLE, SCALPEL, #3,
ALMEDIC #P-800
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 170 31/01/2025
4.00 Each GSIN: N6515MATERIAL: 27526
HANDLE, SCALPEL, # 4, P-810,
ALMEDIC (P810), BARIK MEDICAL #M36-0120
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 180 31/01/2025
280.00 Each GSIN: N6515MATERIAL: 27550
TAPE, MEASURING, CLOTH, ROTARY,COMBINATION,152 CM TO 200 CM (60 TO 78
IN) LONG, 1/4 IN WIDE, (BULK PKG 10/BOX),
AMG # 116-860, ALMEDIC # 58-6150
A) MINIMUM RELEASE QUANTITY: 70
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 190 31/01/2025
200.00 Each GSIN: N6515MATERIAL: 27741
TUBE, FEEDING, STERILE, 8 FRENCH, 15 IN LG (INFANT), STRAIGHTIN PACKAGE,
(100 EACH PER CASE),
CARDINAL HEALTH #54-8015
A) MINIMUM RELEASE QUANTITY: 100
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 200 31/01/2025
200.00 Each GSIN: N6515MATERIAL: 27747
TUBE, FEEDING, STERILE, 5 FRENCH, 15 IN LG (PREMATURE INFANT), STRAIGHT
IN PACKAGE, (BULK PKG 100 EA/CASE),
MEDITRON (MEDI-CRAFT) LTD #54-5015R
A) MINIMUM RELEASE QUANTITY: 100
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 210 31/01/2025
50.000 Foot GSIN: N6515MATERIAL: 27750
TUBING, SURGICAL, LATEX, 1/4 IN I.D., 1/16 IN WALL, (BULK PKG 50 FT/RL),
KENT #804R, SOURCE #17615-094
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 220 31/01/2025
50.00 Each GSIN: N6515MATERIAL: 27779
TUBE, FEEDING, STERILE, 8 FRENCH, 42 IN LONG, COILED IN PACKAGE,
(BULK PKG 50 EA/CASE), NO SUB. ON QUALITY
CARDINAL #54-8042
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 230 31/01/2025
4.00 Each GSIN: N6515MATERIAL: 27834
BAG, LEG, URINARY, LATEX, REUSABLE, 32 OZ CAPACITY, DURABLE SEAMLESS
CONSTRUCTION, EASY CLEANING AND MAINTENANCE, REMOVABLE ANTI-REFLUX VALVE
PREVENTS BACK FLOW AND BLADDER DISTENTION, THREE LATEX LEG STRAPS
INCLUDED, DRAIN VALVES ARE INTERCHANGABLE WITH OTHER UROCARE DRAIN
VALVES, CLEAN CONTROLLED DRAINAGE, SIZE LARGE, 42.5 CM X 12.1 CM (16 3/4
IN X 4 3/4 IN),
UROCARE #9532, STEVENS #992-9532
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 240 31/01/2025
10.00 Each GSIN: N6515MATERIAL: 27847
CONNECTOR, REDUCER, RIBBED, TAPERED, 3/8 IN TO 3/16 IN, (BULK PKG 10
EA/BX),
SIMS #711300, CARDINAL #P350
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 250 31/01/2025
240.000 Box GSIN: N6515MATERIAL: 27920
MASK, FACE, SURGICAL/PROCEDURE, DISPOSABLE, PAPER, PLEATED, 2 PLY,
LIGHTWEIGHT, NO NOSE PLATE, ELASTIC EAR LOOP DESIGN, WHITE, 100/BX,
AMG #018-230, NORTHLAND #112, BAXTER #47110-010
A) MINIMUM RELEASE QUANTITY: 60
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 260 31/01/2025
80.000 Case GSIN: N6515MATERIAL: 27924
GOWN, ISOLATION, PAPER, 50/CS,
AMG #18-300, STEVENS #635-018-300, NO SUB. ON QUALITY
A) MINIMUM RELEASE QUANTITY: 20
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 270 31/01/2025
4.000 Bottle GSIN: N6515MATERIAL: 28060
POWDER, PROTECTIVE, 28.3 G (10 OZ), COMPOSED OF GELATIN, PECTIN, AND
SODIUM CARBOXYMETHYLCELLULOSE, PERFORMS A PROTECTIVE BARRIER AGAINST
EXCORIATING DISCHARGE ON WEEPING AREAS,
CONVATEC (STOMAHESIVE) #025510
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 280 31/01/2025
6,800.00 Each GSIN: N6510MATERIAL: 28646
SWABSTICK, POVIDONE IODINE, STERILE, INDIVIDUALLY WRAPPED, (BULK PKG 50
EA/BOX),
TRIAD #10-4101, (STEVENS #677-10-4101), SOURCE #23405-015, MEDICAL MART
(DYNAREX) #819 1201, MEDICAL MART #669 S42050
A) MINIMUM RELEASE QUANTITY: 1700
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 290 31/01/2025
250.000 Package GSIN: N6510MATERIAL: 28652
SWABSTICK, ORAL RELIEF, PREMOISTENED, LEMON-CLYCEROL, 3 PER PKG (BULK
PKG 25 PER BOX, 10 BOXES PER CASE),
TRIAD #10-4003 (23388-010), SOLRAY KINGSWOOD MOR STIR #165-101, CARDINAL
HEALTH #MDS090600
A) MINIMUM RELEASE QUANTITY: 250
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 300 31/01/2025
160.000 Box GSIN: N6510MATERIAL: 28657
APPLICATOR, PLAIN TIP, NONSTERILE, WOOD STICK, 6 IN, 1000/BOX,
INNOVATEK #4202-40-500
A) MINIMUM RELEASE QUANTITY: 40
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 310 31/01/2025
3,200.00 Each GSIN: N6515MATERIAL: 28687
TOP, COVER, TOILET, MEASURE WITH LID, 800 ML (28 OZ),
STADCO #6001 (858-4006), KENDALL #2500SA
A) MINIMUM RELEASE QUANTITY: 800
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 320 31/01/2025
144.00 Each GSIN: N6515MATERIAL: 28690
URINAL, MALE, GRADUATED PLASTIC, REUSABLE, AUTOCLAVABLE, WITH COVER AND
HANGING HANDLE, BLUE, 10 IN X 4 IN, 1000 CC (1 QT), (BULK PKG 12/CS),
VOLLRATH #00095, BAXTER #13557, CHAMPION #6091, POLARWARE #PA-90
A) MINIMUM RELEASE QUANTITY: 36
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 330 31/01/2025
3,880.000 Box GSIN: N6515MATERIAL: 28787
WIPE, SWAB, PREP, ISOPROPYL, ALCOHOL 70%, MEDIUM, 2 PLY,(3 CM X 5 CM)
200/BX, (BULK PKG 20 BX/CS),
NICE-PAK PDI #B05507
A) MINIMUM RELEASE QUANTITY: 970
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 340 31/01/2025
4.000 Package GSIN: N6515MATERIAL: 28794
SPECULA, OTOSCOPE, DISPOSABLE, ADULT, 4 MM, TO FIT HEINE, 50/PKG, 25
PKGS/BAG (1000 EA/BAG),
HEINE #H01-B-11.127
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 350 31/01/2025
200.00 Each GSIN: N6515MATERIAL: 28796
TOURNIQUET, LATEX, 1 IN WIDE X 18 IN LG X .025 T, NO SUB. ON QUALITY
DONAVAN #520-LXS3206, (BAXTER #17599-010, 250/BX), #2-10,
BIO NUCLEAR DIS-039
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 360 31/01/2025
4.000 Case GSIN: N8125MATERIAL: 36996
CONTAINER, SHARPS WASTE, 10.3 LITRE, 12/CASE,
BECTON DICKINSON #300452, FISHER #14-826-143, VWR #CABD300452
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 370 31/01/2025
45.00 Each GSIN: N6515MATERIAL: 39003
TUBE, CONNECTING, NON-CONDUCTIVE, SURE GRIP FEMALE MOLDED CONNECTORS,
STERILE, INDIVIDUALLY PACKAGED, 1/4 IN LUMEN X 6 FT LENGTH, 45/CASE,
CARDINAL #PN66A
A) MINIMUM RELEASE QUANTITY: 45
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 380 31/01/2025
60.00 Each GSIN: N8465MATERIAL: 40293
BLANKET, EMERGENCY, RESCUE, METALLIC, 140 CM X 210 CM (56 IN X 84 IN)
USED IN FIRST AID KIT,
AMG #118-740
A) MINIMUM RELEASE QUANTITY: 15
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 390 31/01/2025
220.000 Box GSIN: N6508MATERIAL: 41587
PROTECTANT, SKIN BARRIER, FILM AGAINST BODY FLUIDS (INCONTINENCE),
NO STING, ALCOHOL FREE, 1.0 ML (.035 OZ) WIPE, 25 PER BOX,
3M #3344
A) MINIMUM RELEASE QUANTITY: 55
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 400 31/01/2025
80.000 Bottle GSIN: N6508MATERIAL: 41887
PROTECTANT, SKIN BARRIER, FILM AGAINST BODY FLUIDS (INCONTINENCE),
NO STING, ALCOHOL FREE, 28 ML (.98 OZ) PUMP SPRAY BOTTLE,
12 PER BOX (BULK PACKAGE),
3M #3346
A) MINIMUM RELEASE QUANTITY: 20
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 410 31/01/2025
40.000 Box GSIN: N6550MATERIAL: 44025
DEXTROSE, SALINE SOLUTION 0.9%, 5ML VIAL, FOR INHALATION USP, 100 VIALS
PER BOX,
SOURCE #SR0059C, ADDIPAK #200-59, STEVENS #0120059
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 420 31/01/2025
560.000 Box GSIN: N6510MATERIAL: 44723
TOWELETTE, WIPE, ANTISEPTIC, NON WOVEN FABRIC, IMPREGNATED WITH 0.40%
BENZALKONIUM CHLORIDE, USE IN A NUMBER OF ANTISEPTIC APPLICATIONS AND
COMMONLY DURING THE CATHERIZATION PROCESS TO CLENSE THE AREA OF ENTRY OF
THE CATHETER, DRUG IDENTIFICATION #0555983, 100 PER BOX,
CARDINAL HEALTH #LP126-1
A) MINIMUM RELEASE QUANTITY: 140
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 430 31/01/2025
576.00 Each GSIN: N6515MATERIAL: 45256
CATHETER, EXTERNAL, MALE, STANDARD SIZE, 33 MM (1.3 IN), ONE PIECE, WITH
SOFT FOAM ADHESIVE STRAPS, REINFORCED FUNNEL END, 1 EACH PACKAGE, (BULK
PACKAGE 144 PER CASE),
KENDALL #8884-732300
A) MINIMUM RELEASE QUANTITY: 144
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 440 31/01/2025
192.00 Each GSIN: N6515MATERIAL: 47900
SET, EXTENSION, I.V. ADMINISTRATION, WITH MALE LUER LOCK ADAPTER, NO
INJECTION SITE, 30 IN LONG, 48 PER CASE,
BAXTER #2C5645
A) MINIMUM RELEASE QUANTITY: 48
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 450 31/01/2025
4.000 Box GSIN: N6515MATERIAL: 48031
ANCHORING DEVICE, LARGE, 4 IN X 1 1/2 IN, 50/BOX,
SOURCE MEDICAL #CON37449
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 460 31/01/2025
100.00 Each GSIN: N6515MATERIAL: 48034
CATHETER, SUCTION, STERI, WHISTLE TIP WITH CONTROL PORT ADAPTER, 14
FRENCH, 22 IN LONG, WITH GUIDE STRIP, 1 EA/PKG, (BULK PKG 100 PKG/BX),
BAXTER (ALLEGIANCE) #PT260C,
A) MINIMUM RELEASE QUANTITY: 100
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 470 31/01/2025
4.00 Each GSIN: N6515MATERIAL: 48321
ACCESSORY, FEEDING TUBE, MEDICATION SET WITH SECUR-LOK, RIGHT ANGLE
CONNECTOR AND 2 PORT "Y", 2 IN LENGTH,
KIMBERLEY CLARKE (MIC-KEY) #0122-02
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 480 31/01/2025
480.00 Each GSIN: N8125MATERIAL: 48520
CONTAINER, SHARPS WASTE, 5.1 LITRE, COUNTER BALANCED DOOR, TRANSPORT
HANDLE, PUNCTURE RESISTANT CONSTRUCTION, SIDE ENTRY,
BECTON DICKINSON #300475
A) MINIMUM RELEASE QUANTITY: 120
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 490 31/01/2025
40.00 Each GSIN: N6515MATERIAL: 50852
COMB, MICROGROOVED TEETH, TEMPERED STEEL, ELIMINATES LICE AND NITS,
UNBREAKABLE, ANTI-SLIDE GRIPS ON HANDLE, NIT FREE TERMINATOR COMB BY
LICE SQUAD,
MEDI-CROSS #S48910
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 500 31/01/2025
4.00 Each GSIN: N6515MATERIAL: 52558
RESUSCITATOR, ADULT, SINGLE PERSON USE, DISPOSABLE, NON-STERILE, WITH
FACE MASK, OXYGEN TUBING, RESERVOIR BAG COMPLETE WITH TUBING AND
MEDIPORT,
AMBU SPUR 11 #520 211 000
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 510 31/01/2025
4.000 Package GSIN: N6515MATERIAL: 53731
SWAB, FLOCKED, FLEXIBLE, MINITIP, NYLON TIP, STERILE, PERPENDICULAR
FIBERS ALLOW IMPROVED COLLECTION OF CELL SAMPLE, CAPILLARY ACTION
BETWEEN NYLON FIBER STRANDS FACILITATES STRONG HYDRAULIC UPTAKE OF
LIQUID SAMPLES, STAYS CLOSE TO SURFACE ALLOWING EASIER ELUTION, 100 MM
BREAKPOINT DISTANCE, DRY SWAB IN PEEL POUCH, INDIVIDUALLY WRAPPED, 100
PER PACKAGE, 10 P0ACKAGES PER CASE, NO SUBSTITUTE,
INVERNESS #CA503CS01
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 520 31/01/2025
50.00 Each GSIN: N6515MATERIAL: 56772
TUBE, SUCTION, SHATTER RESISTANT, SMOOTH TIPS AND EYES, ONE PIECE
CONSTRUCTION WITH TIP TROL VENT FOR BETTER SUCTION CONTROL, 50 PER CASE,
KENDALL (ARGYLE RIGID YANKAUER BULBOUS TIP) #8888505024
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 530 31/01/2025
3,200.00 Each GSIN: N7330MATERIAL: 57593
DISPENSER, CLEAR, ORAL, 20 ML, CALIBRATED IN ML'S AND TSP'S, TIPS
INCLUDED, LATEX FREE, ELIMINATES RISK OF DELIVERING ORAL MEDICATIONS
INTO IV LINES, ACCURATE, 100/PKG,
PHARMASYSTEMS (EXACTA-MED) #10220
A) MINIMUM RELEASE QUANTITY: 800
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 540 31/01/2025
40.000 Case GSIN: N8960MATERIAL: 57616
WATER, STERILE, FOR IRRIGATION, LONG SHELF LIFE, 500 ML PLASTIC BOTTLE,
15 BOTTLES PER CASE,
BAXTER #JF7623P
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 550 31/01/2025
204.00 Each GSIN: N6505MATERIAL: 57638
GEL (DUODERM), LONG SHELF LIFE, 30 GM TUBE, (BULK PKG 3/BOX),
CONVATEC/SQUIBB STERILE #H-1879-87
A) MINIMUM RELEASE QUANTITY: 51
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 560 31/01/2025
1,440.00 Each GSIN: N6515MATERIAL: 57658
STRIPS, FLEXIBLE, FOR ATTACHMENT OF MALE EXTERNAL CATHETERS, 120MM X 15
MM, 15/BOX,
CONVATEC/SQUIBB (URIHESIVE) #25542
A) MINIMUM RELEASE QUANTITY: 360
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 570 31/01/2025
80.00 Each GSIN: N6515MATERIAL: 57683
CATHETER, SUCTION, STERILE, WHISTLE TIP WITH CONTROL PORT ADAPTER, 8
FRENCH, 16 IN LONG, 1 EA/PKG, NO SUBSTITUTE,
AMSINO #189 AS362 (50 EA/BOX), CARDINAL HEALTH #D40108
A) MINIMUM RELEASE QUANTITY: 1000
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 580 31/01/2025
4,000.00 Each GSIN: N6515MATERIAL: 57684
CATHETER, SUCTION, STERI, WHISTLE TIP WITH CONTROL PORT ADAPTER, 10
FRENCH, 22 IN LONG, 1 EA/PKG,
NO SUB ON QUALITY, AMSINO #189 AS363 (50 EA/BOX), CARDINAL #D40900
A) MINIMUM RELEASE QUANTITY: 200
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 590 31/01/2025
800.00 Each GSIN: N6515MATERIAL: 57685
CATHETER, SUCTION, STERILE, WHISTLE TIP WITH CONTROL PORT ADAPTER, 12
FRENCH, 22 IN LONG, 1 EA/PKG, (BULK PKG 50 PKG/BX), NO SUBSTITUTE
CARDINAL HEALTH #D40912, AMSINO #189 AS364
A) MINIMUM RELEASE QUANTITY: 6100
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 600 31/01/2025
24,400.00 Each GSIN: N6515MATERIAL: 57686
CATHETER, SUCTION, STERILE, WHISTLE TIP WITH CONTROL PORT ADAPTER, 14
FRENCH, 22 IN LONG, 1 EA/PKG, (BULK PKG 50 PKG/BX), NO SUBSTITUTE,
CARDINAL HEALTH #D40102, AMSINO #189 AS365
A) MINIMUM RELEASE QUANTITY: 1600
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 610 31/01/2025
6,400.000 Package GSIN: N6515MATERIAL: 57705
COMB, FINE, NIT (LICE), PLASTIC, (BULK PKG 12 EA/BX), NO SUB ON QUALITY
SOURCE #AMG 018-810, GRAHAM FIELD #80-1774, STEVENS #520-PC01
A) MINIMUM RELEASE QUANTITY: 444
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 620 31/01/2025
1,776.000 Package GSIN: N6515MATERIAL: 57706
APPLICATOR, RAYON OR DACRON TIP, (COTTON NOT ACCEPTABLE), WOOD STICK
(PLASTIC NOT ACCEPTABLE), STERILE, 6 IN, INDIVIDUALLY WRAPPED, (100
PKG/BOX, 10 BX/CS),
HARDWOOD #25-8061WR, CANLAB #10805-165, FISHER #14-959-90
A) MINIMUM RELEASE QUANTITY: 100
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 630 31/01/2025
400.00 Each GSIN: N6515MATERIAL: 57708
JELLY, LUBRICATING, WATER SOLUBLE, STERILE, BACTERIOSTATIC, NON
CONDUCTIVE, INDIVIDUAL 3.5 GM PACKET, STERILE, (BULK PKG 100/BOX),
CARDINAL #SM1322N
A) MINIMUM RELEASE QUANTITY: 13104
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 640 31/01/2025
52,416.00 Each GSIN: N6515MATERIAL: 57709
JELLY, LUBRICATING, SURGICAL, WATER SOLUBLE, STERILE, BACTERIOSTATIC,
NON-CONDUCTIVE, 140 GM SQUEEZE TUBE, 10 TUBES/BOX,
CARDINAL #SM1321N
A) MINIMUM RELEASE QUANTITY: 380
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 650 31/01/2025
1,520.00 Each GSIN: N6515MATERIAL: 57710
JELLY, LUBRICATING, WATER SOLUBLE, STERILE, BACTERIOSTATIC, NON
CONDUCTIVE, 150 GM FLIP TOP SQUEEZE BOTTLE, (BULK PKG 20 EACH/BX),
INGRAM & BELL (MUKO 150 GM) #SM1319
A) MINIMUM RELEASE QUANTITY: 20
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 660 31/01/2025
1,400.00 Each GSIN: N6510MATERIAL: 57721
PAD, EYE, OVAL DRESSING, STERILE, COTTON COVERED WITH FINE MESH ON BOTH
SIDES, 60 MM X 40 MM, 50 PER BOX,
AMD #A1110
A) MINIMUM RELEASE QUANTITY: 350
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 670 31/01/2025
880.000 Package GSIN: N6515MATERIAL: 57764
TAPE, MEASURING, PAPER, LINEN, INFANT, 24 IN LG, 100/PKG, (BULK PKG 10
PKG OF 100/CS),
GRAHAM FIELD #139-1336, MABIS #35780010
A) MINIMUM RELEASE QUANTITY: 220
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 680 31/01/2025
1,300.00 Each GSIN: N6550MATERIAL: 57786
SODIUM CHLORIDE, (SALINE), 0.9%, 10 ML SINGLE USE POLYAMP DUOFIT,
PLASTIC AMPOULES SUITABLE FOR LUER FIT AND LUER LOCK SYRINGE, 25 AMPULES
PER BOX, 4 BOXES PER CASE,
HOSPIRA #010-4888-010, CARDINAL HEALTH #954354N
A) MINIMUM RELEASE QUANTITY: 325
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 690 31/01/2025
16.000 Box GSIN: N6515MATERIAL: 59133
CATHETER, FEP I.V., 18 G X 1 1/4 INCH, 105 ML/PER MINUTE, FOR
IRRIGATION, WINGED, STERILE, SINGLE USE, MADE WITH FEP MATERIALS, USED
WITH 30CC SYRINGES, 50 PER BOX,
B.BRAUN MEDICAL INC (INTROCAN SAFETY) #4254562-02
A) MINIMUM RELEASE QUANTITY: 4
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 700 31/01/2025
1.000 Package GSIN: N9999MATERIAL: 59434
SALT, EPSON, CRYSTALS, 2 KG, 6 PKG/CS,
TEBA #00485853, MCKESSON #295881
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 710 31/01/2025
96.000 Bottle GSIN: N9999MATERIAL: 59436
LOTION, GENERAL BODY USE, GENTLE, PH-BALANCED, CONTAINS 88% WATER, DOES
NOT CONTAIN MINERAL OIL OR PERFUME, NON-GREASY, 360 ML BOTTLE, 12
BOTTLES PER CASE,
SMITH & NEPHEW #80236
A) MINIMUM RELEASE QUANTITY: 24
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 720 31/01/2025
432.00 Each GSIN: N8465MATERIAL: 59438
CONTAINER, SHARPS WASTE, ONE PIECE, 1.4L TRAY COLLECTOR, YELLOW, ONE-WAY
FUNNEL VALVE TO MINIMIZE NEEDLE STICKS AND OVERFILLING, PUNCTURE
RESISTANT CONSTRUCTION, 36 PER CASE, NO SUBSUTITUE,
BECTON DICKENSON #300460
A) MINIMUM RELEASE QUANTITY: 108
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 730 31/01/2025
700.00 Each GSIN: N8125MATERIAL: 59441
JAR, OINTMENT, PLASTIC, CLEAR WITH WHITE LID, 1 OZ, MUST BE ASSEMBLED,
NO SUBSTITUTE,
DIAMOND ATHLETIC #CL354,
RICHARDS PACKAGING #40110053(JAR) & #32110462(LID)
A) MINIMUM RELEASE QUANTITY: 175
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 740 31/01/2025
400.00 Each GSIN: N8125MATERIAL: 59442
JAR, OINTMENT, PLASTIC, CLEAR WITH WHITE LID, 25 ML, MUST BE ASSEMBLED,
25 PER BOX, NO SUBSTUITE,
DIAMOND ATHLETIC #CL374, RIGO #19110011
A) MINIMUM RELEASE QUANTITY: 100
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 750 31/01/2025
240.000 Box GSIN: N6515MATERIAL: 59467
MASK, FACE, PROCEDURE, WITH EARLOOP, LEVEL 2 BARRIER, NON-STERILE, BLUE,
50 PER BOX, 10 BOXES/CASE,
AMD-RITMED #2115
A) MINIMUM RELEASE QUANTITY: 60
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 760 31/01/2025
120.000 Box GSIN: N6515MATERIAL: 59468
MASK, FACE, SURGICAL ISOLATION, THREE LAYER CONSTRUCTION, PLEAT-STYLE
WITH EARLOOPS, LATEX FREE, NON-STERILE, COLOUR YELLOW, 50 PER BOX, 10
BOXES/CASE,
KIMBERLY CLARK #47117
A) MINIMUM RELEASE QUANTITY: 30
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 770 31/01/2025
2,400.00 Each GSIN: N6532MATERIAL: 59469
SLING, TRIANGULAR, COTTON, 40 IN X 40 IN X 56 IN, WITH SAFETY PIN, 12
EACH PER PACKAGE,
MEDICOM #5460
A) MINIMUM RELEASE QUANTITY: 600
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 780 31/01/2025
12.000 Vial GSIN: N6515MATERIAL: 59484
APPLICATOR, WOODEN, TIPPED WITH 75% SILVER AND 25% POTASSIUM NITRATE,
FOR SKIN OR MUCOUS MEMBRANE CAUTERIZATIN, REMOVAL OR WARTS AND
GRANULATED TISSUE, 6 INCHES LONG, DOUBLE DIPPED, 100 PER VIAL, 12 VIALS
PER BOX,
GRAHAM-FIELD GRAFCO (SILVER NITRATE APPLICATORS) #1590, AMG #118-395
A) MINIMUM RELEASE QUANTITY: 12
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 790 31/01/2025
7,584.00 Each GSIN: N6515MATERIAL: 59823
PACK, HOT/COLD, REUSABLE, BLUE GEL, 4 IN X 6 IN, 24 PER CASE,
RAPID RELIEF #12246-24
A) MINIMUM RELEASE QUANTITY: 1896
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 800 31/01/2025
72.00 Each GSIN: N6515MATERIAL: 59824
PACK, HOT/COLD, REUSABLE, BLUE GEL, 5 1/4 IN X 9 IN, 24 PER CASE,
RAPID RELIEF #12259-24
A) MINIMUM RELEASE QUANTITY: 36
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 810 31/01/2025
48.00 Each GSIN: N6515MATERIAL: 59825
PACK, HOT/COLD, REUSABLE, BLUE GEL, 9 IN X 11 IN, 12 PER CASE,
RAPID RELIEF #12290-12
A) MINIMUM RELEASE QUANTITY: 12
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 820 31/01/2025
320.00 Each GSIN: N6515MATERIAL: 60302
CATHETER, FOLEY, TWO-WAY, GOLD SILICONE COATED, TWO DRAINAGE EYES,
STERILE, 12 FRENCH, 30 CC BALLOON, 16 INCH LENGTH, 10/BOX, NO
SUBSTITUTE,
RUSCH (PURE GOLD) #180730120
A) MINIMUM RELEASE QUANTITY: 80
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 830 31/01/2025
288.000 Bottle GSIN: N8530MATERIAL: 60419
CLEANSER, FOAM, 3 IN 1, NO RINSE PH BALANCED FORMULA, DESIGNED TO SOOTH
AND MOISTURIZE FOR ALL OVER BODY, HAIR AND PERIEUM, GENTLE TO SKIN AND
HAIR, 8 OZ BOTTLE, 12 BOTTLES/CASE, NO SUBSTITUTE,
CONVATEC (ALOE VESTA CLEANSING FOAM) #401871
A) MINIMUM RELEASE QUANTITY: 72
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 840 31/01/2025
1.00 Each GSIN: N6515MATERIAL: 61166
BLADE, SURGICAL, STAINLESS STEEL, DISPOSABLE, STERILE, NO 15,
INDIVIDUALLY PACKAGED, 100 PER BOX,
MEDLINE #MDS15115
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 850 31/01/2025
12.000 Case GSIN: N6515MATERIAL: 61463
CUP, MEDICINE, TRANSLUCENT PLASTIC, WITH GRADUATIONS, 1 OZ (30 ML),
GRADUATED EASY TO READ MEASUREMENTS, ROLLED RIM, (5000/CS),
ALLIANCE #211-800-000
A) MINIMUM RELEASE QUANTITY: 3
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 860 31/01/2025
1.000 Box GSIN: N6550MATERIAL: 61946
TEST STRIPS, SELF-MONITORING, TO TEST COAGULATION LEVELS, RESULTS IN ONE
MINUTE, FOR USE WITH COAGUCHEK XS SYSTEM, 6 STRIPS PER BOX,
ROCHE (COAGUCHEK XS PT) #7671679190
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 870 31/01/2025
1.000 Reel GSIN: T014GMATERIAL: 62393
LABEL, DANGEROUS GOODS, BLACK ON WHITE UV VARNISHED, 4 IN X 4 IN,
CORROSIVE CLASS 8, 500 PER ROLL,
GRAND MEDICINE #3401801
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 880 31/01/2025
1.000 Reel GSIN: T014GMATERIAL: 62394
LABEL, DANGEROUS GOODS, BLACK ON WHITE UV VARNISHED, 4 IN X 4 IN,
INFECTIOUS SUBSTANCE CLASS 6, 500 PER ROLL,
GRAND MEDICINE #3401611
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 890 31/01/2025
96.000 Kit GSIN: N9999MATERIAL: 62397
KIT, BLOOD GLUCOSE, GLUCOMETER WITH CARRYING CASE, COMPLETE WITH 100
TEST SPRIPS, LANCING DEVICE, LANCETS,
GRAND MEDICINE (MEDI+SURE MONITOR KIT) #DG001M
A) MINIMUM RELEASE QUANTITY: 24
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 900 31/01/2025
1,500.000 Bottle GSIN: N6550MATERIAL: 62398
TEST STRIPS, BLOOD GLUCOSE, FOR USE WITH MEDI+SURE GLUCOMETER, TO
QUANTITATIVELY MEASURE GLUCOSE IN CAPILLARY WHOLE BLOOD, 100 PER BOTTLE,
GRAND MEDICINE (MEDI+SURE TEST STRIPS) #DG001S
A) MINIMUM RELEASE QUANTITY: 375
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 910 31/01/2025
4.000 Kit GSIN: N9999MATERIAL: 62399
SOLUTION, BLOOD GLUCOSE CONTROL, CONTAINS D-GLUCOSE (0.079%/0.221%),
SODIUM BENZOATE (0.2%), NON-REACTIVE INGREDIENT (0.5%), FOR USE WITH
MEDI+SURE TEST STRIPS, GOOD FOR 50 PERFORMANCE CHECKS, 2 X 6 ML BOTTLE
PER KIT,
GRAND MEDICINE (MEDI+SURE CONTROL SOLUTION)#DG001C
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 920 31/01/2025
1.00 Each GSIN: N6515MATERIAL: 62427
MASK, CPR, PROTECTIVE MOUTH BARRIER, COMES WITH VALVE, FILTER AND
EXHALATION PORT IN ZIPLOC BAG,
GLENWOOD LAB (CPR RESQ-AID) #3050, STEVENS #991-3050
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 930 31/01/2025
60.00 Each GSIN: N6515MATERIAL: 62428
VENTILATOR, CPR, POCKET, COMES WITH HEAD STRAP OXYGEN INLET, FILTER,
LATEX FREE GLOVES, CLAMSHELL HARD CASE,
GLENWOOD LAB (CPR RESQ-AID) #3100-10, STEVENS #991-3100-10
A) MINIMUM RELEASE QUANTITY: 15
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 940 31/01/2025
336.000 Package GSIN: N6530MATERIAL: 62429
PIN, SAFETY, NICKEL PLATED, MULTIPLE SIZES, 12 PER PACKAGE,
STEVENS #390-214, NEWEY #TR5000, DENTEC SAFETY #80-3259-0
A) MINIMUM RELEASE QUANTITY: 84
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 950 31/01/2025
4.00 Each GSIN: N6150MATERIAL: 62450
LAMP, SPECULA, REPLACEMENT, 4.7 VOLTS, HALOGEN, FOR KLEENSPEC VAGINAL
SPECULA ILLUMINATOR,
BARIK MEDICAL #K03-08800, WELCH ALLYN #WA08800
A) MINIMUM RELEASE QUANTITY: 2
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 960 31/01/2025
4.00 Each GSIN: N6515MATERIAL: 62451
SPECULUM, FOR AUDIOSCOPE 3, SIZE SMALL,
WELCH ALLYN #WA23303, MEDICAL MART #163-23303
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 970 31/01/2025
280.00 Each GSIN: N6515MATERIAL: 62452
SPECULUM, FOR AUDIOSCOPE 3, SIZE MEDIUM,
WELCH ALLYN #WA23305, MEDICAL MART #163-23305
A) MINIMUM RELEASE QUANTITY: 70
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 980 31/01/2025
360.000 Box GSIN: N7210MATERIAL: 62517
PILLOWCASE, DISPOSABLE, TISSUE/POLY BLEND, 21 IN X 30 IN, WHITE, 100 PER
BOX,
DANLEE #PIA701, BARIK MEDICAL #A36-701, ALLIANCE #PC2130TP-W
A) MINIMUM RELEASE QUANTITY: 90
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 990 31/01/2025
4.000 Roll GSIN: T014GMATERIAL: 62518
LABEL, "ALLERGIC TO", FOR NURSING, 2 15/16 IN X 1 IN, FLUORESCENT PINK,
333/ROLL,
PRECISION DYNAMICS #MV06PF1440, STEVENS #175-MV06FP1440
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1000 31/01/2025
40.000 Kit GSIN: N6515MATERIAL: 62636
AIRWAY, OROPHARYNGEAL, DISPOSABLE, COLOUR CODED, EIGHT SIZES EMBOSSED IN
MM ON EACH AIRWAY, LATEX FREE, NON-STERILE, COMES IN PLASTIC CASE,
BARIK MEDICAL (ALMEDIC 9/SET) #A04-80
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1010 31/01/2025
12.00 Each GSIN: N6515MATERIAL: 62637
CHART, SNELL EYE, BLACK PRINT ON WHITE VINYL, 10 FOOT TEST DISTANCE, ONE
SIDE ENGLISH, ONE SIDE FRENCH, METAL EYELET,
AMG MEDICAL #116-855
A) MINIMUM RELEASE QUANTITY: 3
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1020 31/01/2025
24.00 Each GSIN: N6515MATERIAL: 62638
RING, INFLATABLE, RUBBER, INVALID, TO ALLOW COMFORTABLE SITTING FOR LONG
PERIODS OF TIME, DISTRIBUTES WEIGHT EVENLY, 16 INCHES (40.6 CM),
MEDPRO #745-174
A) MINIMUM RELEASE QUANTITY: 6
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1030 31/01/2025
52.00 Each GSIN: N6515MATERIAL: 62639
FORCEPS, SPLINTER, WITH MAGNIFIYING GLASS, STAINLESS STEEL, SMOOTH TIP,
3.5 INCHES LENGTH,
BARIK MEDICAL #50-4510
A) MINIMUM RELEASE QUANTITY: 13
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1040 31/01/2025
48.00 Each GSIN: N6515MATERIAL: 62640
HOLDER, NEEDLE, SUTURE, HIGH QUALITY STAINLESS STEEL, 5 1/2 INCHES (14
CM),
OLSEN HAGAR #M12-0280
A) MINIMUM RELEASE QUANTITY: 12
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1050 31/01/2025
28.00 Each GSIN: N6515MATERIAL: 62651
HOLDER, NEEDLE, SUTURE, HIGH QUALITY STAINLESS STEEL, 6 1/4 INCHES (16
CM),
OLSEN HAGAR #M12-0300
A) MINIMUM RELEASE QUANTITY: 7
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1060 31/01/2025
80.000 Box GSIN: N6515MATERIAL: 62652
SCALPEL, DISPOSABLE, TOP QUALITY SURGICAL STEEL, STERILE BLADE COVER,
SIZE 11, INDIVIDUALLY WRAPPED, 10 PER BOX,
ALMEDIC #M92-11
A) MINIMUM RELEASE QUANTITY: 20
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1070 31/01/2025
80.000 Box GSIN: N6515MATERIAL: 62653
SCALPEL, DISPOSABLE, TOP QUALITY SURGICAL STEEL, STERILE BLADE COVER,
SIZE 15, INDIVIDUALLY WRAPPED, 10 PER BOX,
ALMEDIC #M92-15
A) MINIMUM RELEASE QUANTITY: 20
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1080 31/01/2025
50.000 Box GSIN: N6515MATERIAL: 62664
CURETTE, EAR, DISPOSABLE, STAINLESS STEEL, INDIVIDUALLY WRAPPED
NON-STERILE, LOOP TIP, WHITE, 3 MM, 50 PER BOX,
MEDICAL MART #212-19-321, MILTEX #MIL19321
A) MINIMUM RELEASE QUANTITY: 13
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1090 31/01/2025
60.000 Bottle GSIN: N7930MATERIAL: 62667
DETERGENT, INSTRUMENT DISINFECTANT, TWO PROTEASE ENZYMES THAT OFFER THE
BROADEST CLEANING ON A VARIETY OF PROTEIN SOILS, LOW-FOAMING FOR
AUTOMATED MACHINES, 1 GL,
EMPOWER #MET10-4400
A) MINIMUM RELEASE QUANTITY: 15
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1100 31/01/2025
60.00 Each GSIN: N6515MATERIAL: 62669
SCISSOR, BANDAGE, LISTER, DESIGNED FOR CROSSWAY CUTTING, BLADES HAVE 45
DEGREE ANGLE AT PIVOT, LOWER BLADE HAS ROUNDED BLUNT END TO FACILITATE
ENTRY, STAINLESS STEEL, 7 1/2 INCHES (18.1 CM),
AMG MEDI #570-312, MEDICAL MART #162-570-312
A) MINIMUM RELEASE QUANTITY: 15
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1110 31/01/2025
8.00 Each GSIN: N5110MATERIAL: 62670
SCISSOR, IRIS, SMALL, DESIGNED FOR FINE OPHTHALMIC SURGERY, EXTREMELY
SHARP AND FINE TIP, CURVED BLADE, STAINLESS STEEL, 4 1/2 INCHES (11.25
CM),
AMG MEDI #570-212, MEDICAL MART #162-570-212
A) MINIMUM RELEASE QUANTITY: 2
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1120 31/01/2025
48.00 Each GSIN: N5110MATERIAL: 62671
SCISSOR, SURGICAL, MAYO DESIGNED TO CUT THICK TISSUES, ALLOWS DEEPER
PENETRATION INTO THE WOUND, CURVED BLADE, STAINLESS STEEL, 5 1/2 INCHES
(13.75 CM),
AMG MEDI #570-178, MEDICAL MART #162-570-178
A) MINIMUM RELEASE QUANTITY: 12
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1130 31/01/2025
4.00 Each GSIN: N5110MATERIAL: 62672
SCISSOR, SURGICAL, MAYO DESIGNED TO CUT BODY TISSUES NEAR THE SURFACE OF
A WOUND, STRAIGHT BLADE, STAINLESS STEEL, 5 1/2 INCHES (13.75 CM),
AMG MEDI #570-170, MEDICAL MART #162-570-170
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1140 31/01/2025
4.00 Each GSIN: N5110MATERIAL: 62673
SCISSOR, SURGICAL, REGULAR, O.R., HARD STAINLESS STEEL FOR ONGOING
TOUGHNESS, CURVED BLADE, SHARP/BLUNT BLADES, 5 1/2 INCHES (13.75 CM),
AMG MEDI #570-148, MEDICAL MART #162-570-148
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1150 31/01/2025
48.00 Each GSIN: N5110MATERIAL: 62674
SCISSOR, SURGICAL, REGULAR, O.R., HARD STAINLESS STEEL FOR ONGOING
TOUGHNESS, STRAIGHT BLADE, SHARP/BLUNT BLADES, 5 1/2 INCHES (13.75 CM),
AMG MEDI #570-108, MEDICAL MART #162-570-108
A) MINIMUM RELEASE QUANTITY: 12
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1160 31/01/2025
96.000 Box GSIN: N8415MATERIAL: 62675
GOWN, EXAMINATION, PATIENT, DISPOSABLE, 3 PLY, TISSUE/POLY/TISSUE,
DURABLE AND MOISTURE RESISTANT, FRONT/BACK OPENING WITH PLASTIC TIE
STRAP, BLUE, 30 IN X 42 IN, 50 PER BOX,
ALLIANCE #EG3042TPT-B, MEDICAL MART #211-EG3042TPT-B
A) MINIMUM RELEASE QUANTITY: 24
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1170 31/01/2025
4.000 Box GSIN: N9999MATERIAL: 62679
APPLICATOR, DISPOSABLE, NON-STERILE, COTTON/RAYON TIP, HOLLOW HANDLE, 16
INCHES (40 CM) LONG, 100 PER BOX,
MEDPRO #018-480, STEVENS #635-018-480
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1180 31/01/2025
440.000 Box GSIN: N6530MATERIAL: 62680
BAG, BIOHAZARD, TRANSPORT, ZIPLOCK, TRIPLE SEAL WITH REQUIRED POUCH, 6
IN X 9 IN, 500 PER BOX,
BIONUCLEAR #DIS-028, STEVENS #024-DIS-028
A) MINIMUM RELEASE QUANTITY: 110
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1190 31/01/2025
400.00 Each GSIN: N6530MATERIAL: 62713
BASIN, WASH, DISPOSABLE, 4.7 LITRE, TURQUOISE, ROUND SHAPED, HIGH
QUALITY, DURABLE POLYPROPYLENE, SMOOTH EDGES SERVE AS BUILT-IN HANDLES
FOR HANDLING AND TRANSPORT, 50 PER CASE,
MEDEGEN MEDICAL #H350-07, STEVENS #193-H350-07
A) MINIMUM RELEASE QUANTITY: 100
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1200 31/01/2025
28.000 Box GSIN: N6515MATERIAL: 62715
BLADE, SCALPEL, SIZE 20, STAINLESS STEEL, INDIVIDUALLY WRAPPED, STERILE,
100 PER BOX,
AMG #560-1020, STEVENS #560-1020
A) MINIMUM RELEASE QUANTITY: 7
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1210 31/01/2025
4.000 Box GSIN: N6515MATERIAL: 62716
BLADE, SCALPEL, SIZE 23, STAINLESS STEEL, INDIVIDUALLY WRAPPED, STERILE,
100 PER BOX,
AMG #560-1023, STEVENS #560-1023
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1220 31/01/2025
40.00 Each GSIN: N8125MATERIAL: 62717
BOTTLE, PERINEAL, PLASTIC, 500 ML, 8 OZ GRADUATED WITH CUBIC CENTIMETERS
AND FLUID OUNCES, SCREW CAP, FOUR SMALL HOLES TO PRODUCE A GENTLE SPRAY,
INDIVICUALLY BAGGED, 50 PER CASE,
STEVENS #002-P772888-X, PRO-ADVANTAGE #P772888
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1230 31/01/2025
1.000 Package GSIN: N7920MATERIAL: 62719
BRUSH, CYTOLOGY, 8 INCH HANDLE, RE-SEALABLE PACKAGE, COLOUR BLUE, 100
PER PACKAGE, 10 PACKAGES PER CASE,
INNOVATEK MEDICAL #4201-CB-8B, STEVENS #553-4201-CB-8B-PKG
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1240 31/01/2025
600.00 Each GSIN: N6515MATERIAL: 62720
CANNULA, NASAL, ADULT, OXYGEN, STERILE, STRAIGHT TIP, WITH 7 FOOT (2.1M)
SUREFLOW TUBING, LATEX FREE, SINGLE USE, 50 PER CASE,
STEVENS #991-1012SC-X
A) MINIMUM RELEASE QUANTITY: 150
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1250 31/01/2025
40.00 Each GSIN: N6530MATERIAL: 62721
BAG, INFUSER PRESSURE, DISPOSABLE, OVAL SHAPED BULB TO EASE INFLATION,
TRANSPARENT FRONT PANEL FOR VISUAL CHECK OF FLUIDS, EASY TO READ GAUGE,
SAFETY VALUE PREVENTS OVERINFLATION, LATEX FREE, 1000 ML, 5 PER BOX,
ETHOX (INFU-SURG) #ET4010H, STEVENS #276-E-4010H
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1260 31/01/2025
12.000 Box GSIN: N6530MATERIAL: 62722
BAG, URINE COLLECTION, PEDIATRIC, NON-STERILE, TRANSPARENT POLYETHYLENE,
GRADUATED FROM 10 TO 100 ML TO MEASURE SMALL AMOUNTS, HYPOALLERGENIC
ADHESIVE, 100 PER BOX,
BRIGGS HEALTHCARE #7501, CARDINAL HEALTH #MD-7501
A) MINIMUM RELEASE QUANTITY: 3
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1270 31/01/2025
1,776.00 Each GSIN: N9999MATERIAL: 62729
APPLICATOR, WOUND CLOSURE FORMULATION, LIQUID BANDAGE, ADHESIVE, DEEP
VIOLET HELPS WHEN APPLYING TO WOUND, LESS TRAUMATIC FOR CHILDREN, 0.2 ML
CYANOACRYLATE, SINGLE DOSE VIAL, 12 VIALS PER BOX,
GLUSTITCH #GLUST-U-V-P, STEVENS #011-200
A) MINIMUM RELEASE QUANTITY: 444
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1280 31/01/2025
250.00 Each GSIN: N6530MATERIAL: 62731
BASIN, EMESIS, DISPOSABLE, 9 INCH, 500 CC, 16 OZ. TURQUOISE, KIDNEY
SHAPED, ROUNDED EDGES AND FLEXIBLE DESIGN FACILITATES HANDLING AND USE,
GRADUATED IN 100 CC INCREMENTS, 250 PER CASE,
MEDEGEN MEDICAL #H300-07, STEVENS #193-H300-07
A) MINIMUM RELEASE QUANTITY: 250
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1290 31/01/2025
250.00 Each GSIN: N6530MATERIAL: 62732
BASIN, EMESIS, DISPOSABLE, 10 INCH, 700 CC, 23 OZ. TURQUOISE, KIDNEY
SHAPED, ROUNDED EDGES AND FLEXIBLE DESIGN FACILITATES HANDLING AND USE,
GRADUATED IN 100 CC INCREMENTS, 250 PER CASE,
MEDEGEN MEDICAL #H310-07, STEVENS #193-H310-07
A) MINIMUM RELEASE QUANTITY: 250
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1300 31/01/2025
100.00 Each GSIN: N6515MATERIAL: 62741
CANNULA, NASAL, PEDIATRIC, OXYGEN, STERILE, STRAIGHT TIP, WITH 7 FOOT
(2.1M) SUREFLOW TUBING, LATEX FREE, SINGLE USE, 50 PER CASE,
STEVENS #991-1011
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1310 31/01/2025
200.00 Each GSIN: N5340MATERIAL: 62742
CLAMP, UMBILICAL CORD, NEWBORN, PLASTIC, SNAP-TIGHT, CLOSURE, 5 CM,
STERILE, LATEX FREE, 100 PER PACKAGE,
DEROYAL #6833, STEVENS #347-6833
A) MINIMUM RELEASE QUANTITY: 100
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1320 31/01/2025
168.00 Each GSIN: N5340MATERIAL: 62743
CLAMP, UMBILICAL CORD, CUTTER, DISPOSABLE, NON-STERILE, LATEX FREE, 6
PER BOX,
DEROYAL #72-7000, STEVENS #347-72-7000
A) MINIMUM RELEASE QUANTITY: 42
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1330 31/01/2025
100.00 Each GSIN: N7350MATERIAL: 62744
CUP, SPECIMEN, PLASTIC, POLYPROPYLENE, LEAK PROOF SCREW TYPE LID,
DISPOSABLE, STERILE, DUAL SCALE GRADUATED 120 ML IN 10 ML INCREMENTS, 4
OZ IN 1/4 OZ INCREMENTS, PATIENT IDENTIFICATION LABEL, INDIVIDUALLY
BAGGED, 100 PER CASE,
SHERWOOD MEDICAL #8889-207026, STEVENS #102-8889207026
A) MINIMUM RELEASE QUANTITY: 100
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1340 31/01/2025
8.00 Each GSIN: N5120MATERIAL: 62745
WRENCH, METAL CYLINDER, SMALL, WITH SECURITY CHAIN,
WESTERN ENTERPRISES #MCW-2BC, STEVENS #173-MCW-2BC
A) MINIMUM RELEASE QUANTITY: 2
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1350 31/01/2025
32.00 Each GSIN: N6515MATERIAL: 62746
FORCEPS, EAR, LUCAE, DRESSING, BAYONET, SERRATED, MEDIUM GRADE,
STAINLESS STEEL, 5.5 INCHES (13.75 CM),
ALMEDIC #ALMM06-0740, SEVENS #197-M06-0740
A) MINIMUM RELEASE QUANTITY: 8
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1360 31/01/2025
20.00 Each GSIN: N6515MATERIAL: 62747
FORCEPS, TISSUE, WITH TEETH (1 X 2) AT TIP FOR BETTER GRIP, STAINLESS
STEEL, 5 INCHES (12.5 CM),
ALMEDIC #ALMP-262, CARDINAL HEALTH #ALMP-262
A) MINIMUM RELEASE QUANTITY: 5
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1370 31/01/2025
4.00 Each GSIN: N6515MATERIAL: 62758
FORCEPS, CRILE HEMOSTAT, STRAIGHT, 5.5 INCHES (14 CM) LENGTH, FOR
CLAMPING OFF ACTION, RING HANDLES ALLOW TO OPEN AND CLOSE INSTRUMENT,
STAINLESS STEEL,
BARIK MEDICAL #M18-0400, DISPOMED #215-M18-0400
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1380 31/01/2025
320.000 Case GSIN: N6515MATERIAL: 62759
SHEET, STRETCHER, DISPOSABLE, 3 PLY TISSUE, 40 IN X 90 IN, WHITE, LATEX
FREE, 50 PER CASE,
CARDINAL HEALTH #305
A) MINIMUM RELEASE QUANTITY: 80
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1390 31/01/2025
40.000 Box GSIN: N6515MATERIAL: 62769
SWAB, TEST, ANNIORRHESIS, TO DETECT RUPTURED AMNIOTIC MEMBRANES DURING
PREGNANCY, HIGHLY SENSITIVE, EASY TO READ, COLOR CHANGE VISABLE IN
SECONDS, 10 PER BOX,
INNOVATEK MEDICAL #4080-MWAM1-10, STEVENS #553-4080-MWAM1-10
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1400 31/01/2025
20.00 Each GSIN: N6515MATERIAL: 62770
UTERINE SOUND, SIMS, SILVER PLATED, MALLEABLE, TO DETERMINE LENGTH AND
DEPTH OF CERVICAL CANAL, SOUND FEATURES BULBOUS TIP TO PREVENT
PUNCTURING UTERINE WALL, 12.5 INCHES, GRADUATED IN CENTIMETERS,
NOVOSURGICAL #M14-0500, STEVENS #197-M14-0500
A) MINIMUM RELEASE QUANTITY: 5
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1410 31/01/2025
20.00 Each GSIN: N6515MATERIAL: 62771
HAMMER, CHROME PLATED, BRASS HANDLE, SOLID RUBBER HEAD, REFLEX TESTING,
AMG MEDICAL (TAYLOR PERCUSSION) #112-200, STEVENS #635-112-200
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1420 31/01/2025
1.00 Each GSIN: N6530MATERIAL: 62772
JAR, DRESSING, STAINLESS STEEL, CAPACITY 1 QUART (O.95L), DIAMETER 4 1/4
INCHES (10.8 CM), HEIGHT 5 1/4 INCHES (13.3 CM),
AMG MEDICAL #020-513, STEVENS #635-020-513
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1430 31/01/2025
400.00 Each GSIN: N6515MATERIAL: 62776
MASK, OXYGEN, REBREATHING, HIGH CONCENTRATION, ADULT SIZE, COMES WITH
BAG AND 2.10M 02 SURE FLOW TUBING, 50 PER CASE,
CARDINAL #P001205
A) MINIMUM RELEASE QUANTITY: 100
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1440 31/01/2025
50.00 Each GSIN: N6515MATERIAL: 62777
MASK, OXYGEN, REBREATHING, HIGH CONCENTRATION, PEDIATRIC SIZE, COMES
WITH BAG AND 2.10M 02 SURE FLOW TUBING,
OCTURNO #1043, STEVENS #991-1043
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1450 31/01/2025
50.00 Each GSIN: N6515MATERIAL: 62778
MASK, OXYGEN, NON-BREATHING, HIGH CONCENTRATION, ADULT SIZE, COMES WITH
BAG, CHECK VALVE, SAFETY VENTS CLOSED, AND 2.10M 02 SURE FLOW TUBING,
OCTURNO #1095, STEVENS #991-1095
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1460 31/01/2025
50.00 Each GSIN: N6515MATERIAL: 62779
MASK, OXYGEN, NON-BREATHING, HIGH CONCENTRATION, PEDIATRIC SIZE, COMES
WITH BAG, CHECK VALVE, SAFETY VENTS CLOSED, AND 2.10M 02 SURE FLOW
TUBING,
OCTURNO #1096, STEVENS #991-1096
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1470 31/01/2025
40.00 Each GSIN: N6515MATERIAL: 62780
NIPPERS, CONCAVE CUTTING EDGES, METAL, HEAVY DUTY, COILED SPRINGS, 4 1/2
INCHES,
STEVENS #197-M29-0730
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1480 31/01/2025
220.00 Each GSIN: N6515MATERIAL: 62781
CATHETER, I.V., SAFETY, FEP POLYMER AND RADIOPAQUE, OCRILON
POLYURETHANE, 14G X 1 1/4 INCH NEEDLE, STRAIGHT HUB, ORANGE,
SMITH MEDICAL (PROTECTIV PLUS) #3068, CARDINAL HEALTH #3068
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1490 31/01/2025
50.00 Each GSIN: N6515MATERIAL: 62782
CATHETER, I.V., SAFETY, FEP POLYMER AND RADIOPAQUE, OCRILON
POLYURETHANE, 16G X 1 1/4 INCH NEEDLE, STRAIGHT HUB, GRAY,
SMITH MEDICAL (PROTECTIV PLUS) #3062, CARDINAL HEALTH #3062
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1500 31/01/2025
50.00 Each GSIN: N6515MATERIAL: 62783
CATHETER, I.V., SAFETY, FEP POLYMER AND RADIOPAQUE, OCRILON
POLYURETHANE, 18G X 1 1/4 INCH NEEDLE, STRAIGHT HUB, GREEN,
SMITH MEDICAL (PROTECTIV PLUS) #3065, CARDINAL HEALTH #3065
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1510 31/01/2025
32.000 Roll GSIN: T014GMATERIAL: 64402
LABEL, RX PRESCRIPTION, SELF-ADHESIVE CUSTOMIZED, 3 IN X 1 3/4 IN, 1000
PER ROLL,
GRAND MEDICINE (RXLABEL) #500
A) MINIMUM RELEASE QUANTITY: 8
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1520 31/01/2025
50.00 Each GSIN: N6515MATERIAL: 62785
CATHETER, I.V., SAFETY, FEP POLYMER AND RADIOPAQUE, OCRILON
POLYURETHANE, 18G X 1 1/4 INCH NEEDLE, STRAIGHT HUB, BLUE,
SMITH MEDICAL (PROTECTIV PLUS) #3060, CARDINAL HEALTH #3060
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1530 31/01/2025
50.00 Each GSIN: N6515MATERIAL: 62786
CATHETER, I.V., SAFETY, FEP POLYMER AND RADIOPAQUE, OCRILON
POLYURETHANE, 24G X 3/4 INCH NEEDLE, STRAIGHT HUB, YELLOW,
SMITH MEDICAL (PROTECTIV PLUS) #3063, CARDINAL HEALTH #3063
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1540 31/01/2025
8.000 Box GSIN: N6515MATERIAL: 62860
SPLINT, FINGER, ALUMINUM WITH FOAM PADDING, X-RAY LUCENT, EASY TO FORM
AND CAN BE CUT TO DESIRED LENGTH WITH SCISSORS, 1/2 INCH X 18 INCH,
12 PER BOX,
STEVENS #347-9115-02
A) MINIMUM RELEASE QUANTITY: 2
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1550 31/01/2025
8.000 Box GSIN: N6515MATERIAL: 62861
SPLINT, FINGER, ALUMINUM WITH FOAM PADDING, X-RAY LUCENT, EASY TO FORM
AND CAN BE CUT TO DESIRED LENGTH WITH SCISSORS, 3/4 INCH X 18 INCH,
12 PER BOX,
STEVENS #347-9115-03
A) MINIMUM RELEASE QUANTITY: 2
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1560 31/01/2025
8.000 Box GSIN: N6515MATERIAL: 62862
SPLINT, FINGER, ALUMINUM WITH FOAM PADDING, X-RAY LUCENT, EASY TO FORM
AND CAN BE CUT TO DESIRED LENGTH WITH SCISSORS, 1 INCH X 18 INCH,
12 PER BOX,
STEVENS #347-9115-04
A) MINIMUM RELEASE QUANTITY: 2
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1570 31/01/2025
80.000 Box GSIN: N6640MATERIAL: 62871
MICROCUVETTES, GLUCOSE, DISPOSABLE, PLASTIC, CUVETTE CAVITY CONTAINS
REAGENTS DEPOSITED ON ITS INNER WALLS AND TAKES 5uL OF SAMPLE, BLOOD
SAMPLE IS DRAWN INTO CAVITY BY CAPILLARY ACTION AND SPONTANEOUSLY MIXED
WITH REAGENT, INDIVIDUALLY PACKAGED, 50 PER PACKAGE,
HEMOCUE GLUCOSE 201 #110723, STEVENS #039-110723
A) MINIMUM RELEASE QUANTITY: 20
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1580 31/01/2025
1,000.000 Box GSIN: N6640MATERIAL: 62872
MICROCUVETTES, HEMOGLOBIN, DISPOSABLE, PLASTIC, CUVETTE CAVITY CONTAINS
REAGENTS DEPOSITED ON ITS INNER WALLS AND TAKES 1OuL OF SAMPLE, BLOOD
SAMPLE IS DRAWN INTO CAVITY BY CAPILLARY, SINGLES, 100 PER BOX,
HEMOCUE HB201 PLUS # 111715, STEVENS #039-111715
A) MINIMUM RELEASE QUANTITY: 250
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1590 31/01/2025
40.000 Box GSIN: N6515MATERIAL: 62888
WIPE, PREP PAD, 10% USP POVIDONE-IODINE SOLUTION, PVP IODINE PROVIDES
LONGER GERMICIDAL ACTIVITY THAN ORDINARY IODINE SOLUTIONS,NON-IRRATING,
NON-STINGING, USE FOR VENIPUNCTURE, I.V. STARTS, KIDNEY DIALYSIS, PRE-OP
AND MINOR INVASIVE PROCEDURES, MEDIUM SIZE, 100/BOX,
PDI #B51200, STEVENS #085-B51200
A) MINIMUM RELEASE QUANTITY: 12
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1600 31/01/2025
48.00 Each GSIN: N6515MATERIAL: 62934
SET, EXTENSION, 0.22 MICRON DOWNSTREAM HIGH PRESSURE EXTENDED LIFE
FILTER, MALE LUER LOCK ADAPTER, POLYETHYLENE LINED TUBING, 6 INCH LENGTH
(15 CM), APPROXIMATE VOLUME 3.3 ML FLUID PATH IS NON-DEHP, STERILE, 48
PER CASE,
BAXTER #1C8363
A) MINIMUM RELEASE QUANTITY: 48
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1610 31/01/2025
10,900.00 Each GSIN: N6515MATERIAL: 62946
SOLUTION, NORMAL SALINE, SODIUM CHLORIDE 0.9% NACL, 100 ML, SQUEEZE
BOTTLE, DUAL FLOW CAP, WOUND IRRIGATION, 25 EACH PER CASE,
TRUDELL #T168000
A) MINIMUM RELEASE QUANTITY: 2725
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1620 31/01/2025
2,800.00 Each GSIN: N6515MATERIAL: 62978
PACK, INSTANT COLD, CONTROLLED RELEASE DESIGN, PROVIDES CONSISTENT EVEN
THERMAL THERAPY, ELIMINATING TEMPERATURE EXTREMES ASSOCIATED WITH
ALTERNATE METHODS, SINGLE USE, 45 MINUTE THERAPY, MEDIUM, 5 IN X 6 IN,
50 PER CASE,
CARDINAL HEALTH #31346-50
A) MINIMUM RELEASE QUANTITY: 700
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1630 31/01/2025
600.000 Case GSIN: N6515MATERIAL: 63326
SHEET, STRETCHER, DISPOSABLE, WATERPROOF, TISSUE/POLY MATERIAL, 40 IN X
90 IN, 50 PER CASE,
AVALON #359, BARIK MEDICAL #8150
A) MINIMUM RELEASE QUANTITY: 150
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1640 31/01/2025
1,005.00 Each GSIN: N6515MATERIAL: 63334
CAP, DUAL LUER LOCK, MALE/FEMALE PORT PROTECTOR, NO OPEN FLUID PATH,
STERILE, NON-PVC, NON-DEHP, 504 PER CASE,
BAXTER #2C6250
A) MINIMUM RELEASE QUANTITY: 504
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1650 31/01/2025
32.000 Box GSIN: N8960MATERIAL: 63592
WATER, IRRIGATION, SOLUTION, SODIUM CHLORIDE 0.9%, CLEANSES EYES TO
REMOVE FOREIGN PARTICLES AND DANGEROUS LIQUIDS LIKE ALKALI OR ACIDS,
SINGLE USE VIAL, 15 ML, 24 VILAS PER BOX,
KIMBERLY-CLARK #116, DIAMOND ATHLETIC #CHS116
A) MINIMUM RELEASE QUANTITY: 8
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1660 31/01/2025
96.00 Each GSIN: N6515MATERIAL: 63977
SET, EXTENSION, MACROBORE, WITH FEMALE ADAPTER, CLAVE Y-SITE, OPTION LOK
MALE ADAPTER, DIAL-A-FLOW FLOW CONTROLLER, 18 INCH (45.72 CM), 2.3 ML
PRIMING CAPACITY, NON-DEHP, 48 PER CASE,
HOSPIRA #20667-001
A) MINIMUM RELEASE QUANTITY: 48
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1670 31/01/2025
150.00 Each GSIN: N6515MATERIAL: 64007
CATHETER, SUCTION, STERILE, ANGLED WHISTLE TIP WITH CONTROL PORT
ADAPTER, 6 FRENCH PEDIATRIC, 1 EA/PACKAGE (50 PACKAGES/BOX),
AMSINO #189 AS361, CARDINAL #D40106
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1680 31/01/2025
8,600.00 Each GSIN: N6515MATERIAL: 64025
CATHETER, URETHRAL, VINYL, STERILE, LATEX-FREE, MALE, 12 FRENCH, 16 IN
LENGTH, 1 EACH PER PACKAGE, 50 PACKAGES PER BOX,
AMSINO #AS861612
A) MINIMUM RELEASE QUANTITY: 2150
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1690 31/01/2025
60.000 Bottle GSIN: N6550MATERIAL: 64494
SOLUTION, 0.9% SODIUM CHLORIDE, IRRIGATION (NaCL), 500 ML, 15 BOTTLES
PER CASE,
BAXTER #JF7633P
A) MINIMUM RELEASE QUANTITY: 15
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1700 31/01/2025
1,040.00 Each GSIN: N6515MATERIAL: 64649
CHAMBER, HOLDING, VALVED, ANTI-STATIC ACRYLONITRILE BUTADIENE STYRENE,
LOW RESISTANCE EXPIRATORY VALVE, TETHERED CAP, STEPPED MOUTHPIECE, FLAT
BOTTOM, FLEXIBLE MDI ADAPTER, 10 EACH PER CASE,
PHILIPS RESPIRONICS (OPTICHAMBER DIAMOND) #1098213
A) MINIMUM RELEASE QUANTITY: 260
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1710 31/01/2025
1,560.00 Each GSIN: N6515MATERIAL: 64650
CHAMBER, HOLDING, VALVED, ANTI-STATIC ACRYLONITRILE BUTADIENE STYRENE,
LITE TOUCH VHC MASK IS POLYCARBONATE (PC) SILICONE, MEDIUM MASK,
10 EACH PER CASE,
PHILIPS RESPIRONICS (OPTICHAMBER DIAMOND) #1098215
A) MINIMUM RELEASE QUANTITY: 390
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1720 31/01/2025
1,680.00 Each GSIN: N6515MATERIAL: 64661
CHAMBER, HOLDING, VALVED, ANTI-STATIC ACRYLONITRILE BUTADIENE STYRENE,
LITE TOUCH VHC MASK IS POLYCARBONATE (PC) SILICONE, LARGE MASK,
10 EACH PER CASE,
PHILIPS RESPIRONICS (OPTICHAMBER DIAMOND) #1098216
A) MINIMUM RELEASE QUANTITY: 420
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1730 31/01/2025
1.00 Each GSIN: N6515MATERIAL: 64689
SET, CATHETER, EMERGENCY SPECIAL OPERATIONS, CIRCOTHYROTOMY, CUFFED,
0.D. 7.2 MM, I.D. 5 MM, LENGTH 9 CM,
COOK #G26924, MELKER (SELDINGER) #C-TCCSB-500-SPOPS
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1740 31/01/2025
160.00 Each GSIN: N6515MATERIAL: 64696
TIE, TUBE, TRACHEOSTOMY, FOAM, ONE-PIECE COLLAR HELPS SECURE TUBE, SIZE
18 1/2 IN L X 1 IN W (47 CM X 3 CM), 12 EACH PER BOX,
POSEY #8197M
A) MINIMUM RELEASE QUANTITY: 40
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1750 31/01/2025
1,500.00 Each GSIN: N6530MATERIAL: 64713
BOTTLE, PRESCRIPTION, 2 OUNCE (60 ML), SCREW CAP, PLASTIC, AMBER, 75
EACH PER BOX,
MCKESSON #95158
A) MINIMUM RELEASE QUANTITY: 375
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1760 31/01/2025
1,800.00 Each GSIN: N6530MATERIAL: 64714
BOTTLE, PRESCRIPTION, 4 OUNCE (125 ML), SCREW CAP, PLASTIC, AMBER, 75
EACH PER BOX,
MCKESSON #95257
A) MINIMUM RELEASE QUANTITY: 450
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1770 31/01/2025
600.00 Each GSIN: N6530MATERIAL: 64715
BOTTLE, PRESCRIPTION, 8 OUNCE (250 ML), SCREW CAP, PLASTIC, AMBER, 50
EACH PER BOX,
MCKESSON #52902
A) MINIMUM RELEASE QUANTITY: 150
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1780 31/01/2025
25.00 Each GSIN: N6530MATERIAL: 64716
BOTTLE, PRESCRIPTION, 16 OUNCE (500 ML), SCREW CAP, PLASTIC, AMBER, 25
EACH PER BOX,
MCKESSON #639807
A) MINIMUM RELEASE QUANTITY: 25
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1790 31/01/2025
170.000 Case GSIN: N6530MATERIAL: 64717
BOTTLE, PRESCRIPTION, EUREKA VIAL, WITH SNAP SAFE CAP, AMBER, 7 DRAM,
450 PER CASE,
MCKESSON #78239
A) MINIMUM RELEASE QUANTITY: 40
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1800 31/01/2025
4.000 Case GSIN: N6530MATERIAL: 64718
BOTTLE, PRESCRIPTION, EUREKA VIAL, WITH SNAP SAFE CAP, AMBER, 12 DRAM,
275 PER CASE,
MCKEESON #78254
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1810 31/01/2025
28.000 Case GSIN: N6530MATERIAL: 64719
BOTTLE, PRESCRIPTION, EUREKA VIAL, WITH SNAP SAFE CAP, AMBER, 16 DRAM,
250 PER CASE,
MCKESSON #78242
A) MINIMUM RELEASE QUANTITY: 7
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1820 31/01/2025
8.000 Case GSIN: N6530MATERIAL: 64720
BOTTLE, PRESCRIPTION, EUREKA VIAL, WITH SNAP SAFE CAP, AMBER, 20 DRAM,
175 PER CASE,
MCKESSON #78267
A) MINIMUM RELEASE QUANTITY: 2
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1830 31/01/2025
200.00 Each GSIN: N6515MATERIAL: 64724
KIT, NEBULIZER, ADULT AEROSOL MASK, NEBULIZER CUP, 7 FT OXYGEN TUBE,
AMG MEDICAL #705-520, MCKESSON #645986
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1840 31/01/2025
200.00 Each GSIN: N6515MATERIAL: 64725
KIT, NEBULIZER, CHILD AEROSOL MASK, NEBULIZER CUP, 7 FT OXYGEN TUBE,
AMG MEDICAL #705-530, MCKESSON #646018
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1850 31/01/2025
16.000 Box GSIN: N6510MATERIAL: 64726
PATCH, EYE, ORTHOPTIC, JUNIOR, 2.44 IN X 1.18 IN (6.3 CM X 4.5 CM), 20
PER BOX,
MCKESSON #848325, 3M NEXCARE (OPTICLUDE) #1537
A) MINIMUM RELEASE QUANTITY: 4
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1860 31/01/2025
60.000 Box GSIN: N6510MATERIAL: 64727
PATCH, EYE, ORTHOPTIC, REGULAR, 3.18 IN X 2.18 IN (8.2 CM X 5.6 CM), 20
PER BOX,
MCKESSON #130377, 3M NEXCARE (OPTICLUDE) #1539
A) MINIMUM RELEASE QUANTITY: 15
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1870 31/01/2025
28.000 Box GSIN: N8125MATERIAL: 64729
JAR, OINTMENT, PLASTIC COVER, 50 ML, 25 PER BOX, RCH, DIN061025018715,
MCKESSON #515452
A) MINIMUM RELEASE QUANTITY:7
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1880 31/01/2025
112.000 Box GSIN: N8125MATERIAL: 64730
JAR, OINTMENT, PLASTIC COVER, 100 ML, 15 PER BOX, RCH, DIN061025018746,
MCKESSON #799700
A) MINIMUM RELEASE QUANTITY: 28
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1890 31/01/2025
1.00 Each GSIN: N6515MATERIAL: 64731
STOPCOCK, LARGE BORE, 4 WAY, LIPID RESISTANT, ROTATING MALE LUER LOCK
ADAPTER, STERILE PEEL POUCH, NON-PVC,NON-DEHP, 50 EACH PER CASE,
BAXER #2C6204
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1900 31/01/2025
96.000 Box GSIN: N6640MATERIAL: 64732
BOTTLE, GLASS, WITH DROPPER, AMBER, 25 ML, 12 EACH PER BOX, MCKESSON
#503458
A) MINIMUM RELEASE QUANTITY: 24
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1910 31/01/2025
880.00 Each GSIN: N6515MATERIAL: 64733
BOTTLE, WATER, HOT, 2 L (2000 CC), MOLDED RED RUBBER WITH LEAK PROOF
SEAL, (BULK 12 EACH/CASE),
GRAFCO #3868-1, STEVENS #139-3868-1
A) MINIMUM RELEASE QUANTITY: 220
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1920 31/01/2025
600.00 Each GSIN: N8530MATERIAL: 64734
BRUSH, NAIL, SCRUB, PURPLE WITH WHITE BRISTLES, 4 1/4 IN X 1 5/8 IN, 50
EACH PER BOX,
STEVENS #745-NB3381
A) MINIMUM RELEASE QUANTITY: 150
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1930 31/01/2025
12.000 Case GSIN: N6530MATERIAL: 64741
BOTTLE, PRESCRIPTION, EUREKA VIAL, WITH SNAP SAFE CAP, AMBER, 30 DRAM,
140 PER CASE,
MCKESSON #78248
A) MINIMUM RELEASE QUANTITY: 3
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1940 31/01/2025
8.000 Case GSIN: N6530MATERIAL: 64742
BOTTLE, PRESCRIPTION, EUREKA VIAL, WITH SNAP SAFE CAP, AMBER, 40 DRAM,
100 PER CASE,
MCKESSON #78292
A) MINIMUM RELEASE QUANTITY: 2
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1950 31/01/2025
1,200.00 Each GSIN: N6515MATERIAL: 64751
ASPIRATOR, NASAL, 1 OUNCE, REMOVES NASAL CONJESTION, USE TO CLEAN MUCUS
FROM NASAL PASSAGEWAYS, SMOOTH INTERIOR PREVENTS BACTERIA TRAPPING,
MEDICAL PLASTISOL, HYPOALLERGENIC, LATEX AND BPA FREE, UPC 063636900342,
PHARMA SYSTEMS #PS900, MCKESSON #220798
A) MINIMUM RELEASE QUANTITY: 300
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1960 31/01/2025
300.000 Box GSIN: N6550MATERIAL: 64752
STRIP, TEST, URINALYSIS, DISPLAYS RESULTS AFTER ONE TO TWO MINUTES,
COLOUR SCALE ON CONTAINER FOR EASY INTERPRETATION, ALLOWS PLAYBACK OF UP
TO 10 PARAMETERS, 100 PER BOX,
ROCHE (CHEMSTRIP 10) #11379208119
A) MINIMUM RELEASE QUANTITY: 75
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1970 31/01/2025
280.000 Bottle GSIN: N8520MATERIAL: 64753
SHAMPOO, BABY, SOAP-FREE, CLINICALLY PROVEN HYPOALLERGENIC, GENTLE TO
THE EYES, PARABEN-FREE, 600 ML BOTTLE (NO SUBSTITUTE),
JOHNSON & JOHNSON #100025029
A) MINIMUM RELEASE QUANTITY: 70
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1980 31/01/2025
60.00 Each GSIN: N6530MATERIAL: 64716
BOTTLE, PRESCRIPTION, 16 OUNCE (500 ML), SCREW CAP, PLASTIC, AMBER, 25
EACH PER BOX,
MCKESSON #639807
A) MINIMUM RELEASE QUANTITY: 15
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 1990 31/01/2025
8.00 Each GSIN: N6500MATERIAL: 64762
SPLITTER, CRUSHER, STORE, 3 IN 1, FOR TABLETS/PILLS,
MCKESSON (MANSFIELD) #20099
A) MINIMUM RELEASE QUANTITY: 2
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2000 31/01/2025
80.000 Box GSIN: N6515MATERIAL: 64763
SYSTEM, CRYOSURGICAL, HISTOFREEZER, ULTRA-PORTABLE,ONE-HANDED OPERATION,
TREATMENT TAKES 60 SECONDS, FOR WARTS, ACTINIC KERATOSES, SEBORRHEIC
KERATOSES, SKIN TAGS, AGE SPOTS, CONDYLOMA ACUMINATA, MOLLUSCUM
CONTAGIOSUM, CFC-FREE, OZONE FRIENDLY, 2 X 80 ML PER BOX,
PALADIN LABS/ORASURE (HISTOFREEZER) #2879100580
A) MINIMUM RELEASE QUANTITY: 20
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2010 31/01/2025
5.00 Each GSIN: N6530MATERIAL: 64767
BAG, INFUSER PRESSURE, DISPOSABLE, OVAL SHAPED BULB TO EASE INFLATION,
TRANSPARENT FRONT PANEL FOR VISUAL CHECK OF FLUIDS, EASY TO READ GAUGE,
SAFETY VALVE PREVENTS OVERINFLATION, LATEX FREE, 500 ML, 5 EACH PER BOX,
ETHOX (INFU-SURG) #ET4005
A) MINIMUM RELEASE QUANTITY: 5
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2020 31/01/2025
1.00 Each GSIN: N6515MATERIAL: 64789
SET, FILTERLINE, MONITORING, ACCESSORY, FOR INTUBATED PATIENTS,
ADULT/PEDIATRIC, 14 FT (400 CM) 25 PER BOX,
PHYSIO CONTROL (END-TIDAL CO2) #11996-000164
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2030 31/01/2025
1.00 Each GSIN: N6515MATERIAL: 64790
PAD, DEFIBRILLATOR, EXTERNAL, AUTOMATED, ADULT, QUICK COMBO, EDGE
PRECONNECT SYSTEM, REDI-PAK, FOR USE WITH LIFEPAK 12, LIFEPAK20E,
LIFEPAK 15, FOR MANUAL DEFIBRILLATOR/MONITOR, 42 IN LEADWIRE LENGTH,
PHYSIO CONTROL #11996-000017
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2040 31/01/2025
1.000 Box GSIN: N6515MATERIAL: 64875
TUBING, TRANSDUCER ARTERIAL LINE, DISPOSABLE, 3ML/HR FLUSH DEVICE, 4-WAY
STOPCOCKS FOR CONTINUOUS MONITORING, PATIENT-MOUNT, PRIMARY TUBE LENGTH
9 IN (23 CM), 10 UNITS PER BOX,
ARGON MEDICAL (ARGOTRANS) #041582505A
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2050 31/01/2025
1.00 Each GSIN: N6530MATERIAL: 64909
METER, PEAK FLOW, RECORDS OBJECTIVE PEAK EXPIRATORY FLOW, ASSISTS WHEN
TO ADD OR ADJUST MEDICATIONS, ENSURES PATIENT'S ASTHMA ACTION PLAN IS
WORKING, LEARN WHAT TRIGGERS ASTHMA SYMPTOMS, 50 PER CASE,
TRUDELL MEDICAL (TRUZONE) #60501070
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2060 31/01/2025
50.00 Each GSIN: N6515MATERIAL: 65182
MASK, FACE, DISPOSABLE, SINGLE USE, CRYSTAL CLEAR DOME FOR EASY
OBSERVATION OF PATIENT, VERY SOFT, ANATOMICALLY SHAPED CUFF ENABLING A
TIGHT SEAL WITH MINIMUM APPLIED PRESSURE, FLEXIBLE, SELF-EXPANDING DOME,
COMES WITH CHECK VALVE, POLYVINYLCHLORIDE MATERIAL, #00 PREEMIE, 20 PER
CASE,
AMBU ULTRASEAL #305 001 000
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2070 31/01/2025
20.00 Each GSIN: N6515MATERIAL: 65183
MASK, FACE, DISPOSABLE, SINGLE USE, CRYSTAL CLEAR DOME FOR EASY
OBSERVATION OF PATIENT, VERY SOFT, ANATOMICALLY SHAPED CUFF ENABLING A
TIGHT SEAL WITH MINIMUM APPLIED PRESSURE, FLEXIBLE, SELF-EXPANDING DOME,
COMES WITH CHECK VALVE, POLYVINYLCHLORIDE MATERIAL, #2-3 TODDLER,
20 PER CASE,
AMBU ULTRASEAL #000-252-083
A) MINIMUM RELEASE QUANTITY: 20
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2080 31/01/2025
20.00 Each GSIN: N6515MATERIAL: 65195
MASK, FACE, DISPOSABLE, SINGLE USE, CRYSTAL CLEAR DOME FOR EASY
OBSERVATION OF PATIENT, DOME HAS THUMB REST FOR EASY GRIP, SOFT, SHAPED,
AIRFILLED CUFF ALLOWS A TIGHT FIT TO THE FACE, COMES WITH HOOK RING,
COMES WITH CHECK VALVE, PHTHALATE-FREE MATERIAL, SIZE LARGE ADULT, 20
PER CASE,
AMBU #000 252 956
A) MINIMUM RELEASE QUANTITY: 20
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2090 31/01/2025
160.000 Set GSIN: N6515MATERIAL: 65760
NEEDLE SET, 25 MM X 15 GA STERILE ARROW EZ-IO NEEDLE, EZ-STABILIZER
DRESSING, EZ-CONNECT EXTENSION SET, PATIENT WRIST BAND, NEEDLE VISE 1
PORT SHARPS BLOCK, STAINLESS STEEL, ADULT, 5 NEEDLE SETS PER CASE,
ARROW EZ-IO #9001P
A) MINIMUM RELEASE QUANTITY: 40
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2100 31/01/2025
160.000 Set GSIN: N6515MATERIAL: 65761
NEEDLE SET, 15 MM X 15 GA STERILE ARROW EZ-IO NEEDLE, EZ-STABILIZER
DRESSING, EZ-CONNECT EXTENSION SET, PATIENT WRIST BAND, NEEDLE VISE 1
PORT SHARPS BLOCK, STAINLESS STEEL, PEDIATRIC, 5 NEEDLE SETS PER CASE,
ARROW EZ-IO #9018P
A) MINIMUM RELEASE QUANTITY: 40
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2110 31/01/2025
30.00 Each GSIN: N6515MATERIAL: 65860
AIRWAY, DISPOSABLE, LARYNGEAL TUBE, SEALS IN THE ESOPHAGUS AND
OROPHARYNX TO PROVIDE POSITIVE PRESSURE VENTILATION, CONNECTOR COLOR
TRANSPARENT, PATIENT CRITERIA LESS THAN 5 KG, CUFF VOLUME 10 ML,
EXTERNAL DIAMETER 9 MM, SUCTION CATHETER 10 FR, SINGLE INFLATION PORT,
DRAIN TUBE FOR GASTRIC AND SUCTION CATHETERS, PHTHALATE AND LATEX FREE
MATERIAL, SIZE 0, PEDIATRIC, 10 EA/CS,
AMBU KING (KING LTS-D) #KLTSD420
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2120 31/01/2025
30.00 Each GSIN: N6515MATERIAL: 65911
AIRWAY, DISPOSABLE, LARYNGEAL TUBE, SEALS IN THE ESOPHAGUS AND
OROPHARYNX TO PROVIDE POSITIVE PRESSURE VENTILATION, CONNECTOR COLOR
WHITE, PATIENT CRITERIA 5-12 KG, CUFF VOLUME 20 ML, EXTERNAL DIAMETER 9
MM, SUCTION CATHETER 10 FR, SINGLE INFLATION PORT, DRAIN TUBE FOR
GASTRIC AND SUCTION CATHETERS, PHTHALATE AND LATEX FREE MATERIAL,
SIZE 1, PEDIATRIC, 10 EA/CS,
AMBU KING (KING LTS-D) #KLTSD421
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2130 31/01/2025
40.00 Each GSIN: N6515MATERIAL: 65912
AIRWAY, DISPOSABLE, LARYNGEAL TUBE, SEALS IN THE ESOPHAGUS AND
OROPHARYNX TO PROVIDE POSITIVE PRESSURE VENTILATION, CONNECTOR COLOR
GREEN, PATIENT CRITERIA 12-25 KG, CUFF VOLUME 35 ML, EXTERNAL DIAMETER
14 MM, SUCTION CATHETER 16 FR, SINGLE INFLATION PORT, DRAIN TUBE FOR
GASTRIC AND SUCTION CATHETERS, PHTHALATE AND LATEX FREE MATERIAL,
SIZE 2, PEDIATRIC, 10 EA/CS,
AMBU KING (KING LTS-D) #KLTSD422
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2140 31/01/2025
40.00 Each GSIN: N6515MATERIAL: 65913
AIRWAY, DISPOSABLE, LARYNGEAL TUBE, SEALS IN THE ESOPHAGUS AND
OROPHARYNX TO PROVIDE POSITIVE PRESSURE VENTILATION, CONNECTOR COLOR
ORANGE, PATIENT CRITERIA 25-35 KG, CUFF VOLUME 40-45 ML, EXTERNAL
DIAMETER 14 MM, SUCTION CATHETER 16 FR, SINGLE INFLATION PORT, DRAIN
TUBE FOR GASTRIC AND SUCTION CATHETERS, PHTHALATE AND LATEX FREE
MATERIAL, SIZE 2.5, PEDIATRIC, 10 EA/CS,
AMBU KING (KING LTS-D) #KLTSD4225
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2150 31/01/2025
10.00 Each GSIN: N6515MATERIAL: 65914
AIRWAY, DISPOSABLE, LARYNGEAL TUBE, SEALS IN THE ESOPHAGUS AND
OROPHARYNX TO PROVIDE POSITIVE PRESSURE VENTILATION, CONNECTOR COLOR
YELLOW, PATIENT CRITERIA 4-5 FEET, CUFF VOLUME 50-60 ML, EXTERNAL
DIAMETER 17.6 MM, SUCTION CATHETER 18 FR, SINGLE INFLATION PORT, DRAIN
TUBE FOR GASTRIC AND SUCTION CATHETERS, PHTHALATE AND LATEX FREE
MATERIAL, SIZE 3, ADULT, 10 EA/CS,
AMBU KING (KING LTS-D) #KLTSD423
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2160 31/01/2025
30.00 Each GSIN: N6515MATERIAL: 65915
AIRWAY, DISPOSABLE, LARYNGEAL TUBE, SEALS IN THE ESOPHAGUS AND
OROPHARYNX TO PROVIDE POSITIVE PRESSURE VENTILATION, CONNECTOR COLOR
RED, PATIENT CRITERIA 5-6 FEET, CUFF VOLUME 70-80 ML, EXTERNAL DIAMETER
17.6 MM, SUCTION CATHETER 18 FR, SINGLE INFLATION PORT, DRAIN TUBE FOR
GASTRIC AND SUCTION CATHETERS, PHTHALATE AND LATEX FREE MATERIAL,
SIZE 4, ADULT, 10 EA/CS,
AMBU KING (KING LTS-D) #KLTSD424
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2170 31/01/2025
10.00 Each GSIN: N6515MATERIAL: 65916
AIRWAY, DISPOSABLE, LARYNGEAL TUBE, SEALS IN THE ESOPHAGUS AND
OROPHARYNX TO PROVIDE POSITIVE PRESSURE VENTILATION, CONNECTOR COLOR
PURPLE, PATIENT CRITERIA GREATER THAN 6 FEET, CUFF VOLUME 80-90 ML,
EXTERNAL DIAMETER 17.6 MM, SUCTION CATHETER 18 FR, SINGLE INFLATION
PORT, DRAIN TUBE FOR GASTRIC AND SUCTION CATHETERS, PHTHALATE AND LATEX
FREE MATERIAL, SIZE 5, ADULT, 10 EA/CS,
AMBU KING (KING LTS-D) #KLTSD425
A) MINIMUM RELEASE QUANTITY: 10
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2180 31/01/2025
24.000 Box GSIN: N6515MATERIAL: 66462
SUCTION DEVICE, ORAL AND NASAL, DESIGNED FOR SINGLE HANDED SUCTIONING,
THUMB PORT FOR INTERMITTENT SUCTIONING, 5 MM DIAMETER SOFT FLEXIBLE TIP
SIMILAR TO A BULB SYRINGE, 3 MM DIAMETER TIP OPENING, NOT MADE WITH
NATURAL RUBBER LATEX OR PLASITICIZER DEHP, LENGTH 120 MM, 50 PER BOX,
NEOTECH (LITTLE SUCKER) #N205 STANDARD
A) MINIMUM RELEASE QUANTITY: 12
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2190 31/01/2025
100.000 Set GSIN: N6515MATERIAL: 67142
NEEDLE SET, 45 MM X 15 GA STERILE ARROW EZ-IO NEEDLE, EZ-STABILIZER
DRESSING, EZ-CONNECT EXTENSION SET, PATIENT WRIST BAND, NEEDLE VISE 1
PORT SHARPS BLOCK, STAINLESS STEEL, ADULT, 5 NEEDLE SETS PER CASE,
ARROW EZ-IO #9079P-VC-005
A) MINIMUM RELEASE QUANTITY: 25
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2200 31/01/2025
10.00 Each GSIN: N6515MATERIAL: 67143
DRIVER, INTRAOSSEOUS VASCULAR ACCESS, SEALED LITHIUM, DIMENSIONS: 6.5 IN
X 4.5 IN X 2.5 IN (16.5CM X 11.4CM X 6.4CM), WEIGHT 11.1 OZ (315 GM),
ARROW EZ-IO DRIVER (TELEFLEX) #9058
A) MINIMUM RELEASE QUANTITY: 2
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2210 31/01/2025
50.00 Each GSIN: N6515MATERIAL: 68682
PUNCH, BIOPSY, DISPOSABLE, STERILE, SEAMLESS STAINLESS STEEL DESIGN,
RIBBED HANDLE TO PROVIDE COMFORT AND CONTROL, 4 MM, 50 PER CASE,
INTEGRA MILTEX #ML3334, CARDINAL HEALTH #33-34
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2220 31/01/2025
16.000 Box GSIN: N6640MATERIAL: 69023
MICROCUVETTES, WHITE BLOOD CELL COUNT, PLASTIC, 10uL, CUVETTE CAVITY
CONTAINS REAGENTS DEPOSITED ON ITS INNER WALLS AND THE BLOOD SAMPLE IS
DRAWN INTO THE CAVITY BY CAPILLARY ACTION AND MIXES WITH THE REAGENTS,
160 MICROCUVETTES (4 X 40) PER BOX<(>,<)>
HEMOCUE WBC #113003, STEVENS #039-113003
A) MINIMUM RELEASE QUANTITY: 4
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2230 31/01/2025
300.000 Package GSIN: N7920MATERIAL: 69768
CLEANER, HEMOCUE, FOR THE OPTRONIC UNIT OF SEVERAL HEMOCUE ANALYZERS,
SPONGE MADE OF POLYURETHANE FOAM, LINT AND FIBER FREE MATERIAL, HIGHLY
ABSORBENT, MOISTENED WITH A CLEANING SOLUTION, 5 PER PACKAGE,
HEMOCUE #139123, STEVENS #039-139123
A) MINIMUM RELEASE QUANTITY: 75
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2240 31/01/2025
160.000 Package GSIN: N7920MATERIAL: 69769
CLEANER, HEMOCUE PLUS, FOR THE OPTRONIC UNIT OF HEMOCUE WBC AND WBC DIFF
ANALYZERS, SPONGE MADE OF POLYURETHANE FOAM, LINT AND FIBER FREE
MATERIAL, HIGHLY ABSORBENT, MOISTENED WITH A CLEANING SOLUTION, 5 PER
PACKAGE,
HEMOCUE #139130, STEVENS #039-139130
A) MINIMUM RELEASE QUANTITY: 40
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2250 31/01/2025
160.000 Box GSIN: N6550MATERIAL: 69770
KIT, HEMOGLOBIN CONTROL, FOR USE WITH HEMOCUE B-HEMOGLOBIN AND HB 201
ANALYZER, LOW LEVEL, LEVEL 1, 2 X 1 ML PER BOX,
HEMOCUE (EUROTROL HEMOTROL) #171001002, STEVENS #039-171001002
A) MINIMUM RELEASE QUANTITY: 40
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2260 31/01/2025
120.000 Box GSIN: N6550MATERIAL: 69821
KIT, HEMOGLOBIN CONTROL, FOR USE WITH HEMOCUE B-HEMOGLOBIN AND HB 201
ANALYZER, NORMAL LEVEL, LEVEL 2, 2 X 1 ML PER BOX,
HEMOCUE (EUROTROL HEMOTROL) #171002002, STEVENS #039-171002002
A) MINIMUM RELEASE QUANTITY: 30
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2270 31/01/2025
120.000 Box GSIN: N6550MATERIAL: 69822
KIT, HEMOGLOBIN CONTROL, FOR USE WITH HEMOCUE B-HEMOGLOBIN AND HB 201
ANALYZER, HIGH LEVEL, LEVEL 3, 2 X 1 ML PER BOX,
HEMOCUE (EUROTROL HEMOTROL) #171003002, STEVENS #039-171003002
A) MINIMUM RELEASE QUANTITY: 30
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2280 31/01/2025
120.000 Package GSIN: N6640MATERIAL: 69903
WIPE, BIO-SCREEN HEAVY (ET) ABSORBENT LAB WIPE, NON-SLIP, BRIGHT ORANGE
BIO-HAZARD WARNING COLOR, NON-STERILE, 3 INCH X 3 INCH, 200 PER PACKAGE,
10 PACKAGES PER CASE,
ESBE SCIENTIFIC #CUT-BH32000
A) MINIMUM RELEASE QUANTITY: 20
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2290 31/01/2025
28.000 Package GSIN: N6505MATERIAL: 69905
CONTROL, QUANTIFY PLUS URINE, HEMTRN URINE CHEMISTRY, PREGNANCY CONTROL
(HCG), RAPID TESTING 2 LEVELS, 10 X 12 ML,
BIO-RAD LABORATORIES #995
A) MINIMUM RELEASE QUANTITY:
7
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2300 31/01/2025
12.000 Bottle GSIN: N6840MATERIAL: 69906
DISINFECTANT, ULTRASOUND PROBE, FOR TROPHON EPR DISINFECTION SYSTEM,
CONCONTAINS A PROPRIETARY SOLUTION OF 35 PERCENT HYDROGEN PEROXIDE, 240
CYCLES, 80 ML BOTTLE, 6 BOTTLES PER BOX,
GE HEALTHCARE (TROPHON SONEX-HL) #E8350MC
A) MINIMUM RELEASE QUANTITY: 6
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2310 31/01/2025
150.00 Each GSIN: N6515MATERIAL: 70179
AIRWAY, I-GEL SUPRAGLOTTIC, 15 MM CONNECTOR, CLEAR, NEONATE, PINK,
INCLUDES CONFIRMATION OF SIZE AND WEIGHT GUIDANCE, INTEGRAL BITE BLOCK,
BUCCAL CAVITY STABILIZER, EPIGLOTTIC REST, NON-INFLATABLE CUFF, SIZE 1,
10 PER BOX,
INTERSURGICAL #8201000
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2320 31/01/2025
150.00 Each GSIN: N6515MATERIAL: 70180
AIRWAY, I-GEL SUPRAGLOTTIC, 15 MM CONNECTOR, PROXIMAL END OF GASTRIC
CHANNEL, INCLUDES CONFIRMATION OF SIZE AND WEIGHT GUIDANCE, INTEGRAL
BITE BLOCK, BUCCAL CAVITY STABILIZER, EPIGLOTTIC REST, NON-INFLATABLE
CUFF, SIZE 1.5, INFANT, 10 PER BOX,
INTERSURGICAL #8215000
A) MINIMUM RELEASE QUANTITY: 50
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2330 31/01/2025
160.00 Each GSIN: N6515MATERIAL: 70201
AIRWAY, I-GEL SUPRAGLOTTIC, 15 MM CONNECTOR, PROXIMAL END OF GASTRIC
CHANNEL, INCLUDES CONFIRMATION OF SIZE AND WEIGHT GUIDANCE, INTEGRAL
BITE BLOCK, BUCCAL CAVITY STABILIZER, EPIGLOTTIC REST, NON-INFLATABLE
CUFF, SIZE 2, SMALL PAEDIATRIC, 10 PER BOX,
INTERSURGICAL #8202000
A) MINIMUM RELEASE QUANTITY: 40
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2340 31/01/2025
120.00 Each GSIN: N6515MATERIAL: 70202
AIRWAY, I-GEL SUPRAGLOTTIC, 15 MM CONNECTOR, PROXIMAL END OF GASTRIC
CHANNEL, INCLUDES CONFIRMATION OF SIZE AND WEIGHT GUIDANCE, INTEGRAL
BITE BLOCK, BUCCAL CAVITY STABILIZER, EPIGLOTTIC REST, NON-INFLATABLE
CUFF, SIZE 2.5, LARGE PAEDIATRIC, 10 PER BOX,
INTERSURGICAL #8225000
A) MINIMUM RELEASE QUANTITY: 20
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2350 31/01/2025
80.00 Each GSIN: N6515MATERIAL: 70203
AIRWAY, I-GEL SUPRAGLOTTIC, 15 MM CONNECTOR, PROXIMAL END OF GASTRIC
CHANNEL, INCLUDES CONFIRMATION OF SIZE AND WEIGHT GUIDANCE, INTEGRAL
BITE BLOCK, BUCCAL CAVITY STABILIZER, EPIGLOTTIC REST, NON-INFLATABLE
CUFF, SIZE 3, SMALL ADULT, 25 PER BOX,
INTERSURGICAL #8203000
A) MINIMUM RELEASE QUANTITY: 20
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2360 31/01/2025
130.00 Each GSIN: N6515MATERIAL: 70204
AIRWAY, I-GEL SUPRAGLOTTIC, 15 MM CONNECTOR, PROXIMAL END OF GASTRIC
CHANNEL, INCLUDES CONFIRMATION OF SIZE AND WEIGHT GUIDANCE, INTEGRAL
BITE BLOCK, BUCCAL CAVITY STABILIZER, EPIGLOTTIC REST, NON-INFLATABLE
CUFF, SIZE 4, MEDIUM ADULT, 25 PER BOX,
INTERSURGICAL #8204000
A) MINIMUM RELEASE QUANTITY: 30
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2370 31/01/2025
100.00 Each GSIN: N6515MATERIAL: 70205
AIRWAY, I-GEL SUPRAGLOTTIC, 15 MM CONNECTOR, PROXIMAL END OF GASTRIC
CHANNEL, INCLUDES CONFIRMATION OF SIZE AND WEIGHT GUIDANCE, INTEGRAL
BITE BLOCK, BUCCAL CAVITY STABILIZER, EPIGLOTTIC REST, NON-INFLATABLE
CUFF, SIZE 5, LARGE ADULT, 25 PER BOX,
INTERSURGICAL #8205000
A) MINIMUM RELEASE QUANTITY: 30
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2380 31/01/2025
400.00 Each GSIN: N6515MATERIAL: 70218
DEVICE, MAD NASAL INTRANSAL MUCOSAL ATOMIZATION, SOFT, CONICAL PLUG ON
THE TIP FORMS A SEAL WITH THE NOSTRIL, PREVENTING EXPULSION OF FLUID,
RAPID ABSORPTION, PAINLESS, CONTROLLED ADMINISTRATION, 25 PER BOX,
TELEFLEX (LMA MAD) #MAD300
A) MINIMUM RELEASE QUANTITY: 100
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2390 31/01/2025
280.000 Box GSIN: N6550MATERIAL: 71496
TEST STRIPS, BLOOD GLUCOSE, FOR USE WITH VERIO REFLECT BLOOD GLUCOSE
METER SYSTEMS, 100 STRIPS PER BOX,
NO SUBSTITUTE,
MCKESSON #047268
A) MINIMUM RELEASE QUANTITY: 70
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2400 31/01/2025
4.00 Each GSIN: N6515MATERIAL: 71603
TUBE, TRACHEOSTOMY, CUFFED, BLUE LINE ULTRA SUCTIONAID, SIZE 7.0 (7.0
MM) (70 MM LENGTH), HAS THE ABILITY TO REMOVE SECRETIONS ABOVE THE CUFF,
THERMOSENSITIVE PVC, RADIOPAQUE TUBE, WITH SOFT-SEAL CUFF, 10 PER CASE
SMITHS MEDICAL (PORTEX) #100/860/070
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2410 31/01/2025
4.00 Each GSIN: N6515MATERIAL: 71611
TUBE, TRACHEOSTOMY, KIT, SIZE 7.0MM, CUFFED, BLUE LINE, INNER CANNULA,
CLEANING BRUSH AND TUBE HOLDER, THERMOSENSITIVE PVC,
PORTEX (SUCTIONAID) #100/856/070
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2420 31/01/2025
100.000 Box GSIN: N6515MATERIAL: 75883
STAPLER, MEDICAL, SKIN, VISTA, ANGLED HEAD, 35MM WIDE, DISPOSIBLE,
STERILE, SHORT TRIGGER STROKE, STAPLE PREVIEW POSITION PROVIDES
EXCELLENT STAPLE VISIBILITY FOR A RELIABLE USE, 6 EACH PER BOX,
3M (PRECISE) #3M3997
A) MINIMUM RELEASE QUANTITY: 12
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2430 31/01/2025
10.000 Box GSIN: N6515MATERIAL: 76047
CATHETER, CLOSED I.V., SINGLE PORT, BD VIALON BIOMATERIAL, HAS BD
INSTAFLASH NEEDLE TECHNOLOGY, BUILT-IN STABILIZATION PLATFORM AND HIGH
PRESSURE EXTENSION SET, 22G X 1.00 IN (0.9MM X 25MM), FLOW RATE 1980
ML/HR, CATHETER OD 0.0340 IN - 0.0370 IN (0.86-0.93MM), CATHETER ID
0.0250 IN - 0.0280 IN (0.63-0.71MM), BLUE, 20 PER BOX,
BECTON DICKINSON (NEXIVA) #383512
A) MINIMUM RELEASE QUANTITY: 2
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2440 31/01/2025
10.000 Box GSIN: N6515MATERIAL: 76048
CATHETER, CLOSED I.V., SINGLE PORT, BD VIALON BIOMATERIAL, HAS BD
INSTAFLASH NEEDLE TECHNOLOGY, BUILT-IN STABILIZATION PLATFORM AND HIGH
PRESSURE EXTENSION SET, 24G X 0.75 IN (0.7MM X 19MM), FLOW RATE 1080
ML/HR, CATHETER OD 0.0265 IN - 0.0295 IN (0.67-0.74MM), CATHETER ID
0.0195 IN - 0.0225 IN (0.49-0.57MM), YELLOW, 20 PER BOX,
BECTON DICKINSON (NEXIVA) #383511
A) MINIMUM RELEASE QUANTITY: 2
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2450 31/01/2025
10.000 Box GSIN: N6515MATERIAL: 76049
CATHETER, CLOSED I.V., SINGLE PORT, BD VIALON BIOMATERIAL, HAS BD
INSTAFLASH NEEDLE TECHNOLOGY, BUILT-IN STABILIZATION PLATFORM AND HIGH
PRESSURE EXTENSION SET, 24G X 0.56 IN (0.7MM X 14MM), FLOW RATE 1140
ML/HR, CATHETER OD 0.0265 IN - 0.0295 IN (0.67-0.74MM), CATHETER ID
0.0195 IN - 0.0225 IN (0.49-0.57MM), YELLOW, 20 PER BOX,
BECTON DICKINSON (NEXIVA) #383510
A) MINIMUM RELEASE QUANTITY: 2
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
ITEM 2460 31/01/2025
110.000 Box GSIN: N6510MATERIAL: 76172
DRESSING, IV, TRANSPARENT, 2 1/2 INCH X 2 3/4 INCH, FOR USE WITH NEXIVA
CATHETHER SYSTEM, HYPOALLERGENIC, LATEX-FREE, WATERPROOF, EASY TO APPLY
AND REMOVE, STAYS ON SKIN FOR LONG PERIODS OF TIME WITHOUT SKIN
IRRITATION OR MACERATION, 100/BOX,
3M (TEGADERM) #9525HP
A) MINIMUM RELEASE QUANTITY: 2
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____
Please indicate:
Manufacturer Name __________________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Identify:
Product package quantity _______________
Case quantity _________________________
Medical Device License # (if applicable)
________________________________
Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.
Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ February 1, 2023 to January 31, 2024
Year 2 $ _____________ February 1, 2024 to January 31, 2025
========================================================
GENERAL INFORMATION:
The Government of Manitoba (Manitoba) is requesting submissions from
interested Bidders in order to establish a Contract/Agreement between
the successful Bidder(s) and MDA for a 2 year term contract.
Requested quotations to be submitted per the outlined process and
requirements and provide Manitoba with detailed features, costs and
delivery capabilities for the specified goods and/or services.
It is the intent of the Procurement Supply Chain (PSC) to award this
tender to the least number of Bidders able to provide the goods and/or
services in the most convenient and cost-effective manner.
DEFINITIONS:
"BID" - Refers to the Bidder's bid/quotation or offer submitted in
response to the RFQ.
"BIDDER" - Refers to the person who or Company which obtains a copy of
the RFQ for the purpose of submitting a bid/quotation or offer to
provide the goods and/or services.
"CONTRACT" - Refers to the Value Contract issued to the Vendor as the
award document.
"MANITOBA" - Refers to the Government of Manitoba or the purchaser of a
department or branch of the Government of Manitoba that requires the
goods and/or services listed in the RFQ.
"MDA" - Refers to Materials Distribution Agency, a Special Operating
Agency.
"MINIMUM QUANTITY" - Refers to the smallest quantity that MDA will
release.
"PSB" - Refers to Procurement Services Branch that has issued the RFQ
and is listed in the RFQ document.
"RELEASE ORDER" - Refers to a specific Release Purchase Order document
issued by MDA to the Vendor to order product from the Contract.
"RFQ" - Request for Quotation or tender are defined as the tender
document to request pricing to provide the goods and/or services listed
therein.
VENDOR - Refers to the person who or Company which will provide the
goods and/or services as the successful Bidder.
SPECIAL NOTE:
Bidders to quote a single price for each item offered.
Bidders may quote on one or more of the approved products listed,
however, Bidders shall quote only one price for each approved
(brand/manufacturer) product listed.
Bidders not detailing lead-times (refer below) may result in that
items(s) being rejected from their quotation.
Bidders offering items which deviate from the requested pack size, case
quantity, etc. must detail the deviations on the return tender.
Pricing unit must be the same as requested (i.e. per package, per case,
etc.).
If your pricing is based on a different unit than requested, you must
the clearly identify the change on that item offered.
The words "must" "shall" and "will" mean a requirement is mandatory and
must be met in order for the bid to receive consideration.
BIDDER ASSISTANCE:
The Bidder shall assign a "Dedicated Service Representative(s)" to
supply information and act as contact person through the term of the
agreement. Manitoba will assign a counterpart.
It should be clearly understood that the Bidder's service
representative(s) would deal with the assigned Manitoba contact
person(s).
Bidder shall provide contact names and telephone numbers for the
following:
Contact Person: ________________________________________________
Telephone Number: _________________
E-Mail Address: ________________________________________________
BIDS:
Bids are requested from competing Bidders in accordance with Manitoba
policies. Manitoba reserves the right to revise/cancel RFQ's as well as
accept/reject bids either in whole or in part, whichever is in the best
interests of Manitoba. Lowest or any bid not necessarily accepted.
Bids must be submitted on the form provided unless otherwise stipulated
or as directed. Failure to complete the bid submission or include all
information and documents requested may result in rejection of a bid
submission.
All bid submissions should be prepared in a legible manner. Non legible
bids may result in rejection of your bid submission.
Bids shall be considered firm until awarded, unless otherwise indicated.
Any exchange of information with Manitoba personnel prior to the
issuance of an RFQ is not a valid response to the RFQ and shall not be
considered.
IRREVOCABILITY OF QUOTATION:
By submission of a clear and detailed written or facsimile notice to
Manitoba, the Bidder may amend or withdraw its quotation without penalty
prior to the closing date and time. Upon closing time, all quotations
become irrevocable.
ACCEPTANCE OF BID CONDITIONS:
A Bidder should clearly understand, by submitting a bid agrees, that its
bid or any part of its bid is subject to the following conditions, in
addition to any other terms and conditions set out in the RFQ.
No bid will be considered from a Bidder where Manitoba, in its sole
discretion, determines that a potential conflict of interest exists. No
bid will be considered that is in any way conditional or that proposes
to impose conditions on Manitoba that are inconsistent with the
requirements of the RF Q and the terms and conditions stipulated
therein.
The submission of a bid, the receipt of a bid by Manitoba and the
opening of a bid, or any one of those, does not constitute acceptance,
in any way whatsoever.
ALTERATIONS/QUALIFICATIONS OF BIDS:
No bid shall be altered, amended or withdrawn after the specified
closing date and time. Manitoba issuing the RFQ is the sole agency
empowered to negotiate or alter any term, condition or stipulation of
the bid and/or any subsequent award or event arising there from.
Any terms, conditions, or stipulated qualifications on bid submission
that is contrary to, or inconsistent with the RFQ documents, may be a
cause for rejection.
Bidders are cautioned to avoid making deviations and exceptions to the
terms and conditions of the bid documents which may result in rejection
of their bid.
GENERAL AWARD INFORMATION:
No award may result from this RFQ process. If this RFQ process results
in an award, then Manitoba reserves the right to award any Contract/
Agreement, in whole or in part, and may accept goods and/or services
from one or more Bidders in such quantities as shall be advantageous to
Manitoba.
Pricing will be a consideration on individual items but preference maybe
given to overall pricing for groups of items consolidated for shipping
and receiving at the facility. The lowest price on any item will not
necessarily be accepted.
Volume of items will be considered. Items will be consolidated to allow
for reasonable delivery quantities.
Past performance of vendors and quality of product will be considered.
AUTHORIZED VENDOR:
Manitoba reserves the right, prior to any contract award, to secure
evidence to Manitoba's satisfaction that the Bidder is the manufacturer,
authorized distributor, dealer or retailer of the goods offered and is
authorized to sell, service and warranty these goods in Manitoba, Canada
and upon request will provide Manitoba with written evidence thereof.
Manitoba also reserves the right to secure evidence to Manitoba's
satisfaction that any Bidder is able to provide the goods or services
and to require the successful Bidder to furnish security, free of any
expense to Manitoba, to guarantee faithful performance of the contract.
The bidder warrants that there are no patents, trademarks or other
rights restricting use, repair or replacement of the material furnished
or any part thereof and hereby agrees to indemnify and save harmless the
Province of Manitoba, its employees and agents from and against all
claims, demands, losses, costs, damages actions, suits or other
proceedings by whomsoever made, filed or prosecuted in any manner by
reason of such use, repair or replacement of the materials being a
violation of any patent, trademark or other right.
TENDER EVALUATION:
Generally the lowest overall price of an item(s) in accordance with the
terms & conditions of the RFQ will be awarded the contract. However,
other factors as stipulated below will be considered when awarding a
contract (in no particular order).
Tenders will be evaluated based on:
i) ,,Products approved by MDA for their use<(>,<)>
ii) ,,Product offered compared to product description/specifications
requested;
iii) Delivery lead-times;
iv) ,,Price;
v) ,,Quality of the Bidder's performance in past awards;
vi) ,,Quality of the proposed products in past awards;
vii) Return and refund policies; and
viii)Any other terms & conditions indicated on this RFQ.
Failure to provide adequate information to evaluate the item offered may
be cause for rejection of your quote by the Manitoba Government
(Manitoba).
Like items or items that need to be compatible will be considered as a
"group" for price comparison and/or award purposes.
Each product offered will be considered individually which may result in
more than one award created from this RFQ. However, the intent is to
award this RFQ to one vendor in total, if possible with economic benefit
to Manitoba, therefore Bidders should quote on all items if possible.
Economic evaluation will be at Manitoba's sole discretion.
CONTRACT TERM:
To be delivered on an "as and when requested" basis for a
2 year term contract from:
February 1, 2023 to January 31, 2025.
Any unused portion at of the end of the contract period will be
considered cancelled.
FIRM PRICING:
Bidders offering prices "subject to change without notice" or "in effect
at time of shipment" will be rejected outright. Preference will be
given to suppliers offering firm pricing.
Bidder shall quote firm pricing for year 1 and year 2 for each line
item.
Is pricing firm for the duration of the contract term?
Yes _____ No _____ Initial__________
If No, please indicate "prices firm until" date: _____________________
Cost increase substantiation must be in the form of an original,
photocopy or facsimile of a letter from the appropriate
manufacturer/governing body identifying the reason for increase,
percentage increase, as well as the effective date.
Price increases shall not exceed the percentage passed on by the
manufacturer/governing body, and will be applicable only to the
percentage of true raw material costs. Any notification of price change
must reference the applicable agreement number and line item number(s).
Unless otherwise stipulated in writing, all submitted pricing shall
represent the total cost to Manitoba including all duties, shipping,
crating, packing, storage, delivery and handling charges.
QUALITY / ACCEPTABILITY:
Any product supplied must be new, unused, first quality.
All goods delivered are subject to inspection prior to delivery
acceptance. Signing of any delivery slip should not be construed as
acceptance of the product delivered.
Manitoba reserves the right to reject any product, after final
inspection that does not meet the specification or product description
requested.
Manitoba reserves the right to reject any product supplied which, upon
inspection or use, is deemed by the using department to be unacceptable
for their intended use.
Products shall be supplied as specified on the contract/purchase order.
Any substitutes shipped without prior written approval will be rejected
at time of delivery or held at shipper's risk pending return
instructions. Products rejected by the using department will be
returned to the Vendor for full credit or replacement product at no cost
to Manitoba or the contract may be cancelled.
If additional information is required and/or for approval of alternative
products please call the Contact at the phone number indicated above.
If an alternative product is offered, product description (including
illustrated literature if available) and manufacturers name and product
number as well as your product reference number (if applicable) to be
shown for each item offered
Product offered should be the most current product, however non-current
might be considered if the product is new and unused. Any alternative
product offered which has not been recently evaluated and approved might
not be accepted for this quote.
HEALTH CANADA MEDICAL DEVICES REGULATION:
Health Canada Medical Devices Regulation Schedule No.1101 (May 7/98)
established new regulatory requirements for the sale of medical devices
in Canada.
Please indicate your Health Canada Establishment License Number.#
______________________
If applicable please indicate, for each product offered, the Health
Canada Medical Device License # and/or ID#.
PRODUCTS/BRANDS:
Please note any old or discontinued manufacturer's product numbers to
allow us to keep our descriptions current.
Brand names, where shown, are for reference purposes only and are not
intended as endorsement of a particular product. Some approved products
listed may not be acceptable for use by one or more facilities.
Alternate products offered, which have not been previously tested and
approved, may not be accepted for this tender.
Substitutes shipped without prior written approval will be held at
shippers risk pending return instructions.
Any substitute/alternative product supplied which upon inspection or
use, is deemed by the using department to be unacceptable for their use
will be returned for full credit or replacement at no cost to Manitoba
or the contract may be cancelled.
Vendor shall supply items with the longest shelf life available from the
date of the Release Order. Expiry dates on products must be at least 18
months from time of shipment, unless authorized by MDA.
Any product supplied which upon inspection or use, is deemed by MDA to
be defective will be returned to the Vendor for replacement. All costs
related to the return and replacement of the defective product to be the
responsibility of the Vendor.
Vendor must respond to defective product concerns within 48 hours of
receiving faxed documentation from MDA.
Yes _____ No _____ Initial__________
Vendor must notify MDA immediately in writing (by fax/e-mail) of any
known defective product(s) or product recall(s) related to the
product(s) the Vendor has shipped to MDA or to MDA's clients to avoid
release of said product to MDA's end users.
Yes _____ No _____ Initial__________
Bidders MUST indicate the following information for each item offered:
Manufacturer Name: __________________________
Brand Name: _________________________________
Manufacturer Stock Number: ___________________
Vendor Stock Number: _________________________
Identify Product package quantity: _______________
Case quantity: _________________________
Medical Device License # (if applicable):
________________________________
SAMPLE PRODUCTS:
Bidders may be required to provide samples as part of the evaluation
process. Manitoba will notify the Bidder(s) when samples may be
required. Samples shall be supplied at no charge and delivered FOB
Destination Freight Prepaid to WINNIPEG, MANITOBA.
ALTERNATE PRODUCTS:
Alternate products may be considered but may require testing prior to
purchase. Vendors wishing to offer alternative product for future
tenders are invited to submit samples for long term testing and
evaluation by contacting MDA. All samples become the property of MDA
and will not be returned.
MDA CONTACT PERSON:
TRACEY SAVOIE
Purchasing Coordinator
Telephone: (204) 945-1255
Email: tracey.savoie@gov.mb.ca
ENVIRONMENTALLY PREFERABLE PRODUCTS:
Manitoba generally awards the bid to the lowest "overall" price of an
acceptable product, however, preference may be given to products which
are "more environmentally preferable" and support Manitoba's Sustainable
Development Procurement Guidelines.
Product pricing may be only one of the components to be considered in
the overall evaluation of "environmentally preferable products".
Examples of "Environmentally Preferable Products" are as follows:
PACKAGING - Preference may be given to products which use less
packaging, packaging containing recycled content or packaging which can
be recycled etc. (providing the packaging still provides proper and
adequate protection to the product offered for sale). Bidders shall
provide details regarding the packaging, if applicable, for each item
offered.
PRODUCTS, RECYCLED OR RECYCLABLE - Preference may be given to products
containing recycled content or which may be recycled.
Bidders should provide details regarding the percentage of "Total
Recycled Content" and "Post Consumer Waste Content" (if applicable) for
each item offered.
"TOTAL RECYCLED CONTENT" - means the percentage of all recycled
materials including manufacturer's trimmings, cuttings, overruns and
"post consumer waste".
"POST CONSUMER WASTE CONTENT" - means that proportion of recycled
material that has been sold to a consumer and collected after their use
in a recycling program, e.g. used aluminum cans etc.
PRODUCTS, MORE ENVIRONMENTALLY PREFERABLE - Preference may be given to
products which generally meet or exceed the above specifications and can
demonstrate satisfaction in relation to the end users requirements.
These products will be classified more environmentally preferable
through a recognized certification program.
REPLACEMENT PRODUCTS - Manitoba may be interested in "replacement" or
"alternative types" of products which can be proven to be "more
environmentally preferable" compared to those products specified above.
Bidders are encouraged to provide complete details of possible
replacement products.
At Manitoba's discretion any "Environmentally Preferable Products"
offered may be:
a) Accepted for this tender, or
b) Not accepted for this tender, or
c) Not accepted for this tender but considered for future study/use.
See the Province of Manitoba's Sustainable Development Act (Chapter 270)
at:
http://web2.gov.mb.ca/laws/statutes/ccsm/s270e.php
QUANTITY/ITEM RELEASES:
The Vendor is not to ship any item until a separate Release Order has
been placed by fax or mail.
Release Orders for items may be placed at any time during the period of
this contract and in various quantities.
The term "minimum quantity" means the smallest quantity that MDA will
release.
Release Orders to be shipped complete by line item, unless otherwise
approved and/or requested by MDA prior to shipping.
Vendor to accept Release Orders consisting of items from multiple
contracts to reach the Vendor's minimum order requirements.
MDA will fax the "Acknowledgement of Release Order" and the "Release
Order" to the Vendor. The Vendor must respond by signing and returning
MDA's acknowledgement of release order within "48 hours" to confirm that
the Release Order was received.
The quantities shown are the estimated annual quantities only and to be
used for evaluation purposes only and are not a guarantee of business.
The Contract Value shown as Target Value represents the total estimated
value for the contract term.
MDA will not issue Release Orders for less than the minimum quantity
shown for each item. The minimum release quantities must be available
within the lead time you have specified for each item.
Minimum release quantities will be shown for each item. Minimum release
quantities may be adjusted to reflect full case quantities if necessary
by contacting MDA prior to delivery.
MDA reserves the right to change quantities on a Release Order, if
required, or to cancel an individual Release Order in part or in total
if necessitated by program changes/client demand or Vendor failing to
deliver products within tender stated time frames.
FOB/FREIGHT:
To be delivered FOB DESTINATION FREIGHT PREPAID TO:
MATERIALS DISTRIBUTION AGENCY
RECEIVING DOOR #10
1715 ST JAMES STREET
WINNIPEG, MANITOBA R3H 1H3
The unit prices quoted above shall include all necessary charges,
freight, insurance, handling etc. to show a total landed cost. If any
charges are not included please explain in detail any/all charges which
will be extra to the unit prices quoted and will be charged on the
invoice.
Is there a minimum order/shipment value required to receive FOB
Destination Freight Prepaid pricing?
Yes ____ No _____ Initial __________
If Yes, indicate the minimum order/shipment value $_________________
Should an order be placed under the minimum order/shipment value, is a
delivery charge applicable?
Yes ____ No _____ Initial __________
If Yes, identify the delivery charge: $__________________________
Freight charges will not be allowed on back order quantities.
DELIVERY:
Deliveries to MDA will be accepted Monday to Friday between the hours
of: 8:00 AM to 3:00 PM.
Vendor must notify MDA immediately in writing (by fax) of any delays of
scheduled shipments.
Shipments are considered to be delayed if the delivery time is greater
than the lead time indicated for each item on the contract.
Vendor must respond to late shipment inquires within 48 hours of
receiving faxed documentation from MDA.
Failing this Manitoba reserves the right to either purchase elsewhere
and charge the Vendor for any loss incurred thereon, and/or cancel the
Contract.
The products listed will be ordered in the minimum quantities (or
possibly greater) as shown after each item and the Vendor must ship the
required quantities within the lead time as indicated on the
tender/contract.
Delivery must occur within the time stated on the Contract unless a
deferred shipment is arranged with MDA in writing. Failing this
Manitoba reserves the right to either purchase elsewhere, charge the
Vendor for any loss incurred thereon, and/or cancel the Contract.
LEAD TIMES:
Bidders shall indicate lead time in number of calendar days for delivery
of each product offered.
When calculating lead time, bidders should take into consideration all
delivery components such as; your order desk requirements, delivery
practices, if the item is from your stock etc. If the item must come
from your manufacturer/distributor then include the
manufacturer/carrier's shipping times in your calculation.
Bidder should indicate a lead time for the minimum release quantity.
Please show lead time as a specific number, not a range (e.g. 3 days or
5 days, not 3-5 days).
Lead time will be a factor for consideration in the tender evaluation.
Lead times indicated are to be calculated from the date/time that a
Purchase Order is issued (faxed) to the time the goods will be received
at MDA or MDA's client destination.
Deliveries will be monitored therefore lead times must be accurately
reflected for each item.
TIME OF ESSENCE:
Time shall be of essence hereof. Failure to meet the delivery time (i.e.
lead time) indicated on the Contract may result in the cancellation of
the Contract item and any outstanding Contract Release Orders.
INSPECTION:
Final inspection and acceptance or rejection of the goods will be made
promptly as practicable, but failure to inspect and accept or reject
goods promptly does not mean that the Manitoba Government has accepted
these goods.
The Government of Manitoba reserves the right to inspect the goods for
up to 90 days after the date of delivery.
Yes ____ No _____ Initial __________
Partial acceptance of rejection of an order does not release the Bidder
from its responsibility to complete the order.
PACKAGING:
All goods must be packed or crated suitable for protection in storage or
shipment.
If pallets required, pallet size to be 42 inches width by 48 inches
depth, loaded to a maximum height of 53 inches.
All goods delivered must be suitably marked with proper documentation
such as packing slip, contract number, etc.
RESTOCKING CHARGES:
Restocking charges to MDA must be shown (if applicable); restocking
charge will be ________%.
Please indicate the amount of notice (number of days) that MDA must
provide in order to cancel a Release Order without being subject to any
restocking charges. Restocking charges do not apply if Release Order
cancelled with _________ days notice.
RETURNS / REFUNDS:
Any product supplied deemed unacceptable by the end-user/customer will
be immediately replaced with new product/unit at no charge to MDA?
Yes ____ No _____ Initial __________
MDA requires complete details of your Return/Replacement/Refund Policy.
The Bidder shall identify the exact detail as to what is covered in
terms of responsibility for repair/replacement/refund of product:
________________________________________________________________
________________________________________________________________
________________________________________________________________
Any/All costs associated with the return/replacement/refund of defective
products will be the responsibility of the vendor?
Yes ____ No _____ Initial __________
All defective products are requested to be replaced within seven (7)
calendar days of notification/request.
Yes ____ No _____ Initial __________
If seven (7) calendar days is not sufficient time for replacement, the
Bidder shall state the number of days required: ______________
Goods ordered in error will be returned to the Vendor, Freight Prepaid
by Manitoba.
WARRANTY:
Bidders shall ensure that Manitoba receives the manufacturer's warranty
for the goods purchased. Bidder shall indicate the warranty for each
item offered (if applicable) in: _____ Days; _____ Months; _____ Years.
Notwithstanding any manufacturers' warranties (which are to be supplied
where applicable), all goods must be warranted to be free of defects in
workmanship and materials for a suitable period of time consistent with
the nature of the goods.
Despite anything in the RFQ, if a defect is not corrected during the
Warranty Period within a reasonable time frame, Manitoba may reject the
goods. If the goods are rejected the Vendor must:
a) Remove the goods, at its expense and risk within a reasonable time
frame after notification that the goods have been rejected; and
b) Immediately, at Manitoba's option, either replace the goods, or if
applicable issue a credit or refund to Manitoba for all monies paid.
If the warranty period is not the same for all items offered then
indicate the warranty on a product by product basis.
Vendor to address warranty issues within 48 hours of receiving faxed
documentation from MDA.
Yes ____ No _____ Initial __________
Vendor must provide copy(s) of warranty documentation to MDA on request,
after the contract is awarded.
INDIGENOUS BUSINESS STANDARD FOR "GOODS WITH RELATED SERVICES"
DEFINITIONS:
"Indigenous Business" means a business that is at least 51% Indigenous
owned and controlled and, if it has six or more full-time employees, at
least one-third of its employees must be Indigenous persons.
"Indigenous Business Directory" means a business directory of Indigenous
businesses that meet Manitoba's definition of an Indigenous business.
'Indigenous Business Standard" means terms and conditions that indicate
that Indigenous business participation is desirable but not mandatory.
"Indigenous Person" means a First Nations, Non-status Indian, Métis or
Inuit person who is a Canadian citizen and resident of Canada.
INDIGENOUS PROCUREMENT INITIATIVE:
Manitoba is committed to community economic development as a key
component of its economic strategy. It intends to develop a provincial
economy that is more inclusive, equitable and sustainable.
Procurement practices are one means that can be used to contribute to
the growth of Indigenous businesses. In that regard, Manitoba developed
the Indigenous Procurement Initiative (IPI). The objective of IPI is to
increase the participation of Indigenous businesses in providing goods
and services to Manitoba.
INDIGENOUS BUSINESS STANDARD:
Indigenous participation is desired but bids will not be disqualified if
there is no Indigenous business participation.
INDIGENOUS BUSINESS DIRECTORY:
Manitoba has established a directory of Indigenous businesses called the
"Indigenous Business Directory". This directory is a list of Indigenous
businesses (including non profit organizations and economic development
corporations) that have self declared as an Indigenous Business meeting
that definition under the IPI. It is neither comprehensive nor
exhaustive but may be a useful resource to identifying Indigenous
businesses for potential partnering or sub-contracting purposes.
Indigenous businesses not listed in the Directory may also be used.
Registration in the Indigenous Business Directory does not guarantee
certification as an Indigenous business, as business status may change;
therefore formal certification is required in the formal tender process.
Indigenous businesses are encouraged to register by contacting
Procurement Services Branch.
For further information on the Indigenous Business Directory<(>,<)>
registration forms and access to a copy of the Indigenous Business
Directory please see the following website:
http://www.gov.mb.ca/finance/psb/api/api bd.html or contact:
Manitoba Labour, Consumer Protection and Government Services
Procurement and Supply Chain (PSC)
600 - 352 Donald Street
Winnipeg, Manitoba
R3B 2H8
Ph: 204-945-6361
For all other general inquiries related to this tender opportunity<(>
,<)>
please contact the name of the individual(s) identified on page one of
this tender document.
ASSIGNMENT:
The Bidder shall have sole responsibility for the quality, liability,
coordination and completion of all work outlined in this endeavor.
Manitoba considers the Bidder to be the sole contact regarding all
Contract/ Agreement matters.
The Bidder shall be prohibited from assigning, transferring and
conveying, subletting or otherwise disposing of any Contract/ Agreement
of its rights, title or interest therein, or its power to execute such
Contract/ Agreement without the previous written approval of Manitoba.
CLARIFICATIONS AND AMENDMENTS TO REQUIREMENTS:
Manitoba reserves the right to amend or to clarify the RFQ requirements
and to seek clarifications or amendments from Bidders. However,
Manitoba is under no obligation to seek clarification.
CONFIDENTIALITY:
The content of this RFQ and any other information received by the Bidder
relating to the RFQ, gained through the RFQ process or otherwise, is to
be treated in strict confidentiality. The Bidder shall not disclose any
of the information in whole or in part to anyone not specifically
involved in the preparation of the Bidder's quotation, unless written
consent is secured from Manitoba prior to the said disclosure. The
obligation of each Bidder to maintain confidentiality shall survive the
expiration or the acceptance/rejection of their quotation and/or any
resulting Contract/ Agreement(s) to supply the requirements of this RFQ.
CONFLICT OF INTEREST:
The bidder must take appropriate steps to ensure that neither the
bidder, nor the bidders employees are placed in a position where there
is or may be an actual conflict, or a perceived potential conflict
between the bidder, its employees and any agent or representative of the
Province of Manitoba.
The bidder shall not offer or give, or agree to give, to any agent,
employee or representative of the Province of Manitoba any gift or
consideration of any kind as an inducement or reward for doing,
refraining from doing, or for having done or refrained from doing, any
act in relation to the obtaining or execution of this or any other
purchase order/contract with the Province of Manitoba.
No agent, employee or representative of the Province of Manitoba shall
either solicit or accept gratuities, favours or anything of monetary
value from the bidder.
If the bidder has reason to believe any agent, employee or
representative of the Province of Manitoba has violated any provision of
this Conflict of Interest section, the bidder shall immediately notify t
the suspected violation by sending notice to the Director of Procurement
Services Branch, explaining the situation in full. The bidder's failure
to so notify the Director shall be a material breach of this agreement
and the Director, at his/her option, may terminate the purchase
order/contract.
DISCLOSURE OF INFORMATION:
Relative to the Freedom of Information and Protection of Privacy Act,
the Government of Manitoba reserves the right to publicly disclose
details of purchase order/contract and the prices at its discretion, or
as required by law.
ERRORS AND OMISSIONS:
Bidders must advise Manitoba of any errors or omissions they find in the
RFQ document prior to closing so that the RFQ can be revised and
communicated to all Bidders.
EXTENSION AND ADDITIONAL PRODUCTS:
By written agreement between the Government of Manitoba (Manitoba) and
the Vendor, the Contract may be amended to include additional products
or locations and/or the duration of the Contract may be extended to
continue past the expiry date specified above.
GOVERNING LAW:
Unless the Request for Quotation specifically state otherwise, the
request for quotation, all bids, and any subsequent purchase
order/contract(s) will be construed and interpreted in accordance with
the Laws of Manitoba and where the vendor uses sources outside of
Canada, those businesses comply with local labour laws in the country of
manufacture.
The Bidder shall be in good standing under The Corporations Act
(Manitoba), or properly registered under The Business Names Registration
Act (Manitoba), or otherwise properly registered, licensed or permitted
by law to carry on business in Manitoba, or if the Bidder does not carry
on business in Manitoba, in the jurisdiction where the bidder does carry
on business and may be required to provide evidence thereof upon
request.
All RFQ's are subject to the Agreement on Internal Trade, or any other
inter-provincial agreement.
All applicable laws of the Province of Manitoba, regulations and
standards, including all Occupational Health & Safety, and Workers
Compensation requirements will govern this Request for Quotation and any
resulting purchase order/contract.
Manitoba requires its Bidders to adhere to Provincial Labour Laws, and
to declare that in bidding for the work and in entering into a purchase
order/contract, the vendor and his subcontractors conduct their
respective business in accordance with established International Codes
as they relate to Child and Forced Labour embodied in United Nations
(UN) and International Labour Organization (ILO) conventions as ratified
by Canada.
INDEMNITY:
The Bidder warrants that there are no patents, trademarks or other
rights restricting use, repair or replacement of the material furnished
or any part thereof and hereby agrees to indemnify and save harmless the
Province of Manitoba, its employees and agents from and against all
claims, demands, losses, costs, damages actions, suits or other
proceedings by whomsoever made, filed or prosecuted in any manner by
reason of such use, repair or replacement of the materials being a
violation of any patent, trademark or other right.
The successful Bidder shall indemnify and save harmless Manitoba from
and against all losses and claims, demands, actions, payments, suits,
recoveries, judgment and settlements of every nature and description
brought or recovered against Manitoba by reason of any act or omission
of the Bidder, the Bidder's agents or employees, or sub-contractors in
the performance of this contract.
INFRINGEMENTS:
Bidder warrants that Manitoba's purchase, installation and/ or use of
the goods and/or services covered hereby shall not result in any claim
of infringement, or actual infringement of any patent, trademark,
copyright, franchise or other intellectual property right.
INSURANCE:
The Bidder shall, at its own expense, effect and maintain for the
duration of its services all insurance(s) required by law. All required
insurance shall be under written by insurers acceptable to Manitoba.
LIENS, CLAIMS AND ENCUMBRANCES:
Bidder warrants and represents that all the goods, materials and/or
services supplied shall be free and clear of al liens, claims and
encumbrances of any kind.
PUBLICITY, MEDIA, OFFICIAL ENQUIRIES & ADVERTISING:
The Bidder, suppliers/vendors, employees or consultants shall not make
any public statement making reference to, or relating to the existence
or performance of the purchase order/contract in any advertising,
testimonials or promotional material without the prior written consent
of the Province of Manitoba, which shall not be unreasonably withheld.
The provision of this condition shall apply during the extension of a
purchase order/contract and indefinitely after its expiry or
termination.
RIGHT TO REISSUE RFQ:
Manitoba reserves the right to cancel and/or reissue the RFQ where, in
Manitoba's sole opinion, none of the quotes submitted in response to the
RFQ warranty acceptance or where it would be in the best interests of
Manitoba to do so. Costs incurred in the preparation, presentation and
submission of a quote shall be borne by the Bidder. Manitoba shall not
reimburse any Bidders for any costs, if the RFQ is cancelled or
reissued.
RIGHT TO WAIVE NON-COMPLIANCE:
Manitoba reserves the right to waive any minor non-compliance with the
bid submissions at its sole discretion.
RISK OF LOSS:
Regardless of FOB Point, Bidder shall bear all risks of loss, injury or
destruction of goods and materials ordered herein which occur prior to
acceptance by Manitoba. No such loss, injury or destruction shall
release Bidder from any obligation hereunder.
TERMINATION:
Manitoba may, in its sole discretion, immediately terminate a purchase
order/contract in writing if:
A) The vendor fails to properly fulfill, perform, satisfy and carry out
each and every one of its obligations under the purchase order/contract,
or
B) The vendor fails or refuses to comply with a verbal or written
request or direction from Manitoba within three(3) days of receiving the
request or direction; or
C) The vendor become bankrupt or insolvent or liquidates; or
D) A receiver, trustee or custodian is appointed for the assets of the
vendor, or any partner thereof; or
E) The vendor or any partner thereof makes a compromise, arrangement, or
assignment with or for the benefit of the creditors of the vendor or of
that partner, as the case may be; or
F) The vendor fails to secure or renew any license or permit for the
vendors business required by law; or any such license or permit is
revoked or suspended; or
G) The vendor or any partner, officer or director of the vendor is found
guilty of an indictable offence; or
H) The vendor fails to comply with any law or regulation relating to the
employment of its employees; or
I) The vendor at any time engages in any activities or trade practices
which, in the opinion of Manitoba, are prejudicial to the interests of
Manitoba, or a department or agency thereof; or
J) There is a breach of any provision of the purchase order/contract;
K) The goods provided by the vendor are not according to the contract or
otherwise unsatisfactory; or
L) The services provided by the vendor are unsatisfactory, inadequate,
or are improperly performed; or
M) The vendor has failed to meet the delivery date indicated on the
purchase order/contract or repeatedly failed to meet the delivery lead
time, indicated on the purchase order/contract.
Manitoba may, in its sole discretion, terminate the purchase
order/contract at any time by giving at least 30 days written notice to
the vendor prior to the intended termination date.
UNFORESEEABLE EVENT:
An unforeseeable event is anything which is beyond the control of the
parties affected and which, by exercise of reasonable diligence by the
parties aforementioned, could not be avoided including, but not limited
to, the following: Fire; Explosion; Action of the Elements; Strikes;
Rationing of Materials; Adverse Government Decision; or Act of God.
Neither the Bidder nor Manitoba shall be liable to the other for any
delay in, or failure of, performance under the quotation due to an
unforeseeable event. Any such delay in or failure or performance shall
not constitute default or give rise to any liability for damages or
either party.
The existence of such causes of such delay or failure shall extend the
period for performance to such extent as determined by Manitoba to
enable complete performance by the Bidder provided reasonable diligence
is exercised after the causes of delay or failure have been removed.
ACCOUNTS RECEIVABLE ADDRESS:
Due to our computerized accounts payable system Bidders are to advise if
your invoice address (Accounts Receivable) is the same as the address
for orders/quotes shown above.
Yes ____ No _____ Initial __________
If No, provide complete details:
Contact Person: _______________________________________________
Address: ____________________________________________________
City/Province/Postal Code: _____________________________________
Telephone Number: ______________________________________________
Facsimile Number: ________________________________________________
E-Mail Address: ______________________________________________
Hours of Operation: ___________________________________________
INVOICES:
MDA shall be invoiced directly from the Vendor. Invoices must be priced
in the same amount and unit of measure as shown on the Release Order or
the Vendor must contact MDA, in writing, prior to shipping the products
on the Release Order.
For direct deliveries, the Vendor must provide a proof of delivery (that
is both a printed and signed signature by MDA's client department) with
the invoice.
This is an accounting concern and is not intended to outline a process
to request price changes.
MANITOBA RETAIL SALES TAX LICENSE:
Are you licensed by Manitoba Finance to collect and remit Manitoba
Retail Sales Tax?
Yes ____ No _____ Initial __________
If NO, disregard the following clause.
MANITOBA RETAIL SALES TAX:
Is the product(s) offered subject to Manitoba Retail Sales Tax?
Yes ____ No _____ Initial __________
If the tender consists of both taxable (T) and non-taxable (NT) items,
please indicate T or NT opposite each item offered.
These goods are for "RESALE" and therefore "PST EXEMPT". MDA's PST
number is 085981-9. MDA is also GST Exempt and their number is
107863847.
CANADIAN FUNDS:
Manitoba prefers to receive quotations in Canadian funds. If the
pricing offered is quoted in a currency other than Canadian then the
currency must be clearly identified on the quote document.
PAYMENT TERMS:
The Bidder shall specify invoice terms:
_________________________________
Any applicable discounts for early payment:
Yes ____ No _____ Initial __________
If Yes, please specify: _______________________________________________
Manitoba's standard payment terms are net thirty (30) days.
Proposed Delivery Address:
Delivery Address:
Materials Distribution Agency
Unit 7 # 1715 St. James Street
Door 10
Winnipeg, MB.
R3H 1H3
TENDERS TO BE RETURNED TO:
MERX Electronic Bid Submission www.MERX.com