MANITOBA REFERENCE NUMBER: MB-MBPB-AAO-00004
ISSUING DEPARTMENT: Procurement and Supply Chain
DATE ISSUED: 01/11/2023
ISSUED BY: Sharon Tian
TELEPHONE: 204-915-5070
The Province of Manitoba is requesting submissions for the Supply and
Delivery of Nutritional Supplements on an "as and when" requested basis
for the period December 8, 2023 to December 8, 2025, with one (1)
optional of one (1) year extension.
MDA reference #0800000699- MDA, NUTRITIONAL SUPPLEMENTS
Procurement Officer: Sharon Tian
Email: bids@gov.mb.ca (Enquiry only)
Please contact the individual noted above if additional information or
clarification is required on the following items.
Please indicate the Solicitation number in the Email subject to ensure
timely response.
The delivery date (if shown) is actually the end of the contract.
TO BE DELIVERED FOB DESTINATION, FREIGHT PREPAID TO:
Materials Distribution Agency
Unit 7 # 1715 St. James Street
Door 10
Winnipeg, MB
R3H 1H3
(Unit prices include all necessary charges e.g. freight, insurance,
handling etc.).
This RFQ is subject to the Manitoba General Terms and Conditions:
https://www.gov.mb.ca/central/psc/pubs/form/MB_terms_conditions.pdf
The purchase order to be issued to the top ranked Vendor(s) is subject
to the Manitoba Purchase Order Terms and Conditions:
https://www.gov.mb.ca/central/psc/pubs/form/Manitoba_PO_Terms_Conditions
.pdf
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.
Bids MUST be received at the Submission Address no later than the
closing date and time.
Vendor's e-mail address: (if available) ____________________
_________________________________________________________________________
ITEM QTY DESCRIPTION DELIVERY
NO. DATE
========================================================
ITEM 10 05/12/2025
875.000 Case GSIN: N8940MATERIAL: 1307
SUPPLEMENT, NUTRITIONAL, LIQUID, ORAL OR SOLE SOURCE FEEDING, 26
ESSENTIAL VITAMINS AND MINERALS, GLUTEN FREE, VANILLA, 24/235 ML BOTTLES
PER CASE,
ABBOTT (ENSURE) #6890713
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 20 05/12/2025
30.000 Case GSIN: N8940MATERIAL: 1360
SUPPLEMENT, NUTRITIONAL, HIGH ENERGY, LIQUID, READY TO FEED, ORAL,
STRAWBERRY, 24/237 ML BOTTLES PER CASE,
NESTLE NUTRITION (BOOST PLUS CALORIES) #12404647
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 30 05/12/2025
20.000 Case GSIN: N8940MATERIAL: 1361
SUPPLEMENT, NUTRITIONAL, HIGH ENERGY, LIQUID, READY TO FEED, ORAL,
VANILLA, 24/237 ML BOTTLES PER CASE
NESTLE NUTRITION (BOOST PLUS CALORIES) #12404646
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 40 05/12/2025
40.000 Case GSIN: N8940MATERIAL: 1362
SUPPLEMENT, NUTRITIONAL, HIGH ENERGY, LIQUID, READY TO FEED, ORAL,
CHOCOLATE, 24/237 ML BOTTLES PER CASE,
NESTLE NUTRITION (BOOST PLUS CALORIES) #12404645
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 50 05/12/2025
20.000 Case GSIN: N8940MATERIAL: 1382
SUPPLEMENT, NUTRITIONAL, LIQUID, ORAL OR SOLE SOURCE FEEDING, 26
ESSENTIAL VITAMINS AND MINERALS, GLUTEN FREE, STRAWBERRY 24/235 ML
BOTTLES PER CASE,
ABBOTT (ENSURE) #6832113
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 60 05/12/2025
410.000 Case GSIN: N8940MATERIAL: 1385
SUPPLEMENT, NUTRITIONAL, LIQUID, ORAL OR SOLE SOURCE FEEDING, 26
ESSENTIAL VITAMINS AND MINERALS, GLUTEN FREE, CHOCOLATE, 24/235 ML
BOTTLES PER CASE,
ABBOTT (ENSURE) #6832013
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 70 05/12/2025
60.000 Case GSIN: N8940MATERIAL: 1386
SUPPLEMENT, NUTRITIONAL, ISOTONIC NUTRIENT, HIGH PROTEIN LIQUID, SHORT
OR LONG TERM TUBE FEED, WITH ADDED FIBRE, 24/235 ML CANS PER CASE,
ABBOTT (JEVITY 1.0 WITH FIBRE) #6224313
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 80 05/12/2025
40.000 Case GSIN: N8940MATERIAL: 1393
SUPPLEMENT, NUTRITIONAL, LIQUID, READY TO FEED, ORAL, CHOCOLATE, 24/237
ML PER CASE
NESTLE NUTRITION (BOOST) #12404608
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 90 05/12/2025
20.000 Case GSIN: N8940MATERIAL: 1396
SUPPLEMENT, NUTRITIONAL, LIQUID, READY TO FEED, ORAL, STRAWBERRY, 24/237
ML PER CASE,
NESTLE NUTRITION (BOOST) #12404607
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 100 05/12/2025
5.000 Case GSIN: N8940MATERIAL: 46211
SUPPLEMENT, POWDER, CHOCOLATE, MIX WITH MILK, 880 GRAM CAN, 6 CANS PER
CASE,
NESTLE #12322587 (NESTLE BREAKFAST ANYTIME)
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 110 05/12/2025
200.000 Case GSIN: N8940MATERIAL: 46223
SUPPLEMENT, NUTRITIONAL, LIQUID, READY TO USE, CHOCOLATE, 235 ML CAN, 12
CANS PER CASE
ABBOTT LABS (PEDIASURE) #6219613
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 120 05/12/2025
80.000 Case GSIN: N8940MATERIAL: 46224
SUPPLEMENT, NUTRITIONAL, LIQUID, READY TO USE, STRAWBERRY, 235 ML CAN,
12 CANS PER CASE,
ABBOTT LABS (PEDIASURE) #6223613
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 130 05/12/2025
1,330.000 Case GSIN: N8940MATERIAL: 47458
SUPPLEMENT, NUTRITIONAL, 1.5 CAL, HIGH CALORIE, HIGH NITROGEN COMPLETE
LIQUID FORMULA WITH FIBER FOR PATIENTS WITH HIGH CALORIC AND PROTEIN
NEEDS AND/OR LIMITED VOLUME TOLERANCE, MILD VANILLA FLAVOR, APPROPRIATE
FOR BOTH ORAL AND TUBE FEEDING USE, 24/250 ML TETRA PRISMA,
NESTLE (ISOSOURCE FIBRE 1.5) #12433303
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 140 05/12/2025
235.000 Case GSIN: N8940MATERIAL: 47459
SUPPLEMENT, NUTRITIONAL, WITH FIBRE, HIGH PROTEIN, FIBRE FORTIFIED
LIQUID MEDICAL FOOD THAT PROVIDES A COMPLETE AND BALANCED NUTRITION, 8
OZ CAN (235 ML), 24 CANS PER CASE,
ABBOTT LAB (JEVITY 1.2 CAL) #6218313
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 150 05/12/2025
24.000 Case GSIN: N8910MATERIAL: 47502
FORMULA, POWDER, HYDROLYZED INFANT FORMULA CLINICALLY PROVEN TO REDUCE
COLIC RELATED SYMPTOMS, LIPIL IS A BLEND OF DHA AND ARA AND PROVIDES DHA
AT LEVELS SIMILAR TO THOSE FOUND IN BREAST MILK, 454 G, 6 PER CASE,
MEAD JOHNSON (NUTRAMIGEN A+) #1239201
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 160 05/12/2025
53.000 Case GSIN: N8940MATERIAL: 47531
SUPPLEMENT, NUTRITIONAL, FRUIT BEVERAGE, ORANGE FLAVOR, LOW FAT LIQUID
NUTRITION FOR PATIENTS REQUIRING ORAL SUPPLEMENTATION AND IS APPROPRIATE
FOR FORTIFICATION OF THE CLEAR LIQUID DIET, 27/237 ML TETRA PACKS PER
CASE,
NESTLE (BOOST) #12460257
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 170 05/12/2025
144.000 Case GSIN: N8940MATERIAL: 47567
SUPPLEMENT, NUTRITIONAL, CALORICALLY DENSE LIQUID FORMULA, PROTEIN,
VITAMIN AND MINERAL PROFILE SPECIFICALLY FORMULATED FOR DIALYSIS
PATIENTS WITH CHRONIC OR ACUTE RENAL FAILURE OR PATIENTS REQUIRING
ELECTROLYTE OR FLUID RESTRICTION, MILD VANILLA FLAVOUR, FOR BOTH ORAL
AND TUBE FEEDING, 237 ML TETRA PACKS, 24 PER CASE,
NESTLE (NOVASOURCE RENAL) #12454155
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 180 05/12/2025
185.000 Case GSIN: N8940MATERIAL: 47570
SUPPLEMENT, NUTRITIONAL, HIGH ENERGY, NUTRIENT RICH LIQUID DIET, FOR
PEOPLE WHO CANNOT DIGEST OR ABSORB FOOD PROPERLY, REQUIRE RESTRICTED
FLUIDS, OR NEED TO GAIN WEIGHT RAPIDLY, LACTOSE FREE, GLUTEN FREE,
VANILLA FLAVOURED, ORAL OR TUBE FEEDING, 24/250 ML TETRA PRISMA,
NESTLE (PEPTAMEN 1.5) #12408876
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 190 05/12/2025
655.000 Case GSIN: N8940MATERIAL: 47611
SUPPLEMENT, NUTRITIONAL, VANILLA, CALORICALLY DENSE, HIGH NITROGEN,
COMPLETE LIQUID FORMULA, DESIGNED FOR THE MANAGEMENT OF FLUID
RESTRICTIONS AND ELEVATED NUTRITIONAL NEEDS, REDUCED LEVEL OF SODIUM, IS
APPROPRIATE FOR SUPPLEMENTAL FEEDING INCLUDING MEDICATION PASS PROGRAMS
AND TOTAL ENTERAL FEEDING, 24/237 ML TETRA PACKS PER CASE,
NESTLE (RESOURCE 2.0) #12459298
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 200 05/12/2025
35.000 Case GSIN: N8940MATERIAL: 47899
SUPPLEMENT, NUTRITIONAL, BALANCED, LOW IN SATURATED FATS, FOR LOW
CHOLESTEROL DIETS, LACTOSE AND GLUTEN FREE, EXCELLENT SOURCE OF PROTEIN,
CALCIUM AND OTHER ESSENTIAL VITAMINS AND MINERALS, FOR SUPPLEMENTAL USE
BETWEEN OR WITH MEALS FOR PEOPLE RECOVERING FROM GENERAL SURGERY OR HIP
FRACTURES, VANILLA FLAVOR, 24/235 ML BOTTLES PER CASE,
ABBOTT LAB (ENSURE HIGH PROTEIN) #5725013
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 210 05/12/2025
6.000 Case GSIN: N8940MATERIAL: 47903
SUPPLEMENT, NUTRITIONAL, FRUIT BEVERAGE, WILDBERRY FLAVOR, LOW FAT
LIQUID NUTRITION FOR PATIENTS REQUIRING ORAL SUPPLEMENTATION AND IS
APPROPRIATE FOR FORTIFICATION OF THE CLEAR LIQUID DIET, 27/237 ML TETRA
PACKS PER CASE,
NESTLE (BOOST) #12460255
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 220 05/12/2025
30.000 Case GSIN: N8940MATERIAL: 48102
SUPPLEMENT, NUTRITIONAL, PUDDING, READY TO EAT, VANILLA, NUTRITIONALLY
COMPLETE, NO HYDROGENATED OIL, GLUTEN AND LACTOSE FREE, HELPS PROVIDE
PATIENTS MORE CONTROL IN EATING/SWALLOWING, 142 GRAM CAN, 48 CANS/CASE,
NESTLE (BOOST) #12306040
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 230 05/12/2025
100.000 Case GSIN: N8940MATERIAL: 48275
SUPPLEMENT, UNFLAVORED, NUTRITIONALLY COMPLETE, AMINO BASED MEDICAL FOOD
, FOR CHILDREN AGES 1-10 WITH SEVERE IMPAIRMENT OF THE GASTROINTESTINAL
TRACT, ORAL OR TUBE FEEDING, 400 GRAM CAN, 4 CANS PER CASE,
NURICIA (NEOCATE JUNIOR) #129778/11790
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 240 05/12/2025
110.000 Case GSIN: N8940MATERIAL: 48276
SUPPLEMENT, NUTRITIONAL, READY TO USE, HIGH PROTEIN, BLENDERIZED TUBE
FEEDING FORMULATED FROM TRADITIONAL FOODS INCLUDING PEAS, CARROTS,
TOMATOES, CRANBERRY JUICE AND CHICKEN, CONTAINS FIBER FROM NATURAL FOOD
SOURCES AS WELL AS PARTIALLY HYDROLYZED GUAR GUM, 24/250 ML TETRA PRISMA
PER CASE,
NESTLE (COMPLEAT) #12500016
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 250 05/12/2025
12.000 Case GSIN: N8940MATERIAL: 48573
SUPPLEMENT, NUTRITIONAL, LIQUID, ORAL OR SOLE SOURCE FEEDING, 26
ESSENTIAL VITAMINS AND MINERALS, GLUTEN FREE, BUTTER PECAN, 24/235 ML
BOTTLES PER CASE,
ABBOTT (ENSURE) #6832213
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 260 05/12/2025
350.000 Case GSIN: N8940MATERIAL: 48589
SUPPLEMENT, NUTRITIONAL, LIQUID, READY TO FEED, ORAL, STRAWBERRY, 24
VITAMINS AND MINERALS, FORMULATED WITH CANOLA OIL, RICH IN
MONOUNSATURATED FAT, LOW IN SATURATED FAT, LOW IN CHOLESTERO, PROVIDES
CONCENTRATED CALORIES TO HELP GAIN OR MAINTAIN A HEALTHY WEIGHT, LACTOSE
FREE, GLUTEN FREE, 24/235 ML BOTTLES PER CASE, NO SUBSTITUTION,
ABBOTT (ENSURE PLUS) #6891213
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 270 05/12/2025
722.000 Case GSIN: N8940MATERIAL: 48590
SUPPLEMENT, NUTRITIONAL, LIQUID, READY TO FEED, ORAL, VANILLA, 24
VITAMINS AND MINERALS, FORMULATED WITH CANOLA OIL, RICH IN
MONOUNSATURATED FAT, LOW IN SATURATED FAT, LOW IN CHOLESTERO, PROVIDES
CONCENTRATED CALORIES TO HELP GAIN OR MAINTAIN A HEALTHY WEIGHT, LACTOSE
FREE, GLUTEN FREE, 24/235 ML BOTTLES PER CASE, NO SUBSTITUTION,
ABBOTT (ENSURE PLUS) #6891013
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 280 05/12/2025
365.000 Case GSIN: N8940MATERIAL: 48631
SUPPLEMENT, NUTRITIONAL, LIQUID, READY TO FEED, ORAL, CHOCOLATE, 24
VITAMINS AND MINERALS, FORMULATED WITH CANOLA OIL, RICH IN
MONOUNSATURATED FAT, LOW IN SATURATED FAT, LOW IN CHOLESTERO, PROVIDES
CONCENTRATED CALORIES TO HELP GAIN OR MAINTAIN A HEALTHY WEIGHT, LACTOSE
FREE, GLUTEN FREE, 24/235 ML BOTTLES PER CASE, NO SUBSTITUTION,
ABBOTT (ENSURE PLUS) #6835713
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 290 05/12/2025
24.000 Case GSIN: N8940MATERIAL: 48842
SUPPLEMENT, NUTRITIONAL, LIQUID, READY TO DRINK, ORAL, CHOCOLATE
24/315ML CANS PER CASE,
NESTLE (CARNATION BREAKFAST ANYTIME) #12404660
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 300 05/12/2025
65.000 Case GSIN: N8940MATERIAL: 48992
SUPPLEMENT, NUTRITIONAL, POWDERED PRODUCT, WHICH CAN BE USED TO
ADMINISTER THE CLASSICAL (4:1) KETOGENIC DIET FOR CHILDREN OVER 1 YEAR
OF AGE, NUTRITIONALLY COMPLETE, CONVENIENT ONE STEP PREPARATION WITH A
NON MODULAR APPROACH, NUTRIENT DENSE FOR CHILDREN WITH LOW ENERGY
REQUIREMENTS, FOR ORAL OR TUBE FEEDING, 300 G CANS, 4 CANS PER CASE,
SHS NORTH AMERICA #101777/11842
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 310 05/12/2025
90.000 Case GSIN: N8940MATERIAL: 50488
SUPPLEMENT, NUTRITIONAL, VERY HIGH PROTEIN, ISOTONIC, COMPLETE LIQUID
FORMULA WITH FIBRE FOR SHORT AND LONG TERM ORAL FEEDING USE, ENHANCED
FAT ABSORPTION, FOR PATIENTS WITH INCREASED PROTEIN REQUIREMENTS, 24/250
ML TETRA PRISMA PER CASE,
NESTLE (ISOSOURCE VHN) #12293883
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 320 05/12/2025
12.000 Case GSIN: N8940MATERIAL: 50641
SUPPLEMENT, NUTRITIONAL, BALANCED, LOW IN SATURATED FATS, FOR LOW
CHOLESTEROL DIETS, LACTOSE AND GLUTEN FREE, EXCELLENT SOURCE OF PROTEIN,
CALCIUM AND OTHER ESSENTIAL VITAMINS AND MINERALS, FOR SUPPLEMENTAL USE
BETWEEN OR WITH MEALS FOR PEOPLE RECOVERING FROM GENERAL SURGERY OR HIP
FRACTURES, STRAWBERRY FLAVOR, 24/235 ML BOTTLES PER CASE,
ABBOTT LABORATORIES (ENSURE HIGH PROTEIN) #59422848
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 330 05/12/2025
100.000 Case GSIN: N8940MATERIAL: 50642
SUPPLEMENT, NUTRITIONAL, BALANCED, LOW IN SATURATED FATS, FOR LOW
CHOLESTEROL DIETS, LACTOSE AND GLUTEN FREE, EXCELLENT SOURCE OF PROTEIN,
CALCIUM AND OTHER ESSENTIAL VITAMINS AND MINERALS, FOR SUPPLEMENTAL USE
BETWEEN OR WITH MEALS FOR PEOPLE RECOVERING FROM GENERAL SURGERY OR HIP
FRACTURES, CHOCOLATE FLAVOR, 24/235 ML BOTTLES PER CASE,
ABBOTT LABORATORIES (ENSURE HIGH PROTEIN) #6773913
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 340 05/12/2025
65.000 Case GSIN: N8910MATERIAL: 51191
FORMULA, FOR INFANTS AND CHILDREN WHO CANNOT TOLERATE MILK OR SOY-BASED
FORMULAS, CONTAINS A PRE-DIGESTED PROTEIN (CASEIN HYDROLYSATE), READY TO
USE, 237 ML CAN, 24 CANS PER CASE,
ROSS CANADA (ALIMENTUM) ABBOTT #5826613
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 350 05/12/2025
315.000 Case GSIN: N8940MATERIAL: 51211
SUPPLEMENT, NUTRITIONAL, HIGH CALORIC, VANILLA, COMPLETE LIQUID FORMULA
WITH FIBRE, FOR CHILDREN 1 - 12 YEARS WHO HAVE FLUID RESTRICTIONS OR
LIMITED VOLUME TOLERANCE, APPROPRIATE FOR ORAL OR TUBE FEEDING, LACTOSE
AND GLUTEN FREE, 24/237 ML TETRA PACKS PER CASE,
NESTLE (RESOURCE KIDS ESSENTIALS 1.5 CAL) #12459287
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 360 05/12/2025
12.000 Case GSIN: N6505MATERIAL: 51636
SUPPLEMENT, NUTRITIONAL, MEDIUM CHAIN TRIGLYCERIDES, SUPERIOR SOURCE OF
ENERGY, SPARES PROTEIN FROM BEING WASTED, WHICH ALLOWS BUILDING AND
REPAIR OF MUSCLE QUICKER, ZERO CARBOHYDRATES, ONLY FATS THAT ARE
THERMOGENIC, LACTOSE FREE, GLUTEN FREE, 946 ML BOTTLE, 6 PER CASE,
NESTLE (MCT OIL) #9521498
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 370 05/12/2025
350.000 Case GSIN: N8940MATERIAL: 52971
SUPPLEMENT, NUTRITIONAL, LIQUID, LACTOSE FREE, GLUTEN FREE, 3.6
GRAMS/1000 ML PEA FIBRE, 2.0 GRAMS/1000 ML OF PREBIO, ORAL OR TUBE
FEEDING, FOR CHILDREN 1-9 YEARS, VANILLA, 24/250 ML TETRA PRISMA PER
CASE,
NESTLE (NUTREN JUNIOR FIBRE W/PREBIO) #12459287
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 380 05/12/2025
105.000 Case GSIN: N8940MATERIAL: 53145
SUPPLEMENT, NUTRITIONAL, LIQUID, LACTOSE FREE, GLUTEN FREE, ORAL OR TUBE
FEEDING, FOR CHILDREN 1-9 YEARS, VANILLA, 24/250 ML TETRA PRISMA PER
CASE,
NESTLE (NUTREN JUNIOR) #12344549
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 390 05/12/2025
160.000 Case GSIN: N8940MATERIAL: 53912
SUPPLEMENT, NUTRITIONAL, LIQUID, FOR ORAL OR TUBE FEEDING, FOR CHILDREN
1 - 9 YEARS WITH IMPAIRED GASTROINTESTINAL FUNCTION, LACTOSE FREE,
GLUTEN FREE, VANILLA FLOVOURED, 24/250 ML TETRA PRISMA PER CASE,
NESTLE (PEPTAMEN JUNIOR) #12408912
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 400 05/12/2025
15.000 Case GSIN: N8940MATERIAL: 53956
SUPPLEMENT, NUTRITIONAL, ELEMENTAL FORMULA DESIGNED FOR PATIENTS WITH
IMPAIRED GASTROINTESTINAL FUNCTION, CONTAINS PREBIOTICS FOR LONG TERM
TUBE FED PATIENTS OR ORAL INTAKE, VANILLA, 25 X 250 ML TETRA PRISMAS PER
CASE,
NESTLE (PEPTAMEN WITH PREBI01) #12408879
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 410 05/12/2025
30.000 Case GSIN: N8940MATERIAL: 54010
SUPPLEMENT, NUTRITIONAL, DIABETIC, VANILLA FLAVOUR, LOW CARBOHYDRATES,
LOW CALORIE (190 CAL/BT) FOR PEOPLE WITH DIABETES, HYPERGLYCEMIA AND
GLUCOSE INTOLERANCE, GLYCEMIC INDEX 28, RESEALABLE PLASTIC BOTTLE, 237
ML BOTTLE, 24 PER CASE,
NESTLE (BOOST DIABETIC) #12404650
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 420 05/12/2025
12.000 Case GSIN: N8010MATERIAL: 54112
FORMULA, MILK BASED, FOR BABIES FROM BIRTH ONWARDS, FORMULATED TO BE
CLOSE TO BREAST MILK, CONTAINS HIGHTEST LEVELS OF DHA AND ARA, LIQUID,
READY TO FEED, 235 ML CAN, 16 CANS PER CASE,
MEAD JOHNSON (ENFAMIL A+) #2053491
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 430 05/12/2025
160.000 Case GSIN: N8940MATERIAL: 55173
SUPPLEMENT, NUTRITIONAL, CALORICALLY DENSE LIQUID, READY TO FEED, WITH
FIBRE AND PROBIOTICS, FOR PEOPLE WHO REQUIRE AN INCREASE IN CALORIC AND
PROTEIN DENSITY, LACTOSE AND GLUTEN FREE, FOR TUBE OR ORAL FEEDING, 8 OZ
CAN (235 ML), 24 CANS PER CASE,
ABBOTT (JEVITY 1.5 CAL) #5028813
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 440 05/12/2025
330.000 Case GSIN: N8940MATERIAL: 55323
SUPPLEMENT, NUTRITIONAL, LIQUID, LACTOSE FREE, GLUTEN FREE, ORAL OR TUBE
FEEDING, HIGH ENERGY, VANILLA, 250 ML X 24 TETRA PRIMSMAS PER CASE,
NESTLE (NUTREN 1.5) #12293889
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 450 05/12/2025
180.000 Case GSIN: N8940MATERIAL: 55747
SUPPLEMENT, NUTRITIONAL, COMPLETE BALANCED, FOR PEOPLE WITH DIABETES OR
ANYONE WITH IMPAIRED GLUCOSE TOLERANCE, CONTAINED FIBRE, ORAL FEEDING
ONLY, LACTOSE AND GLUTEN FREE, VANILLA, 237 ML BOTTLE, 24 PER CASE,
ABBOTT (GLUCERNA) #5365513
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 460 05/12/2025
60.000 Case GSIN: N8940MATERIAL: 55748
SUPPLEMENT, NUTRITIONAL, COMPLETE BALANCED, FOR PEOPLE WITH DIABETES OR
ANYONE WITH IMPAIRED GLUCOSE TOLERANCE, CONTAINED FIBRE, ORAL FEEDING
ONLY, LACTOSE AND GLUTEN FREE, CHOCOLATE, 237 ML BOTTLE, 24 PER CASE,
ABBOTT (GLUCERNA) #5365613
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 470 05/12/2025
135.000 Case GSIN: N8940MATERIAL: 55749
SUPPLEMENT, NUTRITIONAL, COMPLETE BALANCED, FOR PEOPLE WITH DIABETES OR
ANYONE WITH IMPAIRED GLUCOSE TOLERANCE, CONTAINED FIBRE, ORAL FEEDING
ONLY, LACTOSE AND GLUTEN FREE, STRAWBERRY, 237 ML BOTTLE, 24 PER CASE,
ABBOTT (GLUCERNA) #5365713
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 480 05/12/2025
120.000 Case GSIN: N8940MATERIAL: 57461
SUPPLEMENT, NUTRITIONAL, LIQUID, READY TO FEED, VANNILLA, VITAMIN AND
MINERAL PROFILE SPECIFICALLY DESIGNED FOR DIALYSIS PATIENTS, HELPS
MANAGE BLOOD SUGAR FOR PEOPLE WITH DIABETES, LACTOSE AND GLUTEN FREE,
FOR TUBE OR ORAL FEEDING, 237 ML RECLOSABLE BOTTLE, 24 BOTTLES PER CASE,
ABBOTT (NEPRO CARB STEADY) #5362413
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 490 05/12/2025
1,700.00 Each GSIN: N6505MATERIAL: 57798
THICKENER, FOOD, INSTANT, FOR HOT AND COLD FOODS AND BEVERAGES, 227 G
CAN, 12 CANS PER CASE,
NESTLE NUTRITION (THICKEN UP) #12367115
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 500 05/12/2025
660.00 Each GSIN: N8940MATERIAL: 57810
SUPPLEMENT, NUTRITIONAL, INSTANT PROTEIN POWDER, CONCENTRATED SOURCE OF
HIGH QUALITY PROTEIN THAT MIXES INSTANTLY AND EASILY WITH MOST FOODS AND
BEVERAGES, FOR USE WITH PATIENTS THAT REQUIRE ADDITIONAL PROTEIN, 227
GRAM CANISTER, 6 PER CASE,
NESTLE (RESOURCE BENEPROTEIN) #12452313
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 510 05/12/2025
3,200.000 Can GSIN: N6505MATERIAL: 57968
THICKENER, DRINK AND FOOD, INSTANT, ODOURLESS, TASTELESS, LUMP FREE,
AMYLASE RESISTANT, DOES NOT THICKEN OVER TIME, FOR MANAGMENT OF
DYSPHAGIA, 125 GRAM CAN, 12 CANS PER CASE,
NESTLE (RESOURCE THICKEN UP CLEAR) #12508190
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 520 05/12/2025
12.000 Package GSIN: N6505MATERIAL: 57969
THICKENER, DRINK AND FOOD, INSTANT, ODOURLESS, TASTELESS, LUMP FREE,
AMYLASE RESISTANT, DOES NOT THICKEN OVER TIME, FOR MANAGMENT OF
DYSPHAGIA, 1.4 GRAM SACHET X 25 PER PACKAGE, 12 PACKAGES PER CASE,
NESTLE (RESOURCE THICKEN UP CLEAR) #12508190
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 530 05/12/2025
30.000 Case GSIN: N8940MATERIAL: 58394
SUPPLEMENT, NUTRITIONAL, FRUIT BEVERAGE, PEACH FLAVOR, LOW FAT LIQUID
NUTRITION FOR PATIENTS REQUIRING ORAL SUPPLEMENTATION AND IS APPROPRIATE
FOR FORTIFICATION OF THE CLEAR LIQUID DIET, 24/237 ML TETRA PACKS PER
CASE,
NESTLE (BOOST) #12460256
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 540 05/12/2025
115.000 Case GSIN: N8940MATERIAL: 58467
SUPPLEMENT, NUTRITIONAL, LIQUID, FOR ORAL OR TUBE FEED, FOR CHILDREN
1-13 WITH IMPAIRED GASTROINTESTINAL FUNCTION, CALORICALLY DENSE PEPTIDE
FORMULA, CONTAINS PREBIO, MCT:LCT RATION OF 60:40 TO MINIMIZE FAT
MALABSORPTION, LACTOSE FREE, GLUTEN FREE, 24/250 ML TETRA PRISMA PER
CASE<(>,<)>
NESTLE (PEPTAMEN JUNIOR 1.5 PBI01) #12408913
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 550 05/12/2025
440.000 Case GSIN: N8940MATERIAL: 59864
SUPPLEMENT, NUTRITIONAL, LIQUID, READY TO USE, TUBE OR ORAL, FOR
CHILDREN WHO REQUIRE SHORT OR LONG TERM TUBE FEEDING, VANILLA, 235 ML
CAN, 12 CANS PER CASE,
ABBOTT (PEDIASURE) #6220013
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 560 05/12/2025
1,020.000 Case GSIN: N8940MATERIAL: 60726
SUPPLEMENT, NUTRITIONAL, LIQUID, READY TO USE, WITH FIBRE, 1.1 GRAM
DIETARY FIBRE PER 235 ML, FOR CHILDREN 1 - 10 YEARS, ORAL OR TUBE FEED,
VANILLA, 235 ML CAN, 12 CANS PER CASE,
ABBOTT LABS (PEDIASURE WITH FIBRE) #6219713
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 570 05/12/2025
670.000 Case GSIN: N8940MATERIAL: 60727
SUPPLEMENT, NUTRITIONAL, LIQUID, READY TO USE, HIGH CALORIE WITH FIBRE,
1.76 GRAM DIETARY FIBRE PER 235 ML, FOR CHILDREN 1-10 YEARS, ORAL OR
TUBE FEED, VANILLA , 235 ML CAN, 12 CANS PER CASE,
ABBOTT LABS (PEDIASURE PLUS WITH FIBRE) #6224413
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 580 05/12/2025
12.000 Case GSIN: N8940MATERIAL: 61902
SUPPLEMENT, NUTRITIONAL, VERY HIGH PROTEIN, FIBRE FREE, ORAL OR TUBE
FEEDING, FOR PATIENTS WITH WHOLE PROTEIN AND INCREASED PROTEIN
REQUIREMENTS, PRESSURE ULCERS AND FIBRE RESTRICTIONS, 24 X 250 ML TETRA
PRISMA,
NESTLE(ISOSOURCE VHP FIBRE FREE) #12293881
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 590 05/12/2025
640.000 Case GSIN: N8940MATERIAL: 61910
SUPPLEMENT, NUTRITIONAL, HIGH PROTEIN, BLEND OF PARTIALLY HYDROLYZED GUM
AND SOY FIBRE, ORAL OR TUBE FEED, FOR PATIENTS WITH WHOLE PROTEIN TUBE
FEEDING NEEDS, ELEVATED CALORIE NEEDS AND BOWEL FUNCTIONS, 250 ML TETRA
PRISMA, 24 PER CASE,
NESTLE (ISOSOURCE 1.2 FIBRE) #12433293
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 600 05/12/2025
180.000 Case GSIN: N8940MATERIAL: 62380
SUPPLEMENT, NUTRITIONAL, LIQUID, READY TO FEED, PEDIASURE COMPLETE,
VANILLA, 235 ML, FOR CHILDREN 1 - 13 YEARS OF AGE, 16 PLASTIC BOTTLES
PER CASE,
ABBOTT LABS #6249113
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 610 05/12/2025
12.000 Case GSIN: N6505MATERIAL: 63533
SUPPLEMENT, 1 POWDER, ISOLEUCINE, LEUCINE, AND VALINE FREE POWDER, 454 G
CAN, FOR INFANTS AND TODDLERS WITH MAPLE SYRUP URINE DISEASE (MSUD), 6
CANS PER CASE,
MEAD JOHNSON (BCAD 1) #2001952
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 620 05/12/2025
12.000 Case GSIN: N6505MATERIAL: 63535
SUPPLEMENT, 2 POWDER, NONESSENTIAL AMINO ACID FREE, 400 G CAN, FOR
CHILDREN AND ADULTS WITH A UREA CYCLE DISORDER, GYRATE ATROPHY, OR HHH
SYNDROME, 6 CANS PER CASE,
ABBOTT (CYCLINEX 2) #51146B40
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 630 05/12/2025
24.000 Case GSIN: N6505MATERIAL: 63539
SUPPLEMENT, LOPHLEX POWDER, BERRY, PHENYLALANINE FREE AMINO ACID, 14.3 G
PACKAGE, 30 PACKAGES PER CASE,
NUTRICIA #12169
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 640 05/12/2025
200.000 Case GSIN: N6505MATERIAL: 63540
SUPPLEMENT, LOPHLEX POWDER, ORANGE, PHENYLALANINE FREE AMINO ACID, 14.3
G, PACKAGE, 30 PACKAGES PER CASE,
NUTRICIA #12167
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 650 05/12/2025
30.000 Case GSIN: N6505MATERIAL: 63547
SUPPLEMENT, PFD-TODDLER POWDER, PROTEIN AND AMINO ACID FREE POWDER, 454
G CAN, FOR DOCUMENTED YOUNG CHILDREN WITH AMINO ACID METABOLIC
DISORDERS, 6 CANS PER CASE,
MEAD JOHNSON #3144090
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 660 05/12/2025
20.000 Case GSIN: N6505MATERIAL: 63548
SUPPLEMENT, PFD-2 POWDER, PROTEIN AND AMINO ACID FREE POWDER, 454 G CAN,
FOR DOCUMENTED AMINO ACID METABOLIC DISORDERS, 6 CANS PER CASE,
MEAD JOHNSON #1281389
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 670 05/12/2025
80.000 Case GSIN: N6505MATERIAL: 63549
SUPPLEMENT, PHENYL FREE 1 POWDER, PHENYLALANINE FREE POWDER, 454 G CAN,
FOR INFANTS AND TODDLERS WITH PHENYLKETONURIA, 6 CANS PER CASE,
MEAD JOHNSON #2001922
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 680 05/12/2025
410.000 Case GSIN: N6505MATERIAL: 63550
SUPPLEMENT, PHENYL FREE 2 POWDER, PHENYLALANINE FREE POWDER, 454 G CAN,
FOR CHILDERN AND ADULTS WITH PHENYLKETONURIA, 6 CANS PER CASE,
MEAD JOHNSON #1281335
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 690 05/12/2025
370.000 Case GSIN: N6505MATERIAL: 63567
SUPPLEMENT, PHENYLADE ESSENTIAL DRINK MIX, VANILLA FLAVORED,
PHENYLALANINE FREE AMINO ACID, LOW PROTEIN, 454 GRAM CAN, 4 PER CASE,
NUTRICIA #119869
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 700 05/12/2025
90.000 Case GSIN: N6505MATERIAL: 63573
SUPPLEMENT, XLYS XTRP ANALOG POWDER, LYSINE FREE, TRYPTOPHAN FREE,
DIETARY MANAGEMENT OF PROVEN GLUTARIC ACIDEMIA TYPE 1 INFANTS FROM BIRTH
TO ONE YEAR, 400 GRAM CAN, 6 CANS PER CASE,
NUTRICIA #49854
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 710 05/12/2025
12.000 Case GSIN: N6505MATERIAL: 63574
SUPPLEMENT, XMET ANALOG POWDER, METHIONINE FREE, 400 G CAN, DIETARY
MANAGEMENT OF HOMOCYSTINURIA IN INFANTS FROM BIRTH TO 1 YEAR,
NUTRICIA #49854
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 720 05/12/2025
250.000 Case GSIN: N8940MATERIAL: 65041
SUPPLEMENT, PHENYLADE ESSENTIAL DRINK MIX, CHOCOLATE FLAVORED,
PHENYLALANINE FREE AMINO ACID, LOW PROTEIN, 454 G CAN,
APPLIED NUTRITION #9501
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 730 05/12/2025
250.000 Case GSIN: N6505MATERIAL: 65042
SUPPLEMENT, PHENYLADE ESSENTIAL DRINK MIX, ORANGE CREAM FLAVORED,
PHENYLALANINE FREE AMINO ACID, LOW PROTEIN, 454 G CAN,
APPLIED NUTRITION #119870
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 740 05/12/2025
250.000 Case GSIN: N6505MATERIAL: 65043
SUPPLEMENT, PHENYLADE ESSENTIAL DRINK MIX, STRAWBERRY FLAVORED,
PHENYLALANINE FREE AMINO ACID, LOW PROTEIN, 454 G CAN,
APPLIED NUTRITION #9504
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 750 05/12/2025
250.00 Each GSIN: N8940MATERIAL: 65857
SUPPLEMENT, NUTRITIONAL, LIQUID, UNIQUE READY-TO-DRINK PEPTIDE-BASED
FORMULA FOR PATIENTS WITH IMPAIRED GASTROINTESTINAL FUNCTION, VANILLA,
220 ML BOTTLE, 30 PER CASE,
ABBOTT (VITAL PEPTIDE 1.0 CAL) #OS297A31
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 760 05/12/2025
600.00 Each GSIN: N8940MATERIAL: 65880
SUPPLEMENT, NUTRITIONAL, LIQUID, UNIQUE READY-TO-DRINK PEPTIDE-BASED
FORMULA FOR PATIENTS WITH IMPAIRED GASTROINTESTINAL FUNCTION, VANILLA,
220 ML BOTTLE, 30 PER CASE,
ABBOTT (VITAL PEPTIDE 1.5 CAL) #OS298A31
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 770 05/12/2025
12.00 Each GSIN: N8940MATERIAL: 66829
SUPPLEMENT, NUTRITIONAL, POWDER, NUTRITION SUPPORT OF CHILDREN AND
ADULTS WITH GLUTARIC ACIDURIA TYPE 1, 14.1 OZ (400 G) CAN, 6 CANS/CASE,
ABBOTT (GLUTAREX-2) #51142B40
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 780 05/12/2025
12.00 Each GSIN: N8940MATERIAL: 66830
SUPPLEMENT, NUTRITIONAL, POWDER, FOR DIETARY MANAGEMENT OF GLUTARIC
ACIDURIA TYPE 1 (GA-1) IN CHILDREN AND ADULTS, 454 GRAM CAN, 4 CANS PER
CASE,
NUTRICIA (GLUTARADE GA-1) AMINO ACID BLEND #120461
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 790 05/12/2025
12.00 Each GSIN: N8910MATERIAL: 67109
FORMULA, PURAMINO A+, AN AMINO ACID-BASED FORMULA SCIENTIFICALLY
DESIGNED FOR EFFECTIVE DIETARY MANAGEMENT OF INFANTS AND TODDLERS WITH
SEVERE COW'S MILK PROTEIN AND MULTIPLE FOOD ALLERGIES OR OTHER CONDITONS
REQUIRING AN AMINO ACID-BASED FORMULA, 400 G CAN, 4/CASE,
MEAD JOHNSON #1233351
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 800 05/12/2025
12.00 Each GSIN: N8940MATERIAL: 67339
SUPPLEMENT, NUTRITIONAL, UNFLAVORED, NUTRITION SUPPORT OF CHILDREN AND
ADULTS WITH MAPLE SYRUP URINE DISEASE (MSUD), ISOLEUCINE-, LEUCINE- AND
VALINE-FREE, BRANCHED-CHAIN AMINO ACID-FREE TO ALLOW GREATER INTAKE OF
INTACT PROTEIN, USE UNDER MEDICAL SUPERVISION, 400 GRAM CAN, 6 PER CASE,
ABBOTT (KETONEX 2) #51114B40
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 810 05/12/2025
20.00 Each GSIN: N8940MATERIAL: 67373
SUPPLEMENT, NUTRITIONAL, AN AMINO ACID BASED METHIONINE FREE POWDERED
INFANT FORMULA CONTAINING ESSENTIAL AND NON-ESSENTIAL AMINO ACIDS,
CARBOHYDRATE, FAT, VITAMINS, MINERALS AND TRACE ELEMENTS, SUPPLEMENTED
WITH LONG CHANG POLYUNSATURATED FATTY ACIDS AND PREBIOTIC FIBRES, 400 G
CAN, 6 CANS/CASE,
NUTRICIA (HCU ANAMIX) #89470
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 820 05/12/2025
110.000 Case GSIN: N8940MATERIAL: 67428
SUPPLEMENT, NUTRITIONAL, PEDIATRIC, READY TO USE, HIGH PROTEIN,
BLENDERIZED TUBE FEEDING FORMULATED FROM TRADITIONAL FOODS INCLUDING
PEAS, CARROTS, TOMATOES, CRANBERRY JUICE, CHICKEN, 24/250 ML TETRA PER
CASE,
NESTLE (COMPLEAT) #12500015
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 830 05/12/2025
1.000 Case GSIN: N8940MATERIAL: 70582
SUPPLEMENT, NUTRITION, SUPPORT OF INFANTS AND TODDLERS WITH A DISORDER
OF LEUCINE CATABOLISM, LEUCINE-FREE, USE UNDER MEDICAL SUPERVISION, TO
MEET THE NUTRIENT NEEDS OF THE INFANT OR CHILD, INFANT FORMULA, BREAST
MILK OR ADDITIONAL FOOD CHOICES MUST BE GIVEN TO SUPPLY PROTEIN AND
LEUCINE REQUIREMENTS, 400 GRAM CAN, 6 CANS PER CASE,
ABBOTT (I-VALEX-2) #51138B40
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 840 05/12/2025
1.00 Each GSIN: N8940MATERIAL: 70593
SUPPLEMENT, NUTRITIONAL, LIQUID, NUTRITIONALLY COMPLETE, READY TO USE
KETOGENIC MEDICAL FOOD IN A 3:1 RATIO FOR THE DIETARY MANAGEMENT OF
INTRACTABLE EPILEPSY AND OTHER DISORDERS FOR INDIVIDUALS OVER 1 YEAR OF
AGE THAT REQUIRE A KETOGENIC DIET FOR BOTH ORAL AND TUBE FEEDING,
UNFLAVORED, 250 ML TETRA, 30 TETRAS PER CASE,
PARAMED (KETOVIE 3:1) #3156
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 850 05/12/2025
80.000 Case GSIN: N8940MATERIAL: 71710
FORMULA, POWDERED, ELEMENTAL, WITH 100% FREE AMINO ACIDS, FOR IMPAIRED
GI TRACT, ORAL AND TUBE FEEDING, KOSHER, GLUTEN-FREE, LACTOSE-FREE,
UNFLAVOURED, 2.8 OZ, 6 PER PACK, 6 PACKS PER CASE,
NESTLE HEALTH SCIENCE (VIVONEX PLUS) #10043900086429, CARDINAL HEALTH
#NN12152663
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 860 05/12/2025
120.000 Case GSIN: N8940MATERIAL: 76008
SUPPLEMENT, POWDERED FORMULA, CONTAINS ESSENTIAL AMINO ACIDS WITH
INCREASED LEVELS OF BRANCHED CHAIN AMINO ACIDS (BCAAs) AND TRYPTOPHAN,
FOR THE DIETARY MANAGEMENT OF UREA CYCLE DISORDERS (UCD) IN PATIENTS
OVER 1 YEAR OF AGE, 400 GRAM CAN, 6 CANS PER CASE,
NUTRICIA (UCD ANAMIX JUNIOR)#59292
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 870 05/12/2025
12.000 Case GSIN: N8940MATERIAL: 68368
SUPPLEMENT, NUTRITION, SUPPORT OF INFANTS AND TODDLERS WITH A DISORDER
OF LEUCINE CATABOLISM, LEUCINE-FREE, USE UNDER MEDICAL SUPERVISION, TO
MEET THE NUTRIENT NEEDS OF THE INFANT OR CHILD, INFANT FORMULA, BREAST
MILK OR ADDITIONAL FOOD CHOICES MUST BE GIVEN TO SUPPLY PROTEIN AND
LEUCINE REQUIREMENTS, 400 GRAM CAN, 6 CANS PER CASE,
ABBOTT (I-VALEX-1) #51138B-40
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 880 05/12/2025
48.00 Each GSIN: N8940MATERIAL: 69579
FORMULA, POWDERED, PHENYLALANINE-FREE, POWDERED MEDICAL FOOD FOR THE
DIETARY MANAGEMENT OF PHENYLKETONURIA (PKU) IN OLDER CHILDREN AND
ADULTS, INCLUDING PREGNANT WOMEN AND WOMEN OF CHILD-BEARING AGE,
UNFLAVORED, 454 GRAM CAN, 6 CANS PER CASE,
NUTRICIA (PERIFLEX ADVANCE) #49835
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 890 05/12/2025
12.00 Each GSIN: N6505MATERIAL: 69749
SUPPLEMENT, TYROS 1 POWDER, PHENYLALANINE AND TYROSINE FREE,
IRON-FORTIFIED FORMULA AND MEDICAL FOOD POWDER FOR INFANTS AND TODDLERS
WITH DOCUMENTED TYROSINEMIA, PROVIDES ALL OTHER ESSENTIAL AMINO ACIDS AS
WELL AS NONESSENTIAL AMINO ACIDS, CARBOHYDRATES, FAT, ESSENTIAL FATTY
ACIDS, VITAMINS AND MINERALS, USE UNDER DIRECT AND CONTINUING MEDICAL
SUPERVISION, 454 GRAM CAN, 6 PER CASE,
MEAD JOHNSON #2001957
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 900 05/12/2025
30.00 Each GSIN: N8940MATERIAL: 69750
SUPPLEMENT, PROTEIN, AMINO ACID BLEND MSD, FOR THE DIETARY MANAGEMENT OF
MAPLE SYRUP URINE DISEASE (MSUD) IN CHILDREN AND ADULTS INCLUDING
PREGNANT WOMEN AND WOMEN OF CHILD-BEARING AGE, ISOLEUCINE-FREE,
LEUCINE-FREE AND VALINE-FREE, UNFLAVOURED, 454 GRAM CAN, 4 PER CASE,
NUTRICIA (COMPLEX) #120459
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 910 05/12/2025
12.000 Case GSIN: N6505MATERIAL: 76050
SUPPLEMENT, GLUTARADE ESSENTIAL GA-1, POWDER DRINK MIX, LYSIN FREE, LOW
TRYPTOPHAN, MEDICAL FOOD FOR THE DIETARY MANAGEMENT OF PROVEN GLUTARIC
ACIDEMIA TYPE 1 IN INDIVIDUALS OVER 1 YEAR OF AGE, VANILLA, 454 GRAM
CAN, 4 CANS PER CASE,
NUTRICIA #120462
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 920 05/12/2025
1.000 Case GSIN: N8940MATERIAL: 76052
SUPPLEMENT, NUTRITIONAL, LIQUID, NUTRITIONALLY COMPLETE, READY TO USE
KETOGENIC MEDICAL FOOD IN A 4:1 RATIO FOR THE DIETARY MANAGEMENT OF
INTRACTABLE EPILEPSY AND OTHER DISORDERS FOR INDIVIDUALS OVER 1 YEAR OF
AGE THAT REQUIRE A KETOGENIC DIET FOR BOTH ORAL AND TUBE FEEDING,
CHOCOLATE, 250 ML TETRA, 30 TETRAS PER CASE,
CAMBROOKE (KETOVIE 4:1) #3138
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 930 05/12/2025
1.000 Case GSIN: N8940MATERIAL: 76053
SUPPLEMENT, NUTRITIONAL, LIQUID, NUTRITIONALLY COMPLETE, READY TO USE
KETOGENIC MEDICAL FOOD IN A 4:1 RATIO FOR THE DIETARY MANAGEMENT OF
INTRACTABLE EPILEPSY AND OTHER DISORDERS FOR INDIVIDUALS OVER 1 YEAR OF
AGE THAT REQUIRE A KETOGENIC DIET FOR BOTH ORAL AND TUBE FEEDING,
VANILLA, 250 ML TETRA, 30 TETRAS PER CASE,
CAMBROOKE (KETOVIE 4:1) #3137
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 940 05/12/2025
30.000 Case GSIN: N8940MATERIAL: 76061
SUPPLEMENT, POWDER, ISOLEUCINE-, LEUCINE-, AND VALINE- FREE, FOR DIETARY
MANAGEMENT OF CHILDREN AND ADULTS (3 YEARS AND OLDER) WITH MAPLE SYRUP
URINE DISEASE (MSUD) OR OTHER INBORN ERRORS OR BRANCHED CHAIN AMINO ACID
METABOLISM, 454 GRAM CAN, 6 CANS PER CASE,
MEAD JOHNSON (BCAD 2) #1281386
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 950 05/12/2025
1.000 Case GSIN: N8940MATERIAL: 76073
SUPPLEMENT, POWDER, LEUCINE-FREE, AMINO ACID-BASED, MEDICAL FOOD FOR THE
DIETARY MANAGEMENT OF ISOVALERIC ACIDEMIA (IVA) IN INDIVIDUALS OVER 1
YEAR OF AGE, PLAIN, 400 GRAM CAN, 6 CANS PER CASE,
NUTRICIA (IVA ANAMIX NEXT )#89471
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 960 05/12/2025
50.000 Case GSIN: N8940MATERIAL: 76074
SUPPLEMENT, NUTRITIONAL, DIABETIC, CHOCOLATE FLAVOUR, A UNIQUE AND
CALORICALLY BALANCED BLEND OF PROTEIN, FAT AND CARBOHYDRATES, 237 ML
TETRA PRISMA, 24 PER CASE,
NESTLE (BOOST DIABETIC) #12404643
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 970 05/12/2025
80.000 Case GSIN: N8940MATERIAL: 76205
SUPPLEMENT, ORGANIC BLENDS, PLANT BASED, BLEND OF WHOLE FOODS PLUS
VITAMINS AND MINERALS, FOR TUBEFEEDING, 300 ML POUCH, 24 PER CASE,
NESTLE (COMPLEAT) #12355985
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 980 05/12/2025
12.000 Case GSIN: N8940MATERIAL: 76697
SUPPLEMENT, POWDER, VANILLA, DRINK MIX, PHENYLALANINE-FREE, 1335
CALORIES PER CAN, 454 GRAM CAN, 4 PER CASE,
NUTRICIA (PHENYLADE 60) #119853
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 990 05/12/2025
105.000 Case GSIN: N8940MATERIAL: 76715
SUPPLEMENT, NUTRITIONAL, HIGH ENERGY, NUTRIENT RICH LIQUID DIET, FOR
PEOPLE WHO CANNOT DIGEST OR ABSORB FOOD PROPERLY, REQUIRE RESTRICTED
FLUIDS, OR NEED TO GAIN WEIGHT RAPIDLY, LACTOSE FREE, GLUTEN FREE,
UNFLAVOURED, ORAL OR TUBE FEEDING, 250 ML TETRA PRISMA, 24 PER CASE,
NESTLE (PEPTAMEN 1.5) #12408877
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
ITEM 1000 05/12/2025
30.000 Case GSIN: N8910MATERIAL: 77091
FORMULA, FOR INFANT AND YOUNG CHILDREN, POWDER, LYSINE-FREE, LOW
TRYTOPHAN, WITH IRON FOR DIETARY MANAGEMENT OF GLUTARIC ACIDURIA TYPE 1,
UNFLAVORED, 400 GRAM CAN, 6 CANS PER CASE,
NUTRICIA (GA-1 ANAMIX EARLY YEARS) #90217
NO SUBSTITUTIONS
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 as follows:
Year 1 $ _____________ December 8. 2023 to December 7, 2024
Year 2 $ _____________ December 8. 2024 to December 7, 2025
Optional year $ _____________ December 8. 2025 to December 5, 2026
========================================================
QUOTATION EVALUATION:
Generally the lowest overall price of an acceptable item(s) in
accordance with the terms & conditions of the RFQ will be awarded the
order.
Quotations will be evaluated based on suitability of unit offered
compared to the end users' needs, product description/specifications,
delivery, price, quality of the bidder's performance in past awards and
any other terms & conditions indicated on this RFQ.
Each product offered and service will be considered individually,
HOWEVER, the intent is to award this RFQ to one supplier in total (if
possible and economic to Manitoba) therefore bidders should quote on all
items if possible. (Economic evaluation to be at Manitoba's sole
discretion)
Failure to provide adequate information to evaluate the item offered may
be cause for rejection of your quote by the Manitoba Government
(Manitoba)
ALTERNATIVE PRODUCTS:
NO SUBSTITUTIONS
PRICING:
IF SUBMITTNG PRICING FOR MULTIPLE YEARS, PRICING FOR EACH YEAR IS FIRM
FOR THAT YEAR.
QUANTITY:
The quantity shown is approximate and may vary more or less
It should be noted that there is no guarantee of any business.
Any unused portion as of the end of the contract will be considered
cancelled
ORDERS/RELEASES:
The vendor is not to ship any item until specifically requested by
Materials Distribution Agency (MDA), unless a delivery schedule is shown
on the contract for any of the items.
The request for product may be placed verbally, by fax or by email and
will indicate the specific items and quantities required.
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.
Material Distribution Agency emails the "Acknowledgement of Release
Order" and the "Release Order" to the Vendor. The Vendor must respond by
signing and returning Material Distribution Agency's acknowledgement of
release order, within 48 hours to confirm that the Release Order was
received.
The quantities shown are the approximate quantities required per year
and may vary more or less.
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.
Any unused portion as of the end of the contract period will be
considered cancelled.
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 to 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.
Vendor must respond to defective product concerns within 48 hours of
receiving documentation from MDA.
Vendor must notify MDA immediately in writing of any known defective
products or product recalls related to the products the Vendor has
shipped to MDA or to MDA's clients to avoid release of product to their
end users.
Vendors may be requested by MDA to supply, if currently available, high
resolution product photos in digital or electronic "tiff" format.
By supplying these photos the Vendor is certifying that these photos are
not covered by a current copyright or if the photos are covered by
copyright the use of these photos is authorized for use by MDA. These
photos may be used by MDA for the promotion of the product or in the
production of MDA's printed or on-line publications to assist MDA's
clients when ordering product from MDA.
CONTRACT EXTENSION OR ADDITIONAL PRODUCTS:
By written agreement between 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.
TIME IS OF THE ESSENCE:
AS TIME IS OF THE ESSENCE.
FOB/FREIGHT:
FREIGHT SHALL BE DELIVERED FOB DESTINATION:
MATERIALS DISTRIBUTION AGENCY
7 - 1715 ST JAMES ST - REAR RECEIVING DOCK
WINNIPEG, MB
The unit prices above include all necessary charges, freight, insurance,
handling etc.
No freight charges allowed on back order quantities.
RESTOCKING CHARGES:
Do you agree to No restocking charges with a full credit when goods are
returned in new saleable condition.
YES ______ (or) NO ________
IF No, Bidders must indicate the restocking fee: $_____________
MDA requires complete details of your Return and Refund Policy.
Return and Refund details are to follow.
WARRANTY:
Vendor to address warranty issues within 48 hours of receiving emailed
documentation from MDA.
Vendor must provide copy(s) of warranty documentation to MDA on request,
after the contract is awarded.
PRODUCT SHELF LIFE:
Vendor to supply items with the longest shelf life available from the
date of the Release Order.
EXPIRY DATES ON PRODUCTS MUST BE AT LEAST 12 MONTHS FROM TIME OF
SHIPMENT UNLESS AUTHORIZED BY MDA.
DELIVERY /SERVICE QUALITY:
Lead times indicated are to be calculated from the time that a MDA
Release Order is issued (i.e. emailed or faxed) to the time the goods
will be received at MDA or MDA's client destination.
The length of delivery time and overall service to the end user is
important and may be monitored.
Failure to provide acceptable delivery and/or service may result in the
cancellation of the balance of the contract.
Deliveries will be accepted Monday - Friday, between the hours of: 8:00
AM to 3:30 PM (If for delivery to MDA).
The products listed will be released in the minimum quantities (or
possibly greater) as shown after each item and the Vendor must ship the
minimum quantities within the lead time as indicated on the
tender/contract.
Vendor must notify MDA immediately in writing (by email) of any delays
of regular or scheduled shipments.
Shipments are considered to be delayed if the delivery time will be
longer than the lead time indicated for that item on the contract.
Vendor must respond to late shipment inquires within 48 hours of
receiving emailed documentation from MDA.
Delivery must actually be effected within the time stated on the
Contract, failing in which Manitoba reserves the right to both purchase
elsewhere and charge the Vendor any loss incurred thereon, unless a
deferred shipment is arranged with MDA in writing, or cancel the
Contract.
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.
MINIMUM ORDER REQUIREMENT:
Is there a minimum order/shipment value for FOB Destination Freight
Prepaid pricing?
Yes _____ No _____
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 _____
If Yes, identify the delivery charge: $_________________________
AUTHORIZED VENDOR:
Manitoba reserves the right, prior to any contract award, to secure
evidence to Manitoba's satisfaction that any bidder is the manufacturer
or an authorized distributor, dealer or retailer of the goods offered
and is authorized to sell these goods in Manitoba, Canada and upon
request will provide Manitoba with written evidence thereof.
Manitoba reserves the right to secure evidence to the 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.
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 is to be clearly identified on the quote document.
ACCOUNTS RECEIVABLE ADDRESS:
Due to our computerized accounts payable system please advise if
your invoice address (accounts receivable) is the same as the address
for orders / quotes shown above
YES ____ or NO ______
If NO provide complete details i.e. box #, street address, city
province, postal code, etc. _________________
TO ASSIST IN PROMPT PAYMENT OF INVOICES PLEASE QUOTE THE RELEASE
PURCHASE ORDER NUMBER ON THE INVOICE AND ANY CORRESPONDANCE.
MANITOBA'S RETAIL SALES TAX LICENSE:
Are you licensed by Manitoba Finance to collect and remit
Manitoba's Retail Sales Tax
YES_____ or NO_____
If NO disregard the following paragraph.
MANITOBA'S RETAIL SALES TAX:
Is the product(s) offered subject to Manitoba's Retail Sales Tax
YES____ or NO _____
If the quote consists of both taxable (T) and non-taxable ( NT) items
please indicate T or NT opposite each item offered.
PAYMENT TERMS:
Manitoba will consider Early Payment Terms. Manitoba's standard payment
term is net thirty (30) days.
The Bidder shall specify their standard invoice term:
_____________________________
Is there any applicable discounts for early payment?
Yes _____ No _____ Initial __________
If Yes, please specify:
_____________________________________________________
Does your early payment clause appear on your invoice?
Yes _____ No _____ Initial __________
YOUR QUOTATION REFERENCE # (if applicable)___________
Proposed 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