|
CONTRACT ITEMS/SERVICES BY VENDOR
|
Vendor:
ROBERT WOOD JOHNSON UNIVERSITY
HOSPITAL AT HAMILTON
|
Contract Number:
58566
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00064
|
COMM CODE:
948-74-069114
PHYSICAL EXAMINATION/CONSULTATION
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$175.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00065
|
COMM CODE:
948-74-069115
PULMONARY FUNCTION TESTING
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$20.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00066
|
COMM CODE:
948-15-069116
AUDIOMETRY
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$18.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00067
|
COMM CODE:
948-74-069117
BASELINE CARDIOGRAM
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$22.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00068
|
COMM CODE:
961-48-069118
BLOOD LEAD TESTING (SHALL INCLUDE ALL
ASSOCIATED COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$23.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00069
|
COMM CODE:
948-97-069119
CHEST X-RAY (FOR RESPIATORY CLEARANCE)
INCLUDING RADIOLOGIST FEE
. YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$54.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00070
|
COMM CODE:
948-68-069120
VISION SCREENING
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$8.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00071
|
COMM CODE:
948-92-069121
ANTHRAX (USING VACCINE PROVIDED BY CDC)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$30.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00072
|
COMM CODE:
948-92-069122
BOTULINUM TOXOID (USING VACCINE PROVIDED
BY CDC)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$30.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00073
|
COMM CODE:
948-97-069123
CHEST X-RAY (FOR TB DETERMINATION)
INCLUDING RADIOLOGIST FEE
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$54.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00074
|
COMM CODE:
948-92-069124
HEPATITIS A (VACCINATION FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$70.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00075
|
COMM CODE:
948-92-069125
HEPATITIS B (RECOMBINANT VACCINE) -
(VACCINATION FEE SHALL INCLUDE
ALL ASSOCIATED COSTS
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$67.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00076
|
COMM CODE:
948-92-069126
HEPATITIS B ANTIBODY TITER (TITER FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$26.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00077
|
COMM CODE:
948-92-069127
INFLUENZA (FLU) - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$14.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00078
|
COMM CODE:
948-92-069128
MMR - (VACCINATION FEE SHALL
INCLUDE ALL ASSOCIATED COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$60.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00079
|
COMM CODE:
948-92-069129
RABIES (IMOVAX) - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$312.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00080
|
COMM CODE:
948-92-069130
RABIES ANTIBODY TITER -
(TITER FEE SHALL INCLUDE ALL ASSOCIATED
COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$54.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00081
|
COMM CODE:
948-92-069131
TB MANTOUX (INCLUDES REACTION READING)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$8.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00082
|
COMM CODE:
948-92-069132
TETANUS TOXOID - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$13.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00083
|
COMM CODE:
948-92-069133
VARICELLA - (VACCINATION FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
. YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$80.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00084
|
COMM CODE:
948-92-069134
LABORATORY ANALYSIS FEE FOR WELLNESS
FAIR SERVICES (NO CHARGE PERMITTED FOR
THE FAIR OR ANY OTHER WELLNESS FAIR
ASSOCIATED SERVICES WITHOUT APPROVAL OF
THE STATE CONTRACT MANAGER)
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$8.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00085
|
COMM CODE:
948-74-069135
PHYSICAL EXAMINATION/CONSULTATION
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$180.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00086
|
COMM CODE:
948-74-069136
PULMONARY FUNCTION TESTING
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$22.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00087
|
COMM CODE:
948-15-069137
AUDIOMETRY
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$20.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00088
|
COMM CODE:
948-74-069138
BASELINE CARDIOGRAM
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$24.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00089
|
COMM CODE:
961-48-069139
BLOOD LEAD TESTING (SHALL INCLUDE ALL
ASSOCIATED COSTS)
YEAR 1
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$24.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00090
|
COMM CODE:
948-97-069140
CHEST X-RAY (FOR RESPIRATORY CLEARANCE)
INCLUDING RADIOLOGIST FEE
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$56.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00091
|
COMM CODE:
948-68-069141
VISION SCREENING
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$9.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00092
|
COMM CODE:
948-92-069142
ANTHRAX (USING VACCINE PROVIDED BY CDC)
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$30.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00093
|
COMM CODE:
948-92-069143
BOTULINUM TOXOID (USING VACCINE PROVIDED
BY CDC)
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$30.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00094
|
COMM CODE:
948-97-069144
CHEST X-RAY (FOR TB DETERMINATION)
INCLUDING RADIOLOGIST FEE
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$56.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00095
|
COMM CODE:
948-92-069145
HEPATITIS A (VACCINATION FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$72.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00096
|
COMM CODE:
948-92-069146
HEPATITIS B (RECOMBINANT VACCINE) -
(VACCINATION FEE SHALL INCLUDE
ALL ASSOCIATED COSTS)
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$67.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00097
|
COMM CODE:
948-92-069147
HEPATITS B ANTIBODY TITER (TITER FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$27.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00098
|
COMM CODE:
948-92-069148
INFLUENZA (FLU) - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$16.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00099
|
COMM CODE:
948-92-069149
MMR - (VACCINATION FEE SHALL
INCLUDE ALL ASSOCIATED COSTS)
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$62.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00100
|
COMM CODE:
948-92-069150
RABIES (IMOVAX) - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 2
SHIP TO: 464210 / S005
FINANCIAL SERVICES
HUMAN RESOURCES (DOH)
240 W STATE ST.10TH FLOOR
PO BOX 360
TRENTON NJ 08628-0360
|
1.000
|
EACH
|
N/A
|
$312.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00101
|
COMM CODE:
948-92-069151
RABIES ANTIBODY TITER - (TITER
FEE SHALL INCLUDE ALL ASSOCIATED
COSTS)
YEAR 2
|
1.000
|
EACH
|
N/A
|
$56.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00102
|
COMM CODE:
948-92-069152
TB MANTOUX (INCLUDES REACTION READING)
YEAR 2
|
1.000
|
EACH
|
N/A
|
$9.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00103
|
COMM CODE:
948-92-069153
TETANUS TOXOID - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 2
|
1.000
|
EACH
|
N/A
|
$14.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00104
|
COMM CODE:
948-92-069154
VARICELLA - (VACCINATION FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 2
|
1.000
|
EACH
|
N/A
|
$83.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00105
|
COMM CODE:
961-48-069155
LABORATORY ANALYSIS FEE FOR WELLNESS
FAIR SERVICES (NO CHARGE PERMITTED FOR
THE FAIR OR ANY OTHER WELLNESS FAIR
ASSOCIATED SERVICE WITHOUT APPROVAL OF
THE STATE CONTRACT MANAGER)
YEAR 2
|
1.000
|
EACH
|
N/A
|
$9.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00106
|
COMM CODE:
948-74-069156
PHYSICAL EXAMINATION/CONSULTATION
YEAR 3
|
1.000
|
EACH
|
N/A
|
$185.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00107
|
COMM CODE:
948-74-069157
PULMONARY FUNCTION TESTING
YEAR 3
|
1.000
|
EACH
|
N/A
|
$24.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00108
|
COMM CODE:
948-15-069158
AUDIOMETRY
YEAR 3
|
1.000
|
EACH
|
N/A
|
$22.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00109
|
COMM CODE:
948-74-069159
BASELINE CARDIOGRAM
YEAR 3
|
1.000
|
EACH
|
N/A
|
$26.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00110
|
COMM CODE:
961-48-069160
BLOOD LEAD TESTING (SHALL INCLUDE ALL
ASSOCIATED COSTS)
YEAR 3
|
1.000
|
EACH
|
N/A
|
$25.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00111
|
COMM CODE:
948-97-069161
CHEST X-RAY (FOR RESPIRATORY CLEARANCE)
INCLUDING RADIOLOGIST FEE
YEAR 3
|
1.000
|
EACH
|
N/A
|
$58.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00112
|
COMM CODE:
948-68-069162
VISION SCREENING
YEAR 3
|
1.000
|
EACH
|
N/A
|
$10.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00113
|
COMM CODE:
948-92-069163
ANTHRAX (USING VACCINE PROVIDED BY CDC)
YEAR 3
|
1.000
|
EACH
|
N/A
|
$30.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00114
|
COMM CODE:
948-92-069164
BOTULINUM TOXOID (USING VACCINE PROVIDED
BY CDC)
YEAR 3
|
1.000
|
EACH
|
N/A
|
$30.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00115
|
COMM CODE:
948-97-069165
CHEST X-RAY (FOR TB DETERMINATION)
INCLUDING RADIOLOGIST FEE
YEAR 3
|
1.000
|
EACH
|
N/A
|
$58.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00116
|
COMM CODE:
948-92-069166
HEPATITIS A (VACCINATION FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 3
|
1.000
|
EACH
|
N/A
|
$74.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00117
|
COMM CODE:
948-92-069167
HEPATITIS B (RECOMBINANT VACCINE) -
VACCINATION FEE SHALL INCLUDE
ALL ASSOCIATED COSTS
YEAR 3
|
1.000
|
EACH
|
N/A
|
$67.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00118
|
COMM CODE:
948-92-069168
HEPATITIS B ANTIBODY TITER (TITER FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 3
|
1.000
|
EACH
|
N/A
|
$28.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00119
|
COMM CODE:
948-92-069169
INFLUENZA (FLU) - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS
YEAR 3
|
1.000
|
EACH
|
N/A
|
$18.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00120
|
COMM CODE:
948-92-069170
MMR - (VACCINATION FEE SHALL
INCLUDE ALL ASSOCIATED COSTS
YEAR 3
|
1.000
|
EACH
|
N/A
|
$64.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00121
|
COMM CODE:
948-92-069171
RABIES (IMOVAX) - (VACCINATION
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 3
THIS CONTRACT HAS BEEN EXTENDED FOR
A PERIOD OF SIX MONTHS FROM
JANUARY 1, 2010 THROUGH JUNE 30, 2010.
THIS IS IN ACCORDANCE WITH THE TERMS
AND CONDITIONS OF THE ORIGINAL CONTRACT.
|
1.000
|
EACH
|
N/A
|
$312.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00122
|
COMM CODE:
948-92-069172
RABIES ANTIBODY TITER - (TITER
FEE SHALL INCLUDE ALL ASSOCIATED
COSTS)
YEAR 3
|
1.000
|
EACH
|
N/A
|
$58.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00123
|
COMM CODE:
948-92-069173
TB MANTOUX (INCLUDES REACTION READING)
YEAR 3
|
1.000
|
EACH
|
N/A
|
$10.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00124
|
COMM CODE:
948-92-069174
TETANUS TOXOID - (VACCINATION
FEE SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 3
|
1.000
|
EACH
|
N/A
|
$15.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00125
|
COMM CODE:
948-92-069175
VARICELLA - (VACCINATION FEE
SHALL INCLUDE ALL ASSOCIATED COSTS)
YEAR 3
|
1.000
|
EACH
|
N/A
|
$86.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00126
|
COMM CODE:
961-48-069176
LABORATORY ANALYSIS FEE FOR WELLNESS
FAIR SERVICES (NO CHARGE PERMITTED FOR
THE FAIR OR ANY OTHER WELLNESS FAIR
ASSOCIATED SERVICE WITHOUT APPROVAL OF
THE STATE CONTRACT MANAGER)
YEAR 3
|
1.000
|
EACH
|
N/A
|
$10.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00127
|
COMM CODE:
961-48-069176
VACCINATIONS OF STATE-SUPPLIED H1N1
INFLUENZA TO STATE EMPLOYEES IN
ACCORDANCE WITH AMENDMENT 2 TO THIS
CONTRACT EFFECTIVE MARCH 18, 2010.
DELIVERY: 10 DAYS ARO
|
1.000
|
EACH
|
N/A
|
$15.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00128
|
COMM CODE:
961-48-069176
RUBELLA TITER ADMINISTRATION AND
ANALYSIS FOR DHSS EMPLOYEES IN
ACCORDANCE WITH AMENDMENT 3 TO THIS
CONTRACT EFFECTIVE OCTOBER 8, 2010.
DELIVERY: 10 DAYS ARO
|
1.000
|
EACH
|
N/A
|
$30.00000
|