36C26220Q0694-001.xlsx

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6640--Coag vials & controls
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36C26220Q0694
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36C26220Q0694 Attachment A.xlsx

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36C26220Q0694-000.docx DOCX document

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1. Base

CLINBrand NameBrand Name NomenclatureManufacturer Part NumberEstimated QuantityUnitUnit PriceExtended Price
1Roche DiagnosticCoaguChek XS 2x24 tests USA (en)4625315160100Box$ - 0
2Roche DiagnosticCoaguChek XS Pro PT Control USA (en)462538216020Box$ - 0
3$ - 0
4$ - 0
5$ - 0
6$ - 0
7$ - 0
8$ - 0
9$ - 0
10$ - 0
11$ - 0
12$ - 0
13$ - 0
14$ - 0
15$ - 0
16$ - 0
17$ - 0
18$ - 0
19$ - 0
20$ - 0
21$ - 0
22$ - 0
23$ - 0
24$ - 0
25$ - 0
26$ - 0
27$ - 0
28$ - 0
29$ - 0
30$ - 0
31$ - 0
32Total$ - 0

2. Option 1

CLINBrand NameBrand Name NomenclatureManufacturer Part NumberQuantityUnitUnit PriceExtended Price
1Roche DiagnosticsCoaguChek XS 2x24 test USA (en)4625315160100Box$ - 0
2Roche DiagnosticsCoaguChek XS Pro PT Control USA (en)462538216020Box$ - 0
3$ - 0
4$ - 0
5$ - 0
6$ - 0
7$ - 0
8$ - 0
9$ - 0
10$ - 0
11$ - 0
12$ - 0
13$ - 0
14$ - 0
15$ - 0
16$ - 0
17$ - 0
18$ - 0
19$ - 0
20$ - 0
21$ - 0
22$ - 0
23$ - 0
24$ - 0
25$ - 0
26$ - 0
27$ - 0
28$ - 0
29$ - 0
30$ - 0
31$ - 0
32Total$ - 0

3. Option 2

CLINBrand NameBrand Name NomenclatureManufacturer Part NumberQuantityUnitUnit PriceExtended Price
1Roche DiagnosticsCoaguChek XS 2x24 tests USA (en)4625315160100Box$ - 0
2Roche DiagnosticsCoaguChek XS Pro PT Control USA (en)462538216020Box$ - 0
3$ - 0
4$ - 0
5$ - 0
6$ - 0
7$ - 0
8$ - 0
9$ - 0
10$ - 0
11$ - 0
12$ - 0
13$ - 0
14$ - 0
15$ - 0
16$ - 0
17$ - 0
18$ - 0
19$ - 0
20$ - 0
21$ - 0
22$ - 0
23$ - 0
24$ - 0
25$ - 0
26$ - 0
27$ - 0
28$ - 0
29$ - 0
30$ - 0
31$ - 0
32Total$ - 0

4. Option 3

CLINBrand NameBrand Name NomenclatureManufacturer Part NumberQuantityUnitUnit PriceExtended Price
1Roche DiagnosticsCoaguChek XS 2x24 tests USA (en)4625315160100Box$ - 0
2Roche DiagnosticsCoaguChek XS Pro PT Control USA (en)462538216020Box$ - 0
3$ - 0
4$ - 0
5$ - 0
6$ - 0
7$ - 0
8$ - 0
9$ - 0
10$ - 0
11$ - 0
12$ - 0
13$ - 0
14$ - 0
15$ - 0
16$ - 0
17$ - 0
18$ - 0
19$ - 0
20$ - 0
21$ - 0
22$ - 0
23$ - 0
24$ - 0
25$ - 0
26$ - 0
27$ - 0
28$ - 0
29$ - 0
30$ - 0
31$ - 0
32Total$ - 0

5. Option 4

CLINBrand NameBrand Name NomenclatureManufacturer Part NumberQuantityUnitUnit PriceExtended Price
1Roche DiagnosticsCoaguChek XS 2x24 test USA (en)4625315160100Box$ - 0
2Roche DiagnosticsCoaguChek XS Pro PT Control USA (en)462538216020Box$ - 0
3$ - 0
4$ - 0
5$ - 0
6$ - 0
7$ - 0
8$ - 0
9$ - 0
10$ - 0
11$ - 0
12$ - 0
13$ - 0
14$ - 0
15$ - 0
16$ - 0
17$ - 0
18$ - 0
19$ - 0
20$ - 0
21$ - 0
22$ - 0
23$ - 0
24$ - 0
25$ - 0
26$ - 0
27$ - 0
28$ - 0
29$ - 0
30$ - 0
31$ - 0
32Total$ - 0

6. Total w Options

Annual PriceIncreaseTotal w/ Options
Base$ - 0$ - 0
Option 1$ - 0$ - 0
Option 2$ - 0$ - 0
Option 3$ - 0$ - 0
Option 4$ - 0$ - 0

$ - 0 $ - 0 $ - 0

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