Justification_FSS.pdf

VHAPM Part 808.405-6 Limiting Sources Attachment 2: Request for Limited Sources Justification Format >SAT

VISN 15 In-Vitro Microbiology Products

LIMITED SOURCES JUSTIFICATION

ORDER >SAT

FAR PART 8.405-6

Acquisition Plan Action ID: 36C255-22-AP-3154

(1) Contracting Activity: Department of Veterans Affairs, VISN 15

Harry S. Truman VAMC Kansas City VAMC Marion VAMC John Cochran VAMC Robert Dole VAMC John J Pershing VAMC

(2) Description of Action: This acquisition is conducted under the authority of the Multiple Award Schedule Program (41 U.S.C. 152(3) and 40 U.S.C. 501). The intent is to award a contract using the FSS contract, No. 36F79718D0395, for In-Vitro Microbiology Supplies for VISN 15 with one 12-Month Base Period and four, 12-Month Option Periods (Base+ 4 Option Periods).

Order against: [8J

Name of Proposed Contractor:

Street Address:

City, State, Zip:

Phone:

Contract Number: 36F79718D0395

Fisher Scientific Company, LLC, Legal Business Name: Thermo

Fisher Scientific

11450 Compaq Center Drive West, Suite 570

Houston, TX 77070

(800)323-6248

(3) Description of Supplies or Services: Attachment A lists all requested products to include, but not limited to, the following: Products such as Prepared Culture Media, Dehydrated Culture Media, Collection and Transport Systems, Diagnostic Tests, Direct Specimen Tests, Quality Control Systems, Laboratory Supplies and Susceptibility.

Most of the requested products listed on Attachment A are manufactured and distributed by the In-Vitro Microbiology Business Unit of Thermo Fisher Scientific. REM EL products make up the majority of the products listed on Attachment A and these are manufactured and distributed by Thermo Fisher Scientific.

VHAPM Part 808.405-6 Limiting Sources Original Date: 08/30/2017 Revision 03 Eff Date: 03/18/2021

VISN 15 In-Vitro Microbiology Products

The estimated value of the proposed action for a Base+ 4 Option Periods, Firm-Fixed Priced, type contract is $562,698.52 as listed in the table below. The table below breaks down the estimated cost for each POP and a total for all five POPs.

Facility Cost

Marion VAMC $9,435.34

Poplar Bluff VAMC $7,560.00

Columbia VAMC $17,790.74

St. Louis VAMC $48,484.71

Wichita VAMC $18,432.19

Kansas City VAMC $38,971.65

Base Period Total $140,674.63

Base + 4 Opt Periods Total $562,698.52

(4) Identify the Authority and Supporting Rationale (see below and if applicable, a demonstration ofthe proposed contractor's unique qualifications to provide the required supply or service.

D FAR 8.405-G(a)(l)(A): An urgent and compelling need exists and following the ordering procedures would result in unacceptable delays:

IZI FAR 8.405-G(a)(l)(B): Only one source is capable of providing the supplies or services required at the level of quality required because the supplies or services are unique or highly specialized.

Thermo Fisher Scientific is the only vendor to offer chromogenic culture media specifically designed for clinical applications. Compared to traditional media, chromogenic culture media significantly enhances the identification of bacteria through color differentiation over traditional media. Chromogens in the culture media better differentiate target organisms, improving selectivity and specificity. In response to the need to screen for an increasing number of multi-drug resistant organisms in hospitals and clinics. For chromogenic culture media, further developments in our unique inhibigen technology improve the selectivity of the target organism by reducing background growth, making identification even easier. In addition, we

VHAPM Part 808.405-6 Limiting Sources Original Date: 08/30/2017 Revision 03 Eff Date: 03/18/2021

VHALEACabanT Highlight

VHALEACabanT Highlight

VISN 15 In-Vitro Microbiology Products can inoculate chromogenic prepared media plates directly from a patient sample and obtain results within 24 hours to further increase efficiency.

These products are renowned for exceptional quality, accuracy, reliability and innovation. Their products help diagnose infections quickly and accurately to speed valuable information to clinicians, facilitating faster treatment decisions, and overall better patient care. The In-Vitro Microbiology state-of-the-art prepared media provides optimal recovery and differentiation of organisms, and maximum batch-to-batch consistency, for superior and reproducible product performance.

D FAR 8.405-G(a)(l)(C): In the interest of economy and efficiency, the new work is a logical follow-on to an original Federal Supply Schedule order provided that the original order was placed in accordance with the applicable Federal Supply Schedule ordering procedures. The original order must not have been previously issued under sole source or limited source procedures.

D FAR 8.405-G(b): Items peculiar to one manufacturer:

D A patent, copyright or proprietary data limits competition. The proprietary data is:

D These are "direct replacements" parts/components for existing equipment.

D The material/service must be compatible in all aspects (form, fit and function) with existing systems presently installed/performing.

(5) Describe Why You Believe the Order Represents the Best Value consistent with FAR 8.404(d) to aid the Contracting Officer in making this best value determination:

Thermo Fisher Scientific is the only vendor to offer chromogenic culture media specifically designed for clinical applications. The products help diagnose infections quickly and accurately to speed valuable information to clinicians, facilitating faster treatment decisions and overall better patient care. The rapid identification of culture isolates results plays a critical role in the optimal treatment of infections. REM EL media improves quality, translating into reduced hands-on time for identification of pathogens and enabling clinically actionable results to be released much earlier. In other words, these products decrease the turnaround time in the V Microbiology area. Turnaround time (TAT) is one of the most noticeable signs of laboratory service and is often used as a key performance indicator of laboratory performance.

In summary, we need the state-of-the-art prepared media in our laboratories because they provide optimal recovery and differentiation of organisms, and maximum batch-to-batch

VHAPM Part 808.405-6 Limiting Sources Original Date: 08/30/2017

VISN 15 In-Vitro Microbiology Products consistency, for superior and reproducible product performance resulting in better patient care.

(6) Describe the Market Research Conducted among schedule holders and the results or a statement of the reason market research was not conducted.

A search was performed on the GSA Advantage website for In-Vitro Microbiology Products, and Thermo Scientific was the only vendor that can provide all products listed in Attachment A.

Market Research was also performed outside of the schedule holder in a Sources Sought posting to www.sam.gov as follows:

A Sources Sought, 36C25522Q0172, was posted to www.sam.gov. 08 March 2022. Three vendors responded, which included Thermo Fisher Scientific. A review was conducted, and the findings showed that Thermo Fisher Scientific's FSS contract, No. 36F79718D0395, could provide all products on Attachment A for this requirement.

One SDVOSB vendor, certified on the VIP website, responded to the Sources Sought. However, after a review of their capabilities statement and their price list, it is found that they do not provide all items listed on Attachment A. The SDVOSB vendor's prices for one year is $875,425.27 {79.4% over the IGCE) and that did not include all of the items on Attachment A, whereas the FSS contract, No. 36F79718D0395, with Thermo Fisher Scientific's pricing for one year is $179,756.92. The FSS contract prices have been set and determined fair and reasonable.

Another vendor responded to the Sources Sought, WOSB, and the capability statement submitted discussed medical services and nothing giving any reference to distribution of medical supplies and the package did not include any In-Vitro Microbiology medical supply items or the items listed on Attachment A.

(7) Any Other Facts Supporting the Justification:

VETBIZ- VIP was searched for other SDVOSB or VOSB and the results show that there are not two or more SDVOSB or VOSB vendors that can provide the In-Vitro Microbiology Supplies.

A search on the FPDS website concluded there are multiple In-Vitro Microbiology Supplies purchases made within the VA and DoD with Thermo Fisher Scientific using their FSS and GSA contracts or directly purchasing from the vendor.

No, this is not a bundled requirement as the products were not found to be previously procured by any small business concerns. To be a bundled contract, "Bundling" refers to the consolidation of two or more requirements for goods or services previously provided or

VHAPM Part 808.405-6 Limiting Sources Original Date: 08/30/2017

VISN 15 In-Vitro Microbiology Products performed under separate smaller contracts into a solicitation for a single contract that is likely to be unsuitable for award to a small business because of its size or scope.

(8) A Statement of the Actions, if any, the agency may take to remove or overcome any barriers that led to the restricted consideration before any subsequent acquisition for the supplies or services is made.

There will be continued monitoring of the market for additional opportunities with other businesses that are legal distributors of the requested products.

(9) Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge. I understand that processing of this limited sources justification restricts consideration of Federal Supply Schedule contractors to fewer than the number required by FAR Subpart 8.4.

08/03/2022

Zaida Riv ra, MT (ASCP) SH VISN 15 Regional Laboratory Manager Kansas City VAMC

(10) Approvals in accordance with the VHAPM Part 806.3 OFOC SOP:

a. Contracting Officer's Certification (required): I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

PAUL

HEMENWAY

Digitally signed by PAUL

HEMENWAY

Date: 2022.08.08 09:16:32 -05'00'

CONTRACTING OFFICER/DESIGNEE'S SIGNATURE DATE

Paul Hemenway FACILITY /NCO/PCO Branch Chief Supply Team II

NCO 15

VHAPM Part 808.405-6 Limiting Sources Page 5 of 6 Original Date: 08/30/2017

VISN 15 In-Vitro Microbiology Products

b. One Level Above the Contracting Officer (Required over the SAT but not exceeding $7SOK):

I certify the justification meets requirements for other than full and open competition.

RAN DALL COM BS Digitally signed by RANDALL COMBS Date: 2022.08.08 11 :01 :20 -05'00'

SIGNATURE

Randall Combs Division Chief

NCO 15

VHAPM Part 808.405-6 Limiting Sources Original Date: 08/30/2017 Revision 03 Eff Date: 03/18/2021

DATE

36F79718D0395 ITEMS

Unit of

Order Part

Product Description Quantity Measure

FSS Contract Number -

Standard

0001 R01044 ANAEROBIC (CDC) LKV 10/PK 102 PK 36F79718D0395

0002 R01040 ANAEROBIC(CDC)BLD AGAR 10/PK 98 PK 36F79718D0395

0003 R01036 ANAEROBIC(CDC)BLD AGAR 100/CS 11 cs 36F79718D0395

0005 R21507 BACTIDROP CALCOFLUOR WHI 50PK 1 PK 36F79718D0395

0006 R21524 BACTIDROP KOH 10% 50PKBACTIDR 1 PK 36F79718D0395

0007 R21540 BACTIDROP OXIDASE 50PK 2 PK 36F79718D0395

0008 R12300 BACTISWAB NPG MODIFIED l00PKB 10 PK 36F79718D0395

0009 R01136 BHI AGAR W/BLD(DOUBLE 10/PK 58 PK 36F79718D0395

0010 R01202 BLOOD AGAR 100/CS 99 cs 36F79718D0395

0014 R21610 CARY BLAIR W/IND 15ML VI 12/CS 24 cs 36F79718D0395

0016 R01302 CHOCOLATE AGAR 100/CS 22 cs 36F79718D0395

0017 CT0425B CIPROFLOXACIN 5MCG 5X50 250PK 1 PK 36F79718D0395

0020 R01270 CVA M (CEFOPERAZONE 10/PK 14 PK 36F79718D0395

0024 R4607050 ESCHERICHIA CU ATCC 25922 5PK 1 PK 36F79718D0395

0027 R40053 GRAM CRYSTAL VIOLET 250ML 5PK 3 PK 36F79718D0395

0028 R40055 GRAM DECOLORIZER 250ML 5PK 8 PK 36F79718D0395

0029 R40057 GRAM IODINE 250ML 5PK 4 PK 36F79718D0395

0030 R40059 GRAM SAFRANIN 250ML 5PK 3 PK 36F79718D0395

0033 R01480 HEKTOEN ENTERIC(HE)AGAR 10/PK 14 PK 36F79718D0395

0035 R01506 INHIBITORY MOLD AGR(IMA)W/lOPK 57 PK 36F79718D0395

0037 R064464 M 0.45% SALINE 3.0 ML 100/CS 15 cs 36F79718D0395

0038 R01552 MACCONKEY AGAR 100/CS 62 cs 36F79718D0395

0039 R01556 MACCONKEY AGR W/SORBITOL 10/PK 14 PK 36F79718D0395

0040 R21132 MICRODASE DISK VIAL/25 1/PK 1 PK 36F79718D0395

0042 R01620 MUELLER HINTON AGAR 10/PK 26 PK 36F79718D0395

0043 R04050 MUELLER HINTON AGR 150 MM lOPK 12 PK 36F79718D0395

0044 R01622 MUELLER HINTON AGR W/BLD 10/PK 17 PK 36F79718D0395

0045 DD000lB OPTOCHIN DIFFER 50X5 250PK 2 PK 36F79718D0395

0046 R62025 PATHODX STR GRP KIT-ABCFG 60PK 1 PK 36F79718D0395

0047 R01662 PEA AGAR W/ BLOOD 100/CS 24 cs 36F79718D0395

0048 CT0043B PENICILLIN G l0U 5X50 250PK 1 PK 36F79718D0395

0049 R682005 POUCH MICROAERO 20/PK 6 PK 36F79718D0395

0053 R01760 SABOURAUD DEXTROSE AGAR 10/PK 101 PK 36F79718D0395

0054 R522600 SHRINK SEALS 144PK 11 PK 36F79718D0395

0062 CT0054B TETRACYCLINE 30MCG 5X50 250PK 2 PK 36F79718D0395

0063 R01884 THAYER MARTIN AGR IMPRVD 10/PK 13 PK 36F79718D0395

0064 R064720 THIO W/O IND W/DEXTRS W/100/CS 3 cs 36F79718D0395

0065 R065025 TRYPTIC SOY BRTH W /15% 100/CS 6 cs 36F79718D0395

0066 R21230 10% POTASSIUM HYDROXIDE 25ML 1 EA 36F79718D0395

0068 R01048 ANAEROBIC (CDC) PEA 100/CS 26 cs 36F79718D0395

0069 R01048 ANAEROBIC(CDC)PEA BLD 10/PK 110 PK 36F79718D0395

0071 R21550 BACTIDROP SPOT IN DOLE 50PK 1 PK 36F79718D0395

0072 R21144 BACTISTAPH 150PK 2 PK 36F79718D0395

0073 R060258 BHI BROTH-2 ML 100/CS 7 cs 36F79718D0395

0074 R01198 BLOOD AGAR (TSA 5% SB) 150/CS 48 cs 36F79718D0395

0075 R01201 BLOOD AGAR 15/PK 210 PK 36F79718D0395

0076 R060312 BLOOD AGAR SLANT 20/PK 8 PK 36F79718D0395

0079 R01301 CHOCOLATE AGAR 15/PK 215 PK 36F79718D0395

0081 R241045 DERMATUBE (DTM) 10/PK 2 PK 36F79718D0395

0087 R723487 FECALSWAB COLLECTON KIT50PK RX 16 PK 36F79718D0395

0088 R40052 GRAM CRYSTAL VIOLET 250ML BOTT 2 EA 36F79718D0395

0091 R04033 HAEMOPHILUS TEST M 10/PK 14 PK 36F79718D0395

0092 R0lS0S INHIBITORY MOLD AGAR(IMA)l0/PK 19 PK 36F79718D0395

0097 R40029 LUGOL'S IODINE 25ML 36 EA 36F79718D0395

0098 R01551 MACCONKEY AGAR 15/PK 210 PK 36F79718D0395

0099 23246379 MITSUBISHI POUCH-ANAERO 20/PK 82 PK 36F79718D0395

0100 23246388 MITSUBISHI POUCH-BAG 20/PK 65 PK 36F79718D0395

0101 23246389 MITSUBISHI POUCH-CLIP 10/PK 5 PK 36F79718D0395

0102 R684002 MITSUBSHI RT ANAERO-INDTR 25PK 77 PK 36F79718D0395

0103 R061392 MOTILITY B M-5 ML 20/PK 1 PK 36F79718D0395

0108 R38191 PATHOTEC CO 4 X 25100/PKPATH 2 PK 36F79718D0395

0109 R01661 PEA AGAR W/ BLOOD 15/PK 50 PK 36F79718D0395

0117 R08722 SABOURAUD DEXTROSE AGAR 20/PK 11 PK 36F79718D0395

0118 R01840 SS AGR SLMNELL-SHIGELLA 10/PK 14 PK 36F79718D0395

0124 R065212 UREA AGR SLNT(CHRISTNSNS) 20PK 1 PK 36F79718D0395

0125 R065272 WATER-5 ML 20/PK 4 PK 36F79718D0395

0127 R06-5272 Water 5mL 36F79718D0395

0130 R01176 BHI AGAR W/ 6 MCG/ML 10/PK 22 PK 36F79718D0395

0131 R02049 BLD AGR /MACCONKEY AGR 100/CS 4 cs 36F79718D0395

0132 R01252 BRUCELLA AGAR W/5% SHEEP 10/PK 45 PK 36F79718D0395

0133 R01300 CHOCOLATE AGAR 10/PK 90 PK 36F79718D0395

0134 R060482 CHOCOLATE AGAR SLANT 20/PK 6 PK 36F79718D0395

0136 R40061 GRAM IODINE PVP 250ML 5PK 3 PK 36F79718D0395

0137 23246376 MITSUBISHI PACK-ANAERO 20/PK 6 PK 36F79718D0395

0138 R01660 PEA AGAR W / BLOOD 10/PK 19 PK 36F79718D0395

0139 R20389 SELECTIVE RAPID UREA AGA 24/PK 5 PK 36F79718D0395

0141 R064892 TRYPTIC SOY BRTH(TSB)-2ML 20PK 3 PK 36F79718D0395

0143 R4652019 VITEK 2 AST-GP 5PK 2 AST RX 1 PK 36F79718D0395

0144 R01060 ANAEROBIC(REDUCIBLE)BLD 10/PK 12 PK 36F79718D0395

0145 R01064 ANAEROBIC(REDUCIBLE)CNA 10/PK 10 PK 36F79718D0395

0147 R21518 BACTIDROP INDIA INK 50PK 1 PK 36F79718D0395

0149 R01294 CHARCOAL SELECTIVE M 10/PK 25 PK 36F79718D0395

0152 CT0020B ERYTHROMYCIN lSMCG SX50 250PK 1 PK 36F79718D0395

0153 R01511 M KBE AGAR 15/PK 9 PK 36F79718D0395

0154 R01550 MACCONKEY AGAR 10/PK 246 PK 36F79718D0395

0155 R04055 MUELLR HINTN W/BLD 150 MMlO/PK 4 PK 36F79718D0395

0157 R061532 NITRATE BROTH-5 ML 20/PK 1 PK 36F79718D0395

0158 R01640 NUTRIENT AGAR 10/PK 7 PK 36F79718D0395

0160 CT0159B OXACILLIN lMCG 5X50 250PK 1 PK 36F79718D0395

0161 R40142 QC SLIDE GRAM STAIN CONT 45PK 2 PK 36F79718D0395

0163 CT0052B SXT 5X50 250PK 1 PK 36F79718D0395

0164 R40090 TB AURAMINE-RHODAMINE T STAIN 3 EA 36F79718D0395

0165 R40107 TB DECOLORIZER (.5%) AC ALCOHO 1 EA 36F79718D0395

0166 R40092 TB POTASSIUM PERMANG STN 250ML 1 EA 36F79718D0395

0167 R40112 TB STAIN SET KINYOUN 2SETS/PK 1 PK 36F79718D0395

0168 R01880 THAYER MARTIN AGR MODFD 10/PK 9 PK 36F79718D0395

0169 R064722 THIO W/O IND W/DEXTRS W/20/PK 22 PK 36F79718D0395

0170 R064862 TRYPTIC SOY AGR SLNT(TSA)20/PK 3 PK 36F79718D0395

0171 R065026 TRYPTIC SOY BROTH W / 15% 20/PK 2 PK 36F79718D0395

0172 R21156 VANCOMYCIN DISK 5MCG VIAL 25PK 1 PK 36F79718D0395

0173 R01998 YERSINIA SELECTIVE AGAR 10/PK 16 PK 36F79718D0395

0175 CT0107B AMIKACIN 36F79718D0395

0177 CT0003B AMPICILLIN lOMCG 5X50 250PK 1 PK 36F79718D0395

0178 R681005 ANAEROPK MICROAERO SACHET 20PK 10 PK 36F79718D0395

0182 R261605 BETA LACTAM REAGENT DISK 25PK 3 PK 36F79718D0395

0183 R01144 BHI AGAR W/ BLOOD W/ 10/PK 33 PK 36F79718D0395

0185 R01342 BUFFERED CYE AGAR 10/PK 33 PK 36F79718D0395

0188 R01280 CAMPY BLD AGAR(TRIMETH 10/PK 50 PK 36F79718D0395

0192 CT0771B CEFEPIME 30MCG 5X50 250PK 1 PK 36F79718D0395

0193 CT0665B CEFOTETON 36F79718D0395

0194 CT0119B CEFOXITIN 36F79718D0395

0196 CT00llB CEPHAZOLIN 36F79718D0395

0197 CT0013B CHLORAMPHENICOL 36F79718D0395

0199 CT0064B CLINDAMYCIN 36F79718D0395

0211 CT0024B GENTAMICIN l0MCG 5X50 250PK 1 PK 36F79718D0395

0212 R40015 KIT CALCO FLUOR WHIT STAIN 1/PK 3 PK 36F79718D0395

0213 R40028 LACTOPHENOL ANILINE BLUE 25 ML 1 EA 36F79718D0395

0215 CT1587B LEVOFLOXACIN 5MCG 5X50 250PK 1 PK 36F79718D0395

0216 CT1650B LINEZOLID 5 X 50 DISKS 250PK 2 PK 36F79718D0395

0217 R08500 LWNSTN-JENSEN M SLNT l00CS 2 cs 36F79718D0395

0218 R20421 MCFARLAND EQUIVALENCE STD KTST 5 EA 36F79718D0395

0219 CT0774B MEROPENEM l0MCG 5X50 250PK 2 PK 36F79718D0395

0220 R08570 MIDBRK 7Hll AGR SLNT 100/CS 3 cs 36F79718D0395

0222 R061414 MOTILITY TEST M W / TIC 20/PK 2 PK 36F79718D0395

0224 R01630 MYCOBIOTIC AGAR(MYCOCEL)l0/PK 28 PK 36F79718D0395

0226 CT0036B NITROFURANT 300MCG SXS0 2S0PK 1 PK 36F79718D0395

0228 CT0725B PIPERACILLIN/TAZO SXS0 250PK 1 PK 36F79718D0395

0230 R01695 POTATO DEXTRS AGR(PH 5.6)10/PK 12 PK 36F79718D0395

0233 R40146 QC-SLIDE AFB STAIN CONTR 45PK 3 PK 36F79718D0395

0235 R02135 REDUCIBLE CNA BLD AGAR /10/PK 157 PK 36F79718D0395

0236 R064446 SALINE (0.85%)-5 ML 100/CS 8 cs 36F79718D0395

0238 R064502 SELENITE BROTH-9 ML 20/PK 14 PK 36F79718D0395

0243 R02474 SYNRGY QUAD CONTROL VANCO l0PK 15 PK 36F79718D0395

0244 R40186 TB AURAMINE O STAIN SX250ML/PK 1 PK 36F79718D0395

0245 R40206 TB DECOLORIZER 3% SX2S0ML/PK 1 PK 36F79718D0395

0246 R40207 TB DECOLORIZR .5%ACID250ML SPK 1 PK 36F79718D0395

0247 R40204 TB KINYN CARBOLFUCH SX250ML/PK 1 PK 36F79718D0395

0248 R40210 TB METHYLENE BLUE 250ML SEA/PK 1 PK 36F79718D0395

0249 R40192 TB POTASSIUM PERMANGANATE SPK 1 PK 36F79718D0395

0250 R01865 TCBS AGAR 10/PK 8 PK 36F79718D0395

0251 RS03070 TEASING NEEDLE-ANGULAR POINT 2 EA 36F79718D0395

0252 R07172 THIOGLYCOLLATE MW/ IND 100/CS 11 cs 36F79718D0395

0253 CT00S6B TOBRAMYCIN l0MCG SXS0 2S0PK 1 PK 36F79718D0395

0254 22246350 TRANSPORT MEDIA M4 72/PK 1 PK 36F79718D0395

0256 R07224 TRYPTIC SOY BRTH(TSB)-SML 20PK 36 PK 36F79718D0395

0260 R01980 XLD AGAR 10/PK 59 PK 36F79718D0395

0261 23246390 ZIP LOCK POUCH BAG 20/PK 1 PK 36F79718D0395

0262 R01061 ANAEROBIC(REDUCIBLE)BLD 15/PK 57 PK 36F79718D0395

0263 R01069 ANAEROBIC(REDUCIBLE)LKV 15/PK 54 PK 36F79718D0395

0265 R08072 BHI AGR W/BLD W/CHLORAMPH 20PK 7 PK 36F79718D0395

0267 R07084 COOKED MEAT MW/GLUCOSE 100/CS 6 cs 36F79718D0395

0269 R08720 SABOURAUD DEXTROSE AGAR 100/CS 2 cs 36F79718D0395

0270 R08724 SABOURAUD DEXTRS AGR W/100/CS 2 cs 36F79718D0395

0271 R064432 SALINE (0.85%)-1 ML 20/PK 9 PK 36F79718D0395

0272 R064438 SALINE (0.85%)-2.5 ML 100/CS 26 cs 36F79718D0395