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Division of Purchase and Property
 
Notice of Award
Term Contract(s)
 
T-0472
UNIT DOSE PHARMACEUTICAL SERVICES
(T0472)

Vendor Information
By Vendor
RFP Documents
Email to MARIE BORAGINE

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NOAs By Number NOAs By Title Search NOAs
 
Index #:
T-0472
Contract #: 52926
Contract Period: FROM:   10/01/02   TO:   07/31/15
Applicable To: ALL STATE AGENCIES
Cooperative Purchasing: NOT APPLICABLE
Vendor Name & Address: OMNICARE OF NEW YORK LLC
DBA OMNICARE OF WHIPPANY
121 ALGONQUIN PARKWAY
WHIPPANY, NJ 07981
For Procurement Bureau Use:  
Solicitation #: 34482
Bid Open Date: 06/04/02
CID #: 1024033
Commodity Code: 948-72
Set-Aside: NONE

CONDITIONS AND METHODS OF OPERATION

Multi-Source Contracts: State Agencies and Cooperative Purchasing partners should review each vendor's product/service and prices carefully and place orders in accordance with the terms and conditions of the contract. Note that

A. Delivery: All prices F.O.B. Destination
B. Method of Operation - State Agencies Only:
Issue an agency purchase order to the appropriate contract vendor(s).

In the event of an emergency, contact the following in the order listed:

MARIE BORAGINE PROCUREMENT SPECIALIST 609-292-0363
MARGARET QUINN PROCUREMENT SPECIALIST SUPERVISOR 609-292-4886
MARGARET QUINN ASSISTANT DIRECTOR 609-292-4886
  PUB DATE: 02/11/15

VENDOR INFORMATION
Vendor Name & Address:
OMNICARE OF NEW YORK LLC
DBA OMNICARE OF WHIPPANY
121 ALGONQUIN PARKWAY
WHIPPANY, NJ 07981
Contact Person: ANTHONY DEMEOLA
Contact Phone: 800-242-6710
Order Fax: 973-884-0772
Contract#: 52926
Expiration Date: 07/31/15
Terms: NONE
Delivery: 1 DAYS ARO
Small Business Enterprise: NO
Minority Business Enterprise: NO
Women Business Enterprise: NO
Cooperative Purchasing *: NO
* WILL VENDOR EXTEND CONTRACT PRICES TO COOPERATIVE PURCHASING PARTICIPANTS?
 
DURING THE EXTENSION OF THE CONTRACT FROM 11.01.11 THROUGH 04.30.12,
PRICES AND TERMS SHALL BE IN ACCORDANCE WITH THOSE OF THE CONTRACT
IN EFFECT THROUGH 10.31.11.
     

CONTRACT ITEMS/SERVICES BY VENDOR
Vendor:  OMNICARE OF NEW YORK LLC
DBA OMNICARE OF WHIPPANY
Contract Number:  52926
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00001 COMM CODE:  948-72-028659
AVERAGE WHOLESALE PRICE (AWP) DISCOUNT
(AS AUTHORIZED BY THE NEW JERSEY DIVIS-
ION OF MEDICAL ASSISTANCE AND HEALTH
SERVICES.)

DISCOUNT FROM AWP:

YEAR 1












THIS IS A TWO MONTH EXTENSION FOR THE
PERIOD, JANUARY 1, 2008 THROUGH FEBRUARY
29, 2008 AT THE SAME TERMS CONDITIONS,
AND PRICING OF THE CONTRACT AS AMENDED
EFFECTIVE JANUARY 1, 2006.
1.000 EA 13.00% N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00002 COMM CODE:  948-72-028660
AVERAGE WHOLESALE PRICE (AWP) DISCOUNT
(AS AUTHORIZED BY THE NEW JERSEY
DIVISION OF MEDICAL ASSISTANCE AND
HEALTH SERVICES)

DISCOUNT FROM AWP:

YEAR 2
1.000 EA 13.00% N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00003 COMM CODE:  948-72-028660
AVERAGE WHOLESALE PRICE (AWP) DISCOUNT
(AS AUTHORIZED BY THE NEW JERSEY DIV. OF
MEDICAL ASSISTANCE AND HEALTH SERVICES)

DISCOUNT FROM AWP:

YEAR 3
1.000 EA 13.00% N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00004 COMM CODE:  948-72-028566
UNIT DOSE CAPITATION FEE - ANCORA
ANCORA PSYCHIATRIC HOSPITAL
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.90000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00005 COMM CODE:  948-72-028567
UNIT DOSE CAPITATION FEE - ANCORA
ANCORA PSYCHIATRIC HOSPITAL
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $2.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00006 COMM CODE:  948-72-028568
UNIT DOSE CAPITATION FEE - ANCORA
ANCORA PSYCHIATRIC HOSPITAL
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $2.14000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00007 COMM CODE:  948-72-028569
UNIT DOSE CAPITATION FEE - BRISBANE
BRISBANE CHILD TREATMENT CENTER
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.90000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00008 COMM CODE:  948-72-028570
UNIT DOSE CAPITATION FEE - BRISBANE
BRISBANE CHILD TREATMENT CENTER
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $2.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00009 COMM CODE:  948-72-028571
UNIT DOSE CAPITATION FEE - BRISBANE
BRISBANE CHILD TREATMENT CENTER
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $2.14000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00010 COMM CODE:  948-72-028572
UNIT DOSE CAPITATION FEE-ANN KLINE
FORENSIC/TRENTON PSYCHIATRIC HOSPITALS
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.90000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00011 COMM CODE:  948-72-028573
UNIT DOSE CAPITATION FEE-ANN KLINE
FORENSIC/TRENTON PSYCHIATRIC HOSPITALS
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $2.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00012 COMM CODE:  948-72-028574
UNIT DOSE CAPITATION FEE - ANN KLINE
FORENSIC/TRENTON PSYCHIATRIC HOSPITALS
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $2.14000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00013 COMM CODE:  948-72-028575
UNIT DOSE CAPITATION FEE - GREEN BROOK
GREEN BROOK REGIONAL CENTER
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.50000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00014 COMM CODE:  948-72-028576
UNIT DOSE CAPITATION FEE - GREEN BROOK
GREEN BROOK REGIONAL CENTER
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $1.58000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00015 COMM CODE:  948-72-028577
UNIT DOSE CAPITATION FEE - GREEN BROOK
GREEN BROOK REGIONAL CENTER
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.69000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00016 COMM CODE:  948-72-028578
UNIT DOSE CAPITATION FEE - GREYSTONE
GREYSTONE PARK PSYCHIATRIC HASPITAL
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.90000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00017 COMM CODE:  948-72-028579
UNIT DOSE CAPITATION FEE - GREYSTONE
GREYSTONE PARK PSYCHIATRIC HOSPITAL
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $2.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00018 COMM CODE:  948-72-028580
UNIT DOSE CAPITATION FEE - GREYSTONE
GREYSTONE PARK PSYCHIATRIC HOSPITAL
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $2.14000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00019 COMM CODE:  948-72-028581
UNIT DOSE CAPITATION FEE - HAGEDORN
HAGEDORN CENTER FOR GERIATRICS
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.90000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00020 COMM CODE:  948-72-028582
UNIT DOSE CAPITATION FEE - HAGEDORN
HAGEDORN CENTER FOR GERIATRICS
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $2.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00021 COMM CODE:  948-72-028607
UNIT DOSE CAPITATION FEE - HAGEDORN
HAGEDORN CENTER FOR GERIATRICS
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $2.14000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00022 COMM CODE:  948-72-028608
UNIT DOSE CAPITATION FEE - HUNTERDON
HUNTERDON DEVELOPMENTAL CENTER
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.50000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00023 COMM CODE:  948-72-028609
UNIT DOSE CAPITATION FEE - HUNTERDON
HUNTERDON DEVELOPMENTAL CENTER
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $1.58000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00024 COMM CODE:  948-72-028610
UNIT DOSE CAPITATION FEE - HUNTERDON
HUNTERDON DEVELOPMENTAL CENTER
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.69000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00025 COMM CODE:  948-72-028614
UNIT DOSE CAPITATION FEE - MENLO PARK
N.J. VET'S MEMORIAL HOME, MENLO PARK
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $2.65000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00026 COMM CODE:  948-72-028615
UNIT DOSE CAPITATION FEE -NJMH MENLO PK.
N.J, VET'S MEMORIAL HOME, MENLO PARK
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $2.78000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00027 COMM CODE:  948-72-028616
UNIT DOSE CAPITATION FEE -NJMH MENLO PK.
N.J. VET'S MEMORIAL HOME, MENLO PARK
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $2.98000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00028 COMM CODE:  948-72-028617
UNIT DOSE CAPITATION FEE -NJMH VINELAND.
N.J. VET'S MEMORIAL HOME, VINELAND
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $2.65000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00029 COMM CODE:  948-72-028618
UNIT DOSE CAPITATION FEE -NJMH VINELAND.
N.J. VET'S MEMORIAL HOME, VINELAND
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $2.78000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00030 COMM CODE:  948-72-028619
UNIT DOSE CAPITATION FEE -NJMH VINELAND.
N.J. VET'S MEMORIAL HOME, VINELAND
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $2.98000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00031 COMM CODE:  948-72-028620
UNIT DOSE CAPITATION FEE -NJMH PARAMUS
N.J. VET'S MEMORIAL HOME, PARAMUS
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $2.65000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00032 COMM CODE:  948-72-028621
UNIT DOSE CAPITATION FEE -NJMH PARAMUS
N.J. VET'S MEMORIAL HOME, PARAMUS
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $2.78000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00033 COMM CODE:  948-72-028622
UNIT DOSE CAPITATION FEE -NJMH PARAMUS
N.J. VET'S MEMORIAL HOME, PARAMUS
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $2.98000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00034 COMM CODE:  948-72-028623
UNIT DOSE CAPITATION FEE -NEW LISBON
NEW LISBON DEVELOPMENTAL CENTER
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.50000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00035 COMM CODE:  948-72-028624
UNIT DOSE CAPITATION FEE -NEW LISBON
NEW LISBON DEVELOPMENTAL CENTER
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $1.58000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00036 COMM CODE:  948-72-028625
UNIT DOSE CAPITATION FEE -NEW LISBON
NEW LISBON DEVELOPMENTAL CENTER
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.69000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00037 COMM CODE:  948-72-028626
UNIT DOSE CAPITATION FEE -NORTH JERSEY
NORTH JERSEY DEVELOPMENTAL CENTER
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.50000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00038 COMM CODE:  948-72-028627
UNIT DOSE CAPITATION FEE -NORTH JERSEY
NORTH JERSEY DEVELOPMENTAL CENTER
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $1.58000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00039 COMM CODE:  948-72-028628
UNIT DOSE CAPITATION FEE -NORTH JERSEY
NORTH JERSEY DEVELOPMENTAL CENTER
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.69000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00040 COMM CODE:  948-72-028632
UNIT DOSE CAPITATION FEE -TRENTON PSYCH.
TRENTON PSYCHIATRIC HOSPITAL
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.90000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00041 COMM CODE:  948-72-028633
UNIT DOSE CAPITATION FEE -TRENTON PSYCH.
TRENTON PSYCHIATRIC HOSPITAL
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $2.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00042 COMM CODE:  948-72-028634
UNIT DOSE CAPITATION FEE -TRENTON PSYCH.
TRENTON PSYCHIATRIC HOSPITAL
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $2.14000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00043 COMM CODE:  948-72-028635
UNIT DOSE CAPITATION FEE -VINELAND DC .
VINELAND DEVELOPMENTAL CENTER
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.50000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00044 COMM CODE:  948-72-028636
UNIT DOSE CAPITATION FEE -VINELAND DC .
VINELAND DEVELOPMENTAL CENTER
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $1.58000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00045 COMM CODE:  948-72-028637
UNIT DOSE CAPITATION FEE -VINELAND DC .
VINELAND DEVELOPMENTAL CENTER
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.69000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00046 COMM CODE:  948-72-028641
UNIT DOSE CAPITATION FEE - WOODBINE
WOODBINE DEVELOPMENTAL CENTER
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.50000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00047 COMM CODE:  948-72-028642
UNIT DOSE CAPITATION FEE - WOODBINE
WOODBINE DEVELOPMENTAL CENTER
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $1.58000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00048 COMM CODE:  948-72-028643
UNIT DOSE CAPITATION FEE - WOODBINE
WOODBINE DEVELOPMENTAL CENTER
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.69000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00049 COMM CODE:  948-72-028644
UNIT DOSE CAPITATION FEE - WOODBRIDGE
WOODBRIDGE DEVELOPMENTAL CENTER
**** YEAR ONE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.50000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00050 COMM CODE:  948-72-028645
UNIT DOSE CAPITATION FEE - WOODBRIDGE
WOODBRIDGE DEVELOPMENTAL CENTER
**** YEAR TWO ****

COST PER PATIENT DAY:

1.000 EA N/A $1.58000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00051 COMM CODE:  948-72-028646
UNIT DOSE CAPITATION FEE - WOODBRIDGE
WOODBRIDGE DEVELOPMENTAL CENTER
**** YEAR THREE ****

COST PER PATIENT DAY:

1.000 EA N/A $1.69000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00052 COMM CODE:  948-72-057553
AVERAGE WHOLESALE PRICE (AWP) DISCOUNT.
DISCOUNT FROM AWP, VALID UNTIL TERMIN-
ATION OF CONTRACT FOR JUVENILE JUSTICE
COMMISSION (JJC).
DELIVERY: 1 DAYS ARO
1.000 EA 13.00% N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00053 COMM CODE:  948-72-057554
UNIT DOSE CAPITATION FEE - JUVENILE
JUSTICE COMMISSION (JJC).
PRICE VALID UNTIL TERMINATION OF
CONTRACT.
DELIVERY: 1 DAYS ARO
1.000 EA N/A $1.69000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00054 COMM CODE:  948-72-060882
CALENDAR YEAR 2006
DHS, DIV. OF DEVELOPMENTAL DISABILITIES
PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00055 COMM CODE:  948-72-060883
CALENDAR YEAR 2006
DHS, DIV. OF DEVELOPMENTAL DISABILITIES
NON-PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00056 COMM CODE:  948-72-060884
CALENDAR YEAR 2006
DHS, DIV. OF DEVELOPMENTAL DISABILITIES
DISPENSING FEE PER PRESCRIPTION
DELIVERY: 30 DAYS ARO
1.000 EA N/A $5.17000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00057 COMM CODE:  948-72-060885
CALENDAR YEAR 2006
DHS, DIV. OF DEVELOPMENTAL DISABILITIES
MANAGEMENT FEE PER WEEK
DELIVERY: 30 DAYS ARO
1.000 WEEK N/A $37000.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00058 COMM CODE:  948-72-060886
CALENDAR YEAR 2006
DHS, DIVISION OF MENTAL HEALTH
PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00059 COMM CODE:  948-72-060887
CALENDAR YEAR 2006
DHS, DIVISION OF MENTAL HEALTH
NON-PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00060 COMM CODE:  948-72-060888
CALENDAR YEAR 2006
DHS, DIVISION OF MENTAL HEALTH
DISPENSING FEE PER PRESCRIPTION
DELIVERY: 30 DAYS ARO
1.000 EA N/A $5.17000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00061 COMM CODE:  948-72-060889
CALENDAR YEAR 2006
DHS, DIVISION OF MENTAL HEALTH
MANAGEMENT FEE PER WEEK
DELIVERY: 30 DAYS ARO
1.000 WEEK N/A $28000.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00062 COMM CODE:  948-72-060890
CALENDAR YEAR 2006
DEPT. OF MILITARY AND VETERANS AFFAIRS
PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00063 COMM CODE:  948-72-060891
CALENDAR YEAR 2006
DEPT. OF MILITARY AND VETERANS AFFAIRS
NON-PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00064 COMM CODE:  948-72-060892
CALENDAR YEAR 2006
DEPT. OF MILITARY AND VETERANS AFFAIRS
DISPENSING FEE PER PRESCRIPTION
DELIVERY: 30 DAYS ARO
1.000 EA N/A $5.17000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00065 COMM CODE:  948-72-060893
CALENDAR YEAR 2006
DEPT. OF MILITARY AND VETERANS AFFAIRS
MANAGEMENT FEE PER WEEK
DELIVERY: 30 DAYS ARO
1.000 WEEK N/A $10000.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00066 COMM CODE:  948-72-060894
CALENDAR YEAR 2006
JUVENILE JUSTICE COMMISSION
PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00067 COMM CODE:  948-72-060895
CALENDAR YEAR 2006
JUVENILE JUSTICE COMMISSION
NON-PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00068 COMM CODE:  948-72-060896
CALENDAR YEAR 2006
JUVENILE JUSTICE COMMISSION
DISPENSING FEE PER PRESCRIPTION
DELIVERY: 30 DAYS ARO
1.000 EA N/A $5.17000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00069 COMM CODE:  948-72-060897
CALENDAR YEAR 2006
JUVENILE JUSTICE COMMISSION
MANAGEMENT FEE PER WEEK
DELIVERY: 30 DAYS ARO
1.000 WEEK N/A $8000.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00070 COMM CODE:  948-72-060898
CALENDAR YEAR 2007
DHS, DIV. OF DEVELOPMENTAL DISABILITIES
PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00071 COMM CODE:  948-72-060899
CALENDAR YEAR 2007
DHS, DIV. OF DEVELOPMENTAL DISABILITIES
NON-PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00072 COMM CODE:  948-72-060900
CALENDAR YEAR 2007
DHS, DIV. OF DEVELOPMENTAL DISABILITIES
DISPENSING FEE PER PRESCRIPTION
DELIVERY: 30 DAYS ARO
1.000 EA N/A $5.17000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00073 COMM CODE:  948-72-060901
CALENDAR YEAR 2007
DHS, DIV. OF DEVELOPMENTAL DISABILITIES
MANAGEMENT FEE PER WEEK
DELIVERY: 30 DAYS ARO
1.000 WEEK N/A $37000.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00074 COMM CODE:  948-72-060902
CALENDAR YEAR 2007
DHS, DIVISION OF MENTAL HEALTH
PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00075 COMM CODE:  948-72-060903
CALENDAR YEAR 2007
DHS, DIVISION OF MENTAL HEALTH
NON-PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00076 COMM CODE:  948-72-060904
CALENDAR YEAR 2007
DHS, DIVISION OF MENTAL HEALTH
DISPENSING FEE PER PRESCRIPTION
DELIVERY: 30 DAYS ARO
1.000 EA N/A $5.17000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00077 COMM CODE:  948-72-060905
CALENDAR YEAR 2007
DHS, DIVISION OF MENTAL HEALTH
MANAGEMENT FEE PER WEEK
DELIVERY: 30 DAYS ARO
1.000 WEEK N/A $28000.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00078 COMM CODE:  948-72-060906
CALENDAR YEAR 2007
DEPT. OF MILITARY AND VETERANS AFFAIRS
PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00079 COMM CODE:  948-72-060907
CALENDAR YEAR 2007
DEPT. OF MILITARY AND VETERANS AFFAIRS
NON-PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00080 COMM CODE:  948-72-060908
CALENDAR YEAR 2007
DEPT. OF MILITARY AND VETERANS AFFAIRS
DISPENSING FEE PER PRESCRIPTION
DELIVERY: 30 DAYS ARO
1.000 EA N/A $5.17000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00081 COMM CODE:  948-72-060909
CALENDAR YEAR 2007
DEPT. OF MILITARY AND VETERANS AFFAIRS
MANAGEMENT FEE PER WEEK
DELIVERY: 30 DAYS ARO
1.000 WEEK N/A $10000.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00082 COMM CODE:  948-72-060910
CALENDAR YEAR 2007
JUVENILE JUSTICE COMMISSION
PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00083 COMM CODE:  948-72-060911
CALENDAR YEAR 2007
JUVENILE JUSTICE COMMISSION
NON-PRESCRIPTION DRUGS
DELIVERY: 30 DAYS ARO
1.000 EA NET N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00084 COMM CODE:  948-72-060912
CALENDAR YEAR 2007
JUVENILE JUSTICE COMMISSION
DISPENSING FEE PER PRESCRIPTION
DELIVERY: 30 DAYS ARO
1.000 EA N/A $5.17000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00085 COMM CODE:  948-72-060913
CALENDAR YEAR 2007
JUVENILE JUSTICE COMMISSION
MANAGEMENT FEE PER WEEK
DELIVERY: 30 DAYS ARO
1.000 WEEK N/A $8000.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00086 COMM CODE:  948-72-028659
AVERAGE WHOLESALE PRICE (AWP) DISCOUNT
(AS AUTHORIZED BY THE DIVISION OF
MEDICAL ASSISTANCE AND HEALTH SERVICES.

DISCOUNT FROM AWP: 15.00%

PURSUANT TO CHANGE IN APPROPRIATION
LANGUAGE REFLECTING FEDERAL CHANGES
IN MEDICAID REIMBURSEMENT 07/01/2008.
DELIVERY: 1 DAYS ARO
1.000 EA 15.00% N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00087 COMM CODE:  948-72-060905
MONTHLY MANAGEMENT FEE
DMAHS, DDD AND DMAVA
CONTRACT PERIOD 11/01/2008 - 10/31/2011
IN ACCORDANCE WITH NEGOTIATED EXTENSION
AND MODIFICATION AGREEMENT.
DELIVERY: 30 DAYS ARO
1.000 MONTH N/A $318000.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00090 COMM CODE:  948-72-057553
AVERAGE WHOLESALE PRICE (AWP) DISCOUNT.
16% DISCOUNT FROM AWP FOR STATE FISCAL
YEAR 2010 PER APPROPRIATIONS ACT

DELIVERY: 1 DAYS ARO
1.000 EA 16.00% N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00091 COMM CODE:  948-72-057553
AVERAGE WHOLESALE PRICE (AWP) DISCOUNT.
17.5% DISCOUNT FROM AWP FOR STATE FISCAL
YEAR 2011 PER APPROPRIATIONS ACT.

DELIVERY: 1 DAYS ARO
1.000 EA 17.50% N/A
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00092 COMM CODE:  948-72-057553
MONTHLY MANAGEMENT FEE FOR ONE (1) YEAR
PERIOD COMMENCING MAY 1, 2013 THROUGH
APRIL 30, 2014 IN ACCORDANCE WITH
AMENDMENT 15.
DELIVERY: 1 DAYS ARO
1.000 MONTH N/A $316595.00000
LINE#  DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00093 COMM CODE:  948-72-057553
MONTHLY MANAGEMENT FEE FOR THE FOUR (4)
MONTH PERIOD COMMENCING MAY 1, 2014
THROUGH AUGUST 31, 2014 IN ACCORDANCE
WITH AMENDMENT 15.
DELIVERY: 1 DAYS ARO
1.000 MONTH N/A $325777.00000


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