B97 PRICE SCHEDULE WORD Portrait SP16 · Web viewPlease provide prices for the following products and services. Indicate quantity of measure, container size etc., if different than

EXHIBIT B, SP-16PRICE SCHEDULE

SOLICITATION NO: 18PSX0090

BIDDER NAME:

DELIVERY: PROMPT PAYMENT TERMS:

ITEM # DESCRIPTION OF COMMODITY AND/OR SERVICES QUANTITY

UNITOF

MEASUREUNIT PRICE TOTAL PRICE

Veterinary Services – Connecticut Department of Correction (CTDOC)

Please provide prices for the following products and services. Indicate quantity of measure, container size etc., if different than indicated or if you wish to specify where not specified. Use additional lines/pages as needed. Every line item must be completed. If you are not bidding on an item, indicate “no bid” on that line.

1. Can the Contractor provide comprehensive care, treatment and maintenance of canines as listed in Exhibits A and B?

Yes____ No_____

Mon – Fri Hours ___ - ___

Contact Name:___________________

Contact Number:___________________

2. Can the Contractor provide staff and space for a one-day yearly physical examination of all canines? Yes____ No_____

Please indicate (X) which districts you can service:Eastern District _____

Central District ____

Western District _____

3. How many canines could be seen at your facility in a one-day period? __________

4. Can the Contractor provide veterinary service to large canines? Yes____ No_____

5. Can the Contractor provide dental care services? Yes____ No_____

6. Can the Contractor provide pharmacy services? Yes____ No_____

7. Can the Contractor provide Surgery Services? Yes____ No_____

8. Can the Contractor provide Rehabilitation Services? Yes____ No_____

Page 1 of 26



BIDDER NAME:

ITEM # DESCRIPTION OF COMMODITY AND/OR SERVICES QUANTITYUNIT

OFMEASURE

UNIT PRICE TOTAL PRICE

9. Can the Contractor provide 24-hour emergency service? Yes____ No_____

10. Can the Contractor provide Specialist Services? Yes____ No_____

Sat & Sun Hours _____ - _____

Holiday Hours _____ - ______

Contact Name:___________________

Contact Number:___________________

Contact CellPhone:___________________

8. ANNUAL PHYSICAL 1 Ea. $

9.. ROUTINE OFFICE VISITS 1 Ea. $

10. EMERGENCY OFFICE VISIT 1 Ea. $

11. X-RAYS 1 Ea. $

Radiograph (s) - Recheck 1 Ea. $

Radiograph – Single View 1 Ea. $

Radiograph – Single View Add. 1 Ea. $

Radiographs – OFA 3 Views 1 Ea. $

Radiograph – Two Views 1 Ea. $

Radiograph- Hip 1 Ea. $

Radiograph- Back 1 Ea. $

Radiograph- Neck 1 Ea. $

Page 2 of 26



BIDDER NAME:


OFMEASURE


12. CONSULTATION 1 Ea. $

13. VACCINATIONS

Canine Distemper 1 Ea. $

Hepatitis (CAV-2) 1 Ea. $

Leptospirosis 1 Ea. $

Parainfluenza 1 Ea. $

Parvovirus 1 Ea. $

DHLPP (Combined Vaccine for Distemper, Hepatitis (CAV-2), Leptospirosis, Parainfluenza, Parvovirus) 1 Ea. $

Rabies 1 Ea. $

Lyme 1 Ea. $

Bordetella (Kennel Cough) 1 Ea. $

Canine Influenza Vaccine 1 Ea. $

DAV2 PP 1 Ea. $

Annual Vaccinations 1 Ea. $

Please list any additional vaccinations not specifically listed above and their associated charges

1 Ea. $

1 Ea. $

1 Ea. $

1 Ea. $

Page 3 of 26



BIDDER NAME:


OFMEASURE


14. TESTING

Allergan Test Liquid Gold 1 Ea. $

BG-Glucometer ER 1 Ea. $

BG Monitoring per Day ER 1 Ea. $

Blood Glucose Curve 1 Ea. $

Blood Glucose Solo Test 1 Ea. $

Blood Sample/Test 1 Ea. $

Blood Smear ER 1 Ea. $

Buccal Mucosal Bleed Time IH ER 1 Ea. $

Catalyst Ald Phos Solo Test 1 Ea. $

Catalyst BUN ER 1 Ea. $

Catalyst Calcium Solo Test 1 Ea. $

Catalyst Lactate Solo Test ER 1 Ea. $

Catalyst Lactate Solo Test 1 Ea. $

Catalyst NH3 Slide ER 1 Ea. $

CBC 1 Ea. $

CBC in House ER 1 Ea. $

Cerebral Spinal Fluid Analysis ER 1 Ea. $

Chem 10 ER 1 Ea. $

Chem 10 w/CBC/Lytes 1 Ea. $

Chem 10 w/o CBC/Lytes 1 Ea. $

Chem 10 w/CBC/Lytes ER 1 Ea. $

Chem 17 ER 1 Ea. $

Chem 17 w/CBC & Electrolytes ER 1 Ea. $

Chem 17 w/CBC/ Lytes 1 Ea. $

Chem 17 w/o CBC/ Lytes 1 Ea. $

Coag Analyzer-APTT ER 1 Ea. $

Page 4 of 26



BIDDER NAME:


OFMEASURE


Cortisol 2 Samples ER 1 Ea. $

Cross Match ER 1 Ea. $

Crystallographic Stone Analysis 1 Ea. $

Cytology in House 1 Ea. $

Cytology in House ER 1 Ea. $

Electrolyte Solo 1 Ea. $

Electrolyte ER 1 Ea. $

Ethylene Glycol Test ER 1 Ea. $

Exam – BG/I-STAT 1 Ea. $

Fecal Analysis 1 Ea. $

Fecal Analysis (prepaid) 1 Ea. $

Fecal Exam – IH Direct ER 1 Ea. $

Fecal Exam – IH Exam ER 1 Ea. $

FeLV/FIV Test 1 Ea. $

FeLV/FIV Test I House ER 1 Ea. $

Fine Needle Aspiration ER 1 Ea. $

Heartworm 1 Ea. $

Hematocrit (PCV/TS) 1 Ea. $

HWT Ehrichilia Lyme AP 4DX 1 Ea. $

HWT Snap Test Inventory Only 1 Ea. $

I-STAT (ACT) ER 1 Ea. $

I-STAT (Chem 8) ER 1 Ea. $

I-STAT (EC8) 1 Ea. $

Lipase ER 1 Ea. $

Lyme Disease 1 Ea. $

Parvo Test ER 1 Ea. $

PCV/TP ER 1 Ea. $

Page 5 of 26



BIDDER NAME:


OFMEASURE


Pheno level @ 30 day & Yearly 1 Ea. $

Pre-Op Chem Fel 10+ years 1 Ea. $

Skin Scraping ER 1 Ea. $

Snap CPL 1 Ea. $

Snap Parvo 1 Ea. $

SNAP 4DX (HW, EC, Bb, Ap – Heartworm, Ehrlichia canis, Lyme Disease, Anaplasma phagocytophilum) 1 Ea. $

Stool Test 1 Ea. $

T4 ER 1 Ea. $

T4 @ 30 day & Yearly 1 Ea. $

T4 Initial Test 1 Ea. $

Urinalysis - Complete 1 Ea. $ Please list any additional tests not specifically

listed above and their associated charges

1 Ea. $

1 Ea. $

1 Ea. $

15. MEDICATION

Acarexx Suspension 1 Ea. $

Acepromazine 10 mg. 1 Ea. $

Acepromazine 25 mg. 1 Ea. $

Adequan – Canine /box 1 Ea. $

AeroDog Chamber 1 Ea. $

AK Poly-Bac Opth Ointment 1 Ea. $

Albon Suspension per ML 1 Ea. $

Albon Tablet 125 mg 1 Ea. $

Albon Tablet 250 mg 1 Ea. $

Allergen Maintenance Vial 1 Ea. $

Page 6 of 26



BIDDER NAME:


OFMEASURE


Allergen Syringe Tray 1 Ea. $

Alpha Trak 2 Home Monitoring Kit 1 Ea. $

Alpha Trak Glucose Strips, Bottle 1 Ea. $

Aluminum Hydroxide Powder, tsp. 1 Ea. $

Aminophylline 100 mg 1 Ea. $

Aminophylline 100 mg, Bottle 1 Ea. $

Amitriptyline 10 mg tablet 1 Ea. $

Amitriptyline 25 mg Tablet 1 Ea. $

Amitriptyline 50 mg Tablet 1 Ea. $

Amlodipine 2.5 mg/Bottle 1 Ea. $

Amlodipine 2.5 mg/Tablet 1 Ea. $

Amoxicillin, 100 mg. 1 Ea. $





Amoxicillin, Drop 15 ml. 1 Ea. $

Apomorphine disks 1 Ea. $

Animax Cream 15 gr/Tube 1 Ea. $

Animax Ointment 7.5 Gram 1 Ea. $

Animax/Demalone Ointment 15 Gram 1 Ea. $

Atenolol 25 mg/Tab 1 Ea. $

Atenolol 25 mg/Bottle 1 Ea. $

Atopica 100 mg Box (15 tabs) 1 Ea. $

Atopica 10 mg Box (15 ct.) 1 Ea. $



Page 7 of 26



BIDDER NAME:


OFMEASURE


Atropine Ophthalmic Drop 5 ml 1 Ea. $

Atropine Opth Ointment 1 Ea. $

Atologous Serum 1 Ea. $

Azithromycin OS 100 mg/5 ml 1 Ea. $

Azithromycin Tablets 250 mg 1 Ea. $

Azodyl Capsules 60 ct. Bottle 1 Ea. $

Baytril, 68 mg. Tablet 1 Ea. $

Baytril, Otic. 15 ml. Bottle 1 Ea. $

Benadryl 25 mg Tab 1 Ea. $

Benadryl 50 mg Tab 1 Ea. $

Benazepril 20 mg Bottle 1 Ea. $

Benazepril 20 mg Tablet 1 Ea. $

Benazepril 5 mg Tablet/Bottle 1 Ea. $

Benazepril 5 mg Tablet 1 Ea. $

Bethanechol 10 mg Tablet 1 Ea. $

Bethanechol 5 mg Tablets 1 Ea. $

Bethanechol Injection per ml 1 Ea. $

Capstar 2-25 lb. Tablet 1 Ea. $

Capstar over 25 lb. Tablet 1 Ea. $

Carafate Liquid 14 oz. Bottle 1 Ea. $

Carafate Liquid per m. 1 Ea. $

Carprofen 100 mg 180 ct. bottle 1 Ea. $

Carprofen 100 mg. per Tablet 1 Ea. $

Carprofen 25 mg. 180 ct. Bottle 1 Ea. $

Carprofen 25 mg. Per Tablet 1 Ea. $

Carprofen 75 mg. 180 ct. Bottle 1 Ea. $

Carprofen 75 mg. Per Tablet 1 Ea. $

Page 8 of 26



BIDDER NAME:


OFMEASURE


Carprofen 25 mg. Tablets 60 ct. Bottle 1 Ea. $

Cefa Drops, 15 ml. Bottle 1 Ea. $

Cefpodoxime, 100 mg. Tablet 1 Ea. $

Cefpodoxime, 200 mg. Tablet 1 Ea. $

Centrine Table .2 mg. 1 Ea. $

Cephalexin, 250 mg. Caps 1 Ea. S

Cephalexin, 500 mg. Caps

Cerenia Tabs 4 pk. 160 mg. 1 Ea. $



Cerenia Tabs 4 pk. 16 mg. 1 Ea $

Chlorpromazine 10 mg. 1 Ea $

Chlorpromazine 25 mg. tablet 1 Ea $

Cisapride 5 mg. capsules 60 ct. Bottle 1 Ea $

Ciprofloxacin, 500 mg. Tablet 1 Ea. $

Ciprofloxacin, 250 mg. Tablet 1 Ea. $

Clavamox, 125 mg. per Packet 1 Ea. S



Clavamox, 62.5 mg. per Packet 1 Ea. S

Clavamox, Drops, 15 ml. Bottle 1 Ea. S

Clindamycin, 150 mg. Tablet 1 Ea. $



Clindamycin, Drops 1 Ea. $

Clomicalm 80 mg. Bottle 1 Ea $


Page 9 of 26



BIDDER NAME:


OFMEASURE




Clomipramine 75 mg. 1 Ea $

Clomipramine Hydrochloride #1 1 Ea $

Clotrimazole Solution 1oz. 1 Ea $

Constulose Solution 1 Qt. 1 Ea $

Cosequin DS Chew 250 ct. Bottle 1 Ea $

Cyclophosphamide 50 mg. Tablets 1 Ea $

Cyclosporin Drops 0.2%, 10m. Bottle 1 Ea $

Cyclosporin 100mg. Capsules 1 Ea $

Cyclosporin 25mg. Capsules, 30 ct. Bottle 1 Ea $

Cyclosporin Opth Ointment 1 Ea $

Cyproheptadine, 2mg. 1 Ea $

Darbopoetin, Bottle 1 Ea $

Dasuquin w/MSM Sm/Med 150 ct. 1 Ea $

Denamarin 225mg / 30 Tablets 1 Ea $



Denamarin Chewable 225mg / 30 Tablets 1 Ea $

Denosyl 425 mg. 30 ct. 1 Ea $

Deramaxx 425 mg. 30 ct. Bottle 1 Ea $


Deramaxx 100 mg. Each 1 Ea $





Page 10 of 26



BIDDER NAME:


OFMEASURE




Deramaxx 12 mg. Tablet 1 Ea $

Derma/Omega 3 Liquid 8 oz. 1 Ea $

Dermachlor 4 oz. 1 Ea $

Dermalone Ointment 715 ml. 1 Ea $

Dextrose Injection 1 Ea $

Diesthylstibestrol 1 Ea $

Diesthylstibestrol 1 mg. Gourmeds 1 Ea $

Diesthylstibestrol 1 mg. Tiny Tabs 1 Ea $

Digoxin .25 mg. Tablet 1 Ea $

Digoxin Tablet 0.125 mg. Bottle 1 Ea $

Digoxin Tablet, .125 mg. 1 Ea $

Digoxin/Lanoxin .05 mg / 60 ml. Bottle 1 Ea $

Diltiazem 30 mg. Tablets 1 Ea $

Dorzolamide 2% Opth Solution 10 ml. 1 Ea $

Doxycyclilne, 100 mg. Tablet 1 Ea $

Drontal K/9 135 mg. Tablet 1 Ea $

Drontal Plus Canine 68 mg. (med) 1 Ea $

Drontal Plus Small Dog 22.7 mg. 1 Ea $

DSS 100 mg. 1 Ea $

EasOtic Suspension ml. 1 Ea $

Ectosooth 3x Shampoo 8 oz. 1 Ea $

Enalapril 10 mg. Bottle 1 Ea $

Enalapril 10 mg. Tablet 1 Ea $

Enalapril 2.5 mg. Bottle 1 Ea $

Enalapril 2.5 mg. Tablet 1 Ea $

Page 11 of 26



BIDDER NAME:


OFMEASURE


Enalapril 5 mg. Bottle 1 Ea $

Enalapril 5 mg. Tablet 1 Ea $

Enlon Injection 150 ml. / 15 ml., per ml. 1 Ea $

Enro/Keto/Triam Oric per dose 1 Ea $

Enrofloxcin 136 mg. Tablet 1 Ea $

Enrofloxicin 22.7 mg. Tablet 1 Ea $

Enrofloxacin 68 mg. Tablet 1 Ea $

Epakitin Powder 300 gm. Bottle 1 Ea $

Epakitin Powder 50 gm. Bottle 1 Ea $

Epi-Otic Advanced 4 oz. 1 Ea $

Epi-Otic Advanced 8 oz. 1 Ea $

Erythromycin Opth Ointment 1 Ea $

F.A. Plus Chewables Large Dog, 60 ct. 1 Ea $

Famotidine 10 mg., Tablet 1 Ea $

Famotidine 20 mg., Bottle 1 Ea $

Famotidine 20 mg. , Tablet 1 Ea $

Felimazole 20 mg, Tablet 1 Ea $

Fluoextine 10 mg. Tablet 1 Ea $

Fluoextine 20 mg. Tablet 1 Ea $

Front Line 26 – 50 lb. 1 Ea. $



Furosemide 12.5 Mg. Tablet 1 Ea $

Furosemide 20 mg. Tablet 1 Ea $

Furosemide Liquid/Bottle 1 Ea $

Gabapentin 100 mg. 100 ct. Bottle 1 Ea $

Gabapentin Caps 100 mg. 1 Ea $

Page 12 of 26



BIDDER NAME:


OFMEASURE


Gabapentin Caps 300 mg. 1 Ea $

Gabapentin Suspension 100mg./ml50 1 Ea $

Gastralieve per Bottle 1 Ea $

Genesis Topical Spray 16 oz. 1 Ea $

Genta Topical Spray 60 ml. 1 Ea $

Gentamicin Opth. Sol. 3% 5 ml. 1 Ea $

GeriZyme #90 Tablet, Bottle 1 Ea $

GlucoZyme Chewables 90 Tablets 1 Ea $

Goodwinol Ointment 1 Ea $

Granulex V Spray 4 oz. Bottle 1 Ea $

Griseofulvin Suspension 125mg./5mil 1 Ea $

Heartgard 1-25 lb., 12 pack 1 Ea $





Heartgard 51-100 lb., each 1 Ea $

Heartgard Plus 1-25 lb., each 1 Ea $

Heartgard Plus 26 - 50 lb., each 1 Ea $

Hexadene Flush 12 oz. 1 Ea $

Hydroxyzine, 10 mg. 1 Ea $



Hydroxyzine, 50 mg./100 ct. Bottle 1 Ea $

Immiticide/Vial 1 Ea $

Imuran (azathioprine) 50 mg. Tablet 1 Ea $

Incurin 1 mg. epr strip (30 ct.) 1 Ea $

Page 13 of 26



BIDDER NAME:


OFMEASURE


Interceptor Brown, 2 – 10 lb., 12 pack 1 Ea $

Interceptor Brown Single 1 Ea $

Interceptor Green, 22 – 25 lb., 12 pack 1 Ea $

Interceptor Green Single 1 Ea $

Interceptor White 51 – 100 lb., 12 pack 1 Ea $

Interceptor Yellow, 26 – 50 lb., 12 pack 1 Ea $

Interceptor Yellow Single 1 Ea $

IV Administration Set Box (48) 1 Ea $

IV Venous Set 1 Ea $

Ket + TrizUlta Flus, 4 oz. 1 Ea $

Kinavet 150 mg. , 30 ct. Tablets/Bottle 1 Ea $

Kinavet 50 mg. Tablets, 30 ct. Bottle 1 Ea $

KMR Powder, 6 oz. 1 Ea $

Lactated Ringers, 500 ml. bag, Case 1 Ea $

Lactated Ringers, Case of 14 1 Ea $

Lactulose, 16 oz. Bottle 1 Ea $

Lactulose, per 1 oz. 1 Ea $

Latanoprost (Xalatan) Opth Solution 1 Ea $

Levetiracetam, 250 mg., 120 ct. 1 Ea $

Levetiracetam Suspension, 1 Bottle 1 Ea $

Lomustine, 20 mg. Capsules 1 Ea $

Lopermide, 2 mg. Capsules 1 Ea $

Lysodren, 500 mg. each 1 Ea $

Meclizine, 12 mg. Tablet 1 Ea $

Meclizine, 25 mg. 1 Ea $

Medrol, 4 mg. (methylprednisolone) 1 Ea $

Metacam, 1.5 mg. 100 ml. Bottle 1 Ea. $

Page 14 of 26



BIDDER NAME:


OFMEASURE




Metacam, Oral .5 mg. /ml. 15 ml. Bottle 1 Ea. $

Metacam, Oral / 1ml. 1 Ea. $

Methimazole, 5 mg. 1 Ea $

Methimazole, 2.5 mg./.1 ml. TDG # 6. 1 Ea $

Methimzaole, 5mg. Bottle 100 1 Ea $

Methio Form Chewable, Tab 50 1 Ea $

Methio Form Chewable, Tab 150 1 Ea $

Methio Form Chewable, 500 mg. 500 ct. 1 Ea $

Methocarbanol (Robaxin) Suspension 30 ml. 1 Ea $

Methocarbanol (Robaxin) Suspension per ml. 1 Ea $

Metocloropramide, #11 Bottle, 10 mg. 1 Ea $

Metocloropramide, , 10 mg. each 1 Ea $

Metocloropramide, 5 mg. Tablets 1 Ea $

Metronidazole 50 mg. Tablet 1 Ea $

Metronidazole 250 mg. 1 Ea $

Metronidazole 500 mg. 1 Ea $

Metronidazole Benz. 100 mg. /ml. 1 Ea $

Metronidazole Inj per Bag ER 1 Ea $

Mexiletine Capsules, 150 mg. 1 Ea $

Mexiletine Capsules, 250 mg. 1 Ea $

Milbermite Ear Mite Treatment 1 Ea. $

Mirtazapine 15 mg. Tablets 1 Ea. $

Misiprostal, 100 mcg. Tablets 1 Ea.

Mometamax, 15 ml. Tube 1 Ea. $

Mometamax, 30 ml. Tube 1 Ea. $

Page 15 of 26



BIDDER NAME:


OFMEASURE


Mometamax, 7.5 ml. Tube 1 Ea. $

Mupirocin Ointment, 2% - 15 g. 1 Ea. $

Muricin Ointment 1 Ea. $

Narcan Intra-Nasal Spray 4mg. 1 Ea. $

Needles, 18 ga., Box 100 1 Ea. $

Needles, 22 ga., Box 100 1 Ea. $

NeoPolyBac Opth. Ointment 1 Ea. $

NeoPolyBac w/ HC Opth. Ointment 1 Ea. $

NeoPolyDex Opth. Drops 1 Ea. $

NeoPolyDex Opth. Oinment 1 Ea. $

Neopredef Powder Bottle 1 Ea. $

Ofloxacin Opth. 10 ml. Drops 1 Ea. $

Omeprazole 10 mg. Capsules 1 Ea. $

Omeprazole 20 mg. Capsules 1 Ea. $

Ondansetron, 4 mg. Tablets 1 Ea. $

Onsior, 6 mg. Tablets 1 Ea. $

Orbax Liquid per Bottle 1 Ea. $

Panacur Granules >50 lb. per packet 1 Ea. $

Panacur Granules <50 lb. / Feline tsp. 1 Ea. $

Panaur Suspension per ml. 1 Ea. $

Pancea Powder Plus 8 oz. 1 Ea. $

Panalog Cream, 15 gr. 1 Ea. $

Panalog Cream, 7.5 gr. 1 Ea. $

Paxil Suspension, 2.5 mg./ml 30 ml. Bottle 1 Ea. $

Phenobarbitol Syrup, 1 Bottle 1 Ea. $

Phenoxybenzamine 2.5 mg. Each 1 Ea. $

Phenoxybenzamine Suspension 5mg. / ml. 1 Ea. $

Page 16 of 26



BIDDER NAME:


OFMEASURE


PhytoVet CK Spray, 8 oz. 1 Ea. $

PhytoVet P Antio Itch Spray 8 oz. 1 Ea. $

Posatex, 7.5 gr. 1 Ea.

Postaex Otic, 15 ml. 1 Ea. $

Posatex Otic, 30 gr. 1 Ea. $

Potassipowder, 4 oz. Bottle 1 Ea. $

Potassium Citrate Granules, 300 gr. 1 Ea. $

Prednisolone, 5 mg. Tablet 1 Ea. $

Prednisolone Gourmeds, 5 mg. Tablets 1 Ea. $

Prenisolone Liquid, 15 mg/5ml. per ml. 1 Ea. $

Prednisolone Opth Drops, 5 ml. 1 Ea. $

Prednisolone Opth Drops,1 5 ml. 1 Ea. $

Prednisolone Oral Solution, 15 mg/5ml. 1 Ea. $

Prednisone, 10 mg. Tablet 1 Ea. $



Previcox, 227 mg. Each 1 Ea. $

Previcox, 227 mg., 60 ct. Bottle 1 Ea. $

Previcox, 57 mg. Tablet 1 Ea. $

Previcox, 57 mg., 60 ct. Bottle 1 Ea. $

Profender 2.25 – 5lb., Tube 1 Ea. $

Profender 5.5 – 11 #, Tube 1 Ea. $

Profender 11.25 – 17 #, Tube 1 Ea. $

Proin 25 mg., 180 ct. Bottle 1 Ea. $

Proin, 25 mg., each 1 Ea. $

Proin 50 mg., 180 ct. Bottle 1 Ea. $


Page 17 of 26



BIDDER NAME:


OFMEASURE



Proin Chewable, 25 mg. Bottle of 60 1 Ea. $



Propranolol Tablet 1 Ea. $

Proviable Med & Lg Dogs 1 Ea. $

Puralube Vet Ointment, 3.5 g. 1 Ea. $

Remend Corneal Ulcer Solution 1 Ea. $

Rimadyl, 100 mg. 180 ct. Bottle 1 Ea. $

Rimadyl, 100 mg., Caplet 1 Ea. $

Rimadyl, 75 mg. 180 ct. Bottle 1 Ea. $

Rimadyl, 25 mg., Caplet 1 Ea. $

Rimadyl Chew Tabs, 100 mg., Each 1 Ea. $

Rimadyl Chew Tabs, 75 mg. 60 ct. 1 Ea. $



Robaxin (methorarbamol) 500 mg. Tablet 1 Ea. $

Sentinel, 2-10 lb., 6-pack 1 Ea. $




Shampoo (Malaseb) 8 oz. 1 Ea. $

Silver Sulfadiazine Cream, 1% Tube 1 Ea. $

Simparica 1 Ea. $

Sodium Chloride w/VS 1 Ea. $

Soloxine, 2 mg., 250 ct. Bottle 1 Ea. $

Soloxine, 1 mg. Tablet 1 Ea. $

Page 18 of 26



BIDDER NAME:


OFMEASURE


Spironolactone, 25 mg. Tablet 1 Ea. $

Strongid/ml. ( 1 ml. min) (pyrantel) 1 Ea. $

Sucralfate (Carafate) Tabs, 1 grm. Each 1 Ea. $

Sulfasalazine 500 mg. Tablet 1 Ea. $

Synotic 8 ml. 1 Ea. $

Synotic Drops, 15 ml. 1 Ea. $

Syringes U-100 9 humilin/NPH (Box) 1 Ea. $

Syringes U-40 (Vetsulin/PZI) w/sharps 1 Ea. $

Tacrolimus Opth. Solution 0.03% 5ml. 1 Ea. $

Tacrolimus Solution 0.03% 15 ml. 1 Ea. $

Temaril-P 1 Ea. $

Terbutaline Tablets, 2.5 mg. 1 Ea. $

Teramycin Opth. 1 Ea. $

Theophyline 100 mg. Tablet 1 Ea. $

Thyroid Chewables, 0.8 mg. 1 Ea. $

Thyrozine 0.1 mg, 180 ct. Bottle 1 Ea. $

Thyrozine 0.1 mg, Tabs 1 Ea. $











Page 19 of 26



BIDDER NAME:


OFMEASURE






Timolol Opth. Sol. 5 ml. 1 Ea. $

Tobramycin Opth. 5 ml 1 Ea. $

Toxiban 1 Ea. $

Toxiban with Sorbital 1 Ea. $

Tramadol, 10 mg. Tablets 1 Ea. $

Tramadol, 50 mg. Tablets 1 Ea. $

Tramadol Suspension 50 mg. / ml Bottle 1 Ea. $

Tresaderm, 15 ml. 1 Ea. $

Tresaderm, 7.5 ml. 1 Ea. $

Trilostane (Vetoryl) 10 mg. 30 ct. Box 1 Ea. $




Tumil K Powder, 4 oz. Bottle 1 Ea. $

Tumil K Tablets, 100 ct. Bottle 1 Ea. $

Tumil K (Renakare) 100 ct. Bottle 1 Ea. $

Tumil K Tablets, Each 1 Ea. $

Tylan Powder, per tsp. 1 Ea. $

Tylan Soluble Powder Bottle 1 Ea. $

Ursodil 60 mg. / .5 ml. Suspension 1 Ea. $

Vetalog, 1.5 mg. Tablet 1 Ea. $

Vetericyn Hydrogel, 8 oz. 1 Ea. $

Vetericyn Hydrogel Spray 1 Ea. $

Page 20 of 26



BIDDER NAME:


OFMEASURE


Vetmedin, 1.25 mg. Tablets 1 Ea. $

Vetmedin, 1.25 mg. 50 ct. Tablets Bottle 1 Ea. $

Vetmedin, 5 mg. Bottle 1 Ea. $

Vetmedin, 5 mg. Tablets 1 Ea. $

Vetoryl 30 mg. Capsules, 30 ct. Box 1 Ea. $

Vetrachoracin Oph. Ointment, 1/8 oz. 1 Ea. $

Vetsulin, 10 ml. Bottle 1 Ea. $

Viralys Gel, 5 oz. Tube 1 Ea. $

Vitamin K1 Chew Tab, Each 1 Ea. $

Vitamin K1 Chews, 50 mg. 1 Ea. $

Zeniquin, 100 mg. per Tablet 1 Ea. $



Zeniquin, 50 mg. per Tablet 1 Ea. $ Please list any additional medications not

specifically listed above and their associated charges

1 Ea. $

1 Ea. $

1 Ea. $

1 Ea. $

16. EUTHANASIA

. Euthanasia Only

26 – 50 lb. 1 Ea. $

51 – 75 lb. 1 Ea. $

76 – 100 lb 1 Ea. $

Euthanasia & Communal Cremation

Page 21 of 26



BIDDER NAME:


OFMEASURE


26 – 50 lb. 1 Ea. $

51 – 75 lb. 1 Ea. $

76 – 100 lb 1 Ea. $

Euthanasia & Private Cremation

26 – 50 lb. 1 Ea. $

51 – 75 lb. 1 Ea. $

76 – 100 lb 1 Ea. $

Cremation Ashes Returned

26 – 50 lb. 1 Ea. $

51 – 75 lb. 1 Ea. $

76 – 100 lb 1 Ea. $

Burial

26 – 50 lb. 1 Ea. $

51 – 75 lb. 1 Ea. $

76 – 100 lb 1 Ea. $

26 – 50 lb. 1 Ea. $

Additional Charges for Euthanasia not specifically listed above

1 Ea. $

1 Ea. $

1 Ea. $

1 Ea. $

17. DENTAL CARE

Routine Prophylactic Care 1 Ea. $

Root Canal 1 Ea. $

Tooth Capping 1 Ea. $Page 22 of 26



BIDDER NAME:


OFMEASURE


Extraction – Decid/Tooth 1 Ea. $

Extraction – Canine Tooth 1 Ea. $

Extraction – Carnassial Tooth 1 Ea. $

Extraction - Molar Tooth 1 Ea. $

Seal Gingival Pockets 1 Ea. $

Seal Teeth 1 Ea. $

Tooth Replacement- Implant 1 Ea. $

Please list any additional charges for any Dental Work not specifically listed above

1 Ea. $

1 Ea. $

1 Ea. $

1 Ea. $

18. Surgery Center Services

Bone break 1 Ea. $

Neck/back 1 Ea. $

Cancer related 1 Ea. $

Soft tissue injuries 1 Ea. $

General surgery 1 Ea. $


19. Specialist ServicePage 23 of 26



BIDDER NAME:


OFMEASURE


Ophthalmology 1 Ea. $

Neurology 1 Ea. $

Oncology 1 Ea. $

Orthopedics 1 Ea. $


1 Ea. $

1 Ea. $

1 Ea. $

1 Ea. $

1 Ea. $

1 Ea. $

20. Rehabilitation Manual Therapy

1 Ea. $ Rock Taping and Kinesio Taping

1 Ea. $ Modalities-Cyrotherapy, moist heat, electrical

simulation 1 Ea. $

Fitness Programs 1 Ea. $

Laser Treatment 1 Ea. $

Assisi Loop 1 Ea. $

Strengthening 1 Ea. $

Stretching 1 Ea. $

Therapeutic Exercise 1 Ea. $

Conditioning Programs 1 Ea. $

Dynamic Gait Analysis 1 Ea. $

Digital Thermal Imaging 1 Ea. $

Puppy Fitness Programs 1 Ea. $

Page 24 of 26



BIDDER NAME:


OFMEASURE


Underwater Treadmill 1 Ea. $

Weight Loss Programs 1 Ea. $

Pre and Post Athletic Conditioning 1 Ea. $

Post-Operative Treatment and Conditioning 1 Ea. $ Programs available for create rest and veterinary

restrictions 1 Ea. $


1 Ea. $

1 Ea. $

1 Ea. $

1 Ea. $

1 Ea. $

1 Ea. $

21. BOARDING (Medical Veterinary care only)Per specifications, please specify under what circumstances this fee would be charged 1 Night $

22. Contact Information

Page 25 of 26



BIDDER NAME:


OFMEASURE


Contact Information

Veterinarian Name:

Facility Name:

Facility Address:

Phone Number:

Cell Phone:

Fax Number:

Email:

Web Address:

CT Veterinary License Number: (include copy of license with bid submittal)

Page 26 of 26

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B97 PRICE SCHEDULE WORD Portrait SP16 · Web viewPlease provide prices for the following products and services. Indicate quantity of measure, container size etc., if different than