ANNUAL PROCUREMENT PLAN 2012 (Procurement Form No.

2)

Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PMH, NDH, & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Quantity

Unit of Issue

Unit Cost

MODE OF PROCUREMENT
Jan

TIME SCHEDULE
Feb March April May June July Aug Sept Oct Nov Dec

PROCUREMENT OF GOODS 759 FLUIDS

Public bidding/ Negotiated

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

D10 Water 500cc D5 Water 500cc D5 .03% 500ml D5 .03% 1L D5 .09% saline lL D5 Ionosol MB 500ml D5 LR 1L D5 LR 500cc D5 Normosol M lL D5 water lL D5 Water 500cc D50 1L D50 Water 50ml D50 Glucose Distilled Water 50ml Irragating Solution Mannitol 20% 500ml Plain LR 500ml Plain LR lL Plain saline lL Plain NSS 1L

72 344 2951 300 1570 2800 8594 880 965 170 1410 0 0 250 900 0 464 640 2767 2200 350

bts bts bts btls bts bts bts bts bts bts bts bts bts vls bts bts bts bts bts bts bts

65.00 65.00 65.00 65.00 65.00 65.00 65.00 65.00 65.00 65.00 65.00 66.00 73.00 130.00 35.00 75.00 180.00 65.00 65.00 65.00 65.00

Procurement

Page 1 of 2

ANNUAL PROCUREMENT PLAN 2012 (Procurement Form No. 2)

Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PMH, NDH, & LSMH Calendar Year: 2012

Item Code No. PROCUREMENT OF GOODS General Description/Specification

Quantity

Unit of Issue

Unit Cost

MODE OF PROCUREMENT Jan

TIME SCHEDULE
Feb March April May June July Aug Sept Oct Nov Dec

759

FLUIDS

Public bidding/

Prepared by:

Recommended by: (SGD)REDELLA C. SALANGA BAC Secretariat/TWG (SGD)DANILO P. SUPE

Provincial Planning & Development Coordinator BAC Chairman SGD)ARTHUR "DODO" Y. PINGOY, JR. MD (

Approved by:

Provincial Governor
Page 2 of 2

ANNUAL PROCUREMENT PLAN 2012 (Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 DRUGS & MEDICINES

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Alluminum magnesium hydroxide tabs 200mg/100mg 100's

Alluminum magnesium susp. 225mg/ml/200mg/5mg.60ml

174 180 103 150 141 50 110 481 250 170 304 100 830 780 980

bxs bot bxs bts bxs vls amps bts bts bxs bxs vls vls vls vls Page 1 of 20

66.00 14.00 300.00 20.00 110.00 20.00 17.00 25.00 16.00 90.00 142.00 17.00 9.00 15.00 15.00

174 180 103 150 141 50 110 481 250 170 304 100 830 780 980

11,484.00 2,520.00 30,900.00 3,000.00 15,510.00 1,000.00 1,870.00 12,025.00 4,000.00 15,300.00 43,168.00 1,700.00 7,470.00 11,700.00 14,700.00

Albendazole tabs, 400mg, 100's chewable Ambroxol drops, 15ml Ambroxole 30mg, tabs., 100's Amikacin 50mg/ml. Aminophylline 25mg l0mg Amoxicillin 250mg/5ml susp, 60ml Amoxicillin Drops, 100mg/ml, 10ml Amoxicillin 250mg caps 100's Amoxicillin 500mg caps l00's Ampicillin 100mg Ampicillin 250mg Ampicillin 500mg Ampicillin l gram

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 DRUGS & MEDICINES

Amoxicillin, calvulanic Acid 250mg/125mg tab Amoxicillin, calvulanic 500mg/125mg tab Aminophylline 25mg/ml, 10ml amp Amikacin 50mg/ml, 2ml

4 100 40 40 0 0 30 0 0 30 110 145 110 210 30 100 251

bxs tab amp amp bxs tube tube bxs tube tube amps amps amps amp tube tabs vls Page 2 of 20

950.00 45.00 60.00 100.00 260.00 280.00 195.00 260.00 170.00 280.00 200.00 10.00 25.00 20.00 165.00 20.00 100.00

4 100 40 40 0 0 30 0 0 30 110 145 110 210 30 100 251

3,800.00 4,500.00 2,400.00 4,000.00 5,850.00 8,400.00 22,000.00 1,450.00 2,750.00 4,200.00 4,950.00 2,000.00 25,100.00

Antibacterial acid 500mg caps, 100's Antibacterial ointment 3 grams Antibacterial ointment 5 grams Antifungal acid 500mg caps., 100's Antifungal ointment, 5grms Antifungal ointment, 5grms (Clotrimazole) Atracurium, l0mg/ml 5ml Atropine sulfate lmg/ml ATS l,500 IU lml/vl
ATS 3000 IU Betamethasone cream, 5g Beta methasone + Dexchlorphenamine 250mg/2ml tab

Benzetin penecillin La l.2 units

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 DRUGS & MEDICINES

Bromhexin 4mg tabs 100's Bromhexin 8mg tabs 100's Bromhexine syrup 4mg/5ml, 50ml Budesonide 160mcg nebules Budesonide 250mg/ml, 2ml respule Bupivacaine 0.5% heavy x 4ml Bupivacaine 0.5% l0cc/ amp green x 5 Buthorphanol 2mg/ml Calcium gluconate l0%/l0ml Captopril 25mg tabs l00's Ceftriaxone l grm Ceftriaxone sodium, 250mg Cefazolin 1grm Cefotaxim 1gram Cefuroxime 750mg Cephalexin 500mg caps l00's Cephalexin 250mg/5ml susp., 60ml

120 30 260 30 200 200 20 10 58 162 375 5 350 400 4000 186 250

bx bx bts nebs resp amps amps amps amps bxs vls vls vls vls amps bxs btls Page 3 of 20

135.00 150.00 14.00 42.00 42.00 620.00 450.00 616.00 34.00 165.00 45.00 400.00 110.00 45.00

120 30 260 30 200 200 20 10 58 162 375 5 350 400

16,200.00 4,500.00 3,640.00 1,260.00 8,400.00 124,000.00 9,000.00 6,160.00 1,972.00 26,730.00 16,875.00 2,000.00 38,500.00 18,000.00 320,000.00 48,360.00 10,000.00

80.00 4000 260.00 40.00 186 250

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 DRUGS & MEDICINES

Cephalexin 250mg caps 100's Cephalexin 250mg, 60ml Cefazolin 1 gram Cefotaxim 1 gram Cephalexin Drops 100mg/ml, 10ml Chloramphenicol 500mg caps l00's Chloramphenicol 250mg caps l00's Chloramphenicol l grms Chloramphenicol l25mg/5ml 60ml susp Chlorpheniramine 4mg tabs l00's Chlorpheniramine maleate 4mg tabs l00's Chlorpheniramine maleate 10mg/ml Chlorpheniramine 4mg/50ml syrup, 60ml Chlorpheniramine 2mg/50ml syrup, 60ml Chlorpheniramine 2mg., 50ml Chloramphenicol 250mg caps 100's Chlorpheniramine syrup 2mg, 50ml

100 0 100 100 200 13 3 180 55 25 80 130 0 120 90 0 0

bx bts vls vls bts bxs bxs bts bts

245.00 25.00 30.00 220.00 20.00 170.00 150.00 19.00 20.00 40.00

100 0 100 100 200 13 3 180 55 25 80 130 0 120 90 0 0

24,500.00 3,000.00 22,000.00 4,000.00 2,210.00 450.00 3,420.00 1,100.00 1,000.00 21,440.00 1,560.00 1,800.00 1,125.00 -

bxs amps btls btls btls bx bts Page 4 of 20

268.00 12.00 50.00 15.00 12.50 200.00 30.00

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 DRUGS & MEDICINES

Cimetidine 200mg tabs l00's Ciprofloxacin 500mg l00's tabs Clindamycin 300mg caps, 100's Clindamycin l50mg/4ml Clonidine amps l5mcg/lml Clonidine 75mcg tab Clonidine 150mcg tab Cloxacillin 500mg caps, l00's Cloxacillin 125/5ml suspension, 60ml Cloxacillin 250mg/5ml suspension, 60ml Co-amoxiclav 375mg l00's Combivent nebules Cotrimoxazole 200mg/5ml,susp, 60ml Cotrimoxazole cream, 5g Cotrimoxazole tabs 800mg/l60mg l00's Cotrimoxazole tabs 400mg/80mg l00's Chromic 3-0, 12's

0 135 12 30 147 50 50 23 97 0 0 50 130 0 234 170 90

bx bxs bxs amps amps tab tab bxs btls btls bxs nebs bts tube bxs bxs bxs Page 5 of 20

450.00 295.00 300.00 900.00 100.00 26.00 30.00 400.00 22.00 70.00 950.00 50.00 15.00 154.00 125.00 75.00 2,400.00

0 135 12 30 147 50 50 23 97 0 0 50 130 0 234 170 90

39,825.00 3,600.00 27,000.00 14,700.00 1,300.00 1,500.00 9,200.00 2,134.00 2,500.00 1,950.00 29,250.00 12,750.00 216,000.00

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 DRUGS & MEDICINES

Dental Anesthetic Solution 50's

15 100 10 75 0 225 270 10 80 0 139 210 90 615 3 1000 157

bx tin vls amps vls amps amps bx bxs bxs bxs btls amps btls vls vls amps Page 6 of 20

680.00 655.00 40.00 50.00 74.00 150.00 25.00 100.00 100.00 125.00 30.00 14.00 110.00 35.00 3,000.00

15 100 10 75 0 225 270 10 80 0 139 210 90 615 3

10,200.00 65,500.00 400.00 3,750.00 33,750.00 6,750.00 1,000.00 8,000.00 4,170.00 2,940.00 9,900.00 21,525.00 9,000.00 74,000.00 15,700.00

Dental-anesthesia, cook waite, 50's Dexamethasone 4mg/ml, 2ml Dexamethasone 8mg Depo-medroxyprogesterone acetate injectable 15mg with syringe Diazepam l0mg/2ml Diclofenac Na 75mg/ml Diclofenac 25mg tabs 100's Diclofenac 50mg tabs 100's Diclofenac sodium 50mg per tablet Dicycloverine HCL l0mg tabs l00's Dicycloverine l0mg/5ml syrup, 60ml Diphynhydramine HCL 50mg/lml Distilled water 50ml Demerol, 30ml/50mg Depo-Medroxyprogesterone acetate injectable 15mg Dopamine 200mg/5ml

74.00 1000 100.00 157

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 DRUGS & MEDICINES

Doxycycline caps l00mg l00's Duvadilan 10mg/2ml Epinephrine HCL lmg/ml Esmeron 50mg/5ml Ethinyl estradiol 30mg levenorgestrel, 150mg Erythromycin, susp. 200mg/5ml 60ml Erythromycin 250mg/5ml syrup 50ml Erythromycin 125mg/5ml syrup 50ml Erythromycin 500mg cap 100's Erythromycin eye ointment, 3.5g Fentanyl citrate 50mg/ml Ferrous sulfate drops,l5ml (15-30mg elemental iron)
Ferrous sulfate syrup, 30mg/50ml (30-60mg elemental iron) 60ml
Ferrous sulfate 325mg tabs w/ folic acid l00's (60-120 elemental iron)coated

67 5 302 5 1000 100 5 80 88 0 110 612 560 155 110 0 110

bxs amps amps amps cycles btls bts bts bx tube amps bts bts bxs kit

115.00 150.00 25.00 90.00

67 5 302 5

7,705.00 750.00 7,550.00 450.00 30,000.00 5,000.00 350.00 3,840.00 38,280.00 13,750.00 11,628.00 14,000.00 44,950.00 55,000.00 96,250.00

30.00 1000 50.00 70.00 48.00 435.00 210.00 125.00 19.00 25.00 290.00 500.00 100 5 80 88 0 110 612 560 155 110 0

Fixed dose combintaion-A (Rifam, Isoniazid, ethambutol and Pyrazenamide) Fixed dose combintaion-A (Rifam, Isoniazid,

kit Page 7 of 20

875.00

110

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 118 119 120 121 DRUGS & MEDICINES

ethambutol and Pyrazenamide) 80's Fixed dose combintaion-B, tab (Rifam and Isoniazid only) 80's Floucinolone acetonide ear solution, (aplosyn otic drops), 5ml Fluticasone propinate Nebules 250mg/ml Foralivit tablet, 100's/bx

0 0 0 50 461 215 435 2 0 390 360 289 170 210 90 340 2

6,500.00 138,300.00 7,310.00 3,915.00 996.00 10,530.00 34,200.00 57,800.00 45,900.00 30,450.00 2,250.00 8,500.00 1,400.00

kit btls nebs bx amps amps btls bts vls vls vls bts amps bts amps bxs Page 8 of 20

740.00 200.00 130.00 300.00 34.00 9.00 498.00 380.00 27.00 95.00 200.00 270.00 145.00 25.00 25.00 700.00

0 0 50 461 215 435 2 0 390 360 289 170 210 90 340 2

122 123 124 125 126 127 128 129 130 131 132 133

Furosemide 20mg/2ml Gentamycin 80mg 2ml Gentamycin Opthalmic drops 0.3%, 5ml Hexitidine solution 500ml Hydocortisone 100mg Hydocortisone 250mg Hydocortisone 500mg Hypromellose 15ml, eye drops Hydralazine 20mg/ml Hydrogen peroxide solution 30%, 480ml Hyoscine N-butyl bromide 20mg/ml Hyoscine N-butyl bromide tab., 10mg/ml, 100's

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 134 135 136 137 138 139 140 141 142 143 DRUGS & MEDICINES

Hyoscine N-butyl bromide tab., 100mg, 100's Hepa B Vaccines Ibuprofenc 400mg tab., 100's Ipratropium + salbutamol 20mcg/120mg Isosorbide dinitrate 10mg tabs., 100's Isoflurane l00ml
Influena vaccine 1ml

4 0 10 200 2 22 35 15 130 110 0 220 0 118 20 45 512

bxs amp bxs nebs bts bts amp vls amps bot

300.00 1,700.00 397.50 58.00 370.00 2,500.00 1,000.00 1,500.00 60.00 400.00

4 0 10 200 2 22 35 15 130 110 0

1,200.00 3,975.00 11,600.00 740.00 55,000.00 35,000.00 22,500.00 7,800.00 44,000.00 103,400.00 17,700.00 2,700.00 31,500.00 20,480.00

Ketalar l0ml Ketorolac 30mg/ml Kids Kit (Intensive)suspension 9Rifam 250mg/5ml, Isoniazid 200mg/5ml & Pyrazenamide 2 bots of 200mg/5ml

144

Kits Kit (Maintenance Phase) 120ml each (Rifam and Isoniazid) suspension Lagundi 300mg, 100's Lanoxin 5mg/2ml Lidocaine 2% 1.8ml 50's Lidocaine 2% 50ml

bot

470.00

220 0

145 146 147 148

bxs amps bxs vls Page 9 of 20

150.00 135.00 700.00 40.00

118 20 45 512

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 149 150 151 152 153 DRUGS & MEDICINES

Lidocaine anesthesia 5%, spray Lidocaine ointment, 5%, 30grms-50grms, topical anesthesia Lidocaine w/ epinephrine 2% 1.8ml, 50's Magnesium sulfate 500mg/2ml Magnesium Sulfate (1gram) Mebendazole Mefenamic acid 500mg caps l00's Mefenamic Acid 250mg caps 100's Mefenamic Acid suspension, 60ml
Methylergometrine maleate tabs,125mcg 100's

2 13 0 160 60 0 330 135 150 11 260 40 194 74 120 1655 135

bts jar bxs amps amps btls bxs bx bot bxs amps btls amps bxs bxs vls bts Page 10 of 20

1,980.00 800.00 530.00 26.00 30.00 50.00 80.00 55.00 22.00 120.00 45.00 37.22 10.00 98.00 80.00

2 13 0 160 60 0 330 135 150 11 260 40 194 74 120

3,960.00 10,400.00 4,160.00 1,800.00 26,400.00 7,425.00 3,300.00 1,320.00 11,700.00 1,488.80 1,940.00 7,252.00 9,600.00 49,650.00 4,050.00

154 155 156 157 158 159 160 161 162 163 164

Methelergometrine maleate 200mg/ml Metoclopromide, 5mg/5ml 60ml, susp. Metoclopromide, l0mg/2ml Metoprolol 50mg tabs l00's Metronidazole 500mg tabs l00's Metronidazole IV 500mg Metronidazole l25mg/5ml susp 60ml

30.00 1655 30.00 135

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 165 166 167 168 169 170 171 DRUGS & MEDICINES

Midazolam l5mg/3ml Medical Oxygen, content only, 1800PSI Meninggococcemia vaccine, 1ml Morphine 50mg/ml Magnesium Sulfate (1gram) Multivitamin drops, 30ml Multivitamin syrup, 60ml Multivitamin syrup, 60ml (Nutroplex)

200 5745 0 15 70 200 300 2000 300 0 159 30 84 1 626 165 0

amps tank amp amps amps bts bts btls bxs vls amps amps bxs tank sachet bxs tab Page 11 of 20

300.00

200

60,000.00 2,010,750.00 6,000.00 2,450.00 4,400.00 6,000.00 140,000.00 34,500.00 18,921.00 2,250.00 13,944.00 7,500.00 4,382.00 21,450.00 -

350.00 5745 1,700.00 400.00 35.00 22.00 20.00 0 15 70 200 300

70.00 2000 115.00 550.00 119.00 75.00 166.00 7,500.00 7.00 130.00 12.00 300 0 159 30 84 1 626 165 0

172 173 174 175 176 177 178 179 180

Multivitamin caps(+Ferrous Sulfate+Folic Acid+B Complex), 100's Midazolam 15mg/3ml Nalbuphine HCL 5% l0mg/lml Neostigmine 2.5mg /ml Nifedipine 5mg caps l00's
Nitrous Oxide, content only, 1800PSI

Oral rehydration salt (ORS) Oral rehydration salt (ORS) Oral rehydration salt (ORS)

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 DRUGS & MEDICINES

Reformulated Oral Rehydration Salt (ORS) Oxytocin l0 IU Otic, ear drops, 5ml
Oxytetracycline Opthalmic Ointment 10g Oxytetracycline eye Ointment Paracetamol 150mg/ml, 2ml

600 585 36 2 6 48 543 375 548 290 510 510 20 366 40 40 40

sachet amps tubes tube tubes amp bts amps bxs bts vls bx amps amps amp amps amps Page 12 of 20

20.00 25.00 300.00 496.00 500.00 25.00 19.00 20.00 32.00 15.00 18.00 18.00 500.00 27.00 1,700.00 40.00 29.00

600 585 36 2 6 48 543 375 548 290 510 510 20 366 40 40 40

12,000.00 14,625.00 10,800.00 992.00 3,000.00 1,200.00 10,317.00 7,500.00 17,536.00 4,350.00 9,180.00 9,180.00 10,000.00 9,882.00 68,000.00 1,600.00 1,160.00

Paracetamol 250mg/5ml, 60ml, syrup Paracetamol 300mg Paracetamol 500mg tabs l00's Paracetamol drops,100mg/ml,15ml Pen G NA 5M IU Pen G NA lM IU , 10 vials/bx Phenobarbital amps 130mg/ml Phytomenadione Vit. K l0mg/lml Pneumonia vaccine Potassium chloride 20cc Promethazine 25mg/2ml

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 DRUGS & MEDICINES

Phenylpropanelamine 500mg tabs 100's Phenylpropanelamine with paracetamol and Chlorphenamine maleate Phenylpropanelamine syrup 60ml Phenylpropanelamine drops 15ml Postop eyedrops, 5ml Polymyxin neomcycin cream, 5g Povidone iodine, 10% PPD Test Prednisone tabs, 5mg Prednisone tabs, 5mg, 100's Propofol 20ml Rabipur Ranitidine 25mg/ml, 2ml. Ranitidine 300mg tab., 100's Rabbies Vaccine for Human, 1ml Rifampicin, tabs, 600mg, 100's Salbutamol nebules 2mg/5ml, 30's

150 50 210 200 170 0 9 56 40 5 0 100 482 70 0 0 256

bx bxs bts btls btls tube gals vls

190.00 190.00 32.00 24.00 234.00 285.00 580.00 650.00 75.00

150 50 210 200 170 0 9 56 40 5 0 100 482 70 0 0 256

28,500.00 9,500.00 6,720.00 4,800.00 39,780.00 5,220.00 36,400.00 3,000.00 1,000.00 150,000.00 16,870.00 16,800.00 79,360.00

bxs amps vls amps bxs

200.00 320.00 1,500.00 35.00 240.00 1,500.00 380.00

bxs Page 13 of 20

310.00

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 DRUGS & MEDICINES

Salbutamol plus guaiafenesin, 60ml Salbutamol syrup 2mg/5ml, 60ml Salbutamol tabs 2mg, l00's Salbutamol tabs 4mg, l00's Soaking Solution, II, solarsept Sodium Bicarbonate 50ml Silver sulfadiazine 500g Silver Sulfadiazine (micronized) cream 1% Sambong tabs 100's Silver sulfadiazine 500mg Succinylcholine 10ml Terbutaline nebules Terbutaline sulfate amps .5mg/ml Terramycin opthalmic ointment Terramycin opthalmic ointment 3.5grms Terramycin cream, 5mg Tetanus toxoid 250 IU/2ml

50 130 32 80 6 52 9 6 162 0 10 50 0 20 0 0 110

btls bts bxs bxs btls amps jar tubes bxs jar vls nebs amps tube tube tube amps Page 14 of 20

40.00 15.00 30.00 90.00 1,200.00 90.00 2,998.00 550.00 150.00 3,000.00 400.00 20.00 184.00 498.00 498.00 175.00 50.00

50 130 32 80 6 52 9 6 162 0 10 50 0 20 0 0 110

2,000.00 1,950.00 960.00 7,200.00 7,200.00 4,680.00 26,982.00 3,300.00 24,300.00 4,000.00 1,000.00 9,960.00 5,500.00

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 232 233 234 235 236 DRUGS & MEDICINES

Tetracaine 20mg Tramadol 50mg/2ml Tranexamic acid 500mg/5ml Tranexamic acid 500mg caps., 100's Trimycin cream, 5g, BNP ointment Vitamin C (alcaline base), 100's

0 140 189 6 30 0 353 0 0 0 0 371 0 0 100 0 0

amps amps amps bxs tube bxs bts bts bot bxs vls bx amps bot bot bot
Page 15 of 20

169.00 30.00 70.00 550.00 175.00 700.00 95.00 325.00 550.00 200.00 1,500.00 85.00 40.00 130.00 150.00 180.00

0 140 189 6 30 0 353 0 0 0 0 371 0 0 100 0 0

4,200.00 13,230.00 3,300.00 5,250.00 33,535.00 31,535.00 15,000.00 -

237 238 239 240 241 242 243 244 245 246

Vitamin C tabs 500 mg l00's Vitamin A caps 10,000 IU l00's Vitamin A caps, 200,000 IU, 100's Vitamin B tab, 500mg, 100's Verorab Vitamin B complex (1,6,12)100's Vitamin K (Phytomenadione amp. 10mg/ml) Zinc drops 27.5 mg/ml (10mg.elemental zinc)15ml Zinc syrup 55mg/ml (20mg.elemental zinc) 60ml Zinc syrup 27.5 mg/ml (10mg.elemental zinc)60ml
ADDITIONAL

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 DRUGS & MEDICINES Acepromazine maleate inj, 20ml ADE inj. 100ml (water - based vetoquinol) Alus spray 210grms Ampicilin vials, 500mg Anti-tetanus serum, 1.5IU Absorbent gauze 12x24m Atropine sulfate 100mg/50ml BD disposable syringes, 3ml BD disposable needle, 100's/G23 Chromic catgut size 0/0 Chromic catgut size 0/2 Coforta inj., 100ml Dextrose 5% in Lactated ringes solution. 500ml Dexamethazone inj. 100ml Disposable face mask Ecomin solution inj., 100ml Epheneprine 3 20 20 100 60 10 10 100 100 50 50 10 50 20 120 10 100 btls btls canniser pcs btls rolls btls bxs bxs pcs pcs btls btls btls pcs btls
Page 16 of 20

2,000.00 700.00 700.00 100.00 100.00 1,500.00 1,350.00 900.00 580.00 190.00 190.00 700.00 110.00 400.00 50.00 600.00 90.00

3 20 20 100 60 10 10 100 100 50 50 10 50 20 120 10 100

6,000.00 14,000.00 14,000.00 10,000.00 6,000.00 15,000.00 13,500.00 90,000.00 58,000.00 9,500.00 9,500.00 7,000.00 5,500.00 8,000.00 6,000.00 6,000.00 9,000.00

amp

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 Ehrlichia test kit Flunixime meglumine 50mg/ml., 50ml Heart worm test Hypodermic metal needle G.16 x 1/2inch. 12's Hydrogen peroxide, 500ml Iron dextran + B12, 100ml inj Isoprophyl alcohol, 70% 500ml IV canulla G.22/24 IV Butterfly G.23 Ivermectin inj. 100ml Ketamine HCL 100mg/50ml Macroset IV Medical tackle box, 1 layers Medical tackle box, 2 layers Menadione Na bisulfate 10mg/m/1ml ampule Metoclopramide, 10mg/2ml Oxytetracycline 200mg/ml 100ml DRUGS & MEDICINES 20 10 20 100 20 20 100 100 100 24 6 50 3 3 70 100 20 kit btls kit pcks btls btls btls pcs pcs btls btls pcs pcs pcs amp amp
Page 17 of 20

780.00 2,000.00 600.00 200.00 40.00 450.00 58.00 55.00 35.00 750.00 4,000.00 70.00 2,000.00 2,000.00 150.00 20.00 600.00

20 10 20 100 20 20 100 100 100 24 6 50 3 3 70 100 20

15,600.00 20,000.00 12,000.00 20,000.00 800.00 9,000.00 5,800.00 5,500.00 3,500.00 18,000.00 24,000.00 3,500.00 6,000.00 6,000.00 10,500.00 2,000.00 12,000.00

btls

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 DRUGS & MEDICINES Phytomenadione, 10mg/1ml Pyrantel pamoate syrup, 250mg/60ml Povidone Iodine, 10% Powdered latex examination glove, medium/100's Powdered latex examination glove, large/100's Storage box transparent 30ltrs Surgical blade, #10 Surgical Gloves (Hypoallergenic/sterile 6 1/2) Surgical Gloves (Hypoallergenic/sterile 7) Surgical suture (silk-precut length, 15x24cm) Surgical Needle (cutting edge) size 11 Tiletamine HCL/Zolazepan 50mg/5ml Triple distilled water, inj/100ml Verorab vaccine for human Veterinary syringes with lock, 20ml (europlex) Veterinary metal needles, g16 x 1/2'' Vicryl suturing materials 0/0, 3.0 metric 100 40 3 24 12 8 100 36 36 60 150 60 50 15 40 30 50 amp btls gals bxs bxs pcs pcs pcs pcs pcs pcs vials btls vls pcs pad
Page 18 of 20

139.00 120.00 1,000.00 300.00 300.00 500.00 20.00 40.00 40.00 190.00 45.00 980.00 40.00 1,900.00 650.00 250.00 650.00

100 40 3 24 12 8 100 36 36 60 150 60 50 15 40 30 50

13,900.00 4,800.00 3,000.00 7,200.00 3,600.00 4,000.00 2,000.00 1,440.00 1,440.00 11,400.00 6,750.00 58,800.00 2,000.00 28,500.00 26,000.00 7,500.00 32,500.00

pcs

(Procurement Form No. 2) Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Code

Item No.

General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

PROCUREMENT OF GOODS 759 298 299 300 301 DRUGS & MEDICINES Vicryl suturing materials 2/0, 3.0 metric Water jug 4ltrs Xylazine HCL, 50ml Zinc oxide adhesive plaster 50 10 3 4 #REF! pcs pcs btls tube 500.00 300.00 2,000.00 850.00 50 10 3 4 25,000.00 3,000.00 6,000.00 3,400.00

Drugs & Medicines + Provision for emergency purchases

6,659,168.80

171,550.00

Grand Total:

6,830,718.80

Prepared by:

Recommended by:

Page 19 of 20

(Procurement Form 2) No.

Procurement Form No. 2 ANNUAL PROCUREMENT PLAN Procuring Entity/Units: SCPH, PHO, PHO-ERAP MOBILE, PMH, PSWDO, PSWDO-NUTRITION, NDH, JAIL, PVET & LSMH Calendar Year: 2012

Item Code No. PROC UREMENT OF GOODS 759 DRUGS & MEDICINES General Description/Specification

Total Quantity

Unit of Issue

Unit Cost
Jan Feb March

TIME SCHEDULE
April May June July Aug Sept Oct Nov Dec

APPROVED BUDGET

Approved by:

REDELLA C. SALANGA BAC Secretariat/TWG

DANILO P. SUPE
Provincial Planning & Development Coordinator BAC Chairman ARTHUR "DODO" Y. PINGOY JR., MD

Provincial Governor

Page 20 of 20