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Balance of Line Information

ALANCE OF LINE AND AVAILABLE OPTIONS PRICE SHEET

MANUFACTURER’S BRAND NAME:Novartis

PRICE LIST NAME / NUMBER:

PRODUCTS/ OR GROUP NAMES% DISCOUNT FROM PRICE LIST

(Discounts may vary depending upon products)

Adult Dietary Supplements: %

Pediatric Dietary Supplements: %

Metabolic Products: %

Modular: %

Other:%

VOLUMEDISCOUNTS:

LIST ADDITIONAL DISCOUNTSAPPLICABLE TO ANY SINGLE ORDER OF ANY COMBINATION OF AWARDED CONTRACT ITEMS TO BE DELIVERED AT ONE TIME TO ONE DESTINATION.

%

%

AVAILABLE OPTIONS:

If there are additional OPTION(S) OR SERVICE (S) available, please detail those below.