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Balance of Line Information

BALANCE OF LINE AND AVAILABLE OPTIONS PRICE SHEET

MANUFACTURER’S BRAND NAME: Nutricia North America

PRICE LIST NAME / NUMBER: Neocate Infant Formula (10804)

PRODUCTS/ OR GROUP NAMES% DISCOUNT FROM PRICE LIST

(Discounts may vary depending upon products)

Adult Dietary Supplements:%

Pediatric Dietary Supplements: %

Metabolic Products: %

Modular: %

Other:%

VOLUME DISCOUNTS:

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

3.67% discount off invoicefor 10 or more cases on a single purchase order delivered to a singledestination.

%

AVAILABLE OPTIONS:

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

2%10 net 30 terms.