FORM FRM1304/2.2 Effective: 13/01/16 External Order Commercial - In Confidence NHSBT REAGENTS ORDER FORM 2016-2017 Prices are valid from 01.04.2016 to 31.03.2017 Hospital Name: Address: Email Address: Tel No: Order Number (if applicable): (a hard copy of the purchase order must be sent before the order can be processed) Name: Date: Our red cell products are delivered every 4 weeks therefore we have 13 deliveries per financial year with the exception of ABO control cells, IgG coated cells and 3 cellscreen which will be delivered 14 times as per our dispatch schedule (please note the delivery scheduled on 28/03/2016 will be at the 2015/2016 prices). Please set up your standing order quantities to match the delivery schedule . Code Product % Preservative Volume Price £ PR101 PR102 PR103 PR121 PR122 PR123 PR106 PR108 PR107 PR109 2 cell screen 2 cell screen 2 cell screen 3 cell screen 3 cell screen 3 cell screen rr Screening cell set rr Screening cell set r’r, r’’r sub set r’r, r”r sub set 3 0.8 0.8 3 0.8 0.8 0.8 0.8 0.8 0.8 Alsevers CellStab CellMedia Alsevers CellStab CellMedia CellStab CellMedia CellStab CellMedia 2x10mL 2x10mL 2x10mL 3x10mL 3x10mL 3x10mL 2x10mL 2x10mL 2x10mL 2x10mL 17.30 17.30 17.30 21.35 21.35 21.35 17.39 17.39 17.39 17.39 PR144 PR143 PR163 PR146 PR154 PR153 PR173 PR141 PR142 PR152 Panel 1 Panel 1 Panel 1 Panel 1 Panel 1 (enzyme) Panel 1 (enzyme) Panel 1 (enzyme) Panel 2 Panel 2 Panel 2 (enzyme) 3 0.8 0.8 1.5 3 0.8 0.8 3 0.8 0.8 Alsevers CellStab CellMedia LISP Alsevers CellStab CellMedia Alsevers CellStab CellStab 10x5mL 10x5mL 10x5mL 10x5mL 10x5mL 10x5mL 10x5mL 10x5mL 10x5mL 10x5mL 48.37 48.37 48.37 48.37 50.48 50.48 50.48 48.37 48.37 50.48 PR012 PR014 PR015 PR022 PR033 PR035 PR036 A1rr A1rr A1rr A2rr Brr Brr Brr 3 0.8 0.8 3 3 0.8 0.8 Alsevers CellStab CellMedia Alsevers Alsevers CellStab CellMedia 1x10mL 1x10mL 1x10mL 1x10mL 1x10mL 1x10mL 1x10mL 5.03 5.03 5.03 5.03 5.03 5.03 5.03 Cross-Referenced in Primary Document: SOP1795 Quantity per 4 week delivery Page 1 of 3 FORM FRM1304/2.2 Effective: 13/01/16 External Order Code Product % Preservative Volume Price £ PR034 PR044 PR045 PR046 BR1r OR1r OR1r OR1r 3 3 0.8 0.8 Alsevers Alsevers CellStab CellMedia 1x10mL 1x10mL 1x10mL 1x10mL 5.03 5.03 5.03 5.03 PR092 PR407 PR051 IgG coated cells Titration cells 4 0.8 33 Alsevers CellStab Alsevers 1x10mL 2x10mL 2x5mL 7.30 17.66 28.05 Whole Blood Controls Quantity per 4 week delivery DELIVERY OF THE PRODUCTS LISTED ABOVE IS EVERY 4 WEEKS TOTALLING 13 DELIVERIES PER YEAR Code Product Volume PN042 PN043 PN044 PN046 PN061 Weak anti-c control Weak anti-K control Weak anti-Fya control Weak anti-D control AB serum 1x10mL 1x10mL 1x10mL 1x10mL 1x10mL Price £ Quantity per 3 month delivery 19.87 19.87 31.77 12.72 11.56 Quantity per 6 month delivery PN090 PN222 PN161 *Papain *0.01M DTT *ZZAP 1x 5mL 1x 1mL Kit 4.95 21.59 26.05 Quantity per exercise delivered 6 times per year PN083 IPEx exercise 30.38 We are usually able to supply standing orders via our weekly NHSBT transport service. If you specifically require delivery via another method, then postal or courier costs will be incurred. * These items are supplied frozen and are shipped on dry ice and will incur a £15.00 courier charge per delivery. NHSBT Reagents, 14 Estuary Banks, Speke, Liverpool L24 8RB Email: reagents@nhsbt.nhs.uk Fax: 0151 268 7156 Telephone: 0151 268 7157 Cross-Referenced in Primary Document: SOP1795 Page 2 of 3 FORM FRM1304/2.2 Effective: 13/01/16 External Order In addition we would appreciate if you could answer the following questions: On a scale of 1 to 10 (where 10 is high and 0 is low) how do you rate NHSBT Reagents on the following categories:Range of reagent products: Customer services after sales: Quality of reagent products: Delivery of reagent products: If you score is 5 or below can you give the reason for this score? Is there anything we can do to improve the products or services we provide? Several customers have expressed an interest in the following new/altered products. In order to be able to determine if we add these to our product portfolio, please can you indicate if this is a product you would consider purchasing. Category DVI cells for control of Rh(D) typing Yes No Volume per 4 weeks mL C3d coated cells Yes No Volume per 4 weeks mL Heterozygote control cell Yes No Volume per 4 weeks mL Whole blood controls 4 vials one which will be inert and the other 3 containing antibodies covering A, B, D, K, Fya. Yes No New product or Additional to existing product (2 + 2 cells) Please could you detail which automated and manual technology you use in your laboratory? Automated Manual Thank you. Cross-Referenced in Primary Document: SOP1795 Page 3 of 3