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Mr Hart said those in charge of public sector contracts needed to be encouraged to find ways to reduce tender costs, or to cut the number of shortlisted companies.
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Some manufacturers/distributors then approached the larger MOs, profiting by avoiding tendering costs and hassle.
The tender price is likely to be lower than the listed price, which would further improve the cost-effectiveness of the vaccine compared with no vaccination.
Drug costs were obtained from the hospital pharmacy price list, which is derived from the 2003 Provincial Tender Price List.
In one area, Stockport, CCGs are placing 40 per cent of LESs out to tender, potentially costing local GP surgeries £383,200.
The tender offer cost investors more than $1.4 million and revealed shortcomings in Wall Street's institutional systems for assuring that shareholders who respond to tender offers are either paid for the shares or have them returned.
The new design requirements demanded by the SUMMA 112 managers for the new public tender (maximum cost, amount of on-board medicaments, average number of interventions without medical material replenishing, etc).
In addition, if ARV price reductions are achieved in future government ARV tenders, the cost-effectiveness of ART will be further enhanced.
It would also examine the baffling tendering and costing process.
At present, many parts of the NHS are subject to competitive tendering on cost and volume.
"I don't want tenders, which cost a lot of money and time, when a local provider is doing a good job.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com