# New York State Contract Reporter #2139452

Five-year supply of Medical 89A pharmacy forms for New York State OMH

**Posted:** September 29, 2026
**Respond By:** November 12, 2026
**Identifier:** 2139452
**NAICS:** 424120, 323111

New York State OMH is seeking a five-year supply of custom Medical 89A pharmacy forms for facilities statewide.
- **Government buyer:** New York State Office of Mental Health (OMH), Central Office.
- **Product and quantity:** Medical 89A five-part NCR forms, estimated at 28,000 sets per year; orders are placed as needed by OMH facilities.
- **Form requirements:** One white page and four yellow copies, with sequential numbering. The addendum specifies 8.5 × 9.25-inch pages, one-sided printing, top-edge glue and perforation, and six top holes spaced four inches apart. It also specifies black, blue, and red numbering, screens, and no bleeds. The original IFB lists a different page size and printing details; bidders should follow the amended specifications where they differ.
- **Packaging and delivery:** Five packages per case, 125 sets per package (625 sets per case). Delivery must be available to listed OMH facilities statewide, and quoted prices must include freight and all delivery-related charges.
- **OEMs and vendors:** No manufacturers, OEMs, or prospective vendors are named in the documents.

### Description

The New York State Office of Mental Health is seeking qualified contractors for a five-year contract for Medical 89A Forms, which facilities may purchase as needed from the awarded vendor. The forms are specified as five-part NCR forms, with one white and four yellow copies, and an estimated yearly quantity of 28,000. Bids are due by November 12, 2026, at 3:00 PM ET, and must include the signed addendum.

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