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Information
| Tab Content and Description | |
| Evaluated | |
| Market Basket (tab 2) | Market Basket of commonly purchased items. Bidders are not required to complete every line item, but each line item, whether completed or not, will be totaled for a final score per the instructions in Solicition Section 4.3 - Bid Evaluation - Scored Factors. This market basket will only be used for evaluation purposes and should not be reflective of Bidder's catalog of food items. |
Instructions: Complete desired line items; however bidder must complete each column if bidding a line item, only complete columns D and E if bidding on a Substitute Product. If not submitting a bid for a line item, please leave it blank. No 0's will be allowed to be submitted to Column K (price per case). All 0's submitted will be counted as a non-submission of item and subsequently awarded 0 points for the evaluation price in Column Q. Columns in Grey (B, C, M &N)cannot be altered in any way; Columns in Green (F-L) are to be completed if being bidded for; Columns in Orange (D & E) are to be completed if you are bidding a Substitute Product. Do not alter this worksheet, if an item requires clarification please contact the Procurement Coordinator. Bidder shall provide pricing for generic brand or better. See Exhibit B Contract - Section 4.3 "Bid Evaluation" for fomulas explaining how line items will be scored.
Additional Costs (tab 3) Additional charges will be added to Exhibit B Contract in Exhibit B - Included Goods and Pricing
Instructions: Bidders must complete all sections and provide all required information in Column C (Bidder Value). See Exhibit B Contract - Section 4.3 "Bid Evaluation" for fomulas explaining how line items will be scored.
Market Basket
| Market Basket |
| Market Basket Definition List |
| Explanation of color coding on bid entry. |
Orange - Should be filled out if applicable.
Red - (will autofill as you start filling in product lines) Required by default for bid to be accepted/evaluated (Flavors, Price Per Case) or based on entry of other cells COULD be required. Ex. Entering Subsititue Product (Column D) highlights Pack Size of Substitute (Column E) Red. If the pack size of your substitute (Column E) is different than the Pack Size (Column C) of the default then you MUST fill in the Substitute Pack Size (Column E). Another Ex. Entering in a Substitue Pack Size (Column E) will highlight UOM Per Case (Column L) Red. If your subsitute pack size results in a different UOM Per Case then the default then fill in Column L.
| COLUMN | Column Title | Definition |
| A | Product Description | Name of product. If you do not offer the listed brand of product, but can provide a comparable product of a different brand, provide a bid price on the "Substitute Product" column. Provide details of your comparable product in the column D "Substitute Product." |
For products marked with *. Within that subcategory only the lowest priced product of the * marked products will be evaluated, if you can provide both on contract, bid on both.
| B | Point Value | The points towards total evaluation score that this product is worth. The point value is derived from expected purchases, items that are expected to be purchased more frequently are worth more points. Point values are rounded to the nearest whole number to make evaluation and scoring more efficient. | | | | | | | | | | | |
| C | Pack Size | Packing and Size of Product. If you sell this product in a different pack size, list the product in column D "Substitute Product" with the different pack size in column E "Pack Size of Substitute." | | | | | | | | | | | |
| D | Substitute Product | Description of product that is similar to the one listed in Column A, "Product Description" that will serve the same medical purpose, and contains comparable nutrients. This column will be evaluated as substitute for the listed product. If you are bidding on the listed product, leave this column blank. Substitutes will be reviewed and approved/denied by DES. | | | | | | | | | | | |
| E | Pack Size of Substitute | Provide the pack/case size that you prefer to sell your comparable product in. If it comes in cases of multiple packs (ex. 6-8oz shakes/box, 6 boxes/case=total 36-8 oz. shakes) please provide that information. DES will calculate the price per ounce (or other metric) to evaluate all bids evenly. This column should be left blank if not bidding a "Substitute Product." | | | | | | | | | | | |
| F | Flavors | Minimum number of flavors required for this product listed in product description, in this column list all flavors you can provide at price listed in column P, "Unit Price." Flavors listed will be added to Exhibit B contract - Exhibit B "Prices for Included Goods/Services." | | | | | | | | | | | |
| G | Bidder Item No. | Bidder item number for product | | | | | | | | | | | |
| H | Manufacturer | Original Manufacturer name | | | | | | | | | | | |
| I | Brand | Brand of Origin | | | | | | | | | | | |
| J | Manufacturer SKU # | SKU # given by Manufacturer | | | | | | | | | | | |
| K | Price Per Case (1) | The actual invoice price of a product for one case of a product that the Bidder agrees to provide to purchasers delivered (not including applicable shipping fees listed in "Additional Costs" or sales tax). This price includes any transportation costs necessary for delivery to the distribution point. This price includes all Bidder rebates, allowances and incentives (or any other term used for price reductions) other than high volume discount listed in "Additional Costs". This cost will be subject to Economic Price adjustments per Exhibit B contract - Section 3.3 "Economic Adjustment." | | | | | | | | | | | |
| L | Unit of Measure(UOM) Per Case (Net Weight) | Ex: Oz. per case, 8oz drink with 24/CS=192. Use the same unit of measure the pack size for this line item is measured in, (liters, liquid ounces, pounds, grams) even if you are providing a substitute product that uses a different UOM. This is required to determine final evaluation price. | | | | | | | | | | | |
| M | Default UOM Per Case | This is the default UOM Per Case based on the Pack Size (Column C). Ex. 8oz drink with 24 drinks per case = 192. | | | | | | | | | | | |
| N | Final Bidder Cost | The final Bidder Cost will be calculated by taking the price for one case of a product and dividing it by the UOM per case. This column will auto populate. The formula utilizes the Price Per Case (Column K) divided by the Default UOM Per Case (Column M) IF UOM Per Case (Column L) is blank. If UOM Per Case (Column L) has an entry the formula will divide by this value instead. This is the evaluated price. | | | | | | | | | | | |
| Product Description | Point Value | Pack Size | Substitute Product | Pack Size of Substitute | Flavors | Bidder Item No. | Manufacturer | Brand | Manufacturer SKU # | Price Per Case | UOM Per Case | Default UOM Per Case | Final Bidder Cost |
| Category A. Oral Nutrition Supplements (Adult) | | | | | | | | | | | | | |
| Standard Oral Nutrition | | | | | Substitute Product | Pack Size of Substitute | Flavors | Bidder Item No. | Manufacturer | Brand | Manufacturer SKU # | Price Per Case | UOM Per Case | Final Check |
| ENSURE, ORIG INST ARC 3+flavors* | 70 | 8OZ (24/CS) | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| BOOST, 3+flavors* | 70 | 8OZ (24/CS) | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| High-Calorie / High-Protein Oral Nutrition | | | | | | | | | | | | | | |
| ENSURE PLUS, INST ARC 3+flavors* | 35 | 8OZ (24/Case) | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| ENSURE PLUS, RTD 3+flavors | 7 | 8OZ 6/PK 4PK/CS | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| BOOST PLUS 3+flavors* | 35 | 8OZ 24/CS | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| BOOST, VERY HIGH CALORIE 3+flavors | 7 | 8OZ (24/CS) | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| ENSURE, MAX PROTEIN NUTRITION 3+flavors | 7 | 11OZ (4/PK 3PK/CS) | 132.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| PROTALITY 2 flavors | 7 | 11 OZ (12/CS) | 132.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Disease-Specific Oral Nutrition | | | | | | | | | | | | | | |
| BOOST, GLUCOSE CONTROL 3 flavors | 7 | 8OZ (24/CS) | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| BOOST, GLUCOSE CONTROL MAX PROTEIN 2 flavors | 7 | 11FL OZ (12/CS) | 132.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| GLUCERNA, SHAKE THERA INST ARC 3 flavors | 70 | 8OZ (24/CS) | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| NEPRO, INST ARC 3 flavors | 7 | 8OZ (24/CS) | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| SUPLENA, INST ARC 1 flavor | 7 | 8OZ (24/CS) | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Clear Liquid Nutrition / Hydration | | | | | | | | | | | | | | |
| ENSURE CLEAR, INST ARC 2 flavors | 7 | 8OZ (24/CS) | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| BOOST BREEZE, 3+ flavors | 7 | 8OZ (24/CS) | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| PEDIALYTE, PDR PK 4 FLAVOR 3+ flavors | 7 | .3OZ (8/BX 8BX/CS) | 19.20 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| SQWINCHER ZERO, QWIK STIK 3+ flavors | 7 | (50/BG 10BG/CS) | 500.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Category B. Infant & Pediatric Formula | | | | | | | | | | | | | | |
| Standard Infant Formula | | | | | | | | | | | | | | |
| SIMILAC ADVANCE | 7 | 12.4 OZ POWDER | N/A | 12.40 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| SIMILAC GENTLE COMFORT | 7 | 12.6 OZ POWDER | N/A | 12.60 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| SIMILAC SENSITIVE | 7 | 12.5 OZ POWDER | N/A | 12.50 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| SIMILAC SOY ISOMIL | 7 | 12.4 OZ POWDER | N/A | 12.40 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| ENFAMIL A.R. INFANT FORMULA WITH ADDED RICE | 7 | 12.9 OZ POWDER | N/A | 12.90 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Premature / Transitional Formula | | | | | | | | | | | | | | |
| SIMILAC NEOSURE | 7 | 13.1 OZ POWDER | N/A | 13.10 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| ENFAMIL NEUROPRO ENFACARE INSTANT FORMULA | 7 | 13.6 OZ POWDER | N/A | 13.60 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| ENFAMIL PREMATURE | 7 | 2 OZ (48/CS) | N/A | 96.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Hypoallergenic / Amino Acid Formula | | | | | | | | | | | | | | |
| SIMILAC ALIMENTUM HYPOALLERGENIC | 7 | 12.1 OZ POWDER | N/A | 12.10 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| ENFAMIL NUTRAMIGEN HYPOALLERGENIC WITH PROBIOTIC INFANT FORMULA POWDER | 7 | 12.6 OZ POWDER | N/A | 12.60 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| PURAMINO | 7 | 14.1 OZ CAN (4/CS) | N/A | 14.10 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Metabolic Infant Formula | | | | | | | | | | | | | | |
| PHENYL FREE-1 INFANT FORMULA POWDER* | 35 | 1 LB POWDER can - 6/CS | N/A | 6.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| PKU PERIFLEX EARLYYEARS * | 35 | (14.1oz can 6/CS) | N/A | 84.60 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| TYROS 1 | 35 | 1 LB POWDER can - 6/CS | N/A | 6.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Pediatric Oral Nutrition | | | | | | | | | | | | | | |
| PEDIASURE GROW & GAIN (WITH OR WITHOUT FIBER) 3+ flavors | 7 | (8 fl oz - 4/box 6/CS) | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Category C. Enteral Nutrition (Tube Feeding) | | | | | | | | | | | | | | |
| Standard Enteral Formula | | | | | | | | | | | | | | |
| JEVITY, LIQUID NUTRITION W/FIBER 1.5kcal/mL Tube Feeding / May be administered orally -Ready-to-Hang (RTH) and/or Container Format | 7 | 1500 mL RTHCarton 6/CS | N/A | 9,000.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| ISOSOURCE 1.5 kcal/mL Tube Feeding / May also be administered orally - -Ready-to-Hang (RTH) and/or Container Format | 7 | 1500 mL RTH- 4/CS | N/A | 6,000.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| OSMOLITE, 1.5 kcal/mL Tube Feeding / May also be administered orally - -Ready-to-Hang (RTH) and/or Container Format | 7 | 1 Liter RTH - 8/CS | N/A | 8.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| NUTREN 2.0 kcal/mL Tube Feeding only Ready-to-Hang (RTH) and/or Container Format | 7 | 1000ML (6/CS | N/A | 6,000.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Specialized Enteral Formula | | | | | | | | | | | | | | |
| VITAL, 1.5 kcal/mL (ENTERAL) Tube Feeding / May also be administered orally -Ready-to-Hang (RTH) and/or Container Format | 7 | 8 fl oz. - 24/CS | N/A | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| PEPTAMEN 1.5 kcal/mL Tube Feeding / May also be administered orally Ready-to-Hang (RTH) and/or Container Format | 7 | 1000ML (6/CS) | N/A | 6,000.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Glucerna 1.0 kcal/mL Tube Feeding / Oral formulations available - -Ready-to-Hang (RTH) and/or Container Format | 7 | 8 fl oz. - 24/CS | N/A | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Glucerna 1.2 kcal/mL Tube Feeding / Oral formulations available - -Ready-to-Hang (RTH) and/or Container Format | 7 | 8 fl oz. - 24/CS | N/A | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Glucerna 1.5 kcal/mL Tube Feeding / Oral formulations available - -Ready-to-Hang (RTH) and/or Container Format | 7 | 8 fl oz. - 24/CS | N/A | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Nepro 1.8 kcal/mL Tube Feeding / May also be administered orally -Ready-to-Hang (RTH) and/or Container Format | 7 | 1 Liter RTH 8/CS | N/A | 8.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Suplena 1.8 kcal/mL Tube Feeding / May also be administered orally Ready-to-Hang (RTH) and/or Container Format | 7 | 8 fl oz. - 24/CS | N/A | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Category D. Nutrition Modulars & Therapeutic Support Products | | | | | | | | | | | | | | |
| Protein Modulars | | | | | | | | | | | | | | |
| BENEPROTEIN, PDR UNFLAV 7GM | 7 | 7GM (75 PK/CS) | N/A | 525.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| BENEPROTEIN, PDR UNFLAV | 7 | 8OZ (6/CS) | N/A | 48.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| PRO-STAT SF | 14 | 30OZ (6/CS) | N/A | 180.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Fiber & Gastrointestinal Support | | | | | | | | | | | | | | |
| NUTRISOURCE FIBER, PDR | 7 | 7.2OZ (4/CS) | N/A | 28.80 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| NUTRISOURCE FIBER, PDR | 7 | 4GM (75/CS) | N/A | 300.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| BANATROL PLUS, PDR W/BIMUNO PREBIOTIC | 7 | 10.75G (75/CS) | N/A | 806.25 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Wound Healing Nutrition | | | | | | | | | | | | | | |
| JUVEN, PDR ORG | 14 | 0.97OZ 30/CT 6CT/CS | N/A | 174.60 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| ARGINAID, NUTRITION PDR ORG | 7 | 32OZ 14/BX 4BX/CS | N/A | 1,792.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Dysphagia Management | | | | | | | | | | | | | | |
| THICK-IT, CLEAR ADV WATER MODERATE | 7 | 8OZ (24/CS) | N/A | 192.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| THICK & EASY, JUICE THICKENED | 7 | 4OZ (24/CS) | N/A | 96.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| SIMPLY THICK, GEL NECTAR INDIVIDUAL PACKETS | 7 | 6GM (200/BX) | N/A | 1,200.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Category E. Medical Foods (Inherited Metabolic Disorders) | | | | | | | | | | | | | | |
| PHENEX-2 AMINO ACID-MODIFIED MEDICAL FOOD* | 70 | 14.1 OZ POWDER - 6/CS | N/A | 84.60 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| PHENYL-FREE-2 HIGH PROTEIN * | 70 | 1 LB POWDER can - 6/CS | N/A | 6.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| TYROS-2 MEDICAL FOOD: PHENYLALANINE AND TYROSINE-FREE | 35 | 1 LB POWDER can - 6/CS | N/A | 6.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| BCAD-2 MEDICAL FOOD: ISOLEUCINE, LEUCINE AND VALINE-FREE | 7 | 1 LB POWDER can - 6/CS | N/A | 6.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| PHENYLADE ESSENTIAL* | 70 | 16 oz. POWDER can - 6/CS | N/A | 96.00 | $ - 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Additional Costs
| Additional Costs | | |
| Additional Costs Definition List | | |
| COLUMN | Column Title | Definition |
| A | Additional Costs | Name of the metric evaluated. |
| B | Minimum Value - Full Value | The "Minimum Value" listed is the minimum the state views as acceptable and will be worth 0 points for this line item. The "Full Value" value is what the state views as exceptional and will receive full points in this line item. |
The Minimum Values listed here are currently listed in Exhibit B Contract - Section 8. If you enter a Bidder Value that is worth more points than the minimum, the value you provide will be added to Exhibit B Contract - Section 8. If you leave these blank you will still be assigned the minimum value in the contract Exhibit B - section
Ex: "Minimum Order Threshold" 25 lbs. is the highest "Minimum Order Threshold" the state will accept, if you have a minimum order threshold of 25 lbs. or greater, you will be awarded 0 points for this line item. If you have a minimum order threshold of 0 lbs, you will be awarded full points for this line item. If your minimum order threshold is somewhere in between those values, you will receive a % of the points for this line item.
| C | Bidder Value | Bidder's proposed contract requirement for this additional cost. |
| D | Point Value | The points towards total evaluation score that this product is worth. The point value is derived from expected purchases, items that are expected to be purchased more frequently are worth more points. Point values are rounded to the nearest whole number to make evaluation and scoring more efficient. |
| Additional Costs | Minimum Value - Full Value | Bidder Value | Point Value | |
| Minimum Order Threshold | 25 lbs - 0 lbs. | | 35 | 0 |
| Minimum Free shipping Threshold | 350 lbs - 0 lbs | | 14 | |
| Emergency Shipping - Time (in calendar days) | 4 days - 1 day | | 14 | |
| Regular Shipping - Time (in calendar days) | 14 days - 2 days | | 14 | |
| High Volume Discount - minimum order size | State required order size for High Volume Discount in # of cases. If none, enter 0. | 35 |
| High Volume Discount - % Discount | State the % discount for High Volume Orders. If none, enter 0. | 35 |