Attachment A. Price Schedule 02.xlsx

XLSX spreadsheet 14 KB Posted Jan 11, 2021

Attached to: 6505--Radiopharmaceutical Tests/Supplies
Solicitation number: 36C24121Q0160
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1

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File	Type	Posted
36C24121Q0160 0001.docx	DOCX document	Jan 11, 2021
Attachment A. Price Schedule.xlsx	XLSX spreadsheet	Jan 7, 2021
36C24121Q0160.docx	DOCX document	Jan 7, 2021

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Sheet1

Item #	Description/Part Number	Quantity	Base Year Cost Per Item	Base Year Total Cost	Year Two Cost Per Item	Year Two Total Cost	Year Three Cost Per Item	Year Three Total Cost	Year Four Cost Per Item	Year Four Total Cost	Year Five Cost Per Item	Year Five Total Cost
1	Tc99m Medronate UD	20
2	Tc99m Oxidronate	220
3	Tc99m Macro Aggreated Albumin UD	150
4	Tc99m Sulfur Colloid	40
5	Tc99m Filtered Sulfur Colloid (uCi) UD	100
6	Tc99m Pentetate UD	2
7	DMSA Tc99m UD	5
8	99mTc- Heat Denatured RBCs	5
9	Tc99m Disofenin UD	10
10	Tc99m Mertiatide	20
11	Tc99m NaTc04 MD	11000
12	Sr89 Strontium Chloride Dose	1
13	I-123 100 uCi	5
14	I-123 200 uCi	40
15	I-123 Iobenguane Sulfate 1-10 mCi	3
16	I-131 DX Capsule 10-100 uCi Cap	5
17	I-131 DX/TX Capsule 1 -6 mCi	12
18	I-131 DX/TX Capsule each add'l mCi	1000
19	In-111 Pentetreotide UD	20
20	Tc99m Tetrofosmin UD	2225
21	Tc99m Sestamibi Generic UD	25
22	Tl-201Thallous Chloride mCi	50
23	Tc99m Exemetazime WBCs	10
24	In-111 Indium Oxine WBCs	2
25	In111Pentetate	1
26	Medronate Vial	5
27	Oxidronate Vial	30
28	Pentetate Vial	50
29	Succimer Vial	5
30	Macro Aggregated Albumin Vial	50
31	Disofenin Vial	10
32	Mebrofenin Vial	20
33	Sincalide Vial	20
34	Pyrophosphate Vial	50
35	F-18 FDG UD	520
36	F-18 FDG MD	2000
37	F-18 FDG UD Source	20
38	NaF - 18 (8-15 mCi)	50
39	Co-57 pen point marker (200 uCi)	2
40	Co-57 rod source (100 uCi/rod)	2
41	Cs-137 rod source (0.5uCi/rod)	2
42	Cs-137 rod source (0.1uCi/rod)	2
43	Co-57 syringe source ? 5mCi	4
44	Cs-137 disc source (10uCi/disc)	2
45	Ba-133 vial source (250uCi/vial	2
46	Co-57 Flood Sheet	4
47	NA-222 Button Source	6
48	Cs-137 vial source (200uCi/vial)	2
49	Na-22 line source (100uCi/source)	1
50	Emergency Weekday	75
51	Emergency Weekend and Holiday	30
52	Tc99m Pentetate UD	80
53	Tc99m Mebrofenin UD	40
54	Xenon (20 mCi)	110
55	WBC Setup	25
56	Hetastarch	12
57	Emergency Delivery Fee	1
				0		0		0		0			Total
													0

File details come from the government source that posted it. Updated Jan 11, 2021.