36C24419Q1119-0001000.docx
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- 36C24419Q1119
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5. PROJECT NUMBER (if applicable)
CODE
7. ADMINISTERED BY
2. AMENDMENT/MODIFICATION NUMBER
CODE
6. ISSUED BY
8. NAME AND ADDRESS OF CONTRACTOR
4. REQUISITION/PURCHASE REQ. NUMBER
3. EFFECTIVE DATE
9A. AMENDMENT OF SOLICITATION NUMBER
9B. DATED
PAGE OF PAGES
10A. MODIFICATION OF CONTRACT/ORDER NUMBER
10B. DATED
BPA NO.
1. CONTRACT ID CODE
FACILITY CODE
CODE
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:
The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers
E. IMPORTANT:
is extended,
(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.
12. ACCOUNTING AND APPROPRIATION DATA
(REV. 11/2016)
is required to sign this document and return ___________ copies to the issuing office.
is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.
15C. DATE SIGNED
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
D. OTHER
Contractor
16C. DATE SIGNED
14. DESCRIPTION OF AMENDMENT/MODIFICATION
16B. UNITED STATES OF AMERICA
Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.
15A. NAME AND TITLE OF SIGNER
16A. NAME AND TITLE OF CONTRACTING OFFICER
15B. CONTRACTOR/OFFEROR
STANDARD FORM 30
PREVIOUS EDITION NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)
(If required)
(SEE ITEM 11)
(SEE ITEM 13)
(X)
CHECK
ONE
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
(Signature of person authorized to sign) (Signature of Contracting Officer) 09-23-2019 640-20-1-132-0002 00244 Department of Veterans Affairs Network Contracting Office 4 Acquisiton (90C) 1010 Delafield Road Pittsburgh, PA15215
00244 Department of Veterans Affairs Network Contracting Office 4 Acquistion (90C) 1010 Delafield Road Pittsburgh, PA 15215
To all Offerors/Bidders
36C24419Q1119 09-23-2019
X X X
9/24/2019 / 12:00 PM EST
X
1. It is hereby determined necessary and in the best interest of the Government to issue an amendment to RFQ 36C24419Q1119 for the procurement of Radiopharmaceuticals for the Wilmington VA Medical Center, 1601 Kirkwood Highway Wilmington DE 19805.
2. Schedule corrected Line Item 1009 quantity corrected to 31. Line Item 0021 quantity corrected to 89. Line Item 0023 quantity corrected to 25. Line Item 1020 Mebrofenin (MAG03) Tc-99m corrected to Mertiatied (MAG-3) Tc-99. See Attached Schedule with corrections made.
3. The purpose of this amendment is to 1. Change the RFQ response date and time from 9/23/2019 2:00 PM EST to 9/24/2019 12:00 PM. 2. To attach corrected schedule.
Ronald Kiline Contracting Officer
A.1 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 22.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 10 mCi Vial, Size 10mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base POP Begin: 10-01-2019 POP End: 09-30-2020
| 1.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 20 mCi Vial, Size 20mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 13.00 |
| EA |
| __________________ |
| __________________ |
1-123 Capsule (200uCi), Size 200uci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
1-131 Sodium Iodine Diagnostic Capsule (0-100 uCi), Size 5-20uci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (1st mCi), Size 1mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 240.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (ea. Additional mCi after 1st dose), Size 15-30 mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 740.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m- Per mCi, Size 35uci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 23.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99 – Unit Dose (0-25 mCi), Size 10-25mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99 – Unit Dose (26-50 mCi), Size 26-50mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 270.00 |
| EA |
| __________________ |
| __________________ |
Medronate (MDP) Tc-99, Size 30mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Albumin Aggregated (MAA) Tc-99m, Size 5mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Ga-67 Citrate – per mCi, Size 10mci
Contract Period: Base
| 1448.00 |
| EA |
| __________________ |
| __________________ |
Sestamibi Tc-99m, Size 10-29mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Co-57 Sealed Source), Size .05mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Gd-157 Sealed Source), Size 10mci Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
In-111 White Blood Cells, Size 300-500uci
Contract Period: Base
| 11.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m- Flood Source (0-1 mCi), Size 1mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m- Flood/COR Source (2 mCi), Size 10mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Mebrofenin (Generic) Tc-99m, Size10mci
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Mertiatide (MAG-3) Tc-99m, Size10mci
Contract Period: Base
| 89.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colloid Tc-99m, Size 1-10mci LOCAL STOCK NUMBER: N/a Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Ultratag RBC Vial Kit, Size N/A
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Sincalide for injection – Vial (Kinevac), Size N/A
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetreotide (Octreoscan) Size 6MCI
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colliod Filtered Tc-99m, Size 1.5MCI
Contract Period: Base
| 8.00 |
| EA |
| __________________ |
| __________________ |
Heprin Sodium 1000 units/ 1ml Vial Size N/A
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetrate (DTPA)
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
I123-lobenguane Injection (AdreView)
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
WBC Set-Up for In-111 Blood, Size N/A
Contract Period: Base
| 21.00 |
| EA |
| __________________ |
| __________________ |
STAT Delivery Charge(s), Size N/A
Contract Period: Base
| GRAND TOTAL |
| __________________ |
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 22.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 10 mCi Vial, Size 10mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base POP Begin: 10-01-2020 POP End: 09-30-2021
| 1.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 20 mCi Vial, LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 13.00 |
| EA |
| __________________ |
| __________________ |
I-123 Capsule (200uCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
1-131 Sodium Iodine Diagnostic Capsule (0-100 uCi), Size 5-20uci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (1st mCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 240.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (ea. Additional
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 740.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 23.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m – Unit Dose (0-25 mCi), Size 10-25mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m – Unit Dose (26-50 mCi), Size 26-50mci
Contract Period: Base
| 270.00 |
| EA |
| __________________ |
| __________________ |
Medronate (MDP) Tc-99, Size 30mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Albumin Aggregated (MAA) Tc-99m, Size 5mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Ga-67 Citrate – per mCi, Size 10mci
Contract Period: Base
| 1448.00 |
| EA |
| __________________ |
| __________________ |
Sestamibi Tc-99m, Size 10-29mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Co-57 Sealed Source), Size .05mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Gd-157 Sealed Source), Size 10mci
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
In-111 White Blood Cells, Size 300-500uci
Contract Period: Base
| 11.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood Source (0-1 mCi), Size 1mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood/COR Source (2 mCi), Size 10mci
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Mebrofenin (Generic) Tc-99m, Size10mci
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Mertiatide (MAG-3) Tc-99m, Size10mci
Contract Period: Base
| 89.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colloid Tc-99m, Size 1-10mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Ultratag RBC Vial Kit, Size N/A
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Sincalide for injection – Vial (Kinevac), Size N/A
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetreotide (Octreoscan) Size 6MCI
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colliod Filtered Tc-99m, Size 1.5MCI
Contract Period: Base
| 8.00 |
| EA |
| __________________ |
| __________________ |
Heprin Sodium 1000 units/ 1ml Vial Size N/A
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetrate (DTPA)
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
I123-lobenguane Injection (AdreView)
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
WBC Set-Up for In-111 Blood, Size N/A
Contract Period: Base
| 21.00 |
| EA |
| __________________ |
| __________________ |
STAT Delivery Charge(s), Size N/A
Contract Period: Base
| GRAND TOTAL |
| __________________ |
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 22.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 10 mCi Vial, Contract Period: Base POP Begin: 10-01-2021 POP End: 09-30-2022
| 1.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 20 mCi Vial, LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 13.00 |
| EA |
| __________________ |
| __________________ |
1-123 Capsule (200uCi), Size 200mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
1-131 Sodium Iodine Diagnostic Capsule (0-100 uCi), Size 5-20uci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (1st mCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 240.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (ea. Additional
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 740.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 23.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m –
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m – Unit Dose (26-50 mCi), Size 26-50mci
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 270.00 |
| EA |
| __________________ |
| __________________ |
Medronate (MDP) Tc-99, Size 30mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Albumin Aggregated (MAA) Tc-99m, Size 5mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Ga-67 Citrate – per mCi, Size 10mci
Contract Period: Base
| 1448.00 |
| EA |
| __________________ |
| __________________ |
Sestamibi Tc-99m, Size 10-29mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Co-57 Sealed Source), Size .05mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Gd-157 Sealed Source), Size 10mci
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
In-111 White Blood Cells, Size 300-500uci
Contract Period: Base
| 11.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood Source (0-1 mCi), Size 1mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood/COR Source (2 mCi), Size 10mci
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Mebrofenin (Generic) Tc-99m, Size10mci
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Mertiatide (MAG-3) Tc-99m, Size10mci
Contract Period: Base
| 89.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colloid Tc-99m, Size 1-10mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Ultratag RBC Vial Kit, Size N/A
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Sincalide for injection – Vial (Kinevac), Size N/A
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetreotide (Octreoscan) Size 6MCI
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colliod Filtered Tc-99m, Size 1.5MCI
Contract Period: Base
| 8.00 |
| EA |
| __________________ |
| __________________ |
Heprin Sodium 1000 units/ 1ml Vial Size N/A
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetrate (DTPA)
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
I123-lobenguane Injection (AdreView)
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
WBC Set-Up for In-111 Blood, Size N/A
Contract Period: Base
| 21.00 |
| EA |
| __________________ |
| __________________ |
STAT Delivery Charge(s), Size N/A
Contract Period: Base
| GRAND TOTAL |
| __________________ |
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 22.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 10 mCi Vial, Contract Period: Base POP Begin: 10-01-2022 POP End: 09-30-2023
| 1.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 20 mCi Vial, LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 13.00 |
| EA |
| __________________ |
| __________________ |
1-123 Capsule (200uCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
1-131 Sodium Iodine Diagnostic Capsule (0-100 uCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (1st mCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 240.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (ea. Additional
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 740.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 23.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m –
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m –
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 270.00 |
| EA |
| __________________ |
| __________________ |
Medronate (MDP) Tc-99, Size 30mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Albumin Aggregated (MAA) Tc-99m, Size 5mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Ga-67 Citrate – per mCi, Size 10mci
Contract Period: Base
| 1448.00 |
| EA |
| __________________ |
| __________________ |
Sestamibi Tc-99m, Size 10-29mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Co-57 Sealed Source), Size .05mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Gd-157 Sealed Source), Size 10mci
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
In-111 White Blood Cells, Size 300-500uci
Contract Period: Base
| 11.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood Source (0-1 mCi), Size 1mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood/COR Source (2 mCi), Size 10mci
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Mebrofenin (Generic) Tc-99m, Size10mci
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Mertiatide (MAG-3) Tc-99m, Size10mci
Contract Period: Base
| 89.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colloid Tc-99m, Size 1-10mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Ultratag RBC Vial Kit, Size N/A
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Sincalide for injection – Vial (Kinevac), Size N/A
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetreotide (Octreoscan) Size 6MCI
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colliod Filtered Tc-99m, Size 1.5MCI
Contract Period: Base
| 8.00 |
| EA |
| __________________ |
| __________________ |
Heprin Sodium 1000 units/ 1ml Vial Size N/A
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetrate (DTPA)
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
I123-lobenguane Injection (AdreView)
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
WBC Set-Up for In-111 Blood, Size N/A
Contract Period: Base
| 21.00 |
| EA |
| __________________ |
| __________________ |
STAT Delivery Charge(s), Size N/A
Contract Period: Base
| GRAND TOTAL |
| __________________ |
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 22.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 10 mCi Vial, Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024
| 1.00 |
| EA |
| __________________ |
| __________________ |
XE-133 Xenon gas 20 mCi Vial, LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 13.00 |
| EA |
| __________________ |
| __________________ |
1-123 Capsule (200uCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
1-131 Sodium Iodine Diagnostic Capsule (0-100 uCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 5.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (1st mCi), LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 240.00 |
| EA |
| __________________ |
| __________________ |
I-131 Therapy Dose (ea. Additional
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 740.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 23.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m –
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m –
LOCAL STOCK NUMBER: N/A
Contract Period: Base
| 270.00 |
| EA |
| __________________ |
| __________________ |
Medronate (MDP) Tc-99, Size 30mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Albumin Aggregated (MAA) Tc-99m, Size 5mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Ga-67 Citrate – per mCi, Size 10mci
Contract Period: Base
| 1448.00 |
| EA |
| __________________ |
| __________________ |
Sestamibi Tc-99m, Size 10-29mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Co-57 Sealed Source), Size .05mci
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ancillary Hot Lab Supplies (Gd-157 Sealed Source), Size 10mci
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
In-111 White Blood Cells, Size 300-500uci
Contract Period: Base
| 11.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood Source (0-1 mCi), Size 1mci
Contract Period: Base
| 12.00 |
| EA |
| __________________ |
| __________________ |
Sodium Pertechnetate Tc-99m-Flood/COR Source (2 mCi), Size 10mci
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Mebrofenin (Generic) Tc-99m, Size10mci
Contract Period: Base
| 31.00 |
| EA |
| __________________ |
| __________________ |
Mertiatide (MAG-3) Tc-99m, Size10mci
Contract Period: Base
| 89.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colloid Tc-99m, Size 1-10mci
Contract Period: Base
| 30.00 |
| EA |
| __________________ |
| __________________ |
Ultratag RBC Vial Kit, Size N/A
Contract Period: Base
| 25.00 |
| EA |
| __________________ |
| __________________ |
Sincalide for injection – Vial (Kinevac), Size N/A
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetreotide (Octreoscan) Size 6MCI
Contract Period: Base
| 3.00 |
| EA |
| __________________ |
| __________________ |
Sulfur Colliod Filtered Tc-99m, Size 1.5MCI
Contract Period: Base
| 8.00 |
| EA |
| __________________ |
| __________________ |
Heprin Sodium 1000 units/ 1ml Vial Size N/A
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
In-111 Pentetrate (DTPA)
Contract Period: Base
| 1.00 |
| EA |
| __________________ |
| __________________ |
I123-lobenguane Injection (AdreView)
Contract Period: Base
| 4.00 |
| EA |
| __________________ |
| __________________ |
WBC Set-Up for In-111 Blood, Size N/A
Contract Period: Base
| 21.00 |
| EA |
| __________________ |
| __________________ |
STAT Delivery Charge(s), Size N/A
Contract Period: Base
| GRAND TOTAL |
| __________________ |
Delivery:
Wilmington VA Medical Center Radiology Department 1601 Kirkwood Highway Wilmington, DE 19805
POC:
Freddy Ortiz Freddy.ortiz2@va.gov, (302)994-2511 ext 4202
End of Document
File details come from the government source that posted it. Updated .