Attachment A Line Items Pricing Sheet 1 Year.xlsx
XLSX spreadsheet 443 KB Posted
- Attached to
- 6505--RFQ FOR (5) YEAR RADIOPHARMA-UNRESTRICTED
- Solicitation number
- 36C24422Q0883
About this file
This document contains a line item pricing sheet for radiopharmaceutical products and services required under a Department of Veterans Affairs solicitation for a 5-year radiopharmaceutical supply contract. The pricing sheet lists 34 line items for radiopharmaceuticals including unit doses of Tc-99m generators, radiotracers, and diagnostic imaging agents. Also included is a line item for an annual software license and support for a Nuclear Medicine Information System. Estimated quantities per line item are provided for a 12-month period. Pricing is requested as both a unit price and percentage discount from list price. Delivery locations and terms are also specified. The total estimated value of this requirements contract will depend on actual usage but is intended to cover nuclear medicine diagnostic needs for multiple VA medical centers over the next 5 years.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24422Q0883 0003.docx | DOCX document | |
| 36C24422Q0883 0002.docx | DOCX document | |
| RECORDS MANAGEMENT Copy.pdf | ||
| 36C24422Q0883.pdf | ||
| 36C24422Q0883 0001.docx | DOCX document | |
| Attachment A Line Items Pricing Sheet - Copy.xlsx | XLSX spreadsheet | |
| VHA Supplemental Contract Requirements for Combatting COVID Copy.pdf | ||
| VHA Supplemental Contract Requirements for Combatting COVID.pdf | ||
| RECORDS MANAGEMENT.pdf | ||
| Attachment A Line Items Pricing Sheet.xlsx | XLSX spreadsheet | |
| 36C24422Q0883.docx | DOCX document |
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Text version
Action Line Item Information
| Action Type Name | Primary ID | Secondary ID | Mod Number | Title | Order Discount Type Name | Order Discount Type | Order Discount |
| RFQ | 36C24422Q0817 | RFQ for Radiopharmaceuticals for Nuclear Medicine (595 Station) | Percent | 0 |
KB Version: FY22.07A
Items
| Item Number | SLIN | Description | Ref CLIN | Comment | Include Comments in Document | Contract Period | Pop Begin | Pop End | Estimated Quantity (12) Months | Unit of Measure | Packaging Multiple | Receipt Type | Line Item Is | Unit Price | Item Discount Type Name | Item Discount | Date Updated | Address1 | Address2 | Address3 | City | State | Zip | Zip4 | Country | Mark For | Contact Name | Contact Phone | Contact Email | Delivery Date | FOB | Special Instructions | Include Instructions/Comments in Document | PRINCIPAL NAICS CODE | PRODUCT/SERVICE CODE | UNSPSC | SIC CODE | MANUFACTURER PART NUMBER (MPN) | NATIONAL STOCK NUMBER | LOCAL STOCK NUMBER | DM DOC ID | DELIVERY REF. COUNTER | UNIT TEXT/DESCRIPTION | DELIVERY REFERENCE | ITEM MASTER FILE NUMBER | EXPENDABLE/NON-EXPENDABLE | QUANTITY REQUESTED | UNIT OF PURCHASE CODE | UNIT OF PURCHASE TEXT/DESC. |
| 0001 | I-123, SODIUM IODIDE CAPSULE 200 uCi (capsule) | I-123, SODIUM IODIDE CAPSULE 200 uCi (capsule) | No | 180 | EA | 0 | Quantity | Priced | 85.5 | Percent | 0 | NONE | No | 0 | 0 | E | 30 | EA | EACH | ||||||||||||||||||||||||||||||
| 0002 | TC99M SODIUM PERTECHNETATE BULK (per mCi) | TC99M SODIUM PERTECHNETATE BULK (per mCi) | No | 3000 | EA | 0 | Quantity | Priced | 0.69 | Percent | 0 | NONE | No | 0 | 0 | E | 500 | EA | EACH | ||||||||||||||||||||||||||||||
| 0003 | TC99M SODIUM PERTECHNETATE UD 25 mCi (Unit Dose) | TC99M SODIUM PERTECHNETATE UD 25 mCi (Unit Dose) | No | 120 | EA | 0 | Quantity | Priced | 17.26 | Percent | 0 | NONE | No | 0 | 0 | E | 20 | EA | EACH | ||||||||||||||||||||||||||||||
| 0004 | TC99M SODIUM PERTECHNETATE UD 26-50 mCi (Unit Dose) | TC99M SODIUM PERTECHNETATE UD 26-50 mCi (Unit Dose) | No | 120 | EA | 0 | Quantity | Priced | 34.5 | Percent | 0 | NONE | No | 0 | 0 | E | 20 | EA | EACH | ||||||||||||||||||||||||||||||
| 0005 | TC99M MEDRONATE (MDP) (Unit Dose) | TC99M MEDRONATE (MDP) (Unit Dose) | No | 1800 | EA | 0 | Quantity | Priced | 38.85 | Percent | 0 | NONE | No | 0 | 0 | E | 300 | EA | EACH | ||||||||||||||||||||||||||||||
| 0006 | TC99M MACROAGGREGATED ALBUMIN (Unit Dose) | TC99M MACROAGGREGATED ALBUMIN (Unit Dose) | No | 120 | EA | 0 | Quantity | Priced | 135 | Percent | 0 | NONE | No | 0 | 0 | E | 20 | EA | EACH | ||||||||||||||||||||||||||||||
| 0007 | TC99M PYROPHOSPHATE (PYP) (Unit Dose) | TC99M PYROPHOSPHATE (PYP) (Unit Dose) | No | 36 | EA | 0 | Quantity | Priced | 71.75 | Percent | 0 | NONE | No | 0 | 0 | E | 6 | EA | EACH | ||||||||||||||||||||||||||||||
| 0008 | TC99M SESTAMIBI (GENERIC) (Unit Dose) | TC99M SESTAMIBI (GENERIC) (Unit Dose) | No | 12000 | EA | 0 | Quantity | Priced | 35.53 | Percent | 0 | NONE | No | 0 | 0 | E | 2000 | EA | EACH | ||||||||||||||||||||||||||||||
| 0009 | TC99M SODIUM PERTECHNETATE, FLOOD/COR (Unit Dose) | TC99M SODIUM PERTECHNETATE, FLOOD/COR (Unit Dose) | No | 24 | EA | 0 | Quantity | Priced | 3.81 | Percent | 0 | NONE | No | 0 | 0 | E | 4 | EA | EACH | ||||||||||||||||||||||||||||||
| 0010 | TC99M PENTETATE (DTPA), AEROSOL (Unit Dose) | TC99M PENTETATE (DTPA), AEROSOL (Unit Dose) | No | 120 | EA | 0 | Quantity | Priced | 126.88 | Percent | 0 | NONE | No | 0 | 0 | E | 20 | EA | EACH | ||||||||||||||||||||||||||||||
| 0011 | TC99M MEBROFENIN (GENERIC) (Unit Dose) | TC99M MEBROFENIN (GENERIC) (Unit Dose) | No | 480 | EA | 0 | Quantity | Priced | 36.72 | Percent | 0 | NONE | No | 0 | 0 | E | 80 | EA | EACH | ||||||||||||||||||||||||||||||
| 0012 | TC99M MERTIATIDE (MAG3) (Unit Dose) | TC99M MERTIATIDE (MAG3) (Unit Dose) | No | 180 | EA | 0 | Quantity | Priced | 380.1 | Percent | 0 | NONE | No | 0 | 0 | E | 30 | EA | EACH | ||||||||||||||||||||||||||||||
| 0013 | TC99M SULFUR COLLOID UD (Unit Dose) | TC99M SULFUR COLLOID UD (Unit Dose) | No | 540 | EA | 0 | Quantity | Priced | 92.25 | Percent | 0 | NONE | No | 0 | 0 | E | 90 | EA | EACH | ||||||||||||||||||||||||||||||
| 0014 | ULTRATAG RBC | ULTRATAG RBC | No | 60 | VI | 0 | Quantity | Priced | 227.02 | Percent | 0 | NONE | No | 0 | 0 | E | 10 | VI | VIAL | ||||||||||||||||||||||||||||||
| 0015 | IN-111 PENTETREOTIDE (OCTREOSCAN) (Unit Dose) | IN-111 PENTETREOTIDE (OCTREOSCAN) (Unit Dose) | No | 30 | EA | 0 | Quantity | Priced | 5677.6 | Percent | 0 | NONE | No | 0 | 0 | E | 5 | EA | EACH | ||||||||||||||||||||||||||||||
| 0016 | TC99M EXAMETAZINE (CERETEC) WBC LABELING (Unit Dose) | TC99M EXAMETAZINE (CERETEC) WBC LABELING (Unit Dose) | No | 60 | EA | 0 | Quantity | Priced | 1211.5 | Percent | 0 | NONE | No | 0 | 0 | E | 10 | EA | EACH | ||||||||||||||||||||||||||||||
| 0017 | BLOOD COLLECTION KIT | BLOOD COLLECTION KIT | No | 60 | EA | 0 | Quantity | Priced | 51.26 | Percent | 0 | NONE | No | 0 | 0 | E | 10 | EA | EACH | ||||||||||||||||||||||||||||||
| 0018 | flood source for: Discovery NM 530c & Discovery NM/CT 670 GAMMA Cameras | flood source for: Discovery NM 530c & Discovery NM/CT 670 GAMMA Cameras | No | 12 | EA | 0 | Quantity | Priced | 4582.75 | Percent | 0 | NONE | No | 0 | 0 | E | 2 | EA | EACH | ||||||||||||||||||||||||||||||
| 0019 | Tc99m HMPAO Brain Scan (Unit Dose) | Tc99m HMPAO Brain Scan (Unit Dose) | No | 12 | EA | 0 | Quantity | Priced | 1211.7 | Percent | 0 | NONE | No | 0 | 0 | E | 2 | EA | EACH | ||||||||||||||||||||||||||||||
| 0020 | 201 TICI (per mCi) | 201 TICI (per mCi) | No | 180 | EA | 0 | Quantity | Priced | 18.09 | Percent | 0 | NONE | No | 0 | 0 | E | 30 | EA | EACH | ||||||||||||||||||||||||||||||
| 0021 | I-123 MIBG (Unit Dose) | I-123 MIBG (Unit Dose) | No | 24 | EA | 0 | Quantity | Priced | 2709.13 | Percent | 0 | NONE | No | 0 | 0 | E | 3 | EA | EACH | ||||||||||||||||||||||||||||||
| 0022 | In-111 DTPA- CSF Studies (Unit Dose) | In-111 DTPA- CSF Studies (Unit Dose) | No | 36 | EA | 0 | Quantity | Priced | 1388.14 | Percent | 0 | NONE | No | 0 | 0 | E | 6 | EA | EACH | ||||||||||||||||||||||||||||||
| 0023 | Tc99m DMSA (Unit Dose) | Tc99m DMSA (Unit Dose) | No | 12 | EA | 0 | Quantity | Priced | 950 | Percent | 0 | NONE | No | 0 | 0 | E | 2 | EA | EACH | ||||||||||||||||||||||||||||||
| 0024 | 67Ga Citrate (per mCi) | 67Ga Citrate (per mCi) | No | 60 | EA | 0 | Quantity | Priced | 57.75 | Percent | 0 | NONE | No | 0 | 0 | E | 10 | EA | EACH | ||||||||||||||||||||||||||||||
| 0025 | Tc99m Sulfur Colloid UD Filtered | Tc99m Sulfur Colloid UD Filtered | No | 30 | EA | 0 | Quantity | Priced | 123 | Percent | 0 | NONE | No | 0 | 0 | E | 5 | EA | EACH | ||||||||||||||||||||||||||||||
| 0026 | Tc99m Myoview (Unit Dose) | Tc99m Myoview (Unit Dose) | No | 12 | EA | 0 | Quantity | Priced | 33.02 | Percent | 0 | NONE | No | 0 | 0 | E | 2 | EA | EACH | ||||||||||||||||||||||||||||||
| 0027 | In111 Oxine for WBC (Procedure) | In111 Oxine for WBC (Procedure) | No | 12 | EA | 0 | Quantity | Priced | 1277.3 | Percent | 0 | NONE | No | 0 | 0 | E | 2 | EA | EACH | ||||||||||||||||||||||||||||||
| 0028 | Tc99m Disofenin (Unit Dose) | Tc99m Disofenin (Unit Dose) | No | 12 | EA | 0 | Quantity | Priced | 89.17 | Percent | 0 | NONE | No | 0 | 0 | E | 2 | EA | EACH | ||||||||||||||||||||||||||||||
| 0029 | Tc99m Neurolite (Unit Dose) | Tc99m Neurolite (Unit Dose) | No | 12 | EA | 0 | Quantity | Priced | 1618.93 | Percent | 0 | NONE | No | 0 | 0 | E | 2 | EA | EACH | ||||||||||||||||||||||||||||||
| 0030 | Hespan | Hespan | No | 60 | EA | 0 | Quantity | Priced | 2.01 | Percent | 0 | NONE | No | 0 | 0 | E | 10 | EA | EACH | ||||||||||||||||||||||||||||||
| 0031 | DaTscan | DaTscan | No | 432 | EA | 0 | Quantity | Priced | 1640.1 | Percent | 0 | NONE | No | 0 | 0 | E | 72 | EA | EACH | ||||||||||||||||||||||||||||||
| 0032 | I-131 | I-131 | No | 60 | EA | 0 | Quantity | Priced | 130.04 | Percent | 0 | NONE | No | 0 | 0 | E | 10 | EA | EACH | ||||||||||||||||||||||||||||||
| 0033 | I-131 ea add | I-131 ea add | No | 3840 | EA | 0 | Quantity | Priced | 15.47 | Percent | 0 | NONE | No | 0 | 0 | E | 640 | EA | EACH | ||||||||||||||||||||||||||||||
| 0034 | EC2 Nuclear Medicine Information System (NMIS) most current Annual Software and Support (updates provided on CD) | No | 1 | YR | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No |
GRAND TOTAL: (12) MONTHS___________________________________________________________________________ $____________________
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