Attachment A Line Items Pricing Sheet - Copy.xlsx
XLSX spreadsheet 448 KB Posted
- Attached to
- 6505--RFQ FOR (5) YEAR RADIOPHARMA-UNRESTRICTED
- Solicitation number
- 36C24422Q0883
About this file
This document contains an attachment with line item pricing details for a request for quotation (RFQ) for radiopharmaceuticals for nuclear medicine issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4. The RFQ seeks pricing for 34 line items of radiopharmaceutical products and services over a 60 month period including Iodine-123, Technetium-99m generators and doses, Indium-111 doses, flood sources, imaging equipment software, and related supplies. Pricing is requested in unit prices by item with estimated quantities and delivery locations. The solicitation number is 36C24422Q0883 and is for a 5 year unrestricted RFQ for radiopharmaceuticals.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A Line Items Pricing Sheet 1 Year.xlsx | XLSX spreadsheet | |
| 36C24422Q0883 0003.docx | DOCX document | |
| 36C24422Q0883 0002.docx | DOCX document | |
| RECORDS MANAGEMENT Copy.pdf | ||
| 36C24422Q0883.pdf | ||
| 36C24422Q0883 0001.docx | DOCX document | |
| 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(60 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 | 900 | 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 | 1500 | 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 | 600 | 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 | 600 | 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 | 9000 | 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 | 600 | 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 | 180 | 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 | 60000 | 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 | 120 | 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 | 600 | 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 | 2400 | 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 | 900 | 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 | 2700 | EA | 0 | Quantity | Priced | 92.25 | Percent | 0 | NONE | No | 0 | 0 | E | 90 | EA | EACH | ||||||||||||||||||||||||||||||
| 0014 | ULTRATAG RBC | ULTRATAG RBC | No | 300 | 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 | 150 | 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 | 300 | EA | 0 | Quantity | Priced | 1211.5 | Percent | 0 | NONE | No | 0 | 0 | E | 10 | EA | EACH | ||||||||||||||||||||||||||||||
| 0017 | BLOOD COLLECTION KIT | BLOOD COLLECTION KIT | No | 300 | 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 | 60 | 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 | 60 | 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 | 900 | 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 | 120 | 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 | 180 | 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 | 60 | 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 | 300 | 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 | 150 | 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 | 60 | 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 | 60 | 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 | 60 | 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 | 60 | EA | 0 | Quantity | Priced | 1618.93 | Percent | 0 | NONE | No | 0 | 0 | E | 2 | EA | EACH | ||||||||||||||||||||||||||||||
| 0030 | Hespan | Hespan | No | 300 | EA | 0 | Quantity | Priced | 2.01 | Percent | 0 | NONE | No | 0 | 0 | E | 10 | EA | EACH | ||||||||||||||||||||||||||||||
| 0031 | DaTscan | DaTscan | No | 2160 | EA | 0 | Quantity | Priced | 1640.1 | Percent | 0 | NONE | No | 0 | 0 | E | 72 | EA | EACH | ||||||||||||||||||||||||||||||
| 0032 | I-131 | I-131 | No | 300 | 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 | 19200 | 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 | 5 | YR | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No |
GRAND TOTAL: (60) MONTHS___________________________________________________________________________ $____________________
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