CLINS.pdf

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Q999--Peritoneal Dialysis Home Delivery Service
Solicitation number
36C24527Q0054
Issued by

About this file

This document is a pricing schedule for a federal contract to supply peritoneal dialysis (PD) supplies and durable medical equipment (DME) to a VA Medical Center.

The contracting activity seeks a single vendor to serve as the Medical Center's PD supply provider for home dialysis patients, with a projected 20-patient census per VA clinician comprising 17 patients on CCPD (continuous cyclic peritoneal dialysis) modality and 3 patients on CAPD (continuous ambulatory peritoneal dialysis) modality. Item 0001 represents the primary service line requiring CCPD kit delivery per patient utilizing an Amia/Claria PD system and CAPD kit delivery with cycle rental only per patient. The contract period runs from January 1, 2027 through December 31, 2027 (Base), with four one-year option periods extending through December 31, 2031. All line items are classified under NAICS Code 339113 (Surgical Appliance and Supplies Manufacturing) and Product/Service Code Q999 (Medical - Other).

The pricing schedule itemizes 54 distinct line items representing supplies and services required for PD operations, including dialysate solutions in multiple formulations and volumes (Dianeal Low Cal, Dianeal PD-2, and Extraneal Icodextrin products), equipment (Amia/Claria cycler monthly rental, floor scale), connection and drainage components (Y-sets, clamps, disconnect caps), dressing and protective supplies (Tegaderm, Covaderm, alcohol pads), and ancillary items (gauze, gloves, tape, applicators, antimicrobial soap, hand sanitizer). Unit prices and extended amounts are to be provided by the contractor for all line items, with quantities set at 0.00 for items 0002-0054, indicating actual quantities will be determined during contract performance based on patient needs.

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ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1.00 EA __________________ __________________

Provide Peritoneal Dialysis (PD) as the Medical Center's Supply vendor to provide home dialysis supplies/DME. Projected for a 20-patient census per VA clinician (17 on CCPD modality and 3 on CAPD modality).

CCPD kit delivery per patient utilizing an Amia/Claria PD system CAPD kit delivery per patient and cycle rental only per patient.

Base: 1 January 2027 - 31 December 2027 OY 1: 1 January 2028 - 31 December 2028 OY 2: 1 January 2029 - 31 December 2029 OY 3: 1 January 2030 - 31 December 2030 OY 4: 1 January 2031 - 31 December 2031 Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: Q999 - Medical - Other

0.00 CA __________________ __________________

12' DRAIN EXTENSION LINE CA

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

0.00 BX __________________ __________________

ALCOHOL PADS BX

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

AMIA APD CASSETTE CA

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

0.00 EA __________________ __________________

AMIA/CLARIA CYCLER MONTHLY RENTAL EA

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

APD DRAIN MANIFOLD CA

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

APPLICATOR COTTON-TIPPED BX

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

BETACAP CLAMP EA

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

CAPD DISCONNECT Y-SET CA

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

COVADERM PLUS VAD BX

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DIAL ANTIMICROBIAL SOAP 16OZ

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DIANEAL LOW CAL 1.5% 3L

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DIANEAL LOW CAL 2.5% 3L

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DIANEAL LOW CAL 1.5% 6L

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DIANEAL LOW CAL 1.5% 6L

Contract Period: Base

POP Begin: 01-01-2027

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DIANEAL PD-2 1.5% 3L

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DIANEAL PD-2 2.5% 3L

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DIANEAL PD-2 4.25% 3L

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DIANEAL PD-2 1.5% 6L

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DIANEAL PD-2 2.5% 6L

Contract Period: Base POP Begin: 01-01-2027

DIANEAL PD-2 4.25% 6L

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DIANEAL LOW CAL 1.5% 2L/2L UB

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DIANEAL LOW CAL 2.5% 2L/2L UB

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DIANEAL LOW CAL 1.5% 2.5L/3L UB

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DIANEAL LOW CAL 2.5% 2.5L/3L UB

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

DRAIN BAGS 15L CA

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

EXSEPT PLUS ANTSPTC 500ML

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

EXTRANEAL ICODEXTRIN 2.5L UB

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

EXTRANEAL ICODEXTRIN 2L UB

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

EXTRANEAL PD-2 2.5L/3L SINGLE

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

EXTRANEAL PD-2 2L/3L SINGLE

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

FACE MASK YELLOW ELASTIC LOOP

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

FLEXICAP DISCONNECT CAP

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

FLOOR SCALE

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

GAUZE SPONGE 2X2

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

GLOVE NITRILE PF L

Contract Period: Base POP Begin: 01-01-2027

GLOVE NITRILE PF XL

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

HAND SANITIZER

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

MINICAP DISCONNECT W/PVE

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

OUTLET PORT CLAMP

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

0.00 SE __________________ __________________

PD BELT ST

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

SPONGE 2X2

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

SPONGE 2X2 STERILE

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

SPONGE 4X4 4PLY ST NON-WOVEN

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

SPONGE 4X4 NS

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

TAPE CLOTH 1"

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

TAPE PAPER 1"

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

TAPE PAPER 2"

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

TAPE SILK 1"

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

0.00 PG __________________ __________________

TAPE SILK CLOTH 1"

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

TEGADERM 4X4.75

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

TEGADERM IV 3.5 X 4.5

Contract Period: Base POP Begin: 01-01-2027

ULTRACLAMP CA

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

ULTRASET DISC LUER YSET

Contract Period: Base POP Begin: 01-01-2027 POP End: 12-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

GRAND TOTAL __________________

ITEM INFORMATION

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