36C24618Q9710-004.xlsx

XLSX spreadsheet 20 KB Posted Sep 12, 2018

Attached to: RICHMOND RADIOPHARMACEUTICALS DELIVERY (BASE + 4 OPT YEARS)
Solicitation number: 36C24618Q9710
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6

About this file

From the source

36C24618Q9710 S02 Attachment A Pricing Schedule.xlsx

View the file

Other files

File	Type	Posted
36C24619D0019-000.docx	DOCX document	Oct 9, 2018
36C24618Q9710-0002001.pdf	PDF	Sep 24, 2018
36C24618Q9710-0002000.docx	DOCX document	Sep 24, 2018
36C24618Q9710-0001001.pdf	PDF	Sep 13, 2018
36C24618Q9710-0001002.pdf	PDF	Sep 13, 2018
36C24618Q9710-0001000.docx	DOCX document	Sep 13, 2018
36C24618Q9710-003.pdf	PDF	Sep 12, 2018
36C24618Q9710-002.docx	DOCX document	Sep 12, 2018

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Sheet1

ATTACHMENT A - PRICE SCHEDULE

Richmond Radiopharmaceutical Contract
Overview by Year:
	Base Year	$0.00
	Option YR 1	$0.00
	Option YR 2	$0.00
	Option YR 3	$0.00
	Option YR 4	$0.00
	TOTAL:	$0.00

Breakdown by Individual CLIN / Year:
Base Year 1 October 1, 2018 – September 30, 2019
Line	Description of Services	Estimated Quantity	Unit	Unit Price	Total
0001	Unit dose of either:
	TC-99m MDP	500	EA	$0.00	$0.00
	TC-99m MAA	100	EA	$0.00	$0.00
	TC-99m Sulfur Colloid	78	EA	$0.00	$0.00
	TC-99m Pertechnetate	138	EA	$0.00	$0.00
	TC-99m DTPA	30	EA	$0.00	$0.00
	TC-99m Filtered Sulfur Colloid	35	EA	$0.00	$0.00
0002	Unit dose of TC-99m DTPA Aerosol	100	EA	$0.00	$0.00
0003	Unit dose of TC-99m Mebrofenin	56	EA	$0.00	$0.00
0004	TC-99m Mag 3 (Renal)	20	EA	$0.00	$0.00
0005	Tl-201 (Thallium)	500	mCi	$0.00	$0.00
0006	T99 Sestamibi (para-thyroid)	100	EA	$0.00	$0.00
0007	Delivery fuel surcharge for daily deliveries	500	EA	$0.00	$0.00
0008	Delivery charges for after hours	60	EA	$0.00	$0.00
0009	Myoview doses(10mci/30mCi)	3000	EA	$0.00	$0.00
0010	I-123 Thyroid Uptake & Scan 200uCi	56	CAP	$0.00	$0.00
0011	I-123 Met Survey(2mCi)	14	CAP	$0.00	$0.00
0012	I-131	886	mCi	$0.00	$0.00
0013	Gallium-67	22	mCi	$0.00	$0.00
0014	In-111 Octreoscan	14	EA	$0.00	$0.00
0015	In-111 DTPA	2	EA	$0.00	$0.00
0016	Ultravent Aerosol Kits	14	CASE	$0.00	$0.00
0017	Ultra Tag RBC Kits (5 per box)	12	BOX	$0.00	$0.00
0018	Pyrophosphate Cold	70	VIAL	$0.00	$0.00
0019	Cobalt-57 Flood QC source (large rectangular-15mCi)	1	EA	$0.00	$0.00
0020	Tc-99m Pertechnetate QC doses	46	EA	$0.00	$0.00
0021	Cobalt-57 Spot Markers	2	EA	$0.00	$0.00
0022	Neurolite	1	EA	$0.00	$0.00
0023	Sodium-22 Rod for PET QC	1	EA	$0.00	$0.00
0024	Tc-PYP (Cardiac Amyloid)	5	EA	$0.00	$0.00
0025	Germanium 68 QC sources for PET Scanner	1	EA	$0.00	$0.00
0026	Cobalt 57 12 millicurie Rod Source	1	EA	$0.00	$0.00
0027	Cobalt 57 Pen Source marker 100-200	1	EA	$0.00	$0.00
TOTAL Base Year Price:					$0.00

Option Year 1 October 1, 2019 – September 30, 2020
Line	Description of Services	Estimated Quantity	Unit	Unit Price	Total
1001	Unit dose of either:
	TC-99m MDP	502	EA	$0.00	$0.00
	TC-99m MAA	102	EA	$0.00	$0.00
	TC-99m Sulfur Colloid	80	EA	$0.00	$0.00
	TC-99m Pertechnetate	140	EA	$0.00	$0.00
	TC-99m DTPA	32	EA	$0.00	$0.00
	TC-99m Filtered Sulfur Colloid	37	EA	$0.00	$0.00
1002	Unit dose of TC-99m DTPA Aerosol	102	EA	$0.00	$0.00
1003	Unit dose of TC-99m Mebrofenin	58	EA	$0.00	$0.00
1004	TC-99m Mag 3 (Renal)	22	EA	$0.00	$0.00
1005	Tl-201 (Thallium)	502	mCi	$0.00	$0.00
1006	T99 Sestamibi (para-thyroid)	102	EA	$0.00	$0.00
1007	Delivery fuel surcharge for daily deliveries	527	EA	$0.00	$0.00
1008	Delivery charges for after hours	62	EA	$0.00	$0.00
1009	Myoview doses(10mci/30mCi)	3002	EA	$0.00	$0.00
1010	I-123 Thyroid Uptake & Scan 200uCi	58	CAP	$0.00	$0.00
1011	I-123 Met Survey(2mCi)	16	CAP	$0.00	$0.00
1012	I-131	888	mCi	$0.00	$0.00
1013	Gallium-67	24	mCi	$0.00	$0.00
1014	In-111 Octreoscan	16	EA	$0.00	$0.00
1015	In-111 DTPA	2	EA	$0.00	$0.00
1016	Ultravent Aerosol Kits	14	CASE	$0.00	$0.00
1017	Ultra Tag RBC Kits (5 per box)	12	BOX	$0.00	$0.00
1018	Pyrophosphate Cold	72	VIAL	$0.00	$0.00
1019	Cobalt-57 Flood QC source (large rectangular-15mCi)	1	EA	$0.00	$0.00
1020	Tc-99m Pertechnetate QC doses	48	EA	$0.00	$0.00
1021	Cobalt-57 Spot Markers	2	EA	$0.00	$0.00
1022	Neurolite	1	EA	$0.00	$0.00
1023	Sodium-22 Rod for PET QC	1	EA	$0.00	$0.00
1024	Tc-PYP (Cardiac Amyloid)	7	EA	$0.00	$0.00
1025	Germanium 68 QC sources for PET Scanner	1	EA	$0.00	$0.00
1026	Cobalt 57 12 millicurie Rod Source	1	EA	$0.00	$0.00
1027	Cobalt 57 Pen Source marker 100-200	1	EA	$0.00	$0.00
TOTAL Option Year One Price:					$0.00

Option Year 2 October 1, 2020 – September 30, 2021
Line	Description of Services	Estimated Quantity	Unit	Unit Price	Total
2001	Unit dose of either:
	TC-99m MDP	504	EA	$0.00	$0.00
	TC-99m MAA	104	EA	$0.00	$0.00
	TC-99m Sulfur Colloid	82	EA	$0.00	$0.00
	TC-99m Pertechnetate	142	EA	$0.00	$0.00
	TC-99m DTPA	34	EA	$0.00	$0.00
	TC-99m Filtered Sulfur Colloid	39	EA	$0.00	$0.00
2002	Unit dose of TC-99m DTPA Aerosol	106	EA	$0.00	$0.00
2003	Unit dose of TC-99m Mebrofenin	56	EA	$0.00	$0.00
2004	TC-99m Mag 3 (Renal)	20	EA	$0.00	$0.00
2005	Tl-201 (Thallium)	506	mCi	$0.00	$0.00
2006	T99 Sestamibi (para-thyroid)	106	EA	$0.00	$0.00
2007	Delivery fuel surcharge for daily deliveries	531	EA	$0.00	$0.00
2008	Delivery charges for after hours	66	EA	$0.00	$0.00
2009	Myoview doses(10mci/30mCi)	3004	EA	$0.00	$0.00
2010	I-123 Thyroid Uptake & Scan 200uCi	58	CAP	$0.00	$0.00
2011	I-123 Met Survey(2mCi)	18	CAP	$0.00	$0.00
2012	I-131	892	mCi	$0.00	$0.00
2013	Gallium-67	28	mCi	$0.00	$0.00
2014	In-111 Octreoscan	20	EA	$0.00	$0.00
2015	In-111 DTPA	2	EA	$0.00	$0.00
2016	Ultravent Aerosol Kits	14	CASE	$0.00	$0.00
2017	Ultra Tag RBC Kits (5 per box)	12	BOX	$0.00	$0.00
2018	Pyrophosphate Cold	76	VIAL	$0.00	$0.00
2019	Cobalt-57 Flood QC source (large rectangular-15mCi)	1	EA	$0.00	$0.00
2020	Tc-99m Pertechnetate QC doses	52	EA	$0.00	$0.00
2021	Cobalt-57 Spot Markers	2	EA	$0.00	$0.00
2022	Neurolite	1	EA	$0.00	$0.00
2023	Sodium-22 Rod for PET QC	1	EA	$0.00	$0.00
2024	Tc-PYP (Cardiac Amyloid)	11	EA	$0.00	$0.00
2025	Germanium 68 QC sources for PET Scanner	1	EA	$0.00	$0.00
2026	Cobalt 57 12 millicurie Rod Source	1	EA	$0.00	$0.00
2027	Cobalt 57 Pen Source marker 100-200	1	EA	$0.00	$0.00
TOTAL Option Year Two Price:					$0.00

Option Year 3 October 1, 2021 – September 30, 2022
Line	Description of Services	Estimated Quantity	Unit	Unit Price	Total
3001	Unit dose of either:
	TC-99m MDP	506	EA	$0.00	$0.00
	TC-99m MAA	106	EA	$0.00	$0.00
	TC-99m Sulfur Colloid	84	EA	$0.00	$0.00
	TC-99m Pertechnetate	144	EA	$0.00	$0.00
	TC-99m DTPA	36	EA	$0.00	$0.00
	TC-99m Filtered Sulfur Colloid	41	EA	$0.00	$0.00
3002	Unit dose of TC-99m DTPA Aerosol	106	EA	$0.00	$0.00
3003	Unit dose of TC-99m Mebrofenin	56	EA	$0.00	$0.00
3004	TC-99m Mag 3 (Renal)	20	EA	$0.00	$0.00
3005	Tl-201 (Thallium)	506	mCi	$0.00	$0.00
3006	T99 Sestamibi (para-thyroid)	106	EA	$0.00	$0.00
3007	Delivery fuel surcharge for daily deliveries	531	EA	$0.00	$0.00
3008	Delivery charges for after hours	66	EA	$0.00	$0.00
3009	Myoview doses(10mci/30mCi)	3005	EA	$0.00	$0.00
3010	I-123 Thyroid Uptake & Scan 200uCi	58	CAP	$0.00	$0.00
3011	I-123 Met Survey(2mCi)	18	CAP	$0.00	$0.00
3012	I-131	892	mCi	$0.00	$0.00
3013	Gallium-67	28	mCi	$0.00	$0.00
3014	In-111 Octreoscan	20	EA	$0.00	$0.00
3015	In-111 DTPA	2	EA	$0.00	$0.00
3016	Ultravent Aerosol Kits	14	CASE	$0.00	$0.00
3017	Ultra Tag RBC Kits (5 per box)	12	BOX	$0.00	$0.00
3018	Pyrophosphate Cold	76	VIAL	$0.00	$0.00
3019	Cobalt-57 Flood QC source (large rectangular-15mCi)	1	EA	$0.00	$0.00
3020	Tc-99m Pertechnetate QC doses	52	EA	$0.00	$0.00
3021	Cobalt-57 Spot Markers	2	EA	$0.00	$0.00
3022	Neurolite	1	EA	$0.00	$0.00
3023	Sodium-22 Rod for PET QC	1	EA	$0.00	$0.00
3024	Tc-PYP (Cardiac Amyloid)	11	EA	$0.00	$0.00
3025	Germanium 68 QC sources for PET Scanner	1	EA	$0.00	$0.00
3026	Cobalt 57 12 millicurie Rod Source	1	EA	$0.00	$0.00
3027	Cobalt 57 Pen Source marker 100-200	1	EA	$0.00	$0.00
TOTAL Option Year Three Price:					$0.00

Option Year 4 October 1, 2022 – September 30, 2023
Line	Description of Services	Estimated Quantity	Unit	Unit Price	Total
4001	Unit dose of either:
	TC-99m MDP	506	EA	$0.00	$0.00
	TC-99m MAA	106	EA	$0.00	$0.00
	TC-99m Sulfur Colloid	84	EA	$0.00	$0.00
	TC-99m Pertechnetate	144	EA	$0.00	$0.00
	TC-99m DTPA	36	EA	$0.00	$0.00
	TC-99m Filtered Sulfur Colloid	41	EA	$0.00	$0.00
4002	Unit dose of TC-99m DTPA Aerosol	106	EA	$0.00	$0.00
4003	Unit dose of TC-99m Mebrofenin	56	EA	$0.00	$0.00
4004	TC-99m Mag 3 (Renal)	20	EA	$0.00	$0.00
4005	Tl-201 (Thallium)	506	mCi	$0.00	$0.00
4006	T99 Sestamibi (para-thyroid)	106	EA	$0.00	$0.00
4007	Delivery fuel surcharge for daily deliveries	531	EA	$0.00	$0.00
4008	Delivery charges for after hours	66	EA	$0.00	$0.00
4009	Myoview doses(10mci/30mCi)	3005	EA	$0.00	$0.00
4010	I-123 Thyroid Uptake & Scan 200uCi	58	CAP	$0.00	$0.00
4011	I-123 Met Survey(2mCi)	18	CAP	$0.00	$0.00
4012	I-131	892	mCi	$0.00	$0.00
4013	Gallium-67	28	mCi	$0.00	$0.00
4014	In-111 Octreoscan	20	EA	$0.00	$0.00
4015	In-111 DTPA	2	EA	$0.00	$0.00
4016	Ultravent Aerosol Kits	14	CASE	$0.00	$0.00
4017	Ultra Tag RBC Kits (5 per box)	12	BOX	$0.00	$0.00
4018	Pyrophosphate Cold	76	VIAL	$0.00	$0.00
4019	Cobalt-57 Flood QC source (large rectangular-15mCi)	1	EA	$0.00	$0.00
4020	Tc-99m Pertechnetate QC doses	52	EA	$0.00	$0.00
4021	Cobalt-57 Spot Markers	2	EA	$0.00	$0.00
4022	Neurolite	1	EA	$0.00	$0.00
4023	Sodium-22 Rod for PET QC	1	EA	$0.00	$0.00
4024	Tc-PYP (Cardiac Amyloid)	11	EA	$0.00	$0.00
4025	Germanium 68 QC sources for PET Scanner	1	EA	$0.00	$0.00
4026	Cobalt 57 12 millicurie Rod Source	1	EA	$0.00	$0.00
4027	Cobalt 57 Pen Source marker 100-200	1	EA	$0.00	$0.00
TOTAL Option Year Four Price:					$0.00

File details come from the government source that posted it.