Attachment A - 36C24624Q0015 LineItems.xlsx

XLSX spreadsheet 455 KB Posted

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6525--RFI, Sources Sought Radiopharmaceuticals and Associated Supplies Brand Name or Equal
Solicitation number
36C24624Q0015
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This document is an attachment to a federal contract solicitation listing line item prices for radiopharmaceutical products and services. The contractor shall provide various radiopharmaceuticals including technetium-99m, iodine-123, cobalt-57, cesium-137, and associated supplies to the Asheville VA Medical Center over a three year base period and three one-year options. Pricing is provided for individual doses of each radiopharmaceutical as well as other items such as survey meter calibration, syringe shields, and miscellaneous charges. The solicitation also includes standard contract terms for delivery locations, periods of performance for the base and option years, and other administrative details.

The line item spreadsheet attachment provides item descriptions, estimated quantities, unit prices, and other required information for 40 separate radiopharmaceutical products and services. This level of detailed line item pricing data is commonly required by federal contracting officers to fully evaluate offers and make best value determinations for medical supply contracts.

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Action Line Item Information

Action Type NamePrimary IDSecondary IDMod NumberTitleOrder Discount Type NameOrder Discount TypeOrder Discount
VHA-SUPPLIES-RFQ36C24624Q0015RadiopharmaceuticalsPercent0

KB Version: FY23.09A

Items

Item NumberSLINDescriptionRef CLINCommentInclude Comments in DocumentContract PeriodPop BeginPop EndQuantityUnit of MeasurePackaging MultipleReceipt TypeLine Item IsUnit PriceItem Discount Type NameItem DiscountDate UpdatedAddress1Address2Address3CityStateZipZip4CountryMark ForContact NameContact PhoneContact EmailDelivery DateFOBSpecial InstructionsInclude Instructions/Comments in DocumentPRINCIPAL NAICS CODEPRODUCT/SERVICE CODEUNSPSCSIC CODEMANUFACTURER PART NUMBER (MPN)NATIONAL STOCK NUMBERLOCAL STOCK NUMBERDM DOC IDDELIVERY REF. COUNTERUNIT TEXT/DESCRIPTIONDELIVERY REFERENCEITEM MASTER FILE NUMBEREXPENDABLE/NON-EXPENDABLEQUANTITY REQUESTEDUNIT OF PURCHASE CODEUNIT OF PURCHASE TEXT/DESC.
0000The contractor shall provide Radiopharmaceutical products/services for the Asheville VAMC IAW the SOW and attached price list to govern the period of performance (Base Year ) from 1 October 2023 to 30 September 2024NoBase10/01/2309/30/241EA0QuantityPriced0Percent0NONENo3254126525None
000199mTc Pertechnetate-(Point Flood Source), 500 uCi-3 mCi99mTc Pertechnetate-(Point Flood Source), 500 uCi-3 mCiNoBase10/01/2309/30/2440EA0QuantityPriced0Percent0NONENo3254126525None00E40.00EAEACH
000299mTc Pertechnetate-(Linearity Source), per mCi99mTc Pertechnetate-(Linearity Source), per mCiNoBase10/01/2309/30/24500EA0QuantityPriced0Percent0NONENo3254126525None00E500.00EAEACH
000399mTc Pertechnetate, 0 to 25 mCi99mTc Pertechnetate, 0 to 25 mCiNoBase10/01/2309/30/2410EA0QuantityPriced0Percent0NONENo3254126525None00E10.00EAEACH
000499mTc Sulfur Colloid, 0 to 8 mCi99mTc Sulfur Colloid, 0 to 8 mCiNoBase10/01/2309/30/243EA0QuantityPriced0Percent0NONENo3254126525None00E3.00EAEACH
000599mTc Sulfur Colloid, 15 mCi99mTc Sulfur Colloid, 15 mCiNoBase10/01/2309/30/244EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
000699mTc Sulfur Colloid, (filtered), 0.5-2 mCi99mTc Sulfur Colloid, (filtered), 0.5-2 mCiNoBase10/01/2309/30/244EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
000799mTc MAA, 0 to 5 mCi99mTc MAA, 0 to 5 mCiNoBase10/01/2309/30/2430EA0QuantityPriced0Percent0NONENo3254126525None00E30.00EAEACH
000899mTc HDP, 0 to 30 mCi99mTc HDP, 0 to 30 mCiNoBase10/01/2309/30/241EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
000999mTc MDP, 0 to 30 mCi99mTc MDP, 0 to 30 mCiNoBase10/01/2309/30/24120EA0QuantityPriced0Percent0NONENo3254126525None00E120.00EAEACH
001099mTc DTPA, 0 to 20 mCi99mTc DTPA, 0 to 20 mCiNoBase10/01/2309/30/241EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
001199mTc DTPA, 21 to 75 mCi99mTc DTPA, 21 to 75 mCiNoBase10/01/2309/30/2430EA0QuantityPriced0Percent0NONENo3254126525None00E30.00EAEACH
001299mTc MAG 3, 0 to 10 mCi99mTc MAG 3, 0 to 10 mCiNoBase10/01/2309/30/2425EA0QuantityPriced0Percent0NONENo3254126525None00E25.00EAEACH
001399mTc Choletec, (or Mebrofenin-generic) 0 to 10 mCi99mTc Choletec, (or Mebrofenin-generic) 0 to 10 mCiNoBase10/01/2309/30/2435EA0QuantityPriced0Percent0NONENo3254126525None00E35.00EAEACH
0014123 Iodine Diagnostic Capsule, 100 uCi123 Iodine Diagnostic Capsule, 100 uCiNoBase10/01/2309/30/244EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
0015123 Iodine Diagnostic Capsule, 200 uCi123 Iodine Diagnostic Capsule, 200 uCiNoBase10/01/2309/30/2425EA0QuantityPriced0Percent0NONENo3254126525None00E25.00EAEACH
0016123 Iodine MIBG, 10 mCi123 Iodine MIBG, 10 mCiNoBase10/01/2309/30/241EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
0017123 Iodine-WB-Diagnostic Capsule, 0-3 mCi123 Iodine-WB-Diagnostic Capsule, 0-3 mCiNoBase10/01/2309/30/241EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
0018Ceretec (Tc99m Labeled) WBC, 10-30 mCICeretec (Tc99m Labeled) WBC, 10-30 mCINoBase10/01/2309/30/241EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
0019(In111 Labeled) WBC, 0 to 1 mCi(In111 Labeled) WBC, 0 to 1 mCiNoBase10/01/2309/30/241EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
002099mTc Sestamibi, 10 mCi99mTc Sestamibi, 10 mCiNoBase10/01/2309/30/24900EA0QuantityPriced0Percent0NONENo3254126525None00E900.00EAEACH
002199m Tc Sestamibi, 30 mCi99m Tc Sestamibi, 30 mCiNoBase10/01/2309/30/24900EA0QuantityPriced0Percent0NONENo3254126525None00E900.00EAEACH
0022Cobalt 57 Sheet sources-up to 20 mCiCobalt 57 Sheet sources-up to 20 mCiNoBase10/01/2309/30/241EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
0023Cobalt 57 vial sources-5 mCiCobalt 57 vial sources-5 mCiNoBase10/01/2309/30/241EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
0024Cobalt 57 pen markers-up to 200 uCiCobalt 57 pen markers-up to 200 uCiNoBase10/01/2309/30/241EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
0025Cobalt 57 spot markers-up to 100 uCiCobalt 57 spot markers-up to 100 uCiNoBase10/01/2309/30/242EA0QuantityPriced0Percent0NONENo3254126525None00E2.00EAEACH
0026Cesium 137 vial sources-200 uCiCesium 137 vial sources-200 uCiNoBase10/01/2309/30/241EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
0027Cesium 137 spot sources- up to 10 uCiCesium 137 spot sources- up to 10 uCiNoBase10/01/2309/30/244EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
0028WBC Setup syringe 1000-1500 units heparin in 1-2 ml, total volume 50-60 mlWBC Setup syringe 1000-1500 units heparin in 1-2 ml, total volume 50-60 mlNoBase10/01/2309/30/246EA0QuantityPriced0Percent0NONENo3254126525None00E6.00EAEACH
0029Pyrophosphate, per vialPyrophosphate, per vialNoBase10/01/2309/30/245EA0QuantityPriced0Percent0NONENo3254126525None00E5.00EAEACH
0030RBC Tagging Kit, Ultratag per kitRBC Tagging Kit, Ultratag per kitNoBase10/01/2309/30/245EA0QuantityPriced0Percent0NONENo3254126525None00E5.00EAEACH
0031Sincalide, (generic Kinevac), 0-2 mcg in 50 ml bagSincalide, (generic Kinevac), 0-2 mcg in 50 ml bagNoBase10/01/2309/30/241EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
0032Sincalide (generic Kinevac), each additional mcgSincalide (generic Kinevac), each additional mcgNoBase10/01/2309/30/241EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
0033Survey Meter Calibration by accredited companySurvey Meter Calibration by accredited companyNoBase10/01/2309/30/246EA0QuantityPriced0Percent0NONENo3254126525None00E6.00EAEACH
0034Syringe Shields (Not included for PET or NM therapy RAM)Syringe Shields (Not included for PET or NM therapy RAM)NoBase10/01/2309/30/246EA0QuantityPriced0Percent0NONENo3254126525None00E6.00EAEACH
0035BoostBoostNoBase10/01/2309/30/2485EA0QuantityPriced0Percent0NONENo3254126525None00E85.00EAEACH
0036Aerovent Jr. Model# L101--805, SN 001505 / BX (Part# AV-100H)Aerovent Jr. Model# L101--805, SN 001505 / BX (Part# AV-100H)NoBase10/01/2309/30/243BX0QuantityPriced0Percent0NONENo3254126525None00E3.00BXBOX
0037Misc. charges for (shipping charges, emergency call back after clinic hours)Misc. charges for (shipping charges, emergency call back after clinic hours)NoBase10/01/2309/30/243EA0QuantityPriced0Percent0NONENo3254126525None00E3.00EAEACH
0038Fuel surcharges (per delivery)Fuel surcharges (per delivery)NoBase10/01/2309/30/24285EA0QuantityPriced0Percent0NONENo3254126525None00E285.00EAEACH
0039Misc. charges not listed above (for any other items-add separate line item starting here)Misc. charges not listed above (for any other items-add separate line item starting here)NoBase10/01/2309/30/241EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
0040Any additional Non-HEU cost per dose for Tc99m ProductsAny additional Non-HEU cost per dose for Tc99m ProductsNoBase10/01/2309/30/244000EA0QuantityN/C0Percent0NONENo3254126525None00E4,000.00EAEACH
1000The contractor shall provide Radiopharmaceutical products/services for the Asheville VAMC IAW the SOW and attached price list to govern the period of performance (Option Year 1) from 1 October 2024 to 30 September 2025NoOption 110/01/2409/30/251EA0QuantityPriced0Percent0NONENo3254126525None
100199mTc Pertechnetate-(Point Flood Source), 500 uCi-3 mCi99mTc Pertechnetate-(Point Flood Source), 500 uCi-3 mCiNoOption 110/01/2409/30/2540EA0QuantityPriced0Percent0NONENo3254126525None00E40.00EAEACH
100299mTc Pertechnetate-(Linearity Source), per mCi99mTc Pertechnetate-(Linearity Source), per mCiNoOption 110/01/2409/30/25500EA0QuantityPriced0Percent0NONENo3254126525None00E500.00EAEACH
100399mTc Pertechnetate, 0 to 25 mCi99mTc Pertechnetate, 0 to 25 mCiNoOption 110/01/2409/30/2510EA0QuantityPriced0Percent0NONENo3254126525None00E10.00EAEACH
100499mTc Sulfur Colloid, 0 to 8 mCi99mTc Sulfur Colloid, 0 to 8 mCiNoOption 110/01/2409/30/253EA0QuantityPriced0Percent0NONENo3254126525None00E3.00EAEACH
100599mTc Sulfur Colloid, 15 mCi99mTc Sulfur Colloid, 15 mCiNoOption 110/01/2409/30/254EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
100699mTc Sulfur Colloid, (filtered), 0.5-2 mCi99mTc Sulfur Colloid, (filtered), 0.5-2 mCiNoOption 110/01/2409/30/254EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
100799mTc MAA, 0 to 5 mCi99mTc MAA, 0 to 5 mCiNoOption 110/01/2409/30/2530EA0QuantityPriced0Percent0NONENo3254126525None00E30.00EAEACH
100899mTc HDP, 0 to 30 mCi99mTc HDP, 0 to 30 mCiNoOption 110/01/2409/30/251EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
100999mTc MDP, 0 to 30 mCi99mTc MDP, 0 to 30 mCiNoOption 110/01/2409/30/25120EA0QuantityPriced0Percent0NONENo3254126525None00E120.00EAEACH
101099mTc DTPA, 0 to 20 mCi99mTc DTPA, 0 to 20 mCiNoOption 110/01/2409/30/251EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
101199mTc DTPA, 21 to 75 mCi99mTc DTPA, 21 to 75 mCiNoOption 110/01/2409/30/2530EA0QuantityPriced0Percent0NONENo3254126525None00E30.00EAEACH
101299mTc MAG 3, 0 to 10 mCi99mTc MAG 3, 0 to 10 mCiNoOption 110/01/2409/30/2525EA0QuantityPriced0Percent0NONENo3254126525None00E25.00EAEACH
101399mTc Choletec, (or Mebrofenin-generic) 0 to 10 mCi99mTc Choletec, (or Mebrofenin-generic) 0 to 10 mCiNoOption 110/01/2409/30/2535EA0QuantityPriced0Percent0NONENo3254126525None00E35.00EAEACH
1014123 Iodine Diagnostic Capsule, 100 uCi123 Iodine Diagnostic Capsule, 100 uCiNoOption 110/01/2409/30/254EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
1015123 Iodine Diagnostic Capsule, 200 uCi123 Iodine Diagnostic Capsule, 200 uCiNoOption 110/01/2409/30/2525EA0QuantityPriced0Percent0NONENo3254126525None00E25.00EAEACH
1016123 Iodine MIBG, 10 mCi123 Iodine MIBG, 10 mCiNoOption 110/01/2409/30/251EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
1017123 Iodine-WB-Diagnostic Capsule, 0-3 mCi123 Iodine-WB-Diagnostic Capsule, 0-3 mCiNoOption 110/01/2409/30/251EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
1018Ceretec (Tc99m Labeled) WBC, 10-30 mCICeretec (Tc99m Labeled) WBC, 10-30 mCINoOption 110/01/2409/30/251EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
1019(In111 Labeled) WBC, 0 to 1 mCi(In111 Labeled) WBC, 0 to 1 mCiNoOption 110/01/2409/30/251EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
102099mTc Sestamibi, 10 mCi99mTc Sestamibi, 10 mCiNoOption 110/01/2409/30/25900EA0QuantityPriced0Percent0NONENo3254126525None00E900.00EAEACH
102199m Tc Sestamibi, 30 mCi99m Tc Sestamibi, 30 mCiNoOption 110/01/2409/30/25900EA0QuantityPriced0Percent0NONENo3254126525None00E900.00EAEACH
1022Cobalt 57 Sheet sources-up to 20 mCiCobalt 57 Sheet sources-up to 20 mCiNoOption 110/01/2409/30/251EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
1023Cobalt 57 vial sources-5 mCiCobalt 57 vial sources-5 mCiNoOption 110/01/2409/30/251EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
1024Cobalt 57 pen markers-up to 200 uCiCobalt 57 pen markers-up to 200 uCiNoOption 110/01/2409/30/251EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
1025Cobalt 57 spot markers-up to 100 uCiCobalt 57 spot markers-up to 100 uCiNoOption 110/01/2409/30/252EA0QuantityPriced0Percent0NONENo3254126525None00E2.00EAEACH
1026Cesium 137 vial sources-200 uCiCesium 137 vial sources-200 uCiNoOption 110/01/2409/30/251EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
1027Cesium 137 spot sources- up to 10 uCiCesium 137 spot sources- up to 10 uCiNoOption 110/01/2409/30/254EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
1028WBC Setup syringe 1000-1500 units heparin in 1-2 ml, total volume 50-60 mlWBC Setup syringe 1000-1500 units heparin in 1-2 ml, total volume 50-60 mlNoOption 110/01/2409/30/256EA0QuantityPriced0Percent0NONENo3254126525None00E6.00EAEACH
1029Pyrophosphate, per vialPyrophosphate, per vialNoOption 110/01/2409/30/255EA0QuantityPriced0Percent0NONENo3254126525None00E5.00EAEACH
1030RBC Tagging Kit, Ultratag per kitRBC Tagging Kit, Ultratag per kitNoOption 110/01/2409/30/255EA0QuantityPriced0Percent0NONENo3254126525None00E5.00EAEACH
1031Sincalide, (generic Kinevac), 0-2 mcg in 50 ml bagSincalide, (generic Kinevac), 0-2 mcg in 50 ml bagNoOption 110/01/2409/30/251EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
1032Sincalide (generic Kinevac), each additional mcgSincalide (generic Kinevac), each additional mcgNoOption 110/01/2409/30/251EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
1033Survey Meter Calibration by accredited companySurvey Meter Calibration by accredited companyNoOption 110/01/2409/30/256EA0QuantityPriced0Percent0NONENo3254126525None00E6.00EAEACH
1034Syringe Shields (Not included for PET or NM therapy RAM)Syringe Shields (Not included for PET or NM therapy RAM)NoOption 110/01/2409/30/256EA0QuantityPriced0Percent0NONENo3254126525None00E6.00EAEACH
1035BoostBoostNoOption 110/01/2409/30/2585EA0QuantityPriced0Percent0NONENo3254126525None00E85.00EAEACH
1036Aerovent Jr. Model# L101--805, SN 001505 / BX (Part# AV-100H)Aerovent Jr. Model# L101--805, SN 001505 / BX (Part# AV-100H)NoOption 110/01/2409/30/253BX0QuantityPriced0Percent0NONENo3254126525None00E3.00BXBOX
1037Misc. charges for (shipping charges, emergency call back after clinic hours)Misc. charges for (shipping charges, emergency call back after clinic hours)NoOption 110/01/2409/30/253EA0QuantityPriced0Percent0NONENo3254126525None00E3.00EAEACH
1038Fuel surcharges (per delivery)Fuel surcharges (per delivery)NoOption 110/01/2409/30/25285EA0QuantityPriced0Percent0NONENo3254126525None00E285.00EAEACH
1039Misc. charges not listed above (for any other items-add separate line item starting here)Misc. charges not listed above (for any other items-add separate line item starting here)NoOption 110/01/2409/30/251EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
1040Any additional Non-HEU cost per dose for Tc99m ProductsAny additional Non-HEU cost per dose for Tc99m ProductsNoOption 110/01/2409/30/254000EA0QuantityN/C0Percent0NONENo3254126525None00E4,000.00EAEACH
2000The contractor shall provide Radiopharmaceutical products/services for the Asheville VAMC IAW the SOW and attached price list to govern the period of performance (Option Year 2) from 1 October 2025 to 30 September 2026NoOption 210/01/2509/30/261EA0QuantityPriced0Percent0NONENo3254126525None
200199mTc Pertechnetate-(Point Flood Source), 500 uCi-3 mCi99mTc Pertechnetate-(Point Flood Source), 500 uCi-3 mCiNoOption 210/01/2509/30/2640EA0QuantityPriced0Percent0NONENo3254126525None00E40.00EAEACH
200299mTc Pertechnetate-(Linearity Source), per mCi99mTc Pertechnetate-(Linearity Source), per mCiNoOption 210/01/2509/30/26500EA0QuantityPriced0Percent0NONENo3254126525None00E500.00EAEACH
200399mTc Pertechnetate, 0 to 25 mCi99mTc Pertechnetate, 0 to 25 mCiNoOption 210/01/2509/30/2610EA0QuantityPriced0Percent0NONENo3254126525None00E10.00EAEACH
200499mTc Sulfur Colloid, 0 to 8 mCi99mTc Sulfur Colloid, 0 to 8 mCiNoOption 210/01/2509/30/263EA0QuantityPriced0Percent0NONENo3254126525None00E3.00EAEACH
200599mTc Sulfur Colloid, 15 mCi99mTc Sulfur Colloid, 15 mCiNoOption 210/01/2509/30/264EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
200699mTc Sulfur Colloid, (filtered), 0.5-2 mCi99mTc Sulfur Colloid, (filtered), 0.5-2 mCiNoOption 210/01/2509/30/264EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
200799mTc MAA, 0 to 5 mCi99mTc MAA, 0 to 5 mCiNoOption 210/01/2509/30/2630EA0QuantityPriced0Percent0NONENo3254126525None00E30.00EAEACH
200899mTc HDP, 0 to 30 mCi99mTc HDP, 0 to 30 mCiNoOption 210/01/2509/30/261EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
200999mTc MDP, 0 to 30 mCi99mTc MDP, 0 to 30 mCiNoOption 210/01/2509/30/26120EA0QuantityPriced0Percent0NONENo3254126525None00E120.00EAEACH
201099mTc DTPA, 0 to 20 mCi99mTc DTPA, 0 to 20 mCiNoOption 210/01/2509/30/261EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
201199mTc DTPA, 21 to 75 mCi99mTc DTPA, 21 to 75 mCiNoOption 210/01/2509/30/2630EA0QuantityPriced0Percent0NONENo3254126525None00E30.00EAEACH
201299mTc MAG 3, 0 to 10 mCi99mTc MAG 3, 0 to 10 mCiNoOption 210/01/2509/30/2625EA0QuantityPriced0Percent0NONENo3254126525None00E25.00EAEACH
201399mTc Choletec, (or Mebrofenin-generic) 0 to 10 mCi99mTc Choletec, (or Mebrofenin-generic) 0 to 10 mCiNoOption 210/01/2509/30/2635EA0QuantityPriced0Percent0NONENo3254126525None00E35.00EAEACH
2014123 Iodine Diagnostic Capsule, 100 uCi123 Iodine Diagnostic Capsule, 100 uCiNoOption 210/01/2509/30/264EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
2015123 Iodine Diagnostic Capsule, 200 uCi123 Iodine Diagnostic Capsule, 200 uCiNoOption 210/01/2509/30/2625EA0QuantityPriced0Percent0NONENo3254126525None00E25.00EAEACH
2016123 Iodine MIBG, 10 mCi123 Iodine MIBG, 10 mCiNoOption 210/01/2509/30/261EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
2017123 Iodine-WB-Diagnostic Capsule, 0-3 mCi123 Iodine-WB-Diagnostic Capsule, 0-3 mCiNoOption 210/01/2509/30/261EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
2018Ceretec (Tc99m Labeled) WBC, 10-30 mCICeretec (Tc99m Labeled) WBC, 10-30 mCINoOption 210/01/2509/30/261EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
2019(In111 Labeled) WBC, 0 to 1 mCi(In111 Labeled) WBC, 0 to 1 mCiNoOption 210/01/2509/30/261EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
202099mTc Sestamibi, 10 mCi99mTc Sestamibi, 10 mCiNoOption 210/01/2509/30/26900EA0QuantityPriced0Percent0NONENo3254126525None00E900.00EAEACH
202199m Tc Sestamibi, 30 mCi99m Tc Sestamibi, 30 mCiNoOption 210/01/2509/30/26900EA0QuantityPriced0Percent0NONENo3254126525None00E900.00EAEACH
2022Cobalt 57 Sheet sources-up to 20 mCiCobalt 57 Sheet sources-up to 20 mCiNoOption 210/01/2509/30/261EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
2023Cobalt 57 vial sources-5 mCiCobalt 57 vial sources-5 mCiNoOption 210/01/2509/30/261EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
2024Cobalt 57 pen markers-up to 200 uCiCobalt 57 pen markers-up to 200 uCiNoOption 210/01/2509/30/261EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
2025Cobalt 57 spot markers-up to 100 uCiCobalt 57 spot markers-up to 100 uCiNoOption 210/01/2509/30/262EA0QuantityPriced0Percent0NONENo3254126525None00E2.00EAEACH
2026Cesium 137 vial sources-200 uCiCesium 137 vial sources-200 uCiNoOption 210/01/2509/30/261EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
2027Cesium 137 spot sources- up to 10 uCiCesium 137 spot sources- up to 10 uCiNoOption 210/01/2509/30/264EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
2028WBC Setup syringe 1000-1500 units heparin in 1-2 ml, total volume 50-60 mlWBC Setup syringe 1000-1500 units heparin in 1-2 ml, total volume 50-60 mlNoOption 210/01/2509/30/266EA0QuantityPriced0Percent0NONENo3254126525None00E6.00EAEACH
2029Pyrophosphate, per vialPyrophosphate, per vialNoOption 210/01/2509/30/265EA0QuantityPriced0Percent0NONENo3254126525None00E5.00EAEACH
2030RBC Tagging Kit, Ultratag per kitRBC Tagging Kit, Ultratag per kitNoOption 210/01/2509/30/265EA0QuantityPriced0Percent0NONENo3254126525None00E5.00EAEACH
2031Sincalide, (generic Kinevac), 0-2 mcg in 50 ml bagSincalide, (generic Kinevac), 0-2 mcg in 50 ml bagNoOption 210/01/2509/30/261EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
2032Sincalide (generic Kinevac), each additional mcgSincalide (generic Kinevac), each additional mcgNoOption 210/01/2509/30/261EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
2033Survey Meter Calibration by accredited companySurvey Meter Calibration by accredited companyNoOption 210/01/2509/30/266EA0QuantityPriced0Percent0NONENo3254126525None00E6.00EAEACH
2034Syringe Shields (Not included for PET or NM therapy RAM)Syringe Shields (Not included for PET or NM therapy RAM)NoOption 210/01/2509/30/266EA0QuantityPriced0Percent0NONENo3254126525None00E6.00EAEACH
2035BoostBoostNoOption 210/01/2509/30/2685EA0QuantityPriced0Percent0NONENo3254126525None00E85.00EAEACH
2036Aerovent Jr. Model# L101--805, SN 001505 / BX (Part# AV-100H)Aerovent Jr. Model# L101--805, SN 001505 / BX (Part# AV-100H)NoOption 210/01/2509/30/263BX0QuantityPriced0Percent0NONENo3254126525None00E3.00BXBOX
2037Misc. charges for (shipping charges, emergency call back after clinic hours)Misc. charges for (shipping charges, emergency call back after clinic hours)NoOption 210/01/2509/30/263EA0QuantityPriced0Percent0NONENo3254126525None00E3.00EAEACH
2038Fuel surcharges (per delivery)Fuel surcharges (per delivery)NoOption 210/01/2509/30/26285EA0QuantityPriced0Percent0NONENo3254126525None00E285.00EAEACH
2039Misc. charges not listed above (for any other items-add separate line item starting here)Misc. charges not listed above (for any other items-add separate line item starting here)NoOption 210/01/2509/30/261EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
2040Any additional Non-HEU cost per dose for Tc99m ProductsAny additional Non-HEU cost per dose for Tc99m ProductsNoOption 210/01/2509/30/264000EA0QuantityN/C0Percent0NONENo3254126525None00E4,000.00EAEACH
3000The contractor shall provide Radiopharmaceutical products/services for the Asheville VAMC IAW the SOW and attached price list to govern the period of performance (Option Year 3) from 1 October 2026 to 30 September 2027NoOption 310/01/2609/30/271EA0QuantityPriced0Percent0NONENo3254126525None
300199mTc Pertechnetate-(Point Flood Source), 500 uCi-3 mCi99mTc Pertechnetate-(Point Flood Source), 500 uCi-3 mCiNoOption 310/01/2609/30/2740EA0QuantityPriced0Percent0NONENo3254126525None00E40.00EAEACH
300299mTc Pertechnetate-(Linearity Source), per mCi99mTc Pertechnetate-(Linearity Source), per mCiNoOption 310/01/2609/30/27500EA0QuantityPriced0Percent0NONENo3254126525None00E500.00EAEACH
300399mTc Pertechnetate, 0 to 25 mCi99mTc Pertechnetate, 0 to 25 mCiNoOption 310/01/2609/30/2710EA0QuantityPriced0Percent0NONENo3254126525None00E10.00EAEACH
300499mTc Sulfur Colloid, 0 to 8 mCi99mTc Sulfur Colloid, 0 to 8 mCiNoOption 310/01/2609/30/273EA0QuantityPriced0Percent0NONENo3254126525None00E3.00EAEACH
300599mTc Sulfur Colloid, 15 mCi99mTc Sulfur Colloid, 15 mCiNoOption 310/01/2609/30/274EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
300699mTc Sulfur Colloid, (filtered), 0.5-2 mCi99mTc Sulfur Colloid, (filtered), 0.5-2 mCiNoOption 310/01/2609/30/274EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
300799mTc MAA, 0 to 5 mCi99mTc MAA, 0 to 5 mCiNoOption 310/01/2609/30/2730EA0QuantityPriced0Percent0NONENo3254126525None00E30.00EAEACH
300899mTc HDP, 0 to 30 mCi99mTc HDP, 0 to 30 mCiNoOption 310/01/2609/30/271EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
300999mTc MDP, 0 to 30 mCi99mTc MDP, 0 to 30 mCiNoOption 310/01/2609/30/27120EA0QuantityPriced0Percent0NONENo3254126525None00E120.00EAEACH
301099mTc DTPA, 0 to 20 mCi99mTc DTPA, 0 to 20 mCiNoOption 310/01/2609/30/271EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
301199mTc DTPA, 21 to 75 mCi99mTc DTPA, 21 to 75 mCiNoOption 310/01/2609/30/2730EA0QuantityPriced0Percent0NONENo3254126525None00E30.00EAEACH
301299mTc MAG 3, 0 to 10 mCi99mTc MAG 3, 0 to 10 mCiNoOption 310/01/2609/30/2725EA0QuantityPriced0Percent0NONENo3254126525None00E25.00EAEACH
301399mTc Choletec, (or Mebrofenin-generic) 0 to 10 mCi99mTc Choletec, (or Mebrofenin-generic) 0 to 10 mCiNoOption 310/01/2609/30/2735EA0QuantityPriced0Percent0NONENo3254126525None00E35.00EAEACH
3014123 Iodine Diagnostic Capsule, 100 uCi123 Iodine Diagnostic Capsule, 100 uCiNoOption 310/01/2609/30/274EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
3015123 Iodine Diagnostic Capsule, 200 uCi123 Iodine Diagnostic Capsule, 200 uCiNoOption 310/01/2609/30/2725EA0QuantityPriced0Percent0NONENo3254126525None00E25.00EAEACH
3016123 Iodine MIBG, 10 mCi123 Iodine MIBG, 10 mCiNoOption 310/01/2609/30/271EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
3017123 Iodine-WB-Diagnostic Capsule, 0-3 mCi123 Iodine-WB-Diagnostic Capsule, 0-3 mCiNoOption 310/01/2609/30/271EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
3018Ceretec (Tc99m Labeled) WBC, 10-30 mCICeretec (Tc99m Labeled) WBC, 10-30 mCINoOption 310/01/2609/30/271EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
3019(In111 Labeled) WBC, 0 to 1 mCi(In111 Labeled) WBC, 0 to 1 mCiNoOption 310/01/2609/30/271EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
302099mTc Sestamibi, 10 mCi99mTc Sestamibi, 10 mCiNoOption 310/01/2609/30/27900EA0QuantityPriced0Percent0NONENo3254126525None00E900.00EAEACH
302199m Tc Sestamibi, 30 mCi99m Tc Sestamibi, 30 mCiNoOption 310/01/2609/30/27900EA0QuantityPriced0Percent0NONENo3254126525None00E900.00EAEACH
3022Cobalt 57 Sheet sources-up to 20 mCiCobalt 57 Sheet sources-up to 20 mCiNoOption 310/01/2609/30/271EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
3023Cobalt 57 vial sources-5 mCiCobalt 57 vial sources-5 mCiNoOption 310/01/2609/30/271EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
3024Cobalt 57 pen markers-up to 200 uCiCobalt 57 pen markers-up to 200 uCiNoOption 310/01/2609/30/271EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
3025Cobalt 57 spot markers-up to 100 uCiCobalt 57 spot markers-up to 100 uCiNoOption 310/01/2609/30/272EA0QuantityPriced0Percent0NONENo3254126525None00E2.00EAEACH
3026Cesium 137 vial sources-200 uCiCesium 137 vial sources-200 uCiNoOption 310/01/2609/30/271EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
3027Cesium 137 spot sources- up to 10 uCiCesium 137 spot sources- up to 10 uCiNoOption 310/01/2609/30/274EA0QuantityPriced0Percent0NONENo3254126525None00E4.00EAEACH
3028WBC Setup syringe 1000-1500 units heparin in 1-2 ml, total volume 50-60 mlWBC Setup syringe 1000-1500 units heparin in 1-2 ml, total volume 50-60 mlNoOption 310/01/2609/30/276EA0QuantityPriced0Percent0NONENo3254126525None00E6.00EAEACH
3029Pyrophosphate, per vialPyrophosphate, per vialNoOption 310/01/2609/30/275EA0QuantityPriced0Percent0NONENo3254126525None00E5.00EAEACH
3030RBC Tagging Kit, Ultratag per kitRBC Tagging Kit, Ultratag per kitNoOption 310/01/2609/30/275EA0QuantityPriced0Percent0NONENo3254126525None00E5.00EAEACH
3031Sincalide, (generic Kinevac), 0-2 mcg in 50 ml bagSincalide, (generic Kinevac), 0-2 mcg in 50 ml bagNoOption 310/01/2609/30/271EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
3032Sincalide (generic Kinevac), each additional mcgSincalide (generic Kinevac), each additional mcgNoOption 310/01/2609/30/271EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
3033Survey Meter Calibration by accredited companySurvey Meter Calibration by accredited companyNoOption 310/01/2609/30/276EA0QuantityPriced0Percent0NONENo3254126525None00E6.00EAEACH
3034Syringe Shields (Not included for PET or NM therapy RAM)Syringe Shields (Not included for PET or NM therapy RAM)NoOption 310/01/2609/30/276EA0QuantityPriced0Percent0NONENo3254126525None00E6.00EAEACH
3035BoostBoostNoOption 310/01/2609/30/2785EA0QuantityPriced0Percent0NONENo3254126525None00E85.00EAEACH
3036Aerovent Jr. Model# L101--805, SN 001505 / BX (Part# AV-100H)Aerovent Jr. Model# L101--805, SN 001505 / BX (Part# AV-100H)NoOption 310/01/2609/30/273BX0QuantityPriced0Percent0NONENo3254126525None00E3.00BXBOX
3037Misc. charges for (shipping charges, emergency call back after clinic hours)Misc. charges for (shipping charges, emergency call back after clinic hours)NoOption 310/01/2609/30/273EA0QuantityPriced0Percent0NONENo3254126525None00E3.00EAEACH
3038Fuel surcharges (per delivery)Fuel surcharges (per delivery)NoOption 310/01/2609/30/27285EA0QuantityPriced0Percent0NONENo3254126525None00E285.00EAEACH
3039Misc. charges not listed above (for any other items-add separate line item starting here)Misc. charges not listed above (for any other items-add separate line item starting here)NoOption 310/01/2609/30/271EA0QuantityPriced0Percent0NONENo3254126525None00E1.00EAEACH
3040Any additional Non-HEU cost per dose for Tc99m ProductsAny additional Non-HEU cost per dose for Tc99m ProductsNoOption 310/01/2609/30/274000EA0QuantityN/C0Percent0NONENo3254126525None00E4,000.00EAEACH

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