36C25018Q0077-002.xlsx

XLSX spreadsheet 23 KB Posted Dec 5, 2017

Attached to: Columbus Nuc Med Radiopharmaceutical Meds
Solicitation number: 36C25018Q0077
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10

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36C25018Q0077 S02 - Schedule of Supplies.xlsx

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CLIN1

	CLIN 0001 - Base Year – 01/06/2018 through 01/05/2019
	Item #	Description/Part Number*	Est Yearly Qty	Unit	Unit Price	Extended Amount
	1	99M TC Sulfur Colloid: 1 to 6 Millicurie	26	EA		$0.00
	2	99M TC-MAA: 5 Millicurie	26	EA		$0.00
	3	99M Tc-HDP: 25 Millicuries	170	EA		$0.00
	4	99M TC-DTPA Aerosol: 60 Millicurie	26	EA		$0.00
	5	99M Tc Mebrofenin: 5 to 15 Millicuries	208	EA		$0.00
	6	99M TC-MAG-3 unit dose: 20 Millicurie	26	EA		$0.00
	7	99M TC-SESTAMIBI (CARDIOLITE): 10	2000	EA		$0.00
	8	99M Tc-Sestamibi (generic): 10 to 35	2000	EA		$0.00
	9	Gallium-67: 1 Millicurie	20	EA		$0.00
	10	201-THALLIUM CHLORIDE: 1 Millicurie	300	EA		$0.00
	11	111-In Capromab Pendetide: 3 to 7
Millicurie	5	EA		$0.00
	12	IN-111 OCTREOTIDE: 2 to 7 Millicurie	5	EA		$0.00
	13	IN-111 DTPA: 2 Millicurie	5	EA		$0.00
	14	99M TC-White Blood Cells: 25 Millicurie	10	EA		$0.00
	15	99M TC-O 4: 25 Millicurie	20	EA		$0.00
	16	99M TC Sources	6	EA		$0.00
	17	99m Tc- Linearity doses	4	EA		$0.00
	18	IN-111 White Blood Cells: per
study (0.5 to 1 Millicurie)	10	EA		$0.00
	19	ADENOSINE In Saline/milligram	1170	EA		$0.00
	20	ULTRATAG KIT	20	EA		$0.00
	21	Adenosine (20 ml vial)	75	EA		$0.00
	22	Adenosine (30 ml vial)	40	EA		$0.00
	Base Year Estimated Total Dollar Value:					$0.00

CLIN2

	CLIN 0002 - Option Year 1 – 01/06/2019 through 01/05/2020
	Item #	Description/Part Number*	Est Yearly Qty	Unit	Unit Price	Extended Amount
	1	99M TC Sulfur Colloid: 1 to 6 Millicurie	26	EA		$0.00
	2	99M TC-MAA: 5 Millicurie	26	VL		$0.00
	3	99M Tc-HDP: 25 Millicuries	170	EA		$0.00
	4	99M TC-DTPA Aerosol: 60 Millicurie	26	EA		$0.00
	5	99M Tc Mebrofenin: 5 to 15 Millicuries	208	EA		$0.00
	6	99M TC-MAG-3 unit dose: 20 Millicurie	26	EA		$0.00
	7	99M TC-SESTAMIBI (CARDIOLITE): 10	2000	EA		$0.00
	8	99M Tc-Sestamibi (generic): 10 to 35	2000	EA		$0.00
	9	Gallium-67: 1 Millicurie	20	EA		$0.00
	10	201-THALLIUM CHLORIDE: 1 Millicurie	300	EA		$0.00
	11	111-In Capromab Pendetide: 3 to 7
Millicurie	5	EA		$0.00
	12	IN-111 OCTREOTIDE: 2 to 7 Millicurie	5	EA		$0.00
	13	IN-111 DTPA: 2 Millicurie	5	EA		$0.00
	14	99M TC-White Blood Cells: 25 Millicurie	10	EA		$0.00
	15	99M TC-O 4: 25 Millicurie	20	EA		$0.00
	16	99M TC Sources	6	EA		$0.00
	17	99m Tc- Linearity doses	4	EA		$0.00
	18	IN-111 White Blood Cells: per
study (0.5 to 1 Millicurie)	10	EA		$0.00
	19	ADENOSINE In Saline/milligram	1170	VL		$0.00
	20	ULTRATAG KIT	20	Caps		$0.00
	21	Adenosine (20 ml vial)	75	EA		$0.00
	22	Adenosine (30 ml vial)	40	EA		$0.00
	Option Year 1 Estimated Total Dollar Value:					$0.00

CLIN3

	CLIN 0003 - Option Year 2 - 01/06/2020 through 01/05/2021
	Item #	Description/Part Number*	Est Yearly Qty	Unit	Unit Price	Extended Amount
	1	99M TC Sulfur Colloid: 1 to 6 Millicurie	26	EA		$0.00
	2	99M TC-MAA: 5 Millicurie	26	VL		$0.00
	3	99M Tc-HDP: 25 Millicuries	170	EA		$0.00
	4	99M TC-DTPA Aerosol: 60 Millicurie	26	EA		$0.00
	5	99M Tc Mebrofenin: 5 to 15 Millicuries	208	EA		$0.00
	6	99M TC-MAG-3 unit dose: 20 Millicurie	26	EA		$0.00
	7	99M TC-SESTAMIBI (CARDIOLITE): 10	2000	EA		$0.00
	8	99M Tc-Sestamibi (generic): 10 to 35	2000	EA		$0.00
	9	Gallium-67: 1 Millicurie	20	EA		$0.00
	10	201-THALLIUM CHLORIDE: 1 Millicurie	300	EA		$0.00
	11	111-In Capromab Pendetide: 3 to 7
Millicurie	5	EA		$0.00
	12	IN-111 OCTREOTIDE: 2 to 7 Millicurie	5	EA		$0.00
	13	IN-111 DTPA: 2 Millicurie	5	EA		$0.00
	14	99M TC-White Blood Cells: 25 Millicurie	10	EA		$0.00
	15	99M TC-O 4: 25 Millicurie	20	EA		$0.00
	16	99M TC Sources	6	EA		$0.00
	17	99m Tc- Linearity doses	4	EA		$0.00
	18	IN-111 White Blood Cells: per
study (0.5 to 1 Millicurie)	10	EA		$0.00
	19	ADENOSINE In Saline/milligram	1170	VL		$0.00
	20	ULTRATAG KIT	20	Caps		$0.00
	21	Adenosine (20 ml vial)	75	EA		$0.00
	22	Adenosine (30 ml vial)	40	EA		$0.00
	Option Year 2 Estimated Total Dollar Value:					$0.00

CLIN4

	CLIN 0004 - Option Year 3 - 01/06/2021 through 01/05/2022
	Item #	Description/Part Number*	Est Yearly Qty	Unit	Unit Price	Extended Amount
	1	99M TC Sulfur Colloid: 1 to 6 Millicurie	26	EA		$0.00
	2	99M TC-MAA: 5 Millicurie	26	VL		$0.00
	3	99M Tc-HDP: 25 Millicuries	170	EA		$0.00
	4	99M TC-DTPA Aerosol: 60 Millicurie	26	EA		$0.00
	5	99M Tc Mebrofenin: 5 to 15 Millicuries	208	EA		$0.00
	6	99M TC-MAG-3 unit dose: 20 Millicurie	26	EA		$0.00
	7	99M TC-SESTAMIBI (CARDIOLITE): 10	2000	EA		$0.00
	8	99M Tc-Sestamibi (generic): 10 to 35	2000	EA		$0.00
	9	Gallium-67: 1 Millicurie	20	EA		$0.00
	10	201-THALLIUM CHLORIDE: 1 Millicurie	300	EA		$0.00
	11	111-In Capromab Pendetide: 3 to 7
Millicurie	5	EA		$0.00
	12	IN-111 OCTREOTIDE: 2 to 7 Millicurie	5	EA		$0.00
	13	IN-111 DTPA: 2 Millicurie	5	EA		$0.00
	14	99M TC-White Blood Cells: 25 Millicurie	10	EA		$0.00
	15	99M TC-O 4: 25 Millicurie	20	EA		$0.00
	16	99M TC Sources	6	EA		$0.00
	17	99m Tc- Linearity doses	4	EA		$0.00
	18	IN-111 White Blood Cells: per
study (0.5 to 1 Millicurie)	10	EA		$0.00
	19	ADENOSINE In Saline/milligram	1170	VL		$0.00
	20	ULTRATAG KIT	20	Caps		$0.00
	21	Adenosine (20 ml vial)	75	EA		$0.00
	22	Adenosine (30 ml vial)	40	EA		$0.00
	Option Year 3 Estimated Total Dollar Value:					$0.00

CLN5

	CLIN 0005 - Option Year 4 - 01/06/2022 through 01/05/2023
	Item #	Description/Part Number*	Est Yearly Qty	Unit	Unit Price	Extended Amount
	1	99M TC Sulfur Colloid: 1 to 6 Millicurie	26	EA		$0.00
	2	99M TC-MAA: 5 Millicurie	26	VL		$0.00
	3	99M Tc-HDP: 25 Millicuries	170	EA		$0.00
	4	99M TC-DTPA Aerosol: 60 Millicurie	26	EA		$0.00
	5	99M Tc Mebrofenin: 5 to 15 Millicuries	208	EA		$0.00
	6	99M TC-MAG-3 unit dose: 20 Millicurie	26	EA		$0.00
	7	99M TC-SESTAMIBI (CARDIOLITE): 10	2000	EA		$0.00
	8	99M Tc-Sestamibi (generic): 10 to 35	2000	EA		$0.00
	9	Gallium-67: 1 Millicurie	20	EA		$0.00
	10	201-THALLIUM CHLORIDE: 1 Millicurie	300	EA		$0.00
	11	111-In Capromab Pendetide: 3 to 7
Millicurie	5	EA		$0.00
	12	IN-111 OCTREOTIDE: 2 to 7 Millicurie	5	EA		$0.00
	13	IN-111 DTPA: 2 Millicurie	5	EA		$0.00
	14	99M TC-White Blood Cells: 25 Millicurie	10	EA		$0.00
	15	99M TC-O 4: 25 Millicurie	20	EA		$0.00
	16	99M TC Sources	6	EA		$0.00
	17	99m Tc- Linearity doses	4	EA		$0.00
	18	IN-111 White Blood Cells: per
study (0.5 to 1 Millicurie)	10	EA		$0.00
	19	ADENOSINE In Saline/milligram	1170	VL		$0.00
	20	ULTRATAG KIT	20	Caps		$0.00
	21	Adenosine (20 ml vial)	75	EA		$0.00
	22	Adenosine (30 ml vial)	40	EA		$0.00
	Option Year 4 Estimated Total Dollar Value:					$0.00

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