36C25018Q0378-001.xlsx
XLSX spreadsheet 273 KB Posted
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- 36C25018Q0378
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36C25018Q0378 S02 - Schedule of Supples (FBO).xlsx
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| File | Type | Posted |
|---|---|---|
| 36C25018D0102-000.docx | DOCX document | |
| 36C25018Q0378-000.docx | DOCX document | |
| 36C25018Q0378-002.pdf |
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Sheet1 Schedule of Supplies
| Item # | BASE YEAR (4/7/2018-4/6/2019) Description/Part Number | Est. Yearly QTY | Unit | Unit Price | Extended Amount |
| 1 | Tc-99m Ceretec (HMPAO) 1-30mci | 5 | EA | ||
| 2 | Pyrophosphate Vial | 100 | VL | ||
| 3 | T1-201 Thallous Chloride 1-6 millicuries per mCi | 2 | EA | ||
| 4 | TC-99m Sulfur Colloid, 0.5-8 mCi | 10 | EA | ||
| 5 | Tc-99m MDP (Medronate), 1-30 mCi | 400 | EA | ||
| 6 | TC-99m Sodium Pertechnetate, 10-35 millicuries | 150 | EA | ||
| 7 | I-123 NA I Capsule 200 uci | 80 | EA | ||
| 8 | Tc-99m Cardiolite, Sestamibi, 1-30 mCi | 3000 | EA | ||
| 9 | Tc-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant) | 5 | EA | ||
| 10 | Tc-99m MAG 3, 1-15 mC | 60 | EA | ||
| 11 | XE - 133 Xenon - 20mCi | 245 | VL | ||
| 12 | Expedited (STAT) Deliveries | 25 | EA | ||
| 13 | Expedited RPh call out Charge | 10 | EA | ||
| 14 | Tc-99m Mebrofenin, 5-10 mCi | 150 | EA | ||
| 15 | Cholecystokinen (CCK Vial) | 150 | VL | ||
| 16 | Ultratag Kit | 5 | EA | ||
| $0.00 | |||||
| Item # | OPTION YEAR 1 (4/7/2019-4/6/2020) Description/Part Number | Est. Yearly QTY | Unit | Unit Price | Extended Amount |
| 1 | Tc-99m Ceretec (HMPAO) 1-30mci | 5 | EA | ||
| 2 | Pyrophosphate Vial | 100 | VL | ||
| 3 | T1-201 Thallous Chloride 1-6 millicuries per mCi | 2 | EA | ||
| 4 | TC-99m Sulfur Colloid, 0.5-8 mCi | 10 | EA | ||
| 5 | Tc-99m MDP (Medronate), 1-30 mCi | 400 | EA | ||
| 6 | TC-99m Sodium Pertechnetate, 10-35 millicuries | 150 | EA | ||
| 7 | I-123 NA I Capsule 200 uci | 80 | EA | ||
| 8 | Tc-99m Cardiolite, Sestamibi, 1-30 mCi | 3000 | EA | ||
| 9 | Tc-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant) | 5 | EA | ||
| 10 | Tc-99m MAG 3, 1-15 mC | 60 | EA | ||
| 11 | XE - 133 Xenon - 20mCi | 245 | VL | ||
| 12 | Expedited (STAT) Deliveries | 25 | EA | ||
| 13 | Expedited RPh call out Charge | 10 | EA | ||
| 14 | Tc-99m Mebrofenin, 5-10 mCi | 150 | EA | ||
| 15 | Cholecystokinen (CCK Vial) | 150 | VL | ||
| 16 | Ultratag Kit | 5 | EA | ||
| $0.00 | |||||
| Item # | OPTION YEAR 2 (4/7/2020-4/6/2021) Description/Part Number | Est. Yearly QTY | Unit | Unit Price | Extended Amount |
| 1 | Tc-99m Ceretec (HMPAO) 1-30mci | 5 | EA | ||
| 2 | Pyrophosphate Vial | 100 | VL | ||
| 3 | T1-201 Thallous Chloride 1-6 millicuries per mCi | 2 | EA | ||
| 4 | TC-99m Sulfur Colloid, 0.5-8 mCi | 10 | EA | ||
| 5 | Tc-99m MDP (Medronate), 1-30 mCi | 400 | EA | ||
| 6 | TC-99m Sodium Pertechnetate, 10-35 millicuries | 150 | EA | ||
| 7 | I-123 NA I Capsule 200 uci | 80 | EA | ||
| 8 | Tc-99m Cardiolite, Sestamibi, 1-30 mCi | 3000 | EA | ||
| 9 | Tc-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant) | 5 | EA | ||
| 10 | Tc-99m MAG 3, 1-15 mC | 60 | EA | ||
| 11 | XE - 133 Xenon - 20mCi | 245 | VL | ||
| 12 | Expedited (STAT) Deliveries | 25 | EA | ||
| 13 | Expedited RPh call out Charge | 10 | EA | ||
| 14 | Tc-99m Mebrofenin, 5-10 mCi | 150 | EA | ||
| 15 | Cholecystokinen (CCK Vial) | 150 | VL | ||
| 16 | Ultratag Kit | 5 | EA | ||
| $0.00 | |||||
| Item # | OPTION YEAR 3 (4/7/2021-4/6/2022) Description/Part Number | Est. Yearly QTY | Unit | Unit Price | Extended Amount |
| 1 | Tc-99m Ceretec (HMPAO) 1-30mci | 5 | EA | ||
| 2 | Pyrophosphate Vial | 100 | VL | ||
| 3 | T1-201 Thallous Chloride 1-6 millicuries per mCi | 2 | EA | ||
| 4 | TC-99m Sulfur Colloid, 0.5-8 mCi | 10 | EA | ||
| 5 | Tc-99m MDP (Medronate), 1-30 mCi | 400 | EA | ||
| 6 | TC-99m Sodium Pertechnetate, 10-35 millicuries | 150 | EA | ||
| 7 | I-123 NA I Capsule 200 uci | 80 | EA | ||
| 8 | Tc-99m Cardiolite, Sestamibi, 1-30 mCi | 3000 | EA | ||
| 9 | Tc-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant) | 5 | EA | ||
| 10 | Tc-99m MAG 3, 1-15 mC | 60 | EA | ||
| 11 | XE - 133 Xenon - 20mCi | 245 | VL | ||
| 12 | Expedited (STAT) Deliveries | 25 | EA | ||
| 13 | Expedited RPh call out Charge | 10 | EA | ||
| 14 | Tc-99m Mebrofenin, 5-10 mCi | 150 | EA | ||
| 15 | Cholecystokinen (CCK Vial) | 150 | VL | ||
| 16 | Ultratag Kit | 5 | EA | ||
| $0.00 | |||||
| Item # | OPTION YEAR 4 (4/7/2022-4/6/2023) Description/Part Number | Est. Yearly QTY | Unit | Unit Price | Extended Amount |
| 1 | Tc-99m Ceretec (HMPAO) 1-30mci | 5 | EA | ||
| 2 | Pyrophosphate Vial | 100 | VL | ||
| 3 | T1-201 Thallous Chloride 1-6 millicuries per mCi | 2 | EA | ||
| 4 | TC-99m Sulfur Colloid, 0.5-8 mCi | 10 | EA | ||
| 5 | Tc-99m MDP (Medronate), 1-30 mCi | 400 | EA | ||
| 6 | TC-99m Sodium Pertechnetate, 10-35 millicuries | 150 | EA | ||
| 7 | I-123 NA I Capsule 200 uci | 80 | EA | ||
| 8 | Tc-99m Cardiolite, Sestamibi, 1-30 mCi | 3000 | EA | ||
| 9 | Tc-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant) | 5 | EA | ||
| 10 | Tc-99m MAG 3, 1-15 mC | 60 | EA | ||
| 11 | XE - 133 Xenon - 20mCi | 245 | VL | ||
| 12 | Expedited (STAT) Deliveries | 25 | EA | ||
| 13 | Expedited RPh call out Charge | 10 | EA | ||
| 14 | Tc-99m Mebrofenin, 5-10 mCi | 150 | EA | ||
| 15 | Cholecystokinen (CCK Vial) | 150 | VL | ||
| 16 | Ultratag Kit | 5 | EA | ||
| $0.00 | |||||
| TOTAL CONTRACT VALUE (BASE PLUS 4 OPTION YEARS) | $0.00 |
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