Attachment A - Supply List test merge 02.xlsx

XLSX spreadsheet 17 KB Posted

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6515--Insulin Pump and Supplies, VISN 10 BPA Extended
Solicitation number
36C25020Q0531
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36C25020Q0531 0003.docx DOCX document
36C25020Q0531 0002.docx DOCX document
Attachment A - Supply List test mergev2.xlsx XLSX spreadsheet
BPA solicitation QA v4.pdf PDF
36C25020Q0531_2v2 02.docx DOCX document
36C25020Q0531 0001_2.docx DOCX document
Attachment A - Supply List test merge.xlsx XLSX spreadsheet
Attachment 2 BPA Price list2.xlsx XLSX spreadsheet
36C25020Q0531.docx DOCX document

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MedTronic

INSULIN PUMP BLANKET PURCHASE AGREEMENT PRICE LIST

All items are brand name or equal specifications

CLINSystemItem NumberItem DescriptionQuoteUnit Price
0001Medtronic - MiniMed 670G Insulin Pump OnlyMMT1760KMiniMed 670G Insulin Pump Kit Includes:

(1) MiniMed 670G Insulin Pump, 3mL black including:

Tubing Clamp, Activity Guard, Belt Clip, Adhesive Skin, and Batteries

(1) MMTACC821BK – Silicone Skin

(1) MMT1152US – Ascensia Contour Next Link 2.4 Meter including Test Strips, 1bx (BAY7311) 0002 Medtronic - MiniMed 670G Insulin Pump System MMT1760KBUN MiniMed 670G Insulin Pump System Includes:

(1) MiniMed 670G Insulin Pump, 3 mL Includes:

Tubing Clamp, Activity Guard, Belt Clip, Adhesive Skin, Batteries

(1) MMT7810NA – Guardian Link 3 Transmitter Including: Guardian Link 3 Transmitter (MMT7810NA) One-Press Serter (MMT7512NA) Watertight Tester (MMT7726) MiniMed 670G Charger (MMT7715)

(1) MMT7020A – Guardian Sensor 3, 5pk

(1) ACC-821BK – Silicone Skin

(1) MMT1352US – Ascensia CONTOUR Next Link 2.4 Meter including Test Strips, 1bx (BAY7311)

0003Medtronic - MiniMed 670G Insulin Pump System (includes Ascensia Contour Next Meter)MMT1760KPK670G COMPLETE SYSTEM BUNDLE INCLUDES – 1760KPK, 7810NA AND 7020A
0004Medtronic - MiniMed 630G Insulin Pump SystemMMTMMG1NAKMiniMed 630G Pump System Includes:

(1) MMT1755K – MiniMed 630G Insulin Pump including: Black Silicone Skin (MMTACC821BK)

(1) MMT7810NA – Guardian Link 3 Transmitter Including: Guardian Link 3 Transmitter (MMT7810NA) One-Press Serter (MMT7512NA) Watertight Tester (MMT7726) MiniMed 630G Charger (MMT7715)

(1) MMT7020A – Guardian Sensor 3, 5pk

(1) MMT1352US – Ascensia CONTOUR Next Link 2.4 Meter including Test Strips, 1bx (BAY7311) 0005 Guardian Link 3 Transmitter Kit for 670G MMT7810NA Guardian Link 3 Transmitter Kit compatible with 630G & 670G Pump including:

(1) Guardian Link 3 Transmitter (MMT7810NA)

(1) One-Press Serter (MMT7512NA)

(1) Watertight Tester (MMT7726)

(1) MiniMed 670G Charger (MMT7715)

0006Guardian Sensor 3 for MiniMed 630G & 670G SystemMMT7020AGuardian Sensors - 5 pk
0007ReservoirMMT332AMinimed™ 3.0mL Reservoir (For 670G, 630G, 7 Series 530G, and 723 Paradigm Revel Insulin Pumps)
0008Infusion SetMMT399Quick-set® Paradigm Infusion Set with At-Site Disconnect, 23” Tubing with 6mm Cannula

(replaces MMT-325 or MMT-321) 0009 Tandem X2 TDX6000 TANDEM X2™ SYSTEM INSULIN PUMP SYSTEM WITH DEXCOM G6® CONSISTING OF:

1. (1) Tandem t:slim X2 Insulin Pump, enabled with Dexcom G6® CGM Mobile Receiver and Basal-IQ Technology

2. (1) Dexcom G6 Transmitter

3. (1) Dexcom G6 Sensors 0010 t:slim X2™ Insulin Pump with Control-IQ Technology and Dexcom G6 CGM TDX6100 t:slim X2™ Insulin Pump with Control-IQ Technology and Dexcom G6 CGM Includes:

(1) 1005011 - Tandem t:slim X2 Insulin Pump

(1) DEXSTTOE001- Dexcom G6 Mobile Transmitter

(1) DEXSTSOR003 - Dexcom G6 Platinum Sensors, 1 box = 3 sensors (30-day supply ) 0011 t:slim X2 Insulin Pump with Basal-IQ Technology and Dexcom G6 CGM 1005011 NEW t:slim X2™ Insulin Pump with Control-IQ Technology enabled with Dexcom G6® Mobile receiver*:

(1) 3 mL Reservoir Capacity

(1) Watertight, Aluminum Case

(1) USB Connectivity

(1) Rechargeable Battery

(1) Bluetooth Radio

0012Cartridge1000727t:slim® Cartridge with t:lock Connector (3mL), compatible with t:slim pumps only
0013Cartridge1001390t:flex® Cartridge with t:lock Connector (4.8mL) compatible with t:flex pump only
0014Infusion Set1002817AutoSoft 90 Infusion Set, 23” Tubing with t:lock and 6mm Cannula, Grey
0015DexcomDEXSTKOE001Dexcom G6 Scout Touchscreen Receiver (Black, Blue, and Pink Skins Included)

(Refill once a year )

0016DexcomDEXSTTOE001Dexcom G6 Mobile Transmitter Kit, 2pk. (Refill every six months )
0017DexcomDEXSTSOR003Dexcom G6 Platinum Sensors (30-day supply)
0018OmniPod (PDM) 200INS189165AOmniPod - Personal Diabetic Manager (PDM) 200 Starter Kit, Black includes:

(1)Freestyle Meter Kit, and Test Strips, 1bx

(1) AAA Batteries, 2ea

(1) USB Cable

(1) User Guide

(1) Black Gel Skin

(1) Carrying Case

0019OmniPodINS19191OmniPod - PODS 10ea/cs (1 month/ 72 hours each)
0020OmniPodINS18325OmniPod® DASH Pods (72 hours each/ 15-day supply)
0021Abbott Diabetes Care71536FreeStyle Libre Sensor Kit
0022Abbott Diabetes Care71739FreeStyle Libre Reader Kit, TAA Compliant
0023Abbott Diabetes Care71562FreeStyle Libre Pro Sensor Kit
0024Abbott Diabetes Care71760FreeStyle Libre Pro Reader Kit, TAA Compliant
0025Abbott Diabetes Care71936FreeStyle Libre Reader Kit, 1 Box = 1 Reader (14 Day) *Item for Personal Use Only*
0026Abbott Diabetes Care71940FreeStyle Libre Sensor Kit, 1 Box = 1 Sensor (14‐Day ) *Item for Personal Use Only
0027MastisolFED052306Mastisol® Liquid Adhesive with Dispenser Cap, 2oz (HMS-052306)

Tandem INSULIN PUMP BLANKET PURCHASE AGREEMENT PRICE LIST All items are brand name or equal specifications

CLINSystemItem NumberItem DescriptionQuoteUnit Price
0009Tandem X2TDX6000TANDEM X2™ SYSTEM INSULIN PUMP SYSTEM WITH DEXCOM G6® CONSISTING OF:

1. (1) Tandem t:slim X2 Insulin Pump, enabled with Dexcom G6® CGM Mobile Receiver and Basal-IQ Technology

2. (1) Dexcom G6 Transmitter

3. (1) Dexcom G6 Sensors 0010 t:slim X2™ Insulin Pump with Control-IQ Technology and Dexcom G6 CGM TDX6100 t:slim X2™ Insulin Pump with Control-IQ Technology and Dexcom G6 CGM Includes:

(1) 1005011 - Tandem t:slim X2 Insulin Pump

(1) DEXSTTOE001- Dexcom G6 Mobile Transmitter

(1) DEXSTSOR003 - Dexcom G6 Platinum Sensors, 1 box = 3 sensors (30-day supply ) 0011 t:slim X2 Insulin Pump with Basal-IQ Technology and Dexcom G6 CGM 1005011 NEW t:slim X2™ Insulin Pump with Control-IQ Technology enabled with Dexcom G6® Mobile receiver*:

(1) 3 mL Reservoir Capacity

(1) Watertight, Aluminum Case

(1) USB Connectivity

(1) Rechargeable Battery

(1) Bluetooth Radio

0012Cartridge1000727t:slim® Cartridge with t:lock Connector (3mL), compatible with t:slim pumps only
0013Cartridge1001390t:flex® Cartridge with t:lock Connector (4.8mL) compatible with t:flex pump only
0014Infusion Set1002817AutoSoft 90 Infusion Set, 23” Tubing with t:lock and 6mm Cannula, Grey

Dexcom INSULIN PUMP BLANKET PURCHASE AGREEMENT PRICE LIST All items are brand name or equal specifications

CLINSystemItem NumberItem DescriptionQuoteUnit Price
0015DexcomDEXSTKOE001Dexcom G6 Scout Touchscreen Receiver (Black, Blue, and Pink Skins Included)

(Refill once a year )

0016DexcomDEXSTTOE001Dexcom G6 Mobile Transmitter Kit, 2pk. (Refill every six months )
0017DexcomDEXSTSOR003Dexcom G6 Platinum Sensors (30-day supply)

OminPod INSULIN PUMP BLANKET PURCHASE AGREEMENT PRICE LIST All items are brand name or equal specifications

CLINSystemItem NumberItem DescriptionQuoteUnit Price
0018OmniPod (PDM) 200INS189165AOmniPod - Personal Diabetic Manager (PDM) 200 Starter Kit, Black includes:

(1)Freestyle Meter Kit, and Test Strips, 1bx

(1) AAA Batteries, 2ea

(1) USB Cable

(1) User Guide

(1) Black Gel Skin

(1) Carrying Case

0019OmniPodINS19191OmniPod - PODS 10ea/cs (1 month/ 72 hours each)
0020OmniPodINS18325OmniPod® DASH Pods (72 hours each/ 15-day supply)

Ancillary INSULIN PUMP BLANKET PURCHASE AGREEMENT PRICE LIST All items are brand name or equal specifications

CLINSystemItem NumberItem DescriptionQuoteUnit Price
0021Abbott Diabetes Care71536FreeStyle Libre Sensor Kit
0022Abbott Diabetes Care71739FreeStyle Libre Reader Kit, TAA Compliant
0023Abbott Diabetes Care71562FreeStyle Libre Pro Sensor Kit
0024Abbott Diabetes Care71760FreeStyle Libre Pro Reader Kit, TAA Compliant
0025Abbott Diabetes Care71936FreeStyle Libre Reader Kit, 1 Box = 1 Reader (14 Day) *Item for Personal Use Only*
0026Abbott Diabetes Care71940FreeStyle Libre Sensor Kit, 1 Box = 1 Sensor (14‐Day ) *Item for Personal Use Only
0027MastisolFED052306Mastisol® Liquid Adhesive with Dispenser Cap, 2oz (HMS-052306)

MASTER

File details come from the government source that posted it. Updated .