Copy of 36C25024Q0067 Line Item Fill-Ins for Prospective Contractors.xlsx
XLSX spreadsheet 469 KB Posted
- Solicitation number
- 36C25024Q0067
About this file
This spreadsheet contains line item details for a multi-year federal contract for the supply of radiopharmaceutical isotopes to the Chillicothe VA Medical Center. Key requirements include the provision of various radioactive isotopes such as TC-99m Ceretec, pyrophosphate vials, T1-201 thallous chloride, and TC-99m sulfur colloid for nuclear medicine procedures over five one-year base periods of performance from November 2023 through November 2028. Delivery locations, pricing terms, and estimated quantities are specified for each isotope and option period. The contract also includes line items for expedited deliveries and on-call pharmacist services. Relevant supplier data fields are included but left blank, indicating this is a template to be populated with offeror information upon receipt of final proposals.
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| 36C25024Q0067_1.docx | DOCX document |
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Action Line Item Information
| Action Type Name | Primary ID | Secondary ID | Mod Number | Title | Order Discount Type Name | Order Discount Type | Order Discount |
| VHA-SUPPLIES-RFQ | 36C25024Q0067 | Supply, Nuclear Medicine Isotopes - Radiology - B+4, Chillicothe | Percent | 0 |
KB Version: FY23.12B
Items
| Item Number | SLIN | Description | Ref CLIN | Comment | Include Comments in Document | Contract Period | Pop Begin | Pop End | Quantity | Unit of Measure | Packaging Multiple | Receipt Type | Line Item Is | Unit Price | Item Discount Type Name | Item Discount | Date Updated | Address1 | Address2 | Address3 | City | State | Zip | Zip4 | Country | Mark For | Contact Name | Contact Phone | Contact Email | Delivery Date | FOB | Special Instructions | Include Instructions/Comments in Document | Include Data Values in Document | PRINCIPAL NAICS CODE | PRODUCT/SERVICE CODE | UNSPSC | SIC CODE | MANUFACTURER PART NUMBER (MPN) | NATIONAL STOCK NUMBER | LOCAL STOCK NUMBER | DM DOC ID | DELIVERY REF. COUNTER | UNIT TEXT/DESCRIPTION | DELIVERY REFERENCE | ITEM MASTER FILE NUMBER | EXPENDABLE/NON-EXPENDABLE | QUANTITY REQUESTED | UNIT OF PURCHASE CODE |
| 0001 | Contract for radioactive isotopes - Year 1 | No | Base | 11/28/23 | 11/27/24 | YR | 1 | Quantity | NSP | Percent | 0.00 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | ||||||||||||||||||||||||||||||
| 0001 | AA | TC-99m Ceretec (HMPAO) 1-30mci | TC-99m Ceretec (HMPAO) 1-30mci | No | Base | 11/28/23 | 11/27/24 | 5 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 5.00 | UN | ||||||||||||||||||
| 0001 | AB | Pyrophosphate Vial | Pyrophosphate Vial | No | Base | 11/28/23 | 11/27/24 | 50 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 50.00 | UN | ||||||||||||||||||
| 0001 | AC | T1-201 Thallous Chloride 1-6 millicuries per mCi | T1-201 Thallous Chloride 1-6 millicuries per mCi | No | Base | 11/28/23 | 11/27/24 | 2 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 2.00 | UN | ||||||||||||||||||
| 0001 | AD | TC-99m Sulfur Colloid, 0.5-8mCi | TC-99m Sulfur Colloid, 0.5-8mCi | No | Base | 11/28/23 | 11/27/24 | 10 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 10.00 | UN | ||||||||||||||||||
| 0001 | AE | TC-99 MDP (Medronate), 1-30 mCi | TC-99 MDP (Medronate), 1-30 mCi | No | Base | 11/28/23 | 11/27/24 | 75 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 75.00 | UN | ||||||||||||||||||
| 0001 | AF | TC-99m Sodium Pertechnetat, 10-35 milicuries | TC-99m Sodium Pertechnetat, 10-35 milicuries | No | Base | 11/28/23 | 11/27/24 | 30 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 30.00 | UN | ||||||||||||||||||
| 0001 | AG | I-123 NA I Capsule 20 | I-123 NA I Capsule 20 | No | Base | 11/28/23 | 11/27/24 | 25 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 25.00 | UN | ||||||||||||||||||
| 0001 | AH | TC-99m Cardiolite, Sestambibi, 1-30mCi | TC-99m Cardiolite, Sestambibi, 1-30mCi | No | Base | 11/28/23 | 11/27/24 | 1500 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 1,500.00 | UN | ||||||||||||||||||
| 0001 | AJ | TC-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant | TC-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant | No | Base | 11/28/23 | 11/27/24 | 2 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 2.00 | UN | ||||||||||||||||||
| 0001 | AK | TC-99m MAG 3, 1-15 mC | TC-99m MAG 3, 1-15 mC | No | Base | 11/28/23 | 11/27/24 | 10 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 10.00 | UN | ||||||||||||||||||
| 0001 | AL | XE- 13 Xenon - 20mCi | XE- 13 Xenon - 20mCi | No | Base | 11/28/23 | 11/27/24 | 5 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 5.00 | UN | ||||||||||||||||||
| 0001 | AM | Expedited (STAT) Deliveries | Expedited (STAT) Deliveries | No | Base | 11/28/23 | 11/27/24 | 15 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 15.00 | UN | ||||||||||||||||||
| 0001 | AN | Expedited RPh call out Charge | Expedited RPh call out Charge | No | Base | 11/28/23 | 11/27/24 | 3 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 3.00 | UN | ||||||||||||||||||
| 0001 | AO | TC-99m Mebrofenin, 5-10 mCi | TC-99m Mebrofenin, 5-10 mCi | No | Base | 11/28/23 | 11/27/24 | 150 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 150.00 | UN | ||||||||||||||||||
| 0001 | AP | Cholecystokinen (CCK Vial) | Cholecystokinen (CCK Vial) | No | Base | 11/28/23 | 11/27/24 | 20 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 20.00 | UN | ||||||||||||||||||
| 0001 | AQ | Ultratag Kit | Ultratag Kit | No | Base | 11/28/23 | 11/27/24 | 3 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2023 - 11/27/2024 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 3.00 | UN | ||||||||||||||||||
| 0002 | Contract for Radiopharmaceuticals - Year 2 | Ordering Year 2 | No | Option 1 | 11/28/24 | 11/27/25 | 0 | YR | 1 | Quantity | NSP | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | ||||||||||||||||||||||||||
| 0002 | AA | TC-99m Ceretec (HMPAO) 1-30mci | TC-99m Ceretec (HMPAO) 1-30mci | No | Option 1 | 11/28/24 | 11/27/25 | 5 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 5.00 | UN | ||||||||||||||||||
| 0002 | AB | Pyrophosphate Vial | Pyrophosphate Vial | No | Option 1 | 11/28/24 | 11/27/25 | 50 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 50.00 | UN | ||||||||||||||||||
| 0002 | AC | T1-201 Thallous Chloride 1-6 millicuries per mCi | T1-201 Thallous Chloride 1-6 millicuries per mCi | No | Option 1 | 11/28/24 | 11/27/25 | 2 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 2.00 | UN | ||||||||||||||||||
| 0002 | AD | TC-99m Sulfur Colloid, 0.5-8mCi | TC-99m Sulfur Colloid, 0.5-8mCi | No | Option 1 | 11/28/24 | 11/27/25 | 10 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 10.00 | UN | ||||||||||||||||||
| 0002 | AE | TC-99 MDP (Medronate), 1-30 mCi | TC-99 MDP (Medronate), 1-30 mCi | No | Option 1 | 11/28/24 | 11/27/25 | 75 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 75.00 | UN | ||||||||||||||||||
| 0002 | AF | TC-99m Sodium Pertechnetat, 10-35 milicuries | TC-99m Sodium Pertechnetat, 10-35 milicuries | No | Option 1 | 11/28/24 | 11/27/25 | 30 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 30.00 | UN | ||||||||||||||||||
| 0002 | AG | I-123 NA I Capsule 20 | I-123 NA I Capsule 20 | No | Option 1 | 11/28/24 | 11/27/25 | 25 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 25.00 | UN | ||||||||||||||||||
| 0002 | AH | TC-99m Cardiolite, Sestambibi, 1-30mCi | TC-99m Cardiolite, Sestambibi, 1-30mCi | No | Option 1 | 11/28/24 | 11/27/25 | 1500 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 1,500.00 | UN | ||||||||||||||||||
| 0002 | AJ | TC-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant | TC-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant | No | Option 1 | 11/28/24 | 11/27/25 | 2 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 2.00 | UN | ||||||||||||||||||
| 0002 | AK | TC-99m MAG 3, 1-15 mC | TC-99m MAG 3, 1-15 mC | No | Option 1 | 11/28/24 | 11/27/25 | 10 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 10.00 | UN | ||||||||||||||||||
| 0002 | AL | XE- 13 Xenon - 20mCi | XE- 13 Xenon - 20mCi | No | Option 1 | 11/28/24 | 11/27/25 | 5 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 5.00 | UN | ||||||||||||||||||
| 0002 | AM | Expedited (STAT) Deliveries | Expedited (STAT) Deliveries | No | Option 1 | 11/28/24 | 11/27/25 | 15 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 15.00 | UN | ||||||||||||||||||
| 0002 | AN | Expedited RPh call out Charge | Expedited RPh call out Charge | No | Option 1 | 11/28/24 | 11/27/25 | 3 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 3.00 | UN | ||||||||||||||||||
| 0002 | AO | TC-99m Mebrofenin, 5-10 mCi | TC-99m Mebrofenin, 5-10 mCi | No | Option 1 | 11/28/24 | 11/27/25 | 150 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 150.00 | UN | ||||||||||||||||||
| 0002 | AP | Cholecystokinen (CCK Vial) | Cholecystokinen (CCK Vial) | No | Option 1 | 11/28/24 | 11/27/25 | 20 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 20.00 | UN | ||||||||||||||||||
| 0002 | AQ | Ultratag Kit | Ultratag Kit | No | Option 1 | 11/28/24 | 11/27/25 | 3 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2024 - 11/27/2025 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 3.00 | UN | ||||||||||||||||||
| 0003 | Contract for Radiopharmaceuticals - Year 3 | Ordering Year 3 | No | Option 2 | 11/28/25 | 11/27/26 | 0 | YR | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | ||||||||||||||||||||||||||
| 0003 | AA | TC-99m Ceretec (HMPAO) 1-30mci | TC-99m Ceretec (HMPAO) 1-30mci | No | Option 2 | 11/28/25 | 11/27/26 | 5 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 5.00 | UN | ||||||||||||||||||
| 0003 | AB | Pyrophosphate Vial | Pyrophosphate Vial | No | Option 2 | 11/28/25 | 11/27/26 | 50 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 50.00 | UN | ||||||||||||||||||
| 0003 | AC | T1-201 Thallous Chloride 1-6 millicuries per mCi | T1-201 Thallous Chloride 1-6 millicuries per mCi | No | Option 2 | 11/28/25 | 11/27/26 | 2 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 2.00 | UN | ||||||||||||||||||
| 0003 | AD | TC-99m Sulfur Colloid, 0.5-8mCi | TC-99m Sulfur Colloid, 0.5-8mCi | No | Option 2 | 11/28/25 | 11/27/26 | 10 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 10.00 | UN | ||||||||||||||||||
| 0003 | AE | TC-99 MDP (Medronate), 1-30 mCi | TC-99 MDP (Medronate), 1-30 mCi | No | Option 2 | 11/28/25 | 11/27/26 | 75 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 75.00 | UN | ||||||||||||||||||
| 0003 | AF | TC-99m Sodium Pertechnetat, 10-35 milicuries | TC-99m Sodium Pertechnetat, 10-35 milicuries | No | Option 2 | 11/28/25 | 11/27/26 | 30 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 30.00 | UN | ||||||||||||||||||
| 0003 | AG | I-123 NA I Capsule 20 | I-123 NA I Capsule 20 | No | Option 2 | 11/28/25 | 11/27/26 | 25 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 25.00 | UN | ||||||||||||||||||
| 0003 | AH | TC-99m Cardiolite, Sestambibi, 1-30mCi | TC-99m Cardiolite, Sestambibi, 1-30mCi | No | Option 2 | 11/28/25 | 11/27/26 | 1500 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 1,500.00 | UN | ||||||||||||||||||
| 0003 | AJ | TC-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant | TC-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant | No | Option 2 | 11/28/25 | 11/27/26 | 2 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 2.00 | UN | ||||||||||||||||||
| 0003 | AK | TC-99m MAG 3, 1-15 mC | TC-99m MAG 3, 1-15 mC | No | Option 2 | 11/28/25 | 11/27/26 | 10 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 10.00 | UN | ||||||||||||||||||
| 0003 | AL | XE- 13 Xenon - 20mCi | XE- 13 Xenon - 20mCi | No | Option 2 | 11/28/25 | 11/27/26 | 5 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 5.00 | UN | ||||||||||||||||||
| 0003 | AM | Expedited (STAT) Deliveries | Expedited (STAT) Deliveries | No | Option 2 | 11/28/25 | 11/27/26 | 15 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 15.00 | UN | ||||||||||||||||||
| 0003 | AN | Expedited RPh call out Charge | Expedited RPh call out Charge | No | Option 2 | 11/28/25 | 11/27/26 | 3 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 3.00 | UN | ||||||||||||||||||
| 0003 | AO | TC-99m Mebrofenin, 5-10 mCi | TC-99m Mebrofenin, 5-10 mCi | No | Option 2 | 11/28/25 | 11/27/26 | 150 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 150.00 | UN | ||||||||||||||||||
| 0003 | AP | Cholecystokinen (CCK Vial) | Cholecystokinen (CCK Vial) | No | Option 2 | 11/28/25 | 11/27/26 | 20 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 20.00 | UN | ||||||||||||||||||
| 0003 | AQ | Ultratag Kit | Ultratag Kit | No | Option 2 | 11/28/25 | 11/27/26 | 3 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2025 - 11/27/2026 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 3.00 | UN | ||||||||||||||||||
| 0004 | Contract for Radiopharmaceuticals - Year 4 | Orering Year 4 | No | Option 3 | 11/28/26 | 11/27/27 | 0 | YR | 1 | Quantity | NSP | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | ||||||||||||||||||||||||||
| 0004 | AA | TC-99m Ceretec (HMPAO) 1-30mci | TC-99m Ceretec (HMPAO) 1-30mci | No | Option 3 | 11/28/26 | 11/27/27 | 5 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 5.00 | UN | ||||||||||||||||||
| 0004 | AB | Pyrophosphate Vial | Pyrophosphate Vial | No | Option 3 | 11/28/26 | 11/27/27 | 50 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 50.00 | UN | ||||||||||||||||||
| 0004 | AC | T1-201 Thallous Chloride 1-6 millicuries per mCi | T1-201 Thallous Chloride 1-6 millicuries per mCi | No | Option 3 | 11/28/26 | 11/27/27 | 2 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 2.00 | UN | ||||||||||||||||||
| 0004 | AD | TC-99m Sulfur Colloid, 0.5-8mCi | TC-99m Sulfur Colloid, 0.5-8mCi | No | Option 3 | 11/28/26 | 11/27/27 | 10 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 10.00 | UN | ||||||||||||||||||
| 0004 | AE | TC-99 MDP (Medronate), 1-30 mCi | TC-99 MDP (Medronate), 1-30 mCi | No | Option 3 | 11/28/26 | 11/27/27 | 75 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 75.00 | UN | ||||||||||||||||||
| 0004 | AF | TC-99m Sodium Pertechnetat, 10-35 milicuries | TC-99m Sodium Pertechnetat, 10-35 milicuries | No | Option 3 | 11/28/26 | 11/27/27 | 30 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 30.00 | UN | ||||||||||||||||||
| 0004 | AG | I-123 NA I Capsule 20 | I-123 NA I Capsule 20 | No | Option 3 | 11/28/26 | 11/27/27 | 25 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 25.00 | UN | ||||||||||||||||||
| 0004 | AH | TC-99m Cardiolite, Sestambibi, 1-30mCi | TC-99m Cardiolite, Sestambibi, 1-30mCi | No | Option 3 | 11/28/26 | 11/27/27 | 1500 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 1,500.00 | UN | ||||||||||||||||||
| 0004 | AJ | TC-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant | TC-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant | No | Option 3 | 11/28/26 | 11/27/27 | 2 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 2.00 | UN | ||||||||||||||||||
| 0004 | AK | TC-99m MAG 3, 1-15 mC | TC-99m MAG 3, 1-15 mC | No | Option 3 | 11/28/26 | 11/27/27 | 10 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 10.00 | UN | ||||||||||||||||||
| 0004 | AL | XE- 13 Xenon - 20mCi | XE- 13 Xenon - 20mCi | No | Option 3 | 11/28/26 | 11/27/27 | 5 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 5.00 | UN | ||||||||||||||||||
| 0004 | AM | Expedited (STAT) Deliveries | Expedited (STAT) Deliveries | No | Option 3 | 11/28/26 | 11/27/27 | 15 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 15.00 | UN | ||||||||||||||||||
| 0004 | AN | Expedited RPh call out Charge | Expedited RPh call out Charge | No | Option 3 | 11/28/26 | 11/27/27 | 3 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 3.00 | UN | ||||||||||||||||||
| 0004 | AO | TC-99m Mebrofenin, 5-10 mCi | TC-99m Mebrofenin, 5-10 mCi | No | Option 3 | 11/28/26 | 11/27/27 | 150 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 150.00 | UN | ||||||||||||||||||
| 0004 | AP | Cholecystokinen (CCK Vial) | Cholecystokinen (CCK Vial) | No | Option 3 | 11/28/26 | 11/27/27 | 20 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 20.00 | UN | ||||||||||||||||||
| 0004 | AQ | Ultratag Kit | Ultratag Kit | No | Option 3 | 11/28/26 | 11/27/27 | 3 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2026 - 11/27/2027 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 3.00 | UN | ||||||||||||||||||
| 0005 | Contract for Radiopharmaceuticals - Year 5 | Ordering year 5 | No | Option 4 | 11/27/27 | 11/28/28 | 0 | YR | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | ||||||||||||||||||||||||||
| 0005 | AA | TC-99m Ceretec (HMPAO) 1-30mci | TC-99m Ceretec (HMPAO) 1-30mci | No | Option 4 | 11/27/27 | 11/28/28 | 5 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 5.00 | UN | ||||||||||||||||||
| 0005 | AB | Pyrophosphate Vial | Pyrophosphate Vial | No | Option 4 | 11/27/27 | 11/28/28 | 50 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 50.00 | UN | ||||||||||||||||||
| 0005 | AC | T1-201 Thallous Chloride 1-6 millicuries per mCi | T1-201 Thallous Chloride 1-6 millicuries per mCi | No | Option 4 | 11/27/27 | 11/28/28 | 2 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 2.00 | UN | ||||||||||||||||||
| 0005 | AD | TC-99m Sulfur Colloid, 0.5-8mCi | TC-99m Sulfur Colloid, 0.5-8mCi | No | Option 4 | 11/27/27 | 11/28/28 | 10 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 10.00 | UN | ||||||||||||||||||
| 0005 | AE | TC-99 MDP (Medronate), 1-30 mCi | TC-99 MDP (Medronate), 1-30 mCi | No | Option 4 | 11/27/27 | 11/28/28 | 75 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 75.00 | UN | ||||||||||||||||||
| 0005 | AF | TC-99m Sodium Pertechnetat, 10-35 milicuries | TC-99m Sodium Pertechnetat, 10-35 milicuries | No | Option 4 | 11/27/27 | 11/28/28 | 30 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 30.00 | UN | ||||||||||||||||||
| 0005 | AG | I-123 NA I Capsule 20 | I-123 NA I Capsule 20 | No | Option 4 | 11/27/27 | 11/28/28 | 25 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 25.00 | UN | ||||||||||||||||||
| 0005 | AH | TC-99m Cardiolite, Sestambibi, 1-30mCi | TC-99m Cardiolite, Sestambibi, 1-30mCi | No | Option 4 | 11/27/27 | 11/28/28 | 1500 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 1,500.00 | UN | ||||||||||||||||||
| 0005 | AJ | TC-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant | TC-99m Ceretec WBC Labeling (including syringe and recommended anticoagulant | No | Option 4 | 11/27/27 | 11/28/28 | 2 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 2.00 | UN | ||||||||||||||||||
| 0005 | AK | TC-99m MAG 3, 1-15 mC | TC-99m MAG 3, 1-15 mC | No | Option 4 | 11/27/27 | 11/28/28 | 10 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 10.00 | UN | ||||||||||||||||||
| 0005 | AL | XE- 13 Xenon - 20mCi | XE- 13 Xenon - 20mCi | No | Option 4 | 11/27/27 | 11/28/28 | 5 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 5.00 | UN | ||||||||||||||||||
| 0005 | AM | Expedited (STAT) Deliveries | Expedited (STAT) Deliveries | No | Option 4 | 11/27/27 | 11/28/28 | 15 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 15.00 | UN | ||||||||||||||||||
| 0005 | AN | Expedited RPh call out Charge | Expedited RPh call out Charge | No | Option 4 | 11/27/27 | 11/28/28 | 3 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 3.00 | UN | ||||||||||||||||||
| 0005 | AO | TC-99m Mebrofenin, 5-10 mCi | TC-99m Mebrofenin, 5-10 mCi | No | Option 4 | 11/27/27 | 11/28/28 | 150 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 150.00 | UN | ||||||||||||||||||
| 0005 | AP | Cholecystokinen (CCK Vial) | Cholecystokinen (CCK Vial) | No | Option 4 | 11/27/27 | 11/28/28 | 20 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 20.00 | UN | ||||||||||||||||||
| 0005 | AQ | Ultratag Kit | Ultratag Kit | No | Option 4 | 11/27/27 | 11/28/28 | 3 | UN | 1 | Quantity | Priced | Percent | 0 | Chillicothe VA Medical Center | 17273 State Route 104 | Chillicothe | OH | 45601 | USA | 11/28/2027 - 11/27/2028 | DESTINATION | No | No | 325412 | 6505 | 0 | 0 | E | 3.00 | UN |
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