36C25219Q0161-002.xlsx

XLSX spreadsheet 18 KB Posted Dec 4, 2018

Attached to: IDIQ Contract - Radiopharmaceuticals Jessie Brown POP: 2/1/19 to 1/31/2022
Solicitation number: 36C25219Q0161
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12

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36C25219Q0161 Attachment A IDIQ List of RX.xlsx

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File	Type	Posted
36C25219D0033-000.docx	DOCX document	Jan 23, 2019
36C25219Q0161-001.docx	DOCX document	Dec 4, 2018
36C25219Q0161-000.docx	DOCX document	Nov 27, 2018

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Order Period 1

	ORDERING PERIOD ONE: 2/1/2019 TO 1/31/2020
	ITEM DESCRIPTION	Normal Dose	Unit	Est. Qty	Unit Price	Total Price
	1. Thallium 201 Chloride	1-4mCi	UD	20		$0.00
	2. Tc Ceretec labeled leukocytes,
including Ceretec	15-20mCi	UD	10	$0.00	$0.00
	3. In-111 labeled leukocyte (VA does not provide In-111 Oxine)	500uCi	EA	3		$0.00
	4. 1-123 Capsules	200uCi	UD	2		$0.00
	5. I-123 Capsules	100uCi	UD	2		$0.00
	6. 1-131 Capsules Diagnostic	lOuCi	UD	10		$0.00
	7. 1-131 Capsules THERAPY	6-250mCi	/mCi	300mCI		$0.00
	8. 1-131 Capsule-1' mCi-Thearapy	15t-1mCi	EA	10		$0.00
	9. In-111 prostascint	5-7mCi	EA	1		$0.00
	10. Tc99 MDP	25mCi	UD	500		$0.00
	11. Tc99 DTPA aerosol	40mCi	UD	200		$0.00
	12. Tc99m DTPA renal	10-20mCi	UD	5		$0.00
	13. Tc99m MAA	4mCi	UD	200		$0.00
	14. Tc99m myocardial perfusion Sestamibi Provided by unit dose	8-12 mCi rest 24-50mCi
stress	UD	500		$0.00
	15. Tc99m myocardial perfusion Agent Sestamibi for Parathyroid	30mCi	UD	20		$0.00
	16. Tc99m MAG3	5-10mCi	UD	60		$0.00
	17. Tc99m Mebrofenin	4-5mCi	UD	15		$0.00
	18. Tc99m ECD (Neurolite)	25mCi	UD	1		$0.00
	19. Tc99m HMPAO	25mCi	UD	1		$0.00
	20. Tc99m Sulfur Colloid	1mCi (gastric
empty)	UD	30		$0.00
	21. Tc99m Sulfur Colloid	5mCi	UD	10		$0.00
	22. Tc99m Sulfur Colloid Ultra Filtered	200uCi to 1mCi (lymphosci -ntigraphy)	UD	5		$0.00
	23. Tc99m Perteclmetate	Variable per mCi

UD/mC

i	1500		$0.00
	24. Prophosphate Vial.	Vial	EA	5	$0.00
	25. Ultra Tag Non FSS	Kit	EA	20	$0.00
	26. Lymphoseek(Tilmanocept)	500 uCI	UD	15	$0.00
	27. Kinevac(Sincalide)CCK.	5mcg/vial	UD	10	$0.00
	28. In-111 Pentetreotide	6mCI	UD	5	$0.00
	29. Sm-153	As per physician order	UD	1	$0.00
	30. Ascorbic acid vial	500mg/ml	UD	10	$0.00
	31. Heparin 1000u/m1 vial	Vial	EA	25	$0.00

Prices quoted are all inclusive including all associated costs including shipping, handling, packaging, storage, licenses etc. excluding emergency delivery, Pharmacist After-Hour Emergency Call-Back and Weekend White Blood Cell labeling charge.

Deliveries during normal work hours (Monday - Friday) at no charge. Offeror (s) must list any additional charges below:

After hour/Emergency charges - Jesse Brown. VA Medical Center

Emergency Delivery

Pharmacist After-Hour Emergency Call-Back

Weekend White Blood Cell labeling charge

Order Period 2

	ORDERING PERIOD TWO: 2/1/2020 TO 1/31/2021
	ITEM DESCRIPTION	Normal Dose	Unit	Est. Qty	Unit Price	Total Price
	1. Thallium 201 Chloride	1-4mCi	UD	20		$0.00
	2. Tc Ceretec labeled leukocytes,
including Ceretec	15-20mCi	UD	10		$0.00
	3. In-111 labeled leukocyte (VA does not provide In-111 Oxine)	500uCi	EA	3		$0.00
	4. 1-123 Capsules	200uCi	UD	2		$0.00
	5. I-123 Capsules	100uCi	UD	2		$0.00
	6. 1-131 Capsules Diagnostic	lOuCi	UD	10		$0.00
	7. 1-131 Capsules THERAPY	6-250mCi	/mCi	300mCI		$0.00
	8. 1-131 Capsule-1' mCi-Thearapy	15t-1mCi	EA	10		$0.00
	9. In-111 prostascint	5-7mCi	EA	1		$0.00
	10. Tc99 MDP	25mCi	UD	500		$0.00
	11. Tc99 DTPA aerosol	40mCi	UD	200		$0.00
	12. Tc99m DTPA renal	10-20mCi	UD	5		$0.00
	13. Tc99m MAA	4mCi	UD	200		$0.00
	14. Tc99m myocardial perfusion Sestamibi Provided by unit dose	8-12 mCi rest 24-50mCi
stress	UD	500		$0.00
	15. Tc99m myocardial perfusion Agent Sestamibi for Parathyroid	30mCi	UD	20		$0.00
	16. Tc99m MAG3	5-10mCi	UD	60		$0.00
	17. Tc99m Mebrofenin	4-5mCi	UD	15		$0.00
	18. Tc99m ECD (Neurolite)	25mCi	UD	1		$0.00
	19. Tc99m HMPAO	25mCi	UD	1		$0.00
	20. Tc99m Sulfur Colloid	1mCi (gastric
empty)	UD	30		$0.00
	21. Tc99m Sulfur Colloid	5mCi	UD	10		$0.00
	22. Tc99m Sulfur Colloid Ultra Filtered	200uCi to 1mCi (lymphosci -ntigraphy)	UD	5		$0.00
	23. Tc99m Perteclmetate	Variable per mCi

UD/mC

i	1500		$0.00
	24. Prophosphate Vial.	Vial	EA	5	$0.00
	25. Ultra Tag Non FSS	Kit	EA	20	$0.00
	26. Lymphoseek(Tilmanocept)	500 uCI	UD	15	$0.00
	27. Kinevac(Sincalide)CCK.	5mcg/vial	UD	10	$0.00
	28. In-111 Pentetreotide	6mCI	UD	5	$0.00
	29. Sm-153	As per physician order	UD	1	$0.00
	30. Ascorbic acid vial	500mg/ml	UD	10	$0.00
	31. Heparin 1000u/m1 vial	Vial	EA	25	$0.00

Deliveries during normal work hours (Monday - Friday) at no charge. Offeror (s) must list any additional charges below:

After hour/Emergency charges - Jesse Brown. VA Medical Center

Emergency Delivery

Pharmacist After-Hour Emergency Call-Back

Weekend White Blood Cell labeling charge

Order Period 3

	ORDERING PERIOD ONE: 2/1/2021 TO 1/31/2022
	ITEM DESCRIPTION	Normal Dose	Unit	Est. Qty	Unit Price	Total Price
	1. Thallium 201 Chloride	1-4mCi	UD	20		$0.00
	2. Tc Ceretec labeled leukocytes,
including Ceretec	15-20mCi	UD	10		$0.00
	3. In-111 labeled leukocyte (VA does not provide In-111 Oxine)	500uCi	EA	3		$0.00
	4. 1-123 Capsules	200uCi	UD	2		$0.00
	5. I-123 Capsules	100uCi	UD	2		$0.00
	6. 1-131 Capsules Diagnostic	lOuCi	UD	10		$0.00
	7. 1-131 Capsules THERAPY	6-250mCi	/mCi	300mCI		$0.00
	8. 1-131 Capsule-1' mCi-Thearapy	15t-1mCi	EA	10		$0.00
	9. In-111 prostascint	5-7mCi	EA	1		$0.00
	10. Tc99 MDP	25mCi	UD	500		$0.00
	11. Tc99 DTPA aerosol	40mCi	UD	200		$0.00
	12. Tc99m DTPA renal	10-20mCi	UD	5		$0.00
	13. Tc99m MAA	4mCi	UD	200		$0.00
	14. Tc99m myocardial perfusion Sestamibi Provided by unit dose	8-12 mCi rest 24-50mCi
stress	UD	500		$0.00
	15. Tc99m myocardial perfusion Agent Sestamibi for Parathyroid	30mCi	UD	20		$0.00
	16. Tc99m MAG3	5-10mCi	UD	60		$0.00
	17. Tc99m Mebrofenin	4-5mCi	UD	15		$0.00
	18. Tc99m ECD (Neurolite)	25mCi	UD	1		$0.00
	19. Tc99m HMPAO	25mCi	UD	1		$0.00
	20. Tc99m Sulfur Colloid	1mCi (gastric
empty)	UD	30		$0.00
	21. Tc99m Sulfur Colloid	5mCi	UD	10		$0.00
	22. Tc99m Sulfur Colloid Ultra Filtered	200uCi to 1mCi (lymphosci -ntigraphy)	UD	5		$0.00
	23. Tc99m Perteclmetate	Variable per mCi

UD/mC

i	1500		$0.00
	24. Prophosphate Vial.	Vial	EA	5	$0.00
	25. Ultra Tag Non FSS	Kit	EA	20	$0.00
	26. Lymphoseek(Tilmanocept)	500 uCI	UD	15	$0.00
	27. Kinevac(Sincalide)CCK.	5mcg/vial	UD	10	$0.00
	28. In-111 Pentetreotide	6mCI	UD	5	$0.00
	29. Sm-153	As per physician order	UD	1	$0.00
	30. Ascorbic acid vial	500mg/ml	UD	10	$0.00
	31. Heparin 1000u/m1 vial	Vial	EA	25	$0.00

Deliveries during normal work hours (Monday - Friday) at no charge. Offeror (s) must list any additional charges below:

After hour/Emergency charges - Jesse Brown. VA Medical Center

Emergency Delivery

Pharmacist After-Hour Emergency Call-Back

Weekend White Blood Cell labeling charge

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