36C25219Q0585-002.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 36C25219Q0585
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36C25219Q0585 List of RX - 36C25219Q0585.xlsx
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| File | Type | Posted |
|---|---|---|
| 36C25219Q0585-001.docx | DOCX document | |
| 36C25219Q0585-000.docx | DOCX document |
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Text version
Order Period 1
| ORDERING PERIOD (1) ONE: 9/1/2019 TO 8/31/2020 | |||||||
| ITEM DESCRIPTION | Normal Dose | Unit | Est. Qty | Unit Price | Total Price | per mCi pricing if appropriate | Any Contractor Notes |
| 1. Thallium 201 Chloride | 4mCi | UD | 4 | $ - 0 | |||
| 2. In-111 labeled leukocyte (VA does not provide In-111 Oxine) | 500uCi | EA | 1 | $ - 0 | |||
| 3. 1-123 Capsules | 200uCi | UD | 70 | $ - 0 | |||
| 4a. I131 high dose capsules | 100mCi | UD | 5 | $ - 0 | Provide per mCi pricing for when we purchase by dose for specific patients: $ | ||
| 4b. I-131 low dose Capsules | 10 mCi | UD | 10 | $ - 0 | Provide per mCi pricing for when we purchase by dose for specific patients: $ | ||
| 5. Tc99 MDP | 20 mCi | UD | 490 | $ - 0 | |||
| 6. Tc99 DTPA aerosol | 30 mCi | UD | 400 | $ - 0 | |||
| 7. Tc99m MAA | 5mCi | UD | 430 | $ - 0 | |||
| 8a. Tc99m myocardial perfusion agent:Tc99m Tetrofosmin (Rest) | 10 mCi rest |
| UD | 1500 | $ - 0 | Provide per mCi pricing for when we purchase by dose for specific patients: $ | ||
| 8b. Tc99m myocardial perfusion agent:Tc99m Tetrofosmin (Stress) | 30 mCi stress | UD | 1500 | $ - 0 | Provide per mCi pricing for when we purchase by dose for specific patients: $ |
| 9. Tc99m Sestamibi :parathyroid imaging |
for Parathyroid
| 20 mCi | UD | 10 | $ - 0 | ||
| 10. Tc99m MAG3 | 6 mCi | UD | 40 | $ - 0 | |
| 11. Tc99m Mebrofenin | 6 mCi | UD | 45 | $ - 0 | |
| 12. Tc99m HMPAO | 25 mCi | UD | 1 | $ - 0 | |
| 13a. Tc99m Sulfur Colloid | 1 mCi (gastric empty) | UD | 43 | $ - 0 | |
| 13b. Tc99m Sulfur Colloid | 4 mCi | UD | 2 | $ - 0 | |
| 15. Tc99m Sulfur Colloid Ultra filtered | 1mCi (lymphoscinti-graphy) | UD | 30 | $ - 0 | |
| 16a. Tc99m Pertechnetate Unit Dose | 35 mCi | UD | 35 | $ - 0 | |
| 16b. Tc99m Pertechnetate Unit Dose | 50mCi | UD | 2 | $ - 0 | |
| 17. Tc99m Pertechnetate Bulk | 250 | UD | 4 | $ - 0 | |
| 18. Gallium | 6mCi | UD | 1 | $ - 0 |
| Total | $ - 0 |
| Total all years | $ - 0 |
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 - Hines VA Medical Center | |||
| qty | price | total price | |
| Emergency Delivery (STAT) | 25 | $ - 0 | |
| Pharmacist After-Hour Emergency Call-Back | 8 | $ - 0 | |
| Weekend White Blood Cell labeling charge | 0 | $ - 0 | |
| weekend delivery | 4 | $ - 0 | |
| after hours delivery | 8 | $ - 0 |
total delivery charges $ - 0
Order Period 2
| ORDERING PERIOD (2) TWO: 9/1/2020 TO 8/31/2021 | |||||||
| ITEM DESCRIPTION | Normal Dose | Unit | Est. Qty | Unit Price | Total Price | per mCi pricing if appropriate | Any Contractor Notes |
| 1. Thallium 201 Chloride | 4mCi | UD | 4 | $ - 0 | |||
| 2. In-111 labeled leukocyte (VA does not provide In-111 Oxine) | 500uCi | EA | 1 | $ - 0 | |||
| 3. 1-123 Capsules | 200uCi | UD | 70 | $ - 0 | |||
| 4a. I131 high dose capsules | 100mCi | UD | 5 | $ - 0 | Provide per mCi pricing for when we purchase by dose for specific patients: $ | ||
| 4b. I-131 low dose Capsules | 10 mCi | UD | 10 | $ - 0 | Provide per mCi pricing for when we purchase by dose for specific patients: $ | ||
| 5. Tc99 MDP | 20 mCi | UD | 490 | $ - 0 | |||
| 6. Tc99 DTPA aerosol | 30 mCi | UD | 400 | $ - 0 | |||
| 7. Tc99m MAA | 5mCi | UD | 430 | $ - 0 | |||
| 8a. Tc99m myocardial perfusion agent:Tc99m Tetrofosmin (Rest) | 10 mCi rest |
| UD | 1500 | $ - 0 | Provide per mCi pricing for when we purchase by dose for specific patients: $ | ||
| 8b. Tc99m myocardial perfusion agent:Tc99m Tetrofosmin (Stress) | 30 mCi stress | UD | 1500 | Provide per mCi pricing for when we purchase by dose for specific patients: $ | |
| 9. Tc99m Sestamibi :parathyroid imaging |
for Parathyroid
| 20 mCi | UD | 10 | $ - 0 | ||
| 10. Tc99m MAG3 | 6 mCi | UD | 40 | $ - 0 | |
| 11. Tc99m Mebrofenin | 6 mCi | UD | 45 | $ - 0 | |
| 12. Tc99m HMPAO | 25 mCi | UD | 1 | $ - 0 | |
| 13a. Tc99m Sulfur Colloid | 1 mCi (gastric empty) | UD | 43 | $ - 0 | |
| 13b. Tc99m Sulfur Colloid | 4 mCi | UD | 2 | $ - 0 | |
| 15. Tc99m Sulfur Colloid Ultra filtered | 1mCi (lymphoscinti-graphy) | UD | 30 | $ - 0 | |
| 16a. Tc99m Pertechnetate Unit Dose | 35 mCi | UD | 35 | $ - 0 | |
| 16b. Tc99m Pertechnetate Unit Dose | 50mCi | UD | 2 | $ - 0 | |
| 17. Tc99m Pertechnetate Bulk | 250 | UD | 4 | $ - 0 | |
| 18. Gallium | 6mCi | UD | 1 | $ - 0 |
| Total | $ - 0 |
| Total all years | $ - 0 |
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 - Hines VA Medical Center | |||
| qty | price | total price | |
| Emergency Delivery (STAT) | 25 | $ - 0 | |
| Pharmacist After-Hour Emergency Call-Back | 8 | $ - 0 | |
| Weekend White Blood Cell labeling charge | 0 | $ - 0 | |
| weekend delivery | 4 | $ - 0 | |
| after hours delivery | 8 | $ - 0 |
total delivery charges $ - 0
Order Period 3
| ORDERING PERIOD (3)THREE: 9/1/2021 TO 8/31/2022 | |||||||
| ITEM DESCRIPTION | Normal Dose | Unit | Est. Qty | Unit Price | Total Price | per mCi pricing if appropriate | Any Contractor Notes |
| 1. Thallium 201 Chloride | 4mCi | UD | 4 | $ - 0 | |||
| 2. In-111 labeled leukocyte (VA does not provide In-111 Oxine) | 500uCi | EA | 1 | $ - 0 | |||
| 3. 1-123 Capsules | 200uCi | UD | 70 | $ - 0 | |||
| 4a. I131 high dose capsules | 100mCi | UD | 5 | $ - 0 | Provide per mCi pricing for when we purchase by dose for specific patients: $ | ||
| 4b. I-131 low dose Capsules | 10 mCi | UD | 10 | $ - 0 | Provide per mCi pricing for when we purchase by dose for specific patients: $ | ||
| 5. Tc99 MDP | 20 mCi | UD | 490 | $ - 0 | |||
| 6. Tc99 DTPA aerosol | 30 mCi | UD | 400 | $ - 0 | |||
| 7. Tc99m MAA | 5mCi | UD | 430 | $ - 0 | |||
| 8a. Tc99m myocardial perfusion agent:Tc99m Tetrofosmin (Rest) | 10 mCi rest |
| UD | 1500 | $ - 0 | Provide per mCi pricing for when we purchase by dose for specific patients: $ | ||
| 8b. Tc99m myocardial perfusion agent:Tc99m Tetrofosmin (Stress) | 30 mCi stress | UD | 1500 | $ - 0 | Provide per mCi pricing for when we purchase by dose for specific patients: $ |
| 9. Tc99m Sestamibi :parathyroid imaging |
for Parathyroid
| 20 mCi | UD | 10 | $ - 0 | ||
| 10. Tc99m MAG3 | 6 mCi | UD | 40 | $ - 0 | |
| 11. Tc99m Mebrofenin | 6 mCi | UD | 45 | $ - 0 | |
| 12. Tc99m HMPAO | 25 mCi | UD | 1 | $ - 0 | |
| 13a. Tc99m Sulfur Colloid | 1 mCi (gastric empty) | UD | 43 | $ - 0 | |
| 13b. Tc99m Sulfur Colloid | 4 mCi | UD | 2 | $ - 0 | |
| 15. Tc99m Sulfur Colloid Ultra filtered | 1mCi (lymphoscinti-graphy) | UD | 30 | $ - 0 | |
| 16a. Tc99m Pertechnetate Unit Dose | 35 mCi | UD | 35 | $ - 0 | |
| 16b. Tc99m Pertechnetate Unit Dose | 50mCi | UD | 2 | $ - 0 | |
| 17. Tc99m Pertechnetate Bulk | 250 | UD | 4 | $ - 0 | |
| 18. Gallium | 6mCi | UD | 1 | $ - 0 |
| Total | $ - 0 |
| Total all years | $ - 0 |
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 - Hines VA Medical Center | |||
| qty | price | total price | |
| Emergency Delivery (STAT) | 25 | $ - 0 | |
| Pharmacist After-Hour Emergency Call-Back | 8 | $ - 0 | |
| Weekend White Blood Cell labeling charge | 0 | $ - 0 | |
| weekend delivery | 4 | $ - 0 | |
| after hours delivery | 8 | $ - 0 |
total delivery charges $ - 0
File details come from the government source that posted it.