36C25220Q0241-002.xlsx

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Radio Pharmaceutical Requirement Federal contract opportunity
Solicitation number
36C25220Q0241
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12

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36C25220Q0241 Attachment 1 - RFQ Price Schedule 36C25220Q0241.xlsx

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CLIN 1000

CLIN 1000 - Estimated Usage for Ordering Period One 3/1/2020 to 2/28/2021
Item #Description/Part Number*Estimated Yearly QTYUnitPrice per UnitExtended Amount
1Tc99m DTPA for multiple indications (1 - 20 mCi)4UD$0.00
2Tc99m DTPA for multiple indications (20 - 40 mCi)12UD$0.00
3Tc99m ECD (aka Neurolite) (30 mCi)1UD$0.00
4Tc99m HMPAO (aka Ceretec) (30 mCi)1UD$0.00
5Tc99m MAA Standard Particles (5 mCi)55UD$0.00
6Tc99m MAA Reduced Particles (5 mCi)10UD$0.00
7Tc99m MAG3 (10 mCi)20UD$0.00
8Tc99m MDP (25 mCi)450UD$0.00
9Tc99m Mebrofenin or similar (5 mCi)20UD$0.00
10Tc99m PYP for Cardiac (25 mCi)12UD$0.00
11Tc99m PYP for Aerosol (50 mCi)53UD$0.00
12Tc99m Sestamibi for Cardiac (8 - 12 mCi rest; 24 - 35 mCi stress)2UD$0.00
13Tc99m Sestamibi for Parathyroid (30 mCi)12UD$0.00
14Tc99m NaTcO4 (1 - 30 mCi)15UD$0.00
15Tc99m NaTcO4 (30 mCi or more)1000mCi$0.00
16Tc99m Sulfur Colloid for Gastric empty (2 mCi)40UD$0.00
17Tc99m Sulfur Colloid for Liver (6 mCi)2UD$0.00
18Tc99m Sulfur Colloid Ultra filtered for Lymphoscintigraphy (200 uCi to 1 mCi)4UD$0.00
19Tc99m Tetrofosmin for Cardiac (8 - 12 mCi rest; 24 - 35 mCi stress)3050UD$0.00
20Gallium 67 Citrate40mCi$0.00
21I-123 Capsules (100 uCi)48Capsules$0.00
22I-123 Capsules (200 uCI)1Capsules$0.00
23I-123 Capsules (2 - 10 mCi)1mCi$0.00
24I-131 Capsules (Thereputic ) (Part of therapeutic dose) (1 - 6 mCi)6mCi$0.00
25I-131 Capsules (Therapeutic) (Part of therapeutic dose) (7 or more mCi)
300mCi$0.00
26I-131 Capsules (Diagnostic) (1 - 6 mCi)6UD$0.00
27In-111 DTPA1VIAL$0.00
28Tl- 201 Chloride18mCi$0.00
29Xe-133 gas (20 mCi)2UD$0.00
30Tc99m Ceretec labeled leukocytes, including Ceretec (4 - 6 mCi)1UD$0.00
31Labeled leukocyte compounding fee only (VA provides In111 Oxine)55EA$0.00
32In-111 labeled leukocyte (VA does not provide In-111 Oxine) (500 uCi)5UD$0.00
33DTPA Vial1VIAL$0.00
34MAA Vial1VIAL$0.00
35MDP Vial1VIAL$0.00
36Mebrofenin or similar Vial1VIAL$0.00
37Pyrophosphate Vial10VIAL$0.00
38Ultra Tag Kit3Kit$0.00
39Deliveries during normal business hours5Day$0.00
40Emergency After-Hours Delivery12EA$0.00
41Pharmacist After-Hour Emergency Call-Back12EA$0.00
42Weekend White Blood Cell Labeling charge1EA$0.00
Ordering Period Base year Estimated Total Dollar Value:$0.00

CLIN 2000

CLIN 2000 - Estimated Usage for Ordering Period One 3/1/2021 to 2/28/2022
Item #Description/Part Number*Estimated Yearly QTYUnitPrice per UnitExtended Amount
1Tc99m DTPA for multiple indications (1 - 20 mCi)4UD$0.00
2Tc99m DTPA for multiple indications (20 - 40 mCi)12UD$0.00
3Tc99m ECD (aka Neurolite) (30 mCi)1UD$0.00
4Tc99m HMPAO (aka Ceretec) (30 mCi)1UD$0.00
5Tc99m MAA Standard Particles (5 mCi)55UD$0.00
6Tc99m MAA Reduced Particles (5 mCi)10UD$0.00
7Tc99m MAG3 (10 mCi)20UD$0.00
8Tc99m MDP (25 mCi)450UD$0.00
9Tc99m Mebrofenin or similar (5 mCi)20UD$0.00
10Tc99m PYP for Cardiac (25 mCi)12UD$0.00
11Tc99m PYP for Aerosol (50 mCi)53UD$0.00
12Tc99m Sestamibi for Cardiac (8 - 12 mCi rest; 24 - 35 mCi stress)2UD$0.00
13Tc99m Sestamibi for Parathyroid (30 mCi)12UD$0.00
14Tc99m NaTcO4 (1 - 30 mCi)15UD$0.00
15Tc99m NaTcO4 (30 mCi or more)1000mCi$0.00
16Tc99m Sulfur Colloid for Gastric empty (2 mCi)40UD$0.00
17Tc99m Sulfur Colloid for Liver (6 mCi)2UD$0.00
18Tc99m Sulfur Colloid Ultra filtered for Lymphoscintigraphy (200 uCi to 1 mCi)4UD$0.00
19Tc99m Tetrofosmin for Cardiac (8 - 12 mCi rest; 24 - 35 mCi stress)3050UD$0.00
20Gallium 67 Citrate40mCi$0.00
21I-123 Capsules (100 uCi)48Capsules$0.00
22I-123 Capsules (200 uCI)1Capsules$0.00
23I-123 Capsules (2 - 10 mCi)1mCi$0.00
24I-131 Capsules (Thereputic ) (Part of therapeutic dose) (1 - 6 mCi)6mCi$0.00
25I-131 Capsules (Therapeutic) (Part of therapeutic dose) (7 or more mCi)
300mCi$0.00
26I-131 Capsules (Diagnostic) (1 - 6 mCi)6UD$0.00
27In-111 DTPA1VIAL$0.00
28Tl- 201 Chloride18mCi$0.00
29Xe-133 gas (20 mCi)2UD$0.00
30Tc99m Ceretec labeled leukocytes, including Ceretec (4 - 6 mCi)1UD$0.00
31Labeled leukocyte compounding fee only (VA provides In111 Oxine)55EA$0.00
32In-111 labeled leukocyte (VA does not provide In-111 Oxine) (500 uCi)5UD$0.00
33DTPA Vial1VIAL$0.00
34MAA Vial1VIAL$0.00
35MDP Vial1VIAL$0.00
36Mebrofenin or similar Vial1VIAL$0.00
37Pyrophosphate Vial10VIAL$0.00
38Ultra Tag Kit3Kit$0.00
39Deliveries during normal business hours5Day$0.00
40Emergency After-Hours Delivery12EA$0.00
41Pharmacist After-Hour Emergency Call-Back12EA$0.00
42Weekend White Blood Cell Labeling charge1EA$0.00
Ordering Period Base year Estimated Total Dollar Value:$0.00

CLIN 3000

CLIN 3000 - Estimated Usage for Ordering Period One 3/1/2022 to 2/28/2023
Item #Description/Part Number*Estimated Yearly QTYUnitPrice per UnitExtended Amount
1Tc99m DTPA for multiple indications (1 - 20 mCi)4UD$0.00
2Tc99m DTPA for multiple indications (20 - 40 mCi)12UD$0.00
3Tc99m ECD (aka Neurolite) (30 mCi)1UD$0.00
4Tc99m HMPAO (aka Ceretec) (30 mCi)1UD$0.00
5Tc99m MAA Standard Particles (5 mCi)55UD$0.00
6Tc99m MAA Reduced Particles (5 mCi)10UD$0.00
7Tc99m MAG3 (10 mCi)20UD$0.00
8Tc99m MDP (25 mCi)450UD$0.00
9Tc99m Mebrofenin or similar (5 mCi)20UD$0.00
10Tc99m PYP for Cardiac (25 mCi)12UD$0.00
11Tc99m PYP for Aerosol (50 mCi)53UD$0.00
12Tc99m Sestamibi for Cardiac (8 - 12 mCi rest; 24 - 35 mCi stress)2UD$0.00
13Tc99m Sestamibi for Parathyroid (30 mCi)12UD$0.00
14Tc99m NaTcO4 (1 - 30 mCi)15UD$0.00
15Tc99m NaTcO4 (30 mCi or more)1000mCi$0.00
16Tc99m Sulfur Colloid for Gastric empty (2 mCi)40UD$0.00
17Tc99m Sulfur Colloid for Liver (6 mCi)2UD$0.00
18Tc99m Sulfur Colloid Ultra filtered for Lymphoscintigraphy (200 uCi to 1 mCi)4UD$0.00
19Tc99m Tetrofosmin for Cardiac (8 - 12 mCi rest; 24 - 35 mCi stress)3050UD$0.00
20Gallium 67 Citrate40mCi$0.00
21I-123 Capsules (100 uCi)48Capsules$0.00
22I-123 Capsules (200 uCI)1Capsules$0.00
23I-123 Capsules (2 - 10 mCi)1mCi$0.00
24I-131 Capsules (Thereputic ) (Part of therapeutic dose) (1 - 6 mCi)6mCi$0.00
25I-131 Capsules (Therapeutic) (Part of therapeutic dose) (7 or more mCi)
300mCi$0.00
26I-131 Capsules (Diagnostic) (1 - 6 mCi)6UD$0.00
27In-111 DTPA1VIAL$0.00
28Tl- 201 Chloride18mCi$0.00
29Xe-133 gas (20 mCi)2UD$0.00
30Tc99m Ceretec labeled leukocytes, including Ceretec (4 - 6 mCi)1UD$0.00
31Labeled leukocyte compounding fee only (VA provides In111 Oxine)55EA$0.00
32In-111 labeled leukocyte (VA does not provide In-111 Oxine) (500 uCi)5UD$0.00
33DTPA Vial1VIAL$0.00
34MAA Vial1VIAL$0.00
35MDP Vial1VIAL$0.00
36Mebrofenin or similar Vial1VIAL$0.00
37Pyrophosphate Vial10VIAL$0.00
38Ultra Tag Kit3Kit$0.00
39Deliveries during normal business hours5Day$0.00
40Emergency After-Hours Delivery12EA$0.00
41Pharmacist After-Hour Emergency Call-Back12EA$0.00
42Weekend White Blood Cell Labeling charge1EA$0.00
Ordering Period Base year Estimated Total Dollar Value:$0.00

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