36C25519Q0197-002.pdf

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Department of Veteran Affairs VISN 15 Immunology Testing Reagents - Cost Per Test (CPT)
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36C25519Q0197
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VA MEDICAL CENTER KANSAS CITY VAMC

CLIN # Consumables or Reagents Item Number Description (Name Brand or Equivalent) Estimated Usage List Price Contract/Open Market Price Extended Price

0001 Reagents ANA Screen Test System ‐ Smart Kit Gold Format 46 $ ‐

0002 Reagents VZV IgG Test System ‐ Smart Kit Gold Format 24 $ ‐

0003 Reagents ELISA Treponema pallidium IgG Test System 46 $ ‐

0004 Reagents Measles IgG Test System ‐ Smart Kit Gold Format 24 $ ‐

0005 Reagents Mumps IgG Test System ‐ Smark Kit Gold Format 27 $ ‐

0006 Reagents Rubella IgG Test System ‐ Smart Kit Gold Format 23 $ ‐

0007 Consumables

1 ml Macrowell Tube Strips (400/box); Polystyrene tubes that fit into the Macrowell holder. Use with Macrowell

Tube Strip Holder (part 65965)

0008 Consumables 2 ML Control Vials (bag of 33) 30 $ ‐

0009 Consumables 25 ml Reagent Tube ‐ (Tubes) 57 $ ‐

0010 Consumables Agility 2 3/7 paper with sticky back $ ‐

0011 Consumables Bronze Kit Insert $ ‐

0012 Consumables Bronze Kit Trough, Agility (50 Pack) 1 $ ‐

0013 Consumables Deep Well Dilution Strips (250 per box) (8 well) 24 $ ‐

0014 Consumables Dilution Strip Holder + Barcode $ ‐

0015 Consumables DSX Dilution Strip Holder (1 ea); use with Deep Well Dilution

Strips (part 62910)

0016 Consumables Macrowell Tube Strip Holder (1 ea); Use with part # 65960 $ ‐

0017 Consumables Mixing Well Strip Holder + Barcode ‐ for use with Agility for

QFT

0018 Consumables Mixing well Strips (BLUE), Box of 125 4 $ ‐

0019 Consumables Agility Barcode Labels for Agility 3 $ ‐

0020 Consumables QFT SmartKit Label for use with 67401 (1 label per SmartKit) 1 $ ‐

0021 Consumables Racked Reagent Tips (4 X 108) 3 $ ‐

0022 Consumables Racked Sample Tips (4 X 108) 74 $ ‐

0023 Consumables Reagent Tips, 490 per box, 5 racks of 98 5 $ ‐

0024 Consumables Sample Tips, 896 per box, 8 racks of 112 105 $ ‐

Performance Period Base Year: TBD

CLIN # Consumables or Reagents Item Number Description (Name Brand or Equivalent) Estimated Usage List Price Contract/Open Market Price Extended Price

0025 Consumables Sample Tips; 4 Racks/Box (432 tips), 12 boxes/case (5184 tips)

0026 Consumables

Sample Tube Rack Assembly

0027 Consumables Sample Tube Rack Tray $ ‐

0028 Reagents Dilution Plate $ ‐

0029 Reagents Dilution Plates (Case of 50) $ ‐

0030 Reagents ELISA Absorbent Solution $ ‐

0031 Reagents ELISA SAVe Diluent $ ‐

0032 Reagents ELISA Stop Solution $ ‐

0033 Reagents ELISA Wash Buff $ ‐

0034 Training 67000TPO 1.5 days on‐site of QFT Training. Includes assay files 1 $ ‐

$ ‐ Total Extended Price

CLIN # Consumables or Reagents Item Number Description (Name Brand or Equivalent) Estimated Usage List Price Contract/Open Market Price Extended Price

CLIN # Consumables or Reagents Item Number Description (Name Brand or Equivalent) Estimated Usage List Price Contract/Open Market Price Extended Price

0001 Reagents ANA Screen Test System ‐ Smart Kit Gold Format 46 $ ‐

0002 Reagents VZV IgG Test System ‐ Smart Kit Gold Format 24 $ ‐

0003 Reagents ELISA Treponema pallidium IgG Test System 46 $ ‐

0004 Reagents Measles IgG Test System ‐ Smart Kit Gold Format 24 $ ‐

0005 Reagents Mumps IgG Test System ‐ Smark Kit Gold Format 27 $ ‐

0006 Reagents Rubella IgG Test System ‐ Smart Kit Gold Format 23 $ ‐

0007 Consumables

1 ml Macrowell Tube Strips (400/box); Polystyrene tubes that fit into the Macrowell holder. Use with Macrowell

Tube Strip Holder (part 65965)

0008 Consumables 2 ML Control Vials (bag of 33) 30 $ ‐

0009 Consumables 25 ml Reagent Tube ‐ (Tubes) 57 $ ‐

0010 Consumables Agility 2 3/7 paper with sticky back $ ‐

0011 Consumables Bronze Kit Insert $ ‐

0012 Consumables Bronze Kit Trough, Agility (50 Pack) 1 $ ‐

0013 Consumables Deep Well Dilution Strips (250 per box) (8 well) 24 $ ‐

0014 Consumables Dilution Strip Holder + Barcode $ ‐

0015 Consumables DSX Dilution Strip Holder (1 ea); use with Deep Well Dilution

Strips (part 62910)

0016 Consumables Macrowell Tube Strip Holder (1 ea); Use with part # 65960 $ ‐

0017 Consumables Mixing Well Strip Holder + Barcode ‐ for use with Agility for

QFT

0018 Consumables Mixing well Strips (BLUE), Box of 125 4 $ ‐

0019 Consumables Agility Barcode Labels for Agility 3 $ ‐

0020 Consumables QFT SmartKit Label for use with 67401 (1 label per SmartKit) 1 $ ‐

0021 Consumables Racked Reagent Tips (4 X 108) 3 $ ‐

0022 Consumables Racked Sample Tips (4 X 108) 74 $ ‐

0023 Consumables Reagent Tips, 490 per box, 5 racks of 98 5 $ ‐

0024 Consumables Sample Tips, 896 per box, 8 racks of 112 105 $ ‐

0025 Consumables Sample Tips; 4 Racks/Box (432 tips), 12 boxes/case (5184 tips)

0026 Consumables

Sample Tube Rack Assembly

0027 Consumables Sample Tube Rack Tray $ ‐

Performance Period Option Year I: TBD

CLIN # Consumables or Reagents Item Number Description (Name Brand or Equivalent) Estimated Usage List Price Contract/Open Market Price Extended Price

0028 Reagents Dilution Plate $ ‐

0029 Reagents Dilution Plates (Case of 50) $ ‐

0030 Reagents ELISA Absorbent Solution $ ‐

0031 Reagents ELISA SAVe Diluent $ ‐

0032 Reagents ELISA Stop Solution $ ‐

0033 Reagents ELISA Wash Buff $ ‐

0034 Training 67000TPO 1.5 days on‐site of QFT Training. Includes assay files 1 $ ‐

CLIN # Consumables or Reagents Item Number Description (Name Brand or Equivalent) Estimated Usage List Price Contract/Open Market Price Extended Price

0001 Reagents ANA Screen Test System ‐ Smart Kit Gold Format 46 $ ‐

0002 Reagents VZV IgG Test System ‐ Smart Kit Gold Format 24 $ ‐

0003 Reagents ELISA Treponema pallidium IgG Test System 46 $ ‐

0004 Reagents Measles IgG Test System ‐ Smart Kit Gold Format 24 $ ‐

0005 Reagents Mumps IgG Test System ‐ Smark Kit Gold Format 27 $ ‐

0006 Reagents Rubella IgG Test System ‐ Smart Kit Gold Format 23 $ ‐

0007 Consumables

1 ml Macrowell Tube Strips (400/box); Polystyrene tubes that fit into the Macrowell holder. Use with Macrowell

Tube Strip Holder (part 65965)

0008 Consumables 2 ML Control Vials (bag of 33) 30 $ ‐

0009 Consumables 25 ml Reagent Tube ‐ (Tubes) 57 $ ‐

0010 Consumables Agility 2 3/7 paper with sticky back $ ‐

0011 Consumables Bronze Kit Insert $ ‐

0012 Consumables Bronze Kit Trough, Agility (50 Pack) 1 $ ‐

0013 Consumables Deep Well Dilution Strips (250 per box) (8 well) 24 $ ‐

0014 Consumables Dilution Strip Holder + Barcode $ ‐

0015 Consumables DSX Dilution Strip Holder (1 ea); use with Deep Well Dilution

Strips (part 62910)

0016 Consumables Macrowell Tube Strip Holder (1 ea); Use with part # 65960 $ ‐

0017 Consumables Mixing Well Strip Holder + Barcode ‐ for use with Agility for

QFT

0018 Consumables Mixing well Strips (BLUE), Box of 125 4 $ ‐

0019 Consumables Agility Barcode Labels for Agility 3 $ ‐

Total Extended Price

Performance Period Option Year II: TBD

CLIN # Consumables or Reagents Item Number Description (Name Brand or Equivalent) Estimated Usage List Price Contract/Open Market Price Extended Price

0020 Consumables QFT SmartKit Label for use with 67401 (1 label per SmartKit) 1 $ ‐

0021 Consumables Racked Reagent Tips (4 X 108) 3 $ ‐

0022 Consumables Racked Sample Tips (4 X 108) 74 $ ‐

0023 Consumables Reagent Tips, 490 per box, 5 racks of 98 5 $ ‐

0024 Consumables Sample Tips, 896 per box, 8 racks of 112 105 $ ‐

0025 Consumables Sample Tips; 4 Racks/Box (432 tips), 12 boxes/case (5184 tips)

0026 Consumables

Sample Tube Rack Assembly

0027 Consumables Sample Tube Rack Tray $ ‐

0028 Reagents Dilution Plate $ ‐

0029 Reagents Dilution Plates (Case of 50) $ ‐

0030 Reagents ELISA Absorbent Solution $ ‐

0031 Reagents ELISA SAVe Diluent $ ‐

0032 Reagents ELISA Stop Solution $ ‐

0033 Reagents ELISA Wash Buff $ ‐

0034 Training 67000TPO 1.5 days on‐site of QFT Training. Includes assay files 1 $ ‐

CLIN # Consumables or Reagents Item Number Description (Name Brand or Equivalent) Estimated Usage List Price Contract/Open Market Price Extended Price

0001 Reagents ANA Screen Test System ‐ Smart Kit Gold Format 46 $ ‐

0002 Reagents VZV IgG Test System ‐ Smart Kit Gold Format 24 $ ‐

0003 Reagents ELISA Treponema pallidium IgG Test System 46 $ ‐

0004 Reagents Measles IgG Test System ‐ Smart Kit Gold Format 24 $ ‐

0005 Reagents Mumps IgG Test System ‐ Smark Kit Gold Format 27 $ ‐

0006 Reagents Rubella IgG Test System ‐ Smart Kit Gold Format 23 $ ‐

0007 Consumables

1 ml Macrowell Tube Strips (400/box); Polystyrene tubes that fit into the Macrowell holder. Use with Macrowell

Tube Strip Holder (part 65965)

0008 Consumables 2 ML Control Vials (bag of 33) 30 $ ‐

0009 Consumables 25 ml Reagent Tube ‐ (Tubes) 57 $ ‐

0010 Consumables Agility 2 3/7 paper with sticky back $ ‐

0011 Consumables Bronze Kit Insert $ ‐

Performance Period Option Year III: TBD

CLIN # Consumables or Reagents Item Number Description (Name Brand or Equivalent) Estimated Usage List Price Contract/Open Market Price Extended Price

0012 Consumables Bronze Kit Trough, Agility (50 Pack) 1 $ ‐

0013 Consumables Deep Well Dilution Strips (250 per box) (8 well) 24 $ ‐

0014 Consumables Dilution Strip Holder + Barcode $ ‐

0015 Consumables DSX Dilution Strip Holder (1 ea); use with Deep Well Dilution

Strips (part 62910)

0016 Consumables Macrowell Tube Strip Holder (1 ea); Use with part # 65960 $ ‐

0017 Consumables Mixing Well Strip Holder + Barcode ‐ for use with Agility for

QFT

0018 Consumables Mixing well Strips (BLUE), Box of 125 4 $ ‐

0019 Consumables Agility Barcode Labels for Agility 3 $ ‐

0020 Consumables QFT SmartKit Label for use with 67401 (1 label per SmartKit) 1 $ ‐

0021 Consumables Racked Reagent Tips (4 X 108) 3 $ ‐

0022 Consumables Racked Sample Tips (4 X 108) 74 $ ‐

0023 Consumables Reagent Tips, 490 per box, 5 racks of 98 5 $ ‐

0024 Consumables Sample Tips, 896 per box, 8 racks of 112 105 $ ‐

0025 Consumables Sample Tips; 4 Racks/Box (432 tips), 12 boxes/case (5184 tips)

0026 Consumables

Sample Tube Rack Assembly

0027 Consumables Sample Tube Rack Tray $ ‐

0028 Reagents Dilution Plate $ ‐

0029 Reagents Dilution Plates (Case of 50) $ ‐

0030 Reagents ELISA Absorbent Solution $ ‐

0031 Reagents ELISA SAVe Diluent $ ‐

0032 Reagents ELISA Stop Solution $ ‐

0033 Reagents ELISA Wash Buff $ ‐

0034 Training 67000TPO 1.5 days on‐site of QFT Training. Includes assay files 1 $ ‐

CLIN # Consumables or Reagents Item Number Description (Name Brand or Equivalent) Estimated Usage List Price Contract/Open Market Price Extended Price

0001 Reagents ANA Screen Test System ‐ Smart Kit Gold Format 46 $ ‐

0002 Reagents VZV IgG Test System ‐ Smart Kit Gold Format 24 $ ‐

0003 Reagents ELISA Treponema pallidium IgG Test System 46 $ ‐

Performance Period Option Year IV: TBD

CLIN # Consumables or Reagents Item Number Description (Name Brand or Equivalent) Estimated Usage List Price Contract/Open Market Price Extended Price

0004 Reagents Measles IgG Test System ‐ Smart Kit Gold Format 24 $ ‐

0005 Reagents Mumps IgG Test System ‐ Smark Kit Gold Format 27 $ ‐

0006 Reagents Rubella IgG Test System ‐ Smart Kit Gold Format 23 $ ‐

0007 Consumables

1 ml Macrowell Tube Strips (400/box); Polystyrene tubes that fit into the Macrowell holder. Use with Macrowell

Tube Strip Holder (part 65965)

0008 Consumables 2 ML Control Vials (bag of 33) 30 $ ‐

0009 Consumables 25 ml Reagent Tube ‐ (Tubes) 57 $ ‐

0010 Consumables Agility 2 3/7 paper with sticky back $ ‐

0011 Consumables Bronze Kit Insert $ ‐

0012 Consumables Bronze Kit Trough, Agility (50 Pack) 1 $ ‐

0013 Consumables Deep Well Dilution Strips (250 per box) (8 well) 24 $ ‐

0014 Consumables Dilution Strip Holder + Barcode $ ‐

0015 Consumables DSX Dilution Strip Holder (1 ea); use with Deep Well Dilution

Strips (part 62910)

0016 Consumables Macrowell Tube Strip Holder (1 ea); Use with part # 65960 $ ‐

0017 Consumables Mixing Well Strip Holder + Barcode ‐ for use with Agility for

QFT

0018 Consumables Mixing well Strips (BLUE), Box of 125 4 $ ‐

0019 Consumables Agility Barcode Labels for Agility 3 $ ‐

0020 Consumables QFT SmartKit Label for use with 67401 (1 label per SmartKit) 1 $ ‐

0021 Consumables Racked Reagent Tips (4 X 108) 3 $ ‐

0022 Consumables Racked Sample Tips (4 X 108) 74 $ ‐

0023 Consumables Reagent Tips, 490 per box, 5 racks of 98 5 $ ‐

0024 Consumables Sample Tips, 896 per box, 8 racks of 112 105 $ ‐

0025 Consumables Sample Tips; 4 Racks/Box (432 tips), 12 boxes/case (5184 tips)

0026 Consumables

Sample Tube Rack Assembly

0027 Consumables Sample Tube Rack Tray $ ‐

0028 Reagents Dilution Plate $ ‐

0029 Reagents Dilution Plates (Case of 50) $ ‐

0030 Reagents ELISA Absorbent Solution $ ‐

0031 Reagents ELISA SAVe Diluent $ ‐

0032 Reagents ELISA Stop Solution $ ‐

0033 Reagents ELISA Wash Buff $ ‐

CLIN # Consumables or Reagents Item Number Description (Name Brand or Equivalent) Estimated Usage List Price Contract/Open Market Price Extended Price

0034 Training 67000TPO 1.5 days on‐site of QFT Training. Includes assay files 1 $ ‐

$ ‐ Total Extended Price

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