36C25519Q0582-003.xlsx

XLSX spreadsheet 30 KB Posted

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Copy of VISN- BPA for POC Creatinine - eGFR Testing
Solicitation number
36C25519Q0582
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36C25519Q0582 Attachment B-Estimated Usage of Reagents.xlsx

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Text version

Complete by Vendor Estimated Quantities Per Year

First Option Year

CLINProduct NumberMaterial DescriptionKansas CityUnit PriceExtended PriceWichitaUnit PriceExtended PriceQuantity TotalTotal CostWichita
00001EPOC Reader022
00002EDM Server011
00003EPOC BGEM CREA TEST CARD [50 PK]11810128$ - 0500-pats/50 QC
00004CV SET, BGEM, EUROTROL [20 VIALS]102.512.5$ - 0
00005CV SET, HCT, EUROTROL [20 VIALS]72.59.5$ - 0
00006QC FLUID, LVL1, EUROTROL [10X2.5ML]10515$ - 0
00007QC FLUID, LVL3, EUROTROL [10X2.5ML]10515$ - 0
00008QC FLUID, HCTA, EUROTROL [10X2.5ML]6511$ - 0
00009QC FLUID, HCTC EUROTROL [10X2.5ML]6511$ - 0
00010QC FLUID, HCTB EUROTROL [10X2.5ML]358$ - 0
00011EUROTROL GAS-ISE LEVEL 1 QC FLUID [10/BOX]8513$ - 0
00012EUROTROL GAS-ISE LEVEL 3 QC FLUID [10/BOX]8513$ - 0
TOTAL COST Base Year$ - 0
Estimated Quantities Per Year

Option Year 1

CLINProduct NumberMaterial DescriptionKansas CityUnit PriceExtended PriceWichitaUnit PriceExtended PriceQuantity TotalTotal Cost
00001EPOC Reader022
00002EDM Server011
00003EPOC BGEM CREA TEST CARD [50 PK]11810128$ - 0
00004CV SET, BGEM, EUROTROL [20 VIALS]102.512.5$ - 0
00005CV SET, HCT, EUROTROL [20 VIALS]72.59.5$ - 0
00006QC FLUID, LVL1, EUROTROL [10X2.5ML]10515$ - 0
00007QC FLUID, LVL3, EUROTROL [10X2.5ML]10515$ - 0
00008QC FLUID, HCTA, EUROTROL [10X2.5ML]6511$ - 0
00009QC FLUID, HCTC EUROTROL [10X2.5ML]6511$ - 0
00010QC FLUID, HCTB EUROTROL [10X2.5ML]358$ - 0
00011EUROTROL GAS-ISE LEVEL 1 QC FLUID [10/BOX]8513$ - 0
00012EUROTROL GAS-ISE LEVEL 3 QC FLUID [10/BOX]8513$ - 0
TOTAL COST Option Year 1$ - 0

Estimated Quantities Per Year

Option Year 2

CLINProduct NumberMaterial DescriptionKansas CityUnit PriceExtended PriceWichitaUnit PriceExtended PriceQuantity TotalTotal Cost
00001EPOC Reader022
00002EDM Server011
00003EPOC BGEM CREA TEST CARD [50 PK]11810128$ - 0
00004CV SET, BGEM, EUROTROL [20 VIALS]102.512.5$ - 0
00005CV SET, HCT, EUROTROL [20 VIALS]72.59.5$ - 0
00006QC FLUID, LVL1, EUROTROL [10X2.5ML]10515$ - 0
00007QC FLUID, LVL3, EUROTROL [10X2.5ML]10515$ - 0
00008QC FLUID, HCTA, EUROTROL [10X2.5ML]6511$ - 0
00009QC FLUID, HCTC EUROTROL [10X2.5ML]6511$ - 0
00010QC FLUID, HCTB EUROTROL [10X2.5ML]358$ - 0
00011EUROTROL GAS-ISE LEVEL 1 QC FLUID [10/BOX]8513$ - 0
00012EUROTROL GAS-ISE LEVEL 3 QC FLUID [10/BOX]8513$ - 0
TOTAL COST Option Year 2$ - 0
Estimated Quantities Per Year

Option Year 3

CLINProduct NumberMaterial DescriptionKansas CityUnit PriceExtended PriceWichitaUnit PriceExtended PriceQuantity TotalTotal Cost
00001EPOC Reader022
00002EDM Server011
00003EPOC BGEM CREA TEST CARD [50 PK]11810128$ - 0
00004CV SET, BGEM, EUROTROL [20 VIALS]102.512.5$ - 0
00005CV SET, HCT, EUROTROL [20 VIALS]72.59.5$ - 0
00006QC FLUID, LVL1, EUROTROL [10X2.5ML]10515$ - 0
00007QC FLUID, LVL3, EUROTROL [10X2.5ML]10515$ - 0
00008QC FLUID, HCTA, EUROTROL [10X2.5ML]6511$ - 0
00009QC FLUID, HCTC EUROTROL [10X2.5ML]6511$ - 0
00010QC FLUID, HCTB EUROTROL [10X2.5ML]358$ - 0
00011EUROTROL GAS-ISE LEVEL 1 QC FLUID [10/BOX]8513$ - 0
00012EUROTROL GAS-ISE LEVEL 3 QC FLUID [10/BOX]8513$ - 0
TOTAL COST Option Year 3$ - 0
Estimated Quantities Per Year

Option Year 4

CLINProduct NumberMaterial DescriptionKansas CityUnit PriceExtended PriceWichitaUnit PriceExtended PriceQuantity TotalTotal Cost
00001EPOC Reader022
00002EDM Server011
00003EPOC BGEM CREA TEST CARD [50 PK]11810128$ - 0
00004CV SET, BGEM, EUROTROL [20 VIALS]102.512.5$ - 0
00005CV SET, HCT, EUROTROL [20 VIALS]72.59.5$ - 0
00006QC FLUID, LVL1, EUROTROL [10X2.5ML]10515$ - 0
00007QC FLUID, LVL3, EUROTROL [10X2.5ML]10515$ - 0
00008QC FLUID, HCTA, EUROTROL [10X2.5ML]6511$ - 0
00009QC FLUID, HCTC EUROTROL [10X2.5ML]6511$ - 0
00010QC FLUID, HCTB EUROTROL [10X2.5ML]358$ - 0
00011EUROTROL GAS-ISE LEVEL 1 QC FLUID [10/BOX]8513$ - 0
00012EUROTROL GAS-ISE LEVEL 3 QC FLUID [10/BOX]8513$ - 0
TOTAL COST Option Year 4$ - 0

Attachment B Test Count

Estimated Quantities Per Year
Kansas City VA Medical Center, Kansas City Missouri
Base Year
CLINASSAYFACILITYSample TypeCLIA ComplexityDevice Type Based on UsageAnalyzer LocationsNUMBER OF ANALYZERSNumber of Downloaders/ChargersNumber of IP AddressesTOTAL PATIENTSCONTROLSPROFICIENCY SAMPLESVALIDATION SAMPLESLOT TO LOT COMPARISON SAMPLESTOTAL QUANTITYCOSTTOTAL COST
001Creatinine with EGFRKansas CityGreen Top TubeWaived or ModerateHandheldNA000000000
Total Cost Base Year
Estimated Quantities Per Year
Kansas City VA Medical Center, Kansas City Missouri
Option Year 1 Year
CLINASSAYFACILITYSample TypeCLIA ComplexityDevice Type Based on UsageAnalyzer LocationsNUMBER OF ANALYZERSNumber of Downloaders/ChargersNumber of IP AddressesTOTAL PATIENTSCONTROLSPROFICIENCY SAMPLESVALIDATION SAMPLESLOT TO LOT COMPARISON SAMPLESTOTAL QUANTITYCOSTTOTAL COST
001Creatinine with EGFRKansas CityGreen Top TubeWaived or ModerateHandheldNA000000000
TOTAL Cost Option Year 1
Estimated Quantities Per Year
Kansas City VA Medical Center, Kansas City Missouri
Option Year 2
CLINASSAYFACILITYSample TypeCLIA ComplexityDevice Type Based on UsageAnalyzer LocationsNUMBER OF ANALYZERSNumber of Downloaders/ChargersNumber of IP AddressesTOTAL PATIENTSCONTROLSPROFICIENCY SAMPLESVALIDATION SAMPLESLOT TO LOT COMPARISON SAMPLESTOTAL QUANTITYCOSTTOTAL COST
001Creatinine with EGFRKansas CityGreen Top TubeWaived or ModerateHandheldNA000000000
Total Cost Option Year 2
Estimated Quantities Per Year
Kansas City VA Medical Center, Kansas City Missouri
Option Year 3
CLINASSAYFACILITYSample TypeCLIA ComplexityDevice Type Based on UsageAnalyzer LocationsNUMBER OF ANALYZERSNumber of Downloaders/ChargersNumber of IP AddressesTOTAL PATIENTSCONTROLSPROFICIENCY SAMPLESVALIDATION SAMPLESLOT TO LOT COMPARISON SAMPLESTOTAL QUANTITYCOSTTOTAL COST
001Creatinine with EGFRKansas CityGreen Top TubeWaived or ModerateHandheldNA000000000
Total Cost Option Year 3
Estimated Quantities Per Year
Kansas City VA Medical Center, Kansas City Missouri
Option Year 4
CLINASSAYFACILITYSample TypeCLIA ComplexityDevice Type Based on UsageAnalyzer LocationsNUMBER OF ANALYZERSNumber of Downloaders/ChargersNumber of IP AddressesTOTAL PATIENTSCONTROLSPROFICIENCY SAMPLESVALIDATION SAMPLESLOT TO LOT COMPARISON SAMPLESTOTAL QUANTITYCOSTTOTAL COST
001Creatinine with EGFRKansas CityGreen Top TubeWaived or ModerateHandheldNA000000000
Total Cost Option Year 4
Estimated Quantities Per Year
Robert J Dole VA Medical Center, Wichita, Kansas
Base Year
CLINASSAYFACILITYSample TypeCLIA ComplexityDevice Type Based on UsageAnalyzer LocationsNUMBER OF ANALYZERSNumber of Downloaders/ChargersNumber of IP AddressesTOTAL PATIENTSCONTROLSPROFICIENCY SAMPLESVALIDATION SAMPLESLOT TO LOT COMPARISON SAMPLESTOTAL QUANTITYCOSTTOTAL COST
001Creatinine with EGFRWichitaGreen Top TubeWaived or ModerateHandheldRadiology/MRI22250050303030640
Total Cost Base Year
Robert J Dole VA Medical Center, Wichita, Kansas
Option Year 1
CLINASSAYFACILITYSample TypeCLIA ComplexityDevice Type Based on UsageAnalyzer LocationsNUMBER OF ANALYZERSNumber of Downloaders/ChargersNumber of IP AddressesTOTAL PATIENTSCONTROLSPROFICIENCY SAMPLESVALIDATION SAMPLESLOT TO LOT COMPARISON SAMPLESTOTAL QUANTITYCOSTTOTAL COST
001Creatinine with EGFRWichitaGreen Top TubeWaived or ModerateHandheldRadiology/MRI22250050303030640
Total Cost Option Year 1
Robert J Dole VA Medical Center, Wichita, Kansas
Option Year 2
CLINASSAYFACILITYSample TypeCLIA ComplexityDevice Type Based on UsageAnalyzer LocationsNUMBER OF ANALYZERSNumber of Downloaders/ChargersNumber of IP AddressesTOTAL PATIENTSCONTROLSPROFICIENCY SAMPLESVALIDATION SAMPLESLOT TO LOT COMPARISON SAMPLESTOTAL QUANTITYCOSTTOTAL COST
001Creatinine with EGFRWichitaGreen Top TubeWaived or ModerateHandheldRadiology/MRI22250050303030640
Total Cost Option Year 2
Robert J Dole VA Medical Center, Wichita, Kansas
Option Year 3
CLINASSAYFACILITYSample TypeCLIA ComplexityDevice Type Based on UsageAnalyzer LocationsNUMBER OF ANALYZERSNumber of Downloaders/ChargersNumber of IP AddressesTOTAL PATIENTSCONTROLSPROFICIENCY SAMPLESVALIDATION SAMPLESLOT TO LOT COMPARISON SAMPLESTOTAL QUANTITYCOSTTOTAL COST
001Creatinine with EGFRWichitaGreen Top TubeWaived or ModerateHandheldRadiology/MRI22250050303030640
Total Option Year 3
Robert J Dole VA Medical Center, Wichita, Kansas
Option Year 4
CLINASSAYFACILITYSample TypeCLIA ComplexityDevice Type Based on UsageAnalyzer LocationsNUMBER OF ANALYZERSNumber of Downloaders/ChargersNumber of IP AddressesTOTAL PATIENTSCONTROLSPROFICIENCY SAMPLESVALIDATION SAMPLESLOT TO LOT COMPARISON SAMPLESTOTAL QUANTITYCOSTTOTAL COST
001Creatinine with EGFRWichitaGreen Top TubeWaived or ModerateHandheldRadiology/MRI22250050303030640
Total Option Year 4

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