36C25918Q9874-002.docx

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Radiopharmaceuticals
Solicitation number
36C25918Q9874
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36C25918Q9874 Schedule of Supplies.docx

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SCHEDULE OF SUPPLIES

1. The Contractor shall provide items on a unit dose basis, pre-drawn into a syringe, calibrated and delivered to the Nuclear Medicine department of the Montana VA Health Care System, 3687 Veterans Drive, Fort Harrison, Montana. Items will be required Monday through Friday during the hours of 7:30am to 4:00pm, and outside of these specified hours on an “as needed” basis.

2. Quantities listed are estimated usage only.

BASE YEAR: October 1, 2018 – September 30, 2019

Line Item
Product Description
Method of Supply
Estimated Annual Quantity
Unit Price
Total Price
Unit Doses
per dose
159
0001
HDP
Per dose
0
0002
MDP
per dose
17
0003
MAA
per dose
0
0004
DTPA
per dose
31
0005
Choletec/Mebrofenin
per dose
10
0006
Sulfur Colloid
Per dose
0
0007
Sulfur Colloid, Filtered
per dose
3
0008
MAG-3
per dose
543
0009
Cardiolite/Sestamibi
Per dose
0
0010
Myoview/Tetrofosmin
per 1 mCi
52
0011
Tc-99m
Per vial
11
0012
Tc-99m (Bulk)
per mCi
0
0013
Thallium-201
per mCi
0
0014
Gallium-67
per capsule
0
0015
I-123 (100uCi)
per capsule
0
0016
I-123 (200uCi)
each
1
0017
20mCi Cobalt57 Sheet Source
Per vial
17
0018
Xenon 133
White Blood Cells
per study
2
0019
In-111 WBC
per study
0
0020
Ceretec
per occurrence
2
0021
WBC Prep Kit

Cold Kits

0022
Choletec/Mebrofenin
per vial
0
0023
Hepatolite/Disofenin
per vial
0
0024
DTPA
per vial
0
0025
HDP
per vial
0
0026
MAA
per vial
0
0027
Sulfur Colloid
per vial
0
0028
Kinevac/Sincalide/CCK
per vial
0
0029
Ultratag
Per kit
0
0030
DMSA
Per vial
0
0031
MDP
Per vial
0
0032
Cardiolite/Sestamibi
Per vial
0
0033
Myoview/Tetrofosmin
Per vial
0

Incidentals

0034
Persantine
per dose
0
0035
Lexiscan
per dose
0
0036
Dobutamine
per dose
0

OPTION YEAR 1: October 1, 2019 – September 30, 2020

Line Item
Product Description
Method of Supply
Estimated Annual Quantity
Unit Price
Total Price
Unit Doses
per dose
159
1001
HDP
Per dose
0
1002
MDP
per dose
17
1003
MAA
per dose
0
1004
DTPA
per dose
31
1005
Choletec/Mebrofenin
per dose
10
1006
Sulfur Colloid
Per dose
0
1007
Sulfur Colloid, Filtered
per dose
3
1008
MAG-3
per dose
543
1009
Cardiolite/Sestamibi
Per dose
0
1010
Myoview/Tetrofosmin
per 1 mCi
52
1011
Tc-99m
Per vial
11
1012
Tc-99m (Bulk)
per mCi
0
1013
Thallium-201
per mCi
0
1014
Gallium-67
per capsule
0
1015
I-123 (100uCi)
per capsule
0
1016
I-123 (200uCi)
each
1
1017
20mCi Cobalt57 Sheet Source
Per vial
17
1018
Xenon 133
White Blood Cells
per study
2
1019
In-111 WBC
per study
0
1020
Ceretec
per occurrence
2
1021
WBC Prep Kit

Cold Kits

1022
Choletec/Mebrofenin
per vial
0
1023
Hepatolite/Disofenin
per vial
0
1024
DTPA
per vial
0
1025
HDP
per vial
0
1026
MAA
per vial
0
1027
Sulfur Colloid
per vial
0
1028
Kinevac/Sincalide/CCK
per vial
0
1029
Ultratag
Per kit
0
1030
DMSA
Per vial
0
1031
MDP
Per vial
0
1032
Cardiolite/Sestamibi
Per vial
0
1033
Myoview/Tetrofosmin
Per vial
0

Incidentals

1034
Persantine
per dose
0
1035
Lexiscan
per dose
0
1036
Dobutamine
per dose
0

OPTION YEAR 2: October 1, 2020 – September 30, 2021

Line Item
Product Description
Method of Supply
Estimated Annual Quantity
Unit Price
Total Price
Unit Doses
per dose
159
2001
HDP
Per dose
0
2002
MDP
per dose
17
2003
MAA
per dose
0
2004
DTPA
per dose
31
2005
Choletec/Mebrofenin
per dose
10
2006
Sulfur Colloid
Per dose
0
2007
Sulfur Colloid, Filtered
per dose
3
2008
MAG-3
per dose
543
2009
Cardiolite/Sestamibi
Per dose
0
2010
Myoview/Tetrofosmin
per 1 mCi
52
2011
Tc-99m
Per vial
11
2012
Tc-99m (Bulk)
per mCi
0
2013
Thallium-201
per mCi
0
2014
Gallium-67
per capsule
0
2015
I-123 (100uCi)
per capsule
0
2016
I-123 (200uCi)
each
1
2017
20mCi Cobalt57 Sheet Source
Per vial
17
2018
Xenon 133
White Blood Cells
per study
2
2019
In-111 WBC
per study
0
2020
Ceretec
per occurrence
2
2021
WBC Prep Kit

Cold Kits

2022
Choletec/Mebrofenin
per vial
0
2023
Hepatolite/Disofenin
per vial
0
2024
DTPA
per vial
0
2025
HDP
per vial
0
2026
MAA
per vial
0
2027
Sulfur Colloid
per vial
0
2028
Kinevac/Sincalide/CCK
per vial
0
2029
Ultratag
Per kit
0
2030
DMSA
Per vial
0
2031
MDP
Per vial
0
2032
Cardiolite/Sestamibi
Per vial
0
2033
Myoview/Tetrofosmin
Per vial
0

Incidentals

2034
Persantine
per dose
0
2035
Lexiscan
per dose
0
2036
Dobutamine
per dose
0

OPTION YEAR 3: October 1, 2021 – September 30, 2022

Line Item
Product Description
Method of Supply
Estimated Annual Quantity
Unit Price
Total Price
Unit Doses
per dose
159
3001
HDP
Per dose
0
3002
MDP
per dose
17
3003
MAA
per dose
0
3004
DTPA
per dose
31
3005
Choletec/Mebrofenin
per dose
10
3006
Sulfur Colloid
Per dose
0
3007
Sulfur Colloid, Filtered
per dose
3
3008
MAG-3
per dose
543
3009
Cardiolite/Sestamibi
Per dose
0
3010
Myoview/Tetrofosmin
per 1 mCi
52
3011
Tc-99m
Per vial
11
3012
Tc-99m (Bulk)
per mCi
0
3013
Thallium-201
per mCi
0
3014
Gallium-67
per capsule
0
3015
I-123 (100uCi)
per capsule
0
3016
I-123 (200uCi)
each
1
3017
20mCi Cobalt57 Sheet Source
Per vial
17
3018
Xenon 133
White Blood Cells
per study
2
3019
In-111 WBC
per study
0
3020
Ceretec
per occurrence
2
3021
WBC Prep Kit

Cold Kits

3022
Choletec/Mebrofenin
per vial
0
3023
Hepatolite/Disofenin
per vial
0
3024
DTPA
per vial
0
3025
HDP
per vial
0
3026
MAA
per vial
0
3027
Sulfur Colloid
per vial
0
3028
Kinevac/Sincalide/CCK
per vial
0
3029
Ultratag
Per kit
0
3030
DMSA
Per vial
0
3031
MDP
Per vial
0
3032
Cardiolite/Sestamibi
Per vial
0
3033
Myoview/Tetrofosmin
Per vial
0

Incidentals

3034
Persantine
per dose
0
3035
Lexiscan
per dose
0
3036
Dobutamine
per dose
0

OPTION YEAR 4: October 1, 2022 – September 30, 2023

Line Item
Product Description
Method of Supply
Estimated Annual Quantity
Unit Price
Total Price
Unit Doses
per dose
159
4001
HDP
Per dose
0
4002
MDP
per dose
17
4003
MAA
per dose
0
4004
DTPA
per dose
31
4005
Choletec/Mebrofenin
per dose
10
4006
Sulfur Colloid
Per dose
0
4007
Sulfur Colloid, Filtered
per dose
3
4008
MAG-3
per dose
543
4009
Cardiolite/Sestamibi
Per dose
0
4010
Myoview/Tetrofosmin
per 1 mCi
52
4011
Tc-99m
Per vial
11
4012
Tc-99m (Bulk)
per mCi
0
4013
Thallium-201
per mCi
0
4014
Gallium-67
per capsule
0
4015
I-123 (100uCi)
per capsule
0
4016
I-123 (200uCi)
each
1
4017
20mCi Cobalt57 Sheet Source
Per vial
17
4018
Xenon 133
White Blood Cells
per study
2
4019
In-111 WBC
per study
0
4020
Ceretec
per occurrence
2
4021
WBC Prep Kit

Cold Kits

4022
Choletec/Mebrofenin
per vial
0
4023
Hepatolite/Disofenin
per vial
0
4024
DTPA
per vial
0
4025
HDP
per vial
0
4026
MAA
per vial
0
4027
Sulfur Colloid
per vial
0
4028
Kinevac/Sincalide/CCK
per vial
0
4029
Ultratag
Per kit
0
4030
DMSA
Per vial
0
4031
MDP
Per vial
0
4032
Cardiolite/Sestamibi
Per vial
0
4033
Myoview/Tetrofosmin
Per vial
0

Incidentals

4034
Persantine
per dose
0
4035
Lexiscan
per dose
0
4036
Dobutamine
per dose
0

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