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SCHEDULE OF SUPPLIES
POSITRON EMISSION TOMOGRAPHY (PET)/COMPUTED TOMOGRAPHY (CT) RADIOPHARMACEUTICALS
OKLAHOMA CITY VA HEALTH CARE SYSTEM
The Department of Veterans Medical Center OKC Nuclear Medicine PET Service requires the Contractor to provide radiopharmaceutical and any needed sources to be used with GE Discovery 690 PET/CT Scanner. Items will be in unit dose or bulk delivery, daily, and on an as needed basis, in accordance with patient requirements for the period of one Base Year with four Option Years that may be exercised at the VA’s discretion.
Note: All annual quantities are estimates, contractor will only be paid for items and quantities actually ordered and delivered.
BASE YEAR: (October 1, 2018 – Sept 31, 2019)
| Line Item |
| Description |
| Annual Qty. (est.) |
| Unit |
| Unit Price |
| Extended Price (est.) |
| 0001 |
| Normal/Routine Ordering & Delivery (F18FDG @ 8-15 mCi per dose) |
| 1230 |
| Dose or bulk vial |
| $ |
| $ |
| 0002 |
| Normal/Routine Ordering & Delivery (F18NaF @ 8-15 mCi per dose) |
| 10 |
| Dose or vial |
| $ |
| $ |
| 0003 |
| Tungsten Pigs/Shields w/ Shipping containers |
| 2 |
| EA |
| Supplied by vendor |
N/C $ 0.00
| 0004 |
| Quality Control Dose (camera) 30 mCi |
Dose or vial
| 0005 |
| Quality Control Dose (Intego) 35 mCi |
TOTAL PRICE – BASE YEAR : $______
OPTION YEAR 1: (October 1, 2019-September 30, 2020)
| Line Item |
| Description |
| Annual Qty. (est.) |
| Unit |
| Unit Price |
| Extended Price (est.) |
| 1001 |
| Normal/Routine Ordering & Delivery (F18FDG @ 8-15 mCi per dose) |
| 1235 |
| Dose or bulk vial |
| $ |
| $ |
| 1002 |
| Normal/Routine Ordering & Delivery (F18NaF @ 8-15 mCi per dose) |
| 20 |
| Dose or vial |
| $ |
| $ |
| 1003 |
| Tungsten Pigs/Shields w/ Shipping containers (lease) |
| 2 |
| EA |
| Supplied by vendor |
N/C
| 1004 |
| Quality Control Dose (camera) 30 mCi |
| 1005 |
| Quality Control Dose (Intego) 35 mCi |
TOTAL PRICE – OPTION YEAR 1 : $_________
OPTION YEAR 2: ( October 1, 2020 – Sept 31, 2021)
| Line Item |
| Description |
| Annual Qty. (est.) |
| Unit |
| Unit Price |
| Extended Price (est.) |
| 2001 |
| Normal/Routine Ordering & Delivery (F18FDG @ 8-15 mCi per dose) |
| 1240 |
| Dose or bulk vial |
| $ |
| $ |
| 2002 |
| Normal/Routine Ordering & Delivery (F18NaF @ 8-15 mCi per dose) |
| 20 |
| Dose or vial |
| $ |
| $ |
| 2003 |
| Tungsten Pigs/Shields w/ Shipping containers |
| 2 |
| EA |
| Supplied by vendor |
N/C $ 0.00
| 2004 |
| Quality Control Dose (camera) 30 mCi |
| 2005 |
| Quality Control Dose (Intego) 35 mCi |
TOTAL PRICE – OPTION YEAR2 : $____________
OPTION YEAR 3: ( October 1, 2021 – Sept 31, 2022)
| Line Item |
| Description |
| Annual Qty. (est.) |
| Unit |
| Unit Price |
| Extended Price (est.) |
| 3001 |
| Normal/Routine Ordering & Delivery (F18FDG @ 8-15 mCi per dose) |
| 1245 |
| Dose or bulk vial |
| $ |
| $ |
| 3002 |
| Normal/Routine Ordering & Delivery (F18NaF @ 8-15 mCi per dose) |
| 20 |
| Dose or vial |
| $ |
| $ |
| 3003 |
| Tungsten Pigs/Shields w/ Shipping containers |
| 2 |
| EA |
| Supplied by vendor |
N/C $ 0.00
| 3004 |
| Quality Control Dose (camera) 30 mCi |
| 3005 |
| Quality Control Dose (Intego) 35 mCi |
TOTAL PRICE – OPTION YEAR 3 : $____________
OPTION YEAR 4: ( October 1, 2022 – Sept 31, 2023)
| Line Item |
| Description |
| Annual Qty. (est.) |
| Unit |
| Unit Price |
| Extended Price (est.) |
| 4001 |
| Normal/Routine Ordering & Delivery (F18FDG @ 8-15 mCi per dose) |
| 1250 |
| Dose or bulk vial |
| $ |
| $ |
| 4002 |
| Normal/Routine Ordering & Delivery (F18NaF @ 8-15 mCi per dose) |
| 20 |
| Dose or vial |
| $ |
| $ |
| 4003 |
| Tungsten Pigs/Shields w/ Shipping containers |
| 2 |
| EA |
| Supplied by vendor |
N/C $ 0.00
| 4004 |
| Quality Control Dose (camera) 30 mCi |
| 4005 |
| Quality Control Dose (Intego) 35 mCi |
TOTAL PRICE – OPTION YEAR 4 : $____________