Line Items Descriptions and Price Schedule.docx

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6505--Radiopharmaceuticals for the Salt Lake City VA Medical Center
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36C25922Q0230
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Text version

RFQ#: 36C25922Q0230

Line Item Descriptions and Price Schedule

Base Period: April 1, 2022 – September 30, 2022

Item #
Description
Qty
Unit
Price
Extended Amount
0001
C-14 Urea
1
EA
0002
Cu-64 DetectNet
24
EA
0003
Ga-67
1
EA
0004
I-123 Caps
48
EA
0005
I-123 MIBG
1
EA
0006
I-131 Caps
6
EA
0007
I-131 Liquid
6
EA
0008
I-131 Therapeutic Sol.
2
EA
0009
In-111 DTPA
2
EA
0010
In-111 WBC
2
EA
0011
In-111 Octreoscan
1
EA
0012
Tc99m Sestamibi
1320
EA
0013
Tc99m Mebrofenin
60
EA
0014
Tc99m DTPA
1
EA
0015
Tc99m DMSA
2
EA
0016
Tc99m ECD (Neurolite)
1
EA
0017
Tc99m HMPAO Leuk.
0
EA
0018
Tc99m MAA
60
EA
0019
Tc99m MAG3
36
EA
0020
Tc99m MDP
216
EA
0021
Tc99m PYP
24
EA
0022
Tc99m Sulfur Colloid
48
EA
0023
Tc99m Tc04
120
EA
0024
Tl-201
4
EA
0025
Xe-133
60
EA
0026
Co-57 15mCi Sheet Source
1
EA
0027
Ultra Tag Kit
6
EA
0028
Trip Fee
252
EA
0029
Stat Fee
24
EA

Total Base Period:

Option Period 1: October 1, 2022 – September 30, 2023

Item #
Description
Qty
Unit
Price
Extended Amount
1001
C-14 Urea
1
EA
1002
Cu-64 DetectNet
24
EA
1003
Ga-67
1
EA
1004
I-123 Caps
48
EA
1005
I-123 MIBG
1
EA
1006
I-131 Caps
6
EA
1007
I-131 Liquid
6
EA
1008
I-131 Therapeutic Sol.
2
EA
1009
In-111 DTPA
2
EA
1010
In-111 WBC
2
EA
1011
In-111 Octreoscan
1
EA
1012
Tc99m Sestamibi
1320
EA
1013
Tc99m Mebrofenin
60
EA
1014
Tc99m DTPA
1
EA
1015
Tc99m DMSA
2
EA
1016
Tc99m ECD (Neurolite)
1
EA
1017
Tc99m HMPAO Leuk.
0
EA
1018
Tc99m MAA
60
EA
1019
Tc99m MAG3
36
EA
1020
Tc99m MDP
216
EA
1021
Tc99m PYP
24
EA
1022
Tc99m Sulfur Colloid
48
EA
1023
Tc99m Tc04
120
EA
1024
Tl-201
4
EA
1025
Xe-133
60
EA
1026
Co-57 15mCi Sheet Source
1
EA
1027
Ultra Tag Kit
6
EA
1028
Trip Fee
252
EA
1029
Stat Fee
24
EA

Total Option Period 1:

Option Period 2: October 1, 2023 – September 30, 2024

Item #
Description
Qty
Unit
Price
Extended Amount
2001
C-14 Urea
1
EA
2002
Cu-64 DetectNet
24
EA
2003
Ga-67
1
EA
2004
I-123 Caps
48
EA
2005
I-123 MIBG
1
EA
2006
I-131 Caps
6
EA
2007
I-131 Liquid
6
EA
2008
I-131 Therapeutic Sol.
2
EA
2009
In-111 DTPA
2
EA
2010
In-111 WBC
2
EA
2011
In-111 Octreoscan
1
EA
2012
Tc99m Sestamibi
1320
EA
2013
Tc99m Mebrofenin
60
EA
2014
Tc99m DTPA
1
EA
2015
Tc99m DMSA
2
EA
2016
Tc99m ECD (Neurolite)
1
EA
2017
Tc99m HMPAO Leuk.
0
EA
2018
Tc99m MAA
60
EA
2019
Tc99m MAG3
36
EA
2020
Tc99m MDP
216
EA
2021
Tc99m PYP
24
EA
2022
Tc99m Sulfur Colloid
48
EA
2023
Tc99m Tc04
120
EA
2024
Tl-201
4
EA
2025
Xe-133
60
EA
2026
Co-57 15mCi Sheet Source
1
EA
2027
Ultra Tag Kit
6
EA
2028
Trip Fee
252
EA
2029
Stat Fee
24
EA

Total Option Period 2:

Option Period 3: October 1, 2024 – September 30, 2025

Item #
Description
Qty
Unit
Price
Extended Amount
3001
C-14 Urea
1
EA
3002
Cu-64 DetectNet
24
EA
3003
Ga-67
1
EA
3004
I-123 Caps
48
EA
3005
I-123 MIBG
1
EA
3006
I-131 Caps
6
EA
3007
I-131 Liquid
6
EA
3008
I-131 Therapeutic Sol.
2
EA
3009
In-111 DTPA
2
EA
3010
In-111 WBC
2
EA
3011
In-111 Octreoscan
1
EA
3012
Tc99m Sestamibi
1320
EA
3013
Tc99m Mebrofenin
60
EA
3014
Tc99m DTPA
1
EA
3015
Tc99m DMSA
2
EA
3016
Tc99m ECD (Neurolite)
1
EA
3017
Tc99m HMPAO Leuk.
0
EA
3018
Tc99m MAA
60
EA
3019
Tc99m MAG3
36
EA
3020
Tc99m MDP
216
EA
3021
Tc99m PYP
24
EA
3022
Tc99m Sulfur Colloid
48
EA
3023
Tc99m Tc04
120
EA
3024
Tl-201
4
EA
3025
Xe-133
60
EA
3026
Co-57 15mCi Sheet Source
1
EA
3027
Ultra Tag Kit
6
EA
3028
Trip Fee
252
EA
3029
Stat Fee
24
EA

Total Option Period 3:

Option Period 4: October 1, 2025 – September 30, 2026

Item #
Description
Qty
Unit
Price
Extended Amount
4001
C-14 Urea
1
EA
4002
Cu-64 DetectNet
24
EA
4003
Ga-67
1
EA
4004
I-123 Caps
48
EA
4005
I-123 MIBG
1
EA
4006
I-131 Caps
6
EA
4007
I-131 Liquid
6
EA
4008
I-131 Therapeutic Sol.
2
EA
4009
In-111 DTPA
2
EA
4010
In-111 WBC
2
EA
4011
In-111 Octreoscan
1
EA
4012
Tc99m Sestamibi
1320
EA
4013
Tc99m Mebrofenin
60
EA
4014
Tc99m DTPA
1
EA
4015
Tc99m DMSA
2
EA
4016
Tc99m ECD (Neurolite)
1
EA
4017
Tc99m HMPAO Leuk.
0
EA
4018
Tc99m MAA
60
EA
4019
Tc99m MAG3
36
EA
4020
Tc99m MDP
216
EA
4021
Tc99m PYP
24
EA
4022
Tc99m Sulfur Colloid
48
EA
4023
Tc99m Tc04
120
EA
4024
Tl-201
4
EA
4025
Xe-133
60
EA
4026
Co-57 15mCi Sheet Source
1
EA
4027
Ultra Tag Kit
6
EA
4028
Trip Fee
252
EA
4029
Stat Fee
24
EA

Total Option Period 4:

Option Period 5: October 1, 2026 – March 31, 2027

Item #
Description
Qty
Unit
Price
Extended Amount
5001
C-14 Urea
1
EA
5002
Cu-64 DetectNet
24
EA
5003
Ga-67
1
EA
5004
I-123 Caps
48
EA
5005
I-123 MIBG
1
EA
5006
I-131 Caps
6
EA
5007
I-131 Liquid
6
EA
5008
I-131 Therapeutic Sol.
2
EA
5009
In-111 DTPA
2
EA
5010
In-111 WBC
2
EA
5011
In-111 Octreoscan
1
EA
5012
Tc99m Sestamibi
1320
EA
5013
Tc99m Mebrofenin
60
EA
5014
Tc99m DTPA
1
EA
5015
Tc99m DMSA
2
EA
5016
Tc99m ECD (Neurolite)
1
EA
5017
Tc99m HMPAO Leuk.
0
EA
5018
Tc99m MAA
60
EA
5019
Tc99m MAG3
36
EA
5020
Tc99m MDP
216
EA
5021
Tc99m PYP
24
EA
5022
Tc99m Sulfur Colloid
48
EA
5023
Tc99m Tc04
120
EA
5024
Tl-201
4
EA
5025
Xe-133
60
EA
5026
Co-57 15mCi Sheet Source
1
EA
5027
Ultra Tag Kit
6
EA
5028
Trip Fee
252
EA
5029
Stat Fee
24
EA

Total Option Period 5:

Grand Total:

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