36C26120Q0434-003.xlsx

XLSX spreadsheet Posted Mar 17, 2020

Attached to: New Requirement - 612-20-1-116-0013 Radiopharmaceuticals for San Fran, CA Nuc Med
Solicitation number: 36C26120Q0434
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

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36C26120Q0434 Attachment 1 - Price Schedule with Estimated Quantiteis.xlsx

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File	Type	Posted
36C26120Q0434-0002000.docx	DOCX document	Mar 25, 2020
36C26120Q0434-0001000.docx	DOCX document	Mar 18, 2020
36C26120Q0434-002.docx	DOCX document	Mar 17, 2020

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Ordering Period 1

RFQ 36C26120Q0433 PRICE SCHEDULE

Ordering Period 1 - 4/1/20 - 3/31/21

	DESCRIPTION OF ITEM
CLIN	Product Description	Unit of Measure	Packing Type	UOM	Qty per UOM	Estimated QTY	Unit	Unit Price	Total Price	Vendor Description - Fill in if you have a different description for this test (what your invoice will have as a description for this test)	Vendor Catalog Number - Fill in if you have a service/catalog number
00001	Ga67	4 mCi	syringe	per mCi	8 mCi	16	EA	$ - 0	- 0
00002	I123 Adreview	6 – 10 mCi	syringe	Unit Dose	10 mCi	1	EA	$ - 0	- 0
00003	I123 DAT	5mCi	unit	Unit Dose	5 mCi	0	EA	$ - 0	- 0
00004	I123 NaI	200 uCi capsule	each	Capsule	200 uCi	30	EA	$ - 0	- 0
00005	I123 WBD	2-4 mCi	cap	Capsule	2 mCi	17	EA	$ - 0	- 0
00006	I131 NaI, diagnostic capsules	.1 – 2 mCi	each	Each	1 Each	0	EA	$ - 0	- 0
00007	I131 NaI, therapy capsules for Cancer	1 mCi	each	Capsule	1 mCi	5	EA	$ - 0	- 0
00008	Tx	2 -200 mCi	each	Capsule	1 mCi	400	EA	$ - 0	- 0
00009	I131 Na I, therapy capsule for hyper	2 -30 mCi	each	per mCi	based on 15 mCi	10	EA	$ - 0	- 0
00010	In111 DTPA	1.5 mCi	vial	Unit Dose	0-1 mCi	0	EA	$ - 0	- 0
00011	In111 labeled WBC	0.5 mCi	per study	Procedure	1 Each	35	EA	$ - 0	- 0
00012	In111 Octreoscan	1 – 25 mCi	per study	Unit Dose	1 Each	0	EA	$ - 0	- 0
00013	In111Prostascint	5 mCi	per study	Unit Dose	1 Each	0	EA	$ - 0	- 0
00014	Kinevac (CCK)	vial	vial	Vial	1 Each	30	EA	$ - 0	- 0
00015	PYP	vial	vial	Vial	1 Each	15	EA	$ - 0	- 0
00016	Sm153 Quadramet		syringe	Unit Dose	1 Each	0	EA	$ - 0	- 0
00017	Sr89 Strontium	4mCi	vial	Unit Dose	1 Each	0	EA	$ - 0	- 0
00018	Tc99m MAA	1 – 6 mCi	syringe/vial	Unit Dose	7 mCi	120	EA	$ - 0	- 0
00019	Tc99m MAG3	10 mCi vials	syringe/vial	Unit Dose	10 mCi	40	EA	$ - 0	- 0
00020	Tc99m MDP	25 mCi	syringe/vial	Unit Dose	25 mCi	400	EA	$ - 0	- 0
00021	Tc99m Mebrofenin	5 – 10 mCi	syringe/vial	Unit Dose	10 mCi	50	EA	$ - 0	- 0
00022	Tc99m NaTcO4	1-30 mCi	syringe	Unit Dose	25 mCi	35	EA	$ - 0	- 0
00023	Tc99m NaTcO4	3-300 mCi vials	vial	mCi	1200 mCi	4	EA	$ - 0	- 0
00024	Tc99m Sestamibi	10 – 30 mCi	syringe/vial	Unit Dose	30 mCi	30	EA	$ - 0	- 0
00025	Tc99m Sulfur Colloid filtered	0.25 – 5 mCi	syringe/vial	Syringe	1 to 2	15	EA	$ - 0	- 0
00026	Tc99m Filt Sulfur Colloid	0.25 – 5 mCi	syringe/vial	Unit Dose	8 mCi	70	EA	$ - 0	- 0
00027	Tc99m Tetrofosmin	1 – 30 mCi	syringe	Unit Dose	30 mCi	2500	EA	$ - 0	- 0
00028	Tl201	3.5 mCi	syringe	per mCi	7 mCi	7	Dose	$ - 0	- 0
00029	Xe133 gas	20 mCi	vial	Vial	20 mCi	80	EA	$ - 0	- 0
00030	Y90 Zevlin		syringe			1	EA	$ - 0	- 0
00031	Same Day Delivery - for items that cannot be completed delivered with Routine Deliveries.	YR	NA	YR	NA	41	EA	$ - 0	- 0
00032	STAT Deliveries	JB	NA	Each	NA	5	EA	$ - 0	- 0
							Total Estimated Annual for Ordering Period 1		$ - 0

Ordering Period 2

RFQ 36C26120Q0433 PRICE SCHEDULE

Ordering Period 2 - 4/1/21 - 3/31/22

	DESCRIPTION OF ITEM
CLIN	Product Description	Unit of Measure	Packing Type	UOM	Qty per UOM	Estimated QTY	Unit	Unit Price	Total Price	Vendor Description - Fill in if you have a different description for this test (what your invoice will have as a description for this test)	Vendor Catalog Number - Fill in if you have a service/catalog number
10001	Ga67	8 mCi	syringe	per mCi	8 mCi	16	EA	$ - 0	- 0
10002	I123 Adreview	6 – 10 mCi	syringe	Unit Dose	10 mCi	1	EA	$ - 0	- 0
10003	I123 DAT	5mCi	unit	Unit Dose	5 mCi	0	EA	$ - 0	- 0
10004	I123 NaI	200 uCi capsule	each	Capsule	200 uCi	30	EA	$ - 0	- 0
10005	I123 WBD	2-4 mCi	cap	Capsule	2 mCi	17	EA	$ - 0	- 0
10006	I131 NaI, diagnostic capsules	.1 – 2 mCi	each	Each	1 Each	0	EA	$ - 0	- 0
10007	I131 NaI, therapy capsules for Cancer	1 mCi	each	Capsule	1 mCi	5	EA	$ - 0	- 0
10008	Tx	2 -200 mCi	each	Capsule	1 mCi	400	EA	$ - 0	- 0
10009	I131 Na I, therapy capsule for hyper	2 -30 mCi	each	per mCi	based on 15 mCi	10	EA	$ - 0	- 0
10010	In111 DTPA	1.5 mCi	vial	Unit Dose	0-1 mCi	0	EA	$ - 0	- 0
10011	In111 labeled WBC	0.5 mCi	per study	Procedure	1 Each	35	EA	$ - 0	- 0
10012	In111 Octreoscan	1 – 25 mCi	per study	Unit Dose	1 Each	0	EA	$ - 0	- 0
10013	In111Prostascint	5 mCi	per study	Unit Dose	1 Each	0	EA	$ - 0	- 0
10014	Kinevac (CCK)	vial	vial	Vial	1 Each	30	EA	$ - 0	- 0
10015	PYP	vial	vial	Vial	1 Each	15	EA	$ - 0	- 0
10016	Sm153 Quadramet		syringe	Unit Dose	1 Each	0	EA	$ - 0	- 0
10017	Sr89 Strontium	4mCi	vial	Unit Dose	1 Each	0	EA	$ - 0	- 0
10018	Tc99m MAA	1 – 6 mCi	syringe/vial	Unit Dose	7 mCi	120	EA	$ - 0	- 0
10019	Tc99m MAG3	10 mCi vials	syringe/vial	Unit Dose	10 mCi	40	EA	$ - 0	- 0
10020	Tc99m MDP	25 mCi	syringe/vial	Unit Dose	25 mCi	400	EA	$ - 0	- 0
10021	Tc99m Mebrofenin	5 – 10 mCi	syringe/vial	Unit Dose	10 mCi	50	EA	$ - 0	- 0
10022	Tc99m NaTcO4	1-30 mCi	syringe	Unit Dose	25 mCi	35	EA	$ - 0	- 0
10023	Tc99m NaTcO4	3-300 mCi vials	vial	mCi	1200 mCi	4	EA	$ - 0	- 0
10024	Tc99m Sestamibi	10 – 30 mCi	syringe/vial	Unit Dose	30 mCi	30	EA	$ - 0	- 0
10025	Tc99m Sulfur Colloid filtered	0.25 – 5 mCi	syringe/vial	Syringe	1 to 2	15	EA	$ - 0	- 0
10026	Tc99m Filt Sulfur Colloid	0.25 – 5 mCi	syringe/vial	Unit Dose	8 mCi	70	EA	$ - 0	- 0
10027	Tc99m Tetrofosmin	1 – 30 mCi	syringe	Unit Dose	30 mCi	2500	EA	$ - 0	- 0
10028	Tl201	3.5 mCi	syringe	per mCi	7 mCi	7	Dose	$ - 0	- 0
10029	Xe133 gas	20 mCi	vial	Vial	20 mCi	80	EA	$ - 0	- 0
10030	Y90 Zevlin		syringe			1	EA	$ - 0	- 0
10031	Same Day Delivery - for items that cannot be completed delivered with Routine Deliveries.	YR	NA	YR	NA	41	EA	$ - 0	- 0
10032	STAT Deliveries	JB	NA	Each	NA	5	EA	$ - 0	- 0
							Total Estimated Annual for Ordering Period 2		$ - 0

Ordering Period 3

RFQ 36C26120Q0433 PRICE SCHEDULE

Ordering Period 3 - 4/1/22 - 3/31/23

	DESCRIPTION OF ITEM
CLIN	Product Description	Unit of Measure	Packing Type	UOM	Qty per UOM	Estimated QTY	Unit	Unit Price	Total Price	Vendor Description - Fill in if you have a different description for this test (what your invoice will have as a description for this test)	Vendor Catalog Number - Fill in if you have a service/catalog number
20001	Ga67	8 mCi	syringe	per mCi	8 mCi	16	EA	$ - 0	- 0
20002	I123 Adreview	6 – 10 mCi	syringe	Unit Dose	10 mCi	1	EA	$ - 0	- 0
20003	I123 DAT	5mCi	unit	Unit Dose	5 mCi	0	EA	$ - 0	- 0
20004	I123 NaI	200 uCi capsule	each	Capsule	200 uCi	30	EA	$ - 0	- 0
20005	I123 WBD	2-4 mCi	cap	Capsule	2 mCi	17	EA	$ - 0	- 0
20006	I131 NaI, diagnostic capsules	.1 – 2 mCi	each	Each	1 Each	0	EA	$ - 0	- 0
20007	I131 NaI, therapy capsules for Cancer	1 mCi	each	Capsule	1 mCi	5	EA	$ - 0	- 0
20008	Tx	2 -200 mCi	each	Capsule	1 mCi	400	EA	$ - 0	- 0
20009	I131 Na I, therapy capsule for hyper	2 -30 mCi	each	per mCi	based on 15 mCi	10	EA	$ - 0	- 0
20010	In111 DTPA	1.5 mCi	vial	Unit Dose	0-1 mCi	0	EA	$ - 0	- 0
20011	In111 labeled WBC	0.5 mCi	per study	Procedure	1 Each	35	EA	$ - 0	- 0
20012	In111 Octreoscan	1 – 25 mCi	per study	Unit Dose	1 Each	0	EA	$ - 0	- 0
20013	In111Prostascint	5 mCi	per study	Unit Dose	1 Each	0	EA	$ - 0	- 0
20014	Kinevac (CCK)	vial	vial	Vial	1 Each	30	EA	$ - 0	- 0
20015	PYP	vial	vial	Vial	1 Each	15	EA	$ - 0	- 0
20016	Sm153 Quadramet		syringe	Unit Dose	1 Each	0	EA	$ - 0	- 0
20017	Sr89 Strontium	4mCi	vial	Unit Dose	1 Each	0	EA	$ - 0	- 0
20018	Tc99m MAA	1 – 6 mCi	syringe/vial	Unit Dose	7 mCi	120	EA	$ - 0	- 0
20019	Tc99m MAG3	10 mCi vials	syringe/vial	Unit Dose	10 mCi	40	EA	$ - 0	- 0
20020	Tc99m MDP	25 mCi	syringe/vial	Unit Dose	25 mCi	400	EA	$ - 0	- 0
20021	Tc99m Mebrofenin	5 – 10 mCi	syringe/vial	Unit Dose	10 mCi	50	EA	$ - 0	- 0
20022	Tc99m NaTcO4	1-30 mCi	syringe	Unit Dose	25 mCi	35	EA	$ - 0	- 0
20023	Tc99m NaTcO4	3-300 mCi vials	vial	mCi	1200 mCi	4	EA	$ - 0	- 0
20024	Tc99m Sestamibi	10 – 30 mCi	syringe/vial	Unit Dose	30 mCi	30	EA	$ - 0	- 0
20025	Tc99m Sulfur Colloid filtered	0.25 – 5 mCi	syringe/vial	Syringe	1 to 2	15	EA	$ - 0	- 0
20026	Tc99m Filt Sulfur Colloid	0.25 – 5 mCi	syringe/vial	Unit Dose	8 mCi	70	EA	$ - 0	- 0
20027	Tc99m Tetrofosmin	1 – 30 mCi	syringe	Unit Dose	30 mCi	2500	EA	$ - 0	- 0
20028	Tl201	3.5 mCi	syringe	per mCi	7 mCi	7	Dose	$ - 0	- 0
20029	Xe133 gas	20 mCi	vial	Vial	20 mCi	80	EA	$ - 0	- 0
20030	Y90 Zevlin		syringe			1	EA	$ - 0	- 0
20031	Same Day Delivery - for items that cannot be completed delivered with Routine Deliveries.	YR	NA	YR	NA	41	EA	$ - 0	- 0
20032	STAT Deliveries	JB	NA	Each	NA	5	EA	$ - 0	- 0
							Total Estimated Annual for Ordering Period 3		$ - 0

Ordering Period 4

RFQ 36C26120Q0433 PRICE SCHEDULE

Ordering Period 4 - 4/1/23 - 3/31/24

	DESCRIPTION OF ITEM
CLIN	Product Description	Unit of Measure	Packing Type	UOM	Qty per UOM	Estimated QTY	Unit	Unit Price	Total Price	Vendor Description - Fill in if you have a different description for this test (what your invoice will have as a description for this test)	Vendor Catalog Number - Fill in if you have a service/catalog number
30001	Ga67	8 mCi	syringe	per mCi	8 mCi	16	EA	$ - 0	- 0
30002	I123 Adreview	6 – 10 mCi	syringe	Unit Dose	10 mCi	1	EA	$ - 0	- 0
30003	I123 DAT	5mCi	unit	Unit Dose	5 mCi	0	EA	$ - 0	- 0
30004	I123 NaI	200 uCi capsule	each	Capsule	200 uCi	30	EA	$ - 0	- 0
30005	I123 WBD	2-4 mCi	cap	Capsule	2 mCi	17	EA	$ - 0	- 0
30006	I131 NaI, diagnostic capsules	.1 – 2 mCi	each	Each	1 Each	0	EA	$ - 0	- 0
30007	I131 NaI, therapy capsules for Cancer	1 mCi	each	Capsule	1 mCi	5	EA	$ - 0	- 0
30008	Tx	2 -200 mCi	each	Capsule	1 mCi	400	EA	$ - 0	- 0
30009	I131 Na I, therapy capsule for hyper	2 -30 mCi	each	per mCi	based on 15 mCi	10	EA	$ - 0	- 0
30010	In111 DTPA	1.5 mCi	vial	Unit Dose	0-1 mCi	0	EA	$ - 0	- 0
30011	In111 labeled WBC	0.5 mCi	per study	Procedure	1 Each	35	EA	$ - 0	- 0
30012	In111 Octreoscan	1 – 25 mCi	per study	Unit Dose	1 Each	0	EA	$ - 0	- 0
30013	In111Prostascint	5 mCi	per study	Unit Dose	1 Each	0	EA	$ - 0	- 0
30014	Kinevac (CCK)	vial	vial	Vial	1 Each	30	EA	$ - 0	- 0
30015	PYP	vial	vial	Vial	1 Each	15	EA	$ - 0	- 0
30016	Sm153 Quadramet		syringe	Unit Dose	1 Each	0	EA	$ - 0	- 0
30017	Sr89 Strontium	4mCi	vial	Unit Dose	1 Each	0	EA	$ - 0	- 0
30018	Tc99m MAA	1 – 6 mCi	syringe/vial	Unit Dose	7 mCi	120	EA	$ - 0	- 0
30019	Tc99m MAG3	10 mCi vials	syringe/vial	Unit Dose	10 mCi	40	EA	$ - 0	- 0
30020	Tc99m MDP	25 mCi	syringe/vial	Unit Dose	25 mCi	400	EA	$ - 0	- 0
30021	Tc99m Mebrofenin	5 – 10 mCi	syringe/vial	Unit Dose	10 mCi	50	EA	$ - 0	- 0
30022	Tc99m NaTcO4	1-30 mCi	syringe	Unit Dose	25 mCi	35	EA	$ - 0	- 0
30023	Tc99m NaTcO4	3-300 mCi vials	vial	mCi	1200 mCi	4	EA	$ - 0	- 0
30024	Tc99m Sestamibi	10 – 30 mCi	syringe/vial	Unit Dose	30 mCi	30	EA	$ - 0	- 0
30025	Tc99m Sulfur Colloid filtered	0.25 – 5 mCi	syringe/vial	Syringe	1 to 2	15	EA	$ - 0	- 0
30026	Tc99m Filt Sulfur Colloid	0.25 – 5 mCi	syringe/vial	Unit Dose	8 mCi	70	EA	$ - 0	- 0
30027	Tc99m Tetrofosmin	1 – 30 mCi	syringe	Unit Dose	30 mCi	2500	EA	$ - 0	- 0
30028	Tl201	3.5 mCi	syringe	per mCi	7 mCi	7	Dose	$ - 0	- 0
30029	Xe133 gas	20 mCi	vial	Vial	20 mCi	80	EA	$ - 0	- 0
30030	Y90 Zevlin		syringe			1	EA	$ - 0	- 0
30031	Same Day Delivery - for items that cannot be completed delivered with Routine Deliveries.	YR	NA	YR	NA	41	EA	$ - 0	- 0
30032	STAT Deliveries	JB	NA	Each	NA	5	EA	$ - 0	- 0
							Total Estimated Annual for Ordering Period 4		$ - 0

Ordering Period 5

RFQ 36C26120Q0433 PRICE SCHEDULE

Ordering Period 5 - 4/1/24 - 3/31/25

	DESCRIPTION OF ITEM
CLIN	Product Description	Unit of Measure	Packing Type	UOM	Qty per UOM	Estimated QTY	Unit	Unit Price	Total Price	Vendor Description - Fill in if you have a different description for this test (what your invoice will have as a description for this test)	Vendor Catalog Number - Fill in if you have a service/catalog number
40001	Ga67	8 mCi	syringe	per mCi	8 mCi	16	EA	$ - 0	- 0
40002	I123 Adreview	6 – 10 mCi	syringe	Unit Dose	10 mCi	1	EA	$ - 0	- 0
40003	I123 DAT	5mCi	unit	Unit Dose	5 mCi	0	EA	$ - 0	- 0
40004	I123 NaI	200 uCi capsule	each	Capsule	200 uCi	30	EA	$ - 0	- 0
40005	I123 WBD	2-4 mCi	cap	Capsule	2 mCi	17	EA	$ - 0	- 0
40006	I131 NaI, diagnostic capsules	.1 – 2 mCi	each	Each	1 Each	0	EA	$ - 0	- 0
40007	I131 NaI, therapy capsules for Cancer	1 mCi	each	Capsule	1 mCi	5	EA	$ - 0	- 0
40008	Tx	2 -200 mCi	each	Capsule	1 mCi	400	EA	$ - 0	- 0
40009	I131 Na I, therapy capsule for hyper	2 -30 mCi	each	per mCi	based on 15 mCi	10	EA	$ - 0	- 0
40010	In111 DTPA	1.5 mCi	vial	Unit Dose	0-1 mCi	0	EA	$ - 0	- 0
40011	In111 labeled WBC	0.5 mCi	per study	Procedure	1 Each	35	EA	$ - 0	- 0
40012	In111 Octreoscan	1 – 25 mCi	per study	Unit Dose	1 Each	0	EA	$ - 0	- 0
40013	In111Prostascint	5 mCi	per study	Unit Dose	1 Each	0	EA	$ - 0	- 0
40014	Kinevac (CCK)	vial	vial	Vial	1 Each	30	EA	$ - 0	- 0
40015	PYP	vial	vial	Vial	1 Each	15	EA	$ - 0	- 0
40016	Sm153 Quadramet		syringe	Unit Dose	1 Each	0	EA	$ - 0	- 0
40017	Sr89 Strontium	4mCi	vial	Unit Dose	1 Each	0	EA	$ - 0	- 0
40018	Tc99m MAA	1 – 6 mCi	syringe/vial	Unit Dose	7 mCi	120	EA	$ - 0	- 0
40019	Tc99m MAG3	10 mCi vials	syringe/vial	Unit Dose	10 mCi	40	EA	$ - 0	- 0
40020	Tc99m MDP	25 mCi	syringe/vial	Unit Dose	25 mCi	400	EA	$ - 0	- 0
40021	Tc99m Mebrofenin	5 – 10 mCi	syringe/vial	Unit Dose	10 mCi	50	EA	$ - 0	- 0
40022	Tc99m NaTcO4	1-30 mCi	syringe	Unit Dose	25 mCi	35	EA	$ - 0	- 0
40023	Tc99m NaTcO4	3-300 mCi vials	vial	mCi	1200 mCi	4	EA	$ - 0	- 0
40024	Tc99m Sestamibi	10 – 30 mCi	syringe/vial	Unit Dose	30 mCi	30	EA	$ - 0	- 0
40025	Tc99m Sulfur Colloid filtered	0.25 – 5 mCi	syringe/vial	Syringe	1 to 2	15	EA	$ - 0	- 0
40026	Tc99m Filt Sulfur Colloid	0.25 – 5 mCi	syringe/vial	Unit Dose	8 mCi	70	EA	$ - 0	- 0
40027	Tc99m Tetrofosmin	1 – 30 mCi	syringe	Unit Dose	30 mCi	2500	EA	$ - 0	- 0
40028	Tl201	3.5 mCi	syringe	per mCi	7 mCi	7	Dose	$ - 0	- 0
40029	Xe133 gas	20 mCi	vial	Vial	20 mCi	80	EA	$ - 0	- 0
40030	Y90 Zevlin		syringe			1	EA	$ - 0	- 0
40031	Same Day Delivery - for items that cannot be completed delivered with Routine Deliveries.	YR	NA	YR	NA	41	EA	$ - 0	- 0
40032	STAT Deliveries	JB	NA	Each	NA	5	EA	$ - 0	- 0
							Total Estimated Annual for Ordering Period 5		$ - 0

File details come from the government source that posted it. Updated Mar 17, 2020.