36C26122R0056 0001.docx

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6515--Las Vegas and Palo Alto Eyeglass Fabrication
Solicitation number
36C26122R0056
Issued by

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This is a pricing schedule for eyeglass fabrication services for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21. The schedule provides unit pricing for single vision, bifocal, trifocal, and progressive lenses in glass, plastic, polycarbonate, and high-index materials. Pricing is also included for special lenses, lens treatments like anti-reflective and photochromic coatings, and lens-only orders. The services will be provided over five ordering periods from 2022 through 2027 for the VA Sierra Nevada Health Care System in Reno, Nevada and the VA Palo Alto Health Care System in Palo Alto, California.

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Pricing Schedule.docx DOCX document
36C26122R0056 0004.docx DOCX document
36C26122R0056 0003.docx DOCX document
36C26122R0056 0002.docx DOCX document
Self-Performance Worksheet.docx DOCX document
852.219-78 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING-CERTIFICATE OF COMPLIANCE FOR SUPPLIES AND PRODUCTS (DEVIATION).pdf PDF
36C26122R0056.docx DOCX document

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5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) na Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Sierra Nevada Health Care System 975 Kirman Avenue Reno NV 89502-2597 Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Sierra Nevada Health Care System 975 Kirman Avenue Reno NV 89502-2597 To all Offerors/Bidders

36C26122R0056

X X

See CONTINUATION Page The purpose of this amendment is to revise the pricing schedule due to the request for information below.

RFI #1: On page 24, Line items 15-16-17-and 18 states quantity of 1 each but the description is unclear. The add-on is not clear as far is what product is being addressed. For example line 0002AC covers the polycarbonate Ft-28 already and line0016 says bifocal for different materials that have their own dedicated line item.

Answer: Line items 15, 16, 17 and 18 were mistakenly labeled as special lenses/add-ons. They have been relabeled as lens only. CLINs 0015 - 0018, 0033 - 0036, 1015 - 1018, 1033 - 1036, 2015 - 2018, 2033 - 2036, 3015 - 3018, 3033 - 3036, 4015 - 4018, and 4033 - 4036 have been revised to lens only. Please utilize the below revised pricing schedule for proposal purposes.

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
0.00
PR
__________________
__________________

Single Vision (NSP) POP Begin: 08-01-2022 POP End: 07-31-2023 **VA Southern Nevada Healthcare System - Ordering Period 1**

0001AA

4.00
PR
__________________
__________________

Glass

0001AB

3,998.00
PR
__________________
__________________

Plastic-CR39

0001AC

2,916.00
PR
__________________
__________________

Polycarbonate

0001AD

716.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Bifocal (NSP)

0002AA

14.00
PR
__________________
__________________

Glass

0002AB

2,090.00
PR
__________________
__________________

Plastic-CR39

0002AC

1,184.00
PR
__________________
__________________

Polycarbonate

0002AD

240.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Trifocal (NSP)

0003AA

8.00
PR
__________________
__________________

Glass

0003AB

188.00
PR
__________________
__________________

Plastic-CR39

0003AC

154.00
PR
__________________
__________________

Polycarbonate

0003AD

30.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Progressive (No-Line) (NSP)

0004AA

10.00
PR
__________________
__________________

Glass

0004AB

3,360.00
PR
__________________
__________________

Plastic-CR39

0004AC

2,510.00
PR
__________________
__________________

Polycarbonate

0004AD

838.00
PR
__________________
__________________

Hi-Index

170.00
PR
__________________
__________________

Prism (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Balanced (Special Lenses/Add-ons)

50.00
PR
__________________
__________________

Roll & Polished Edge (Special Lenses/Add-ons)

6.00
PR
__________________
__________________

Slab Off Prism (Special Lenses/Add-ons)

512.00
PR
__________________
__________________

Solid/Gradient Tint (Special Lenses/Add-ons)

1,208.00
PR
__________________
__________________

Anti Reflective (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Lenses, Oversize Eye Greater Than 58 (Special Lenses/Add-ons)

12,808.00
PR
__________________
__________________

Photochromic (Special Lenses/Add-ons)

194.00
PR
__________________
__________________

Polarized (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Aspheric (Special Lenses/Add-ons)

1.00
EA
__________________
__________________

SV-Glass, Plastic-CR39, Polycarbonate, Hi-Index (Lens Only)

1.00
EA
__________________
__________________

Bifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Trifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Progressive (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

0.00
PR
__________________
__________________

Single Vision (NSP)

**VA Palo Alto Healthcare System - Ordering Period 1**

0019AA

6.00
PR
__________________
__________________

Glass

0019AB

5,392.00
PR
__________________
__________________

Plastic-CR39

0019AC

1,052.00
PR
__________________
__________________

Polycarbonate

0019AD

68.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Bifocal (NSP)

0020AA

18.00
PR
__________________
__________________

Glass

0020AB

3,008.00
PR
__________________
__________________

Plastic-CR39

0020AC

560.00
PR
__________________
__________________

Polycarbonate

0020AD

14.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Trifocal (NSP)

0021AA

4.00
PR
__________________
__________________

Glass

0021AB

186.00
PR
__________________
__________________

Plastic-CR39

0021AC

28.00
PR
__________________
__________________

Polycarbonate

0021AD

1.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Progressive (No-Line) (NSP)

0022AA

22.00
PR
__________________
__________________

Glass

0022AB

3,702.00
PR
__________________
__________________

Plastic-CR39

0022AC

434.00
PR
__________________
__________________

Polycarbonate

0022AD

36.00
PR
__________________
__________________

Hi-Index

240.00
PR
__________________
__________________

Prism (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Balanced (Special Lenses/Add-ons)

24.00
PR
__________________
__________________

Roll & Polished Edge (Special Lenses/Add-ons)

8.00
PR
__________________
__________________

Slab Off Prism (Special Lenses/Add-ons)

214.00
PR
__________________
__________________

Solid/Gradient Tint (Special Lenses/Add-ons)

240.00
PR
__________________
__________________

Anti Reflective (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Lenses, Oversize Eye Greater Than 58 (Special Lenses/Add-ons)

5,560.00
PR
__________________
__________________

Photochromic (Special Lenses/Add-ons)

50.00
PR
__________________
__________________

Polarized (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Aspheric (Special Lenses/Add-ons)

1.00
EA
__________________
__________________

SV-Glass, Plastic-CR39, Polycarbonate, Hi-Index (Lens Only)

1.00
EA
__________________
__________________

Bifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Trifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Progressive (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

0.00
PR
__________________
__________________

Single Vision (NSP) POP Begin: 08-01-2023 POP End: 07-31-2024 **VA Southern Nevada Healthcare System - Ordering Period 2**

1001AA

4.00
PR
__________________
__________________

Glass

1001AB

3,998.00
PR
__________________
__________________

Plastic-CR39

1001AC

2,916.00
PR
__________________
__________________

Polycarbonate

1001AD

716.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Bifocal (NSP)

1002AA

14.00
PR
__________________
__________________

Glass

1002AB

2,090.00
PR
__________________
__________________

Plastic-CR39

1002AC

1,184.00
PR
__________________
__________________

Polycarbonate

1002AD

240.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Trifocal (NSP)

1003AA

8.00
PR
__________________
__________________

Glass

1003AB

188.00
PR
__________________
__________________

Plastic-CR39

1003AC

154.00
PR
__________________
__________________

Polycarbonate

1003AD

30.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Progressive (No-Line) (NSP)

1004AA

10.00
PR
__________________
__________________

Glass

1004AB

3,360.00
PR
__________________
__________________

Plastic-CR39

1004AC

2,510.00
PR
__________________
__________________

Polycarbonate

1004AD

838.00
PR
__________________
__________________

Hi-Index

170.00
PR
__________________
__________________

Prism (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Balanced (Special Lenses/Add-ons)

50.00
PR
__________________
__________________

Roll & Polished Edge (Special Lenses/Add-ons)

6.00
PR
__________________
__________________

Slab Off Prism (Special Lenses/Add-ons)

512.00
PR
__________________
__________________

Solid/Gradient Tint (Special Lenses/Add-ons)

1,208.00
PR
__________________
__________________

Anti Reflective (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Lenses, Oversize Eye Greater Than 58 (Special Lenses/Add-ons)

12,808.00
PR
__________________
__________________

Photochromic (Special Lenses/Add-ons)

194.00
PR
__________________
__________________

Polarized (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Aspheric (Special Lenses/Add-ons)

1.00
EA
__________________
__________________

SV-Glass, Plastic-CR39, Polycarbonate, Hi-Index (Lens Only)

1.00
EA
__________________
__________________

Bifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Trifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Progressive (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

0.00
PR
__________________
__________________

Single Vision (NSP)

**VA Palo Alto Healthcare System - Ordering Period 2**

1019AA

6.00
PR
__________________
__________________

Glass

1019AB

5,392.00
PR
__________________
__________________

Plastic-CR39

1019AC

1,052.00
PR
__________________
__________________

Polycarbonate

1019AD

68.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Bifocal (NSP)

1020AA

18.00
PR
__________________
__________________

Glass

1020AB

3,008.00
PR
__________________
__________________

Plastic-CR39

1020AC

560.00
PR
__________________
__________________

Polycarbonate

1020AD

14.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Trifocal (NSP)

1021AA

4.00
PR
__________________
__________________

Glass

1021AB

186.00
PR
__________________
__________________

Plastic-CR39

1021AC

28.00
PR
__________________
__________________

Polycarbonate

1021AD

1.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Progressive (No-Line) (NSP)

POP End: 07-31-2024 MANUFACTURER PART NUMBER (MPN): none

1022AA

22.00
PR
__________________
__________________

Glass

1022AB

3,702.00
PR
__________________
__________________

Plastic-CR39

1022AC

434.00
PR
__________________
__________________

Polycarbonate

1022AD

36.00
PR
__________________
__________________

Hi-Index

240.00
PR
__________________
__________________

Prism (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Balanced (Special Lenses/Add-ons)

24.00
PR
__________________
__________________

Roll & Polished Edge (Special Lenses/Add-ons)

8.00
PR
__________________
__________________

Slab Off Prism (Special Lenses/Add-ons)

214.00
PR
__________________
__________________

Solid/Gradient Tint (Special Lenses/Add-ons)

240.00
PR
__________________
__________________

Anti Reflective (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Lenses, Oversize Eye Greater Than 58 (Special Lenses/Add-ons)

5,560.00
PR
__________________
__________________

Photochromic (Special Lenses/Add-ons)

50.00
PR
__________________
__________________

Polarized (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Aspheric (Special Lenses/Add-ons)

1.00
EA
__________________
__________________

SV-Glass, Plastic-CR39, Polycarbonate, Hi-Index (Lens Only)

1.00
EA
__________________
__________________

Bifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Trifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Progressive (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

0.00
EA
__________________
__________________

Single Vision (NSP) POP Begin: 08-01-2024 POP End: 07-31-2025 **VA Southern Nevada Healthcare System - Ordering Period 3**

2001AA

4.00
PR
__________________
__________________

Glass

2001AB

3,998.00
PR
__________________
__________________

Plastic-CR39

2001AC

2,916.00
PR
__________________
__________________

Polycarbonate

2001AD

716.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Bifocal (NSP)

2002AA

14.00
PR
__________________
__________________

Glass

2002AB

2,090.00
PR
__________________
__________________

Plastic-CR39

2002AC

1,184.00
PR
__________________
__________________

Polycarbonate

2002AD

240.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Trifocal (NSP)

2003AA

8.00
PR
__________________
__________________

Glass

2003AB

188.00
PR
__________________
__________________

Plastic-CR39

2003AC

154.00
PR
__________________
__________________

Polycarbonate

2003AD

30.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Progressive (No-Line) (NSP)

2004AA

10.00
PR
__________________
__________________

Glass

2004AB

3,360.00
PR
__________________
__________________

Plastic-CR39

2004AC

2,510.00
PR
__________________
__________________

Polycarbonate

2004AD

838.00
PR
__________________
__________________

Hi-Index

170.00
PR
__________________
__________________

Prism (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Balanced (Special Lenses/Add-ons)

50.00
PR
__________________
__________________

Roll & Polished Edge (Special Lenses/Add-ons)

6.00
PR
__________________
__________________

Slab Off Prism (Special Lenses/Add-ons)

512.00
PR
__________________
__________________

Solid/Gradient Tint (Special Lenses/Add-ons)

1,208.00
PR
__________________
__________________

Anti Reflective (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Lenses, Oversize Eye Greater Than 58 (Special Lenses/Add-ons)

12,808.00
PR
__________________
__________________

Photochromic (Special Lenses/Add-ons)

194.00
PR
__________________
__________________

Polarized (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Aspheric (Special Lenses/Add-ons)

1.00
EA
__________________
__________________

SV-Glass, Plastic-CR39, Polycarbonate, Hi-Index (Lens Only)

1.00
EA
__________________
__________________

Bifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Trifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Progressive (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

0.00
PR
__________________
__________________

Single Vision (NSP)

**VA Palo Alto Healthcare System - Ordering Period 3**

2019AA

6.00
PR
__________________
__________________

Glass

2019AB

5,392.00
PR
__________________
__________________

Plastic-CR39

2019AC

1,052.00
PR
__________________
__________________

Polycarbonate

2019AD

68.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Bifocal (NSP)

2020AA

18.00
PR
__________________
__________________

Glass

2020AB

3,008.00
PR
__________________
__________________

Plastic-CR39

2020AC

560.00
PR
__________________
__________________

Polycarbonate

2020AD

14.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Trifocal (NSP)

2021AA

4.00
PR
__________________
__________________

Glass

2021AB

186.00
PR
__________________
__________________

Plastic-CR39

2021AC

28.00
PR
__________________
__________________

Polycarbonate

2021AD

1.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Progressive (No-Line) (NSP)

2022AA

22.00
PR
__________________
__________________

Glass

2022AB

3,702.00
PR
__________________
__________________

Plastic-CR39

2022AC

434.00
PR
__________________
__________________

Polycarbonate

2022AD

36.00
PR
__________________
__________________

Hi-Index

240.00
PR
__________________
__________________

Prism (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Balanced (Special Lenses/Add-ons)

24.00
PR
__________________
__________________

Roll & Polished Edge (Special Lenses/Add-ons)

8.00
PR
__________________
__________________

Slab Off Prism (Special Lenses/Add-ons)

214.00
PR
__________________
__________________

Solid/Gradient Tint (Special Lenses/Add-ons)

240.00
PR
__________________
__________________

Anti Reflective (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Lenses, Oversize Eye Greater Than 58 (Special Lenses/Add-ons)

5,560.00
PR
__________________
__________________

Photochromic (Special Lenses/Add-ons)

50.00
PR
__________________
__________________

Polarized (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Aspheric (Special Lenses/Add-ons)

1.00
EA
__________________
__________________

SV-Glass, Plastic-CR39, Polycarbonate, Hi-Index (Lens Only)

1.00
EA
__________________
__________________

Bifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Trifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Progressive (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

0.00
PR
__________________
__________________

Single Vision (NSP) POP Begin: 08-01-2025 POP End: 07-31-2026 **VA Southern Nevada Healthcare System - Ordering Period 4**

3001AA

4.00
PR
__________________
__________________

Glass

3001AB

3,998.00
PR
__________________
__________________

Plastic-CR39

3001AC

2,916.00
PR
__________________
__________________

Polycarbonate

3001AD

716.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Bifocal (NSP)

3002AA

14.00
PR
__________________
__________________

Glass

3002AB

2,090.00
PR
__________________
__________________

Plastic-CR39

3002AC

1,184.00
PR
__________________
__________________

Polycarbonate

3002AD

240.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Trifocal (NSP)

3003AA

8.00
PR
__________________
__________________

Glass

3003AB

188.00
PR
__________________
__________________

Plastic-CR39

3003AC

154.00
PR
__________________
__________________

Polycarbonate

3003AD

30.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Progressive (No-Line) (NSP)

3004AA

10.00
PR
__________________
__________________

Glass

3004AB

3,360.00
PR
__________________
__________________

Plastic-CR39

3004AC

2,510.00
PR
__________________
__________________

Polycarbonate

3004AD

838.00
PR
__________________
__________________

Hi-Index

1.00
PR
__________________
__________________

Prism (Special Lenses/Add-ons)

170.00
PR
__________________
__________________

Balanced (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Roll & Polished Edge (Special Lenses/Add-ons)

50.00
PR
__________________
__________________

Slab Off Prism (Special Lenses/Add-ons)

6.00
PR
__________________
__________________

Solid/Gradient Tint (Special Lenses/Add-ons)

512.00
PR
__________________
__________________

Anti Reflective (Special Lenses/Add-ons)

1,208.00
PR
__________________
__________________

Lenses, Oversize Eye Greater Than 58 (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Photochromic (Special Lenses/Add-ons)

12,808.00
PR
__________________
__________________

Polarized (Special Lenses/Add-ons)

194.00
PR
__________________
__________________

Aspheric (Special Lenses/Add-ons)

1.00
EA
__________________
__________________

SV-Glass, Plastic-CR39, Polycarbonate, Hi-Index (Lens Only)

1.00
EA
__________________
__________________

Bifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Trifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Progressive (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

0.00
PR
__________________
__________________

Single Vision (NSP)

**VA Palo Alto Healthcare System - Ordering Period 4**

3019AA

6.00
PR
__________________
__________________

Glass

3019AB

5,392.00
PR
__________________
__________________

Plastic-CR39

3019AC

1,052.00
PR
__________________
__________________

Polycarbonate

3019AD

68.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Bifocal (NSP)

3020AA

18.00
PR
__________________
__________________

Glass

3020AB

3,008.00
PR
__________________
__________________

Plastic-CR39

3020AC

560.00
PR
__________________
__________________

Polycarbonate

3020AD

14.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Trifocal (NSP)

3021AA

4.00
PR
__________________
__________________

Glass

3021AB

186.00
PR
__________________
__________________

Plastic-CR39

3021AC

28.00
PR
__________________
__________________

Polycarbonate

3021AD

1.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Progressive (No-Line) (NSP)

3022AA

22.00
PR
__________________
__________________

Glass

3022AB

3,702.00
PR
__________________
__________________

Plastic-CR39

3022AC

434.00
PR
__________________
__________________

Polycarbonate

3022AD

36.00
PR
__________________
__________________

Hi-Index

240.00
PR
__________________
__________________

Prism (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Balanced (Special Lenses/Add-ons)

24.00
PR
__________________
__________________

Roll & Polished Edge (Special Lenses/Add-ons)

8.00
PR
__________________
__________________

Slab Off Prism (Special Lenses/Add-ons)

214.00
PR
__________________
__________________

Solid/Gradient Tint (Special Lenses/Add-ons)

240.00
PR
__________________
__________________

Anti Reflective (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Lenses, Oversize Eye Greater Than 58 (Special Lenses/Add-ons)

5,560.00
PR
__________________
__________________

Photochromic (Special Lenses/Add-ons)

50.00
PR
__________________
__________________

Polarized (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Aspheric (Special Lenses/Add-ons)

1.00
EA
__________________
__________________

SV-Glass, Plastic-CR39, Polycarbonate, Hi-Index (Lens Only)

1.00
EA
__________________
__________________

Bifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Trifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Progressive (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

0.00
PR
__________________
__________________

Single Vision (NSP) POP Begin: 08-01-2026 POP End: 07-31-2027 **VA Southern Nevada Healthcare System - Ordering Period 5**

4001AA

4.00
PR
__________________
__________________

Glass

4001AB

3,998.00
PR
__________________
__________________

Plastic-CR39

4001AC

2,916.00
PR
__________________
__________________

Polycarbonate

4001AD

716.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Bifocal (NSP)

POP End: 07-31-2027 MANUFACTURER PART NUMBER (MPN): none

4002AA

14.00
PR
__________________
__________________

Glass

4002AB

2,090.00
PR
__________________
__________________

Plastic-CR39

4002AC

1,184.00
PR
__________________
__________________

Polycarbonate

4002AD

240.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Trifocal (NSP)

4003AA

8.00
PR
__________________
__________________

Glass

4003AB

188.00
PR
__________________
__________________

Plastic-CR39

4003AC

154.00
PR
__________________
__________________

Polycarbonate

4003AD

30.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Progressive (No-Line) (NSP)

4004AA

10.00
PR
__________________
__________________

Glass

4004AB

3,360.00
PR
__________________
__________________

Plastic-CR39

4004AC

2,510.00
PR
__________________
__________________

Polycarbonate

4004AD

838.00
PR
__________________
__________________

Hi-Index

170.00
PR
__________________
__________________

Prism (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Balanced (Special Lenses/Add-ons)

50.00
PR
__________________
__________________

Roll & Polished Edge (Special Lenses/Add-ons)

6.00
PR
__________________
__________________

Slab Off Prism (Special Lenses/Add-ons)

512.00
PR
__________________
__________________

Solid/Gradient Tint (Special Lenses/Add-ons)

1,208.00
PR
__________________
__________________

Anti Reflective (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Lenses, Oversize Eye Greater Than 58 (Special Lenses/Add-ons)

12,808.00
PR
__________________
__________________

Photochromic (Special Lenses/Add-ons)

194.00
PR
__________________
__________________

Polarized (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Aspheric (Special Lenses/Add-ons)

1.00
EA
__________________
__________________

SV-Glass, Plastic-CR39, Polycarbonate, Hi-Index (Lens Only)

1.00
EA
__________________
__________________

Bifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Trifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Progressive (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

0.00
PR
__________________
__________________

Single Vision (NSP)

**VA Palo Alto Healthcare System - Ordering Period 5**

4019AA

6.00
PR
__________________
__________________

Glass

4019AB

5,392.00
PR
__________________
__________________

Plastic-CR39

4019AC

1,052.00
PR
__________________
__________________

Polycarbonate

4019AD

68.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Bifocal (NSP)

4020AA

18.00
PR
__________________
__________________

Glass

4020AB

3,008.00
PR
__________________
__________________

Plastic-CR39

4020AC

560.00
PR
__________________
__________________

Polycarbonate

4020AD

14.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Trifocal (NSP)

4021AA

4.00
PR
__________________
__________________

Glass

4021AB

186.00
PR
__________________
__________________

Plastic-CR39

4021AC

28.00
PR
__________________
__________________

Polycarbonate

4021AD

1.00
PR
__________________
__________________

Hi-Index

0.00
PR
__________________
__________________

Progressive (No-Line) (NSP)

4022AA

22.00
PR
__________________
__________________

Glass

4022AB

3,702.00
PR
__________________
__________________

Plastic-CR39

4022AC

434.00
PR
__________________
__________________

Polycarbonate

4022AD

36.00
PR
__________________
__________________

Hi-Index

240.00
PR
__________________
__________________

Prism (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Balanced (Special Lenses/Add-ons)

24.00
PR
__________________
__________________

Roll & Polished Edge (Special Lenses/Add-ons)

8.00
PR
__________________
__________________

Slab Off Prism (Special Lenses/Add-ons)

214.00
PR
__________________
__________________

Solid/Gradient Tint (Special Lenses/Add-ons)

240.00
PR
__________________
__________________

Anti Reflective (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Lenses, Oversize Eye Greater Than 58 (Special Lenses/Add-ons)

5,560.00
PR
__________________
__________________

Photochromic (Special Lenses/Add-ons)

50.00
PR
__________________
__________________

Polarized (Special Lenses/Add-ons)

1.00
PR
__________________
__________________

Aspheric (Special Lenses/Add-ons)

1.00
EA
__________________
__________________

SV-Glass, Plastic-CR39, Polycarbonate, Hi-Index (Lens Only)

1.00
EA
__________________
__________________

Bifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Trifocal (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

1.00
EA
__________________
__________________

Progressive (Plastic-CR39, Hi-Index, Polycarbonate) (Lens Only)

GRAND TOTAL
__________________

(End of Document)

File details come from the government source that posted it. Updated .