36C26125Q0198 LineItems.xlsx

XLSX spreadsheet 475 KB Posted

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6505--Radiopharmaceutical Delivery for VASNHCS Single Award IDIQ
Solicitation number
36C26125Q0198
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About this file

This is a line item spreadsheet detailing radiopharmaceutical products and services required by the VA Southern Nevada Healthcare System for a single-award IDIQ contract. The file lists 95 line items for the base period (4/1/25-3/31/26) and option years, including various radiopharmaceuticals like Xenon-133, Technetium-99m products, Iodine-123/131, Gallium-67/68, Fluorine-18 FDG, and related supplies such as masks, filters, and cartridges. Each line item specifies quantities, units, and pricing where applicable, with some items noted as "priced by manufacturer."

The evaluation criteria prioritize technical capability (including delivery timeframes), SDVOSB/VOSB preference (with 5% price reduction for SDVOSBs, 2% for VOSBs, and 1% for subcontracting to these groups), and price reasonableness. Delivery location is the VA Southern Nevada Healthcare System in North Las Vegas. The contract includes a base year plus two option years, with provisions for up to six months of additional services under FAR 52.217-8. Key requirements include routine weekday deliveries at no charge and premium charges for weekend and after-hours deliveries.

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Action Line Item Information

Action Type NamePrimary IDSecondary IDMod NumberTitleOrder Discount Type NameOrder Discount TypeOrder Discount
RFQ36C26125Q0198New - Radiopharmaceuticals IDIQPercent0

KB Version: FY25.03A

Items

ITEM NUMBERSLINDESCRIPTIONREF CLINCOMMENTINCLUDE COMMENTS IN DOCUMENTCONTRACT PERIODPOP BEGINPOP ENDQUANTITYUNIT OF MEASUREPACKAGING MULTIPLERECEIPT TYPELINE ITEM ISUNIT PRICEITEM DISCOUNT TYPE NAMEITEM DISCOUNTDATE UPDATEDADDRESS1ADDRESS2ADDRESS3CITYSTATEZIPZIP4COUNTRYMARK FROCONTACT NAMECONTACT PHONECONTACT EMAILDDELIVERY DATEFOBSPECIAL INSTRUCTIONSINCLUDE INSTRUCTIONS/COMMENTS IN DOCUMENTINCLUDE DATA VALUES IN DOCUMENTPRINCIPAL NAICS CODEPRODUCT/SERVICE CODEUNSPSCSIC CODEMANUFACTURER PART NUMBER (MPN)NATIONAL STOCK NUMBERLOCAL STOCK NUMBERDM DOC IDDELIVERY REF. COUNTERUNIT TEXT/DESCRIPTIONDELIVERY REFERENCEITEM MASTER FILE NUMBEREXPENDABLE/NON-EXPENDABLEQUANTITY REQUESTEDUNIT OF PURCHASE CODE
0001104644 - Xenon Mask Case of 20 - CARD2380104644 - Xenon Mask Case of 20 - CARD2380 50QTY X $221.60 = $11,080.00NoBase4/1/253/31/2650CS1QuantityPricedPercent0Department of Veterans AffairsVA SOUTHERN NEVADA HEALTH CARE SYSTEM6900 North Pecos RoadNorth Las VegasNV89086USA04/01/2025 - 03/31/2026DESTINATIONNoNo3254126505____________________00E50.00EA
0002101881 - Aerovent101881 - Aerovent 50QTY X $32.00 = $1,600.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0003104853/198001 - After Hours Call Out104853/198001 - After Hours Call Out 50QTY X $237.10 = $11,855.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0004198002 - After Hours Delivery Charge198002 - After Hours Delivery Charge 50QTY X $85.00 = $4,250.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0005105608 - Canceled After Hours Call Out105608 - Canceled After Hours Call Out 5QTY X $237.10 = $1,185.50NoBase4/1/253/31/265EA1QuantityPricedPercent0NONENoNo3254126505____________________00E5.00EA
0006110467 Soda Lime Cartridge110467 Soda Lime Cartridge 10QTY X $14.00 = $140NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0007107858 Cu-64 DOTATATE (Detectnet)107858 Cu-64 DOTATATE (Detectnet) 10QTY X PRICED BY MANUFACTURER (CURIUM)NoBase4/1/253/31/2610EA1QuantityN/CPercent0NONENoNo3254126505____________________00E10.00EA
0008102126 Drierite102126 Drierite 10QTY X $29.00 = $290.00NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0009102234 MedRad FDG (up to 15 mCi dose)102234 MedRad FDG (up to 15 mCi dose) 1130QTY X 0.00NoBase4/1/253/31/261130EA1QuantityN/CPercent0NONENoNo3254126505____________________00E1,130.00EA
0010102191 F-18 FDG MD (Med Rad)102191 F-18 FDG MD (Med Rad) 95QTY X $153.96 = $14,626.20NoBase4/1/253/31/2695EA1QuantityPricedPercent0NONENoNo3254126505____________________00E95.00EA
0011102192 FDG unit dose102192 FDG unit dose 5QTY X $153.96 = $769.80NoBase4/1/253/31/265EA1QuantityPricedPercent0NONENoNo3254126505____________________00E5.00EA
0012102193 FDG Source (1-15 mCi)102193 FDG Source (1-15 mCi) 5QTY X $153.96 = $769.80NoBase4/1/253/31/265EA1QuantityPricedPercent0NONENoNo3254126505____________________00E5.00EA
0013102193 FDG Source(16-30 mCi)102193 FDG Source(16-30 mCi) 2QTY X $307.92 = $615.84NoBase4/1/253/31/262EA1QuantityPricedPercent0NONENoNo3254126505____________________00E2.00EA
0014102193 FDG Source (31-45 mCi)102193 FDG Source (31-45 mCi) 2QTY X $461.88 = $923.76NoBase4/1/253/31/262EA1QuantityPricedPercent0NONENoNo3254126505____________________00E2.00EA
0015106836 F-18 Flurpiridaz106836 F-18 Flurpiridaz 5QTY X 0.00 (PRICED AND INVOICED BY MANUFACTURER DIRECTLY GE)NoBase4/1/253/31/265EA1QuantityN/CPercent0NONENoNo3254126505____________________00E5.00EA
0016102201/105626 F-18 Vizamyl102201/105626 F-18 Vizamyl (1-5 mCi billed by manufacturer) 5QTY X 0NoBase4/1/253/31/265EA1QuantityN/CPercent0NONENoNo3254126505____________________00E5.00EA
0017102204 F Sodium Fluoride (NaF) USP for Bone Imaging (1 - 12 mCi dose)102204 F Sodium Fluoride (NaF) USP for Bone Imaging (1 - 12 mCi dose) 5QTY X $166.77 = $833.85NoBase4/1/253/31/265EA1QuantityPricedPercent0NONENoNo3254126505____________________00E5.00EA
0018102204 F Sodium Fluoride (Calibration only)102204 F Sodium Fluoride (Calibration only) 5QTY X $166.77 = $833.85NoBase4/1/253/31/265EA1QuantityPricedPercent0NONENoNo3254126505____________________00E5.00EA
0019Flood Sources/Pen MarkersFlood Sources/Pen Markers 5QTY X 0.00 (SUBJECT TO CHANGE BASED ON MANUFACTURERS PRICE AT THE TIME)NoBase4/1/253/31/265EA1QuantityN/CPercent0NONENoNo3254126505____________________00E5.00EA
0020102279 Ga-67 Gallium Citrate UD (Ga-67 per mCi)102279 Ga-67 Gallium Citrate UD (Ga-67 per mCi) 10QTY X $61.05 = $610.50NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0021105765 Ga-68 Dotatate UD (Ga68 Netspot)105765 Ga-68 Dotatate UD (Ga68 Netspot) 15QTY X 0.00 (PRICED BY MANUFACTURER)NoBase4/1/253/31/2615EA1QuantityN/CPercent0NONENoNo3254126505____________________00E15.00EA
0022108632 Ga-68 Gozetotide (ILLUCCIX) UD (Ga-68 PSMA)108632 Ga-68 Gozetotide (ILLUCCIX) UD (Ga-68 PSMA) 100QTY X 0.00 (PRICED BY MANUFACTURER)NoBase4/1/253/31/26100EA1QuantityN/CPercent0NONENoNo3254126505____________________00E100.00EA
0023109873 Ga-68 Gozetotide (LOCAMETZ) UD (Ga-68 PSMA)109873 Ga-68 Gozetotide (LOCAMETZ) UD (Ga-68 PSMA) 100QTY X 0.00 (PRICED BY MANUFACTURER)NoBase4/1/253/31/26100EA1QuantityN/CPercent0NONENoNo3254126505____________________00E100.00EA
0024102337 I-123 100uCi Cap102337 I-123 100uCi Cap 115QTY X $82.16 = $9,448.40NoBase4/1/253/31/26115EA1QuantityPricedPercent0NONENoNo3254126505____________________00E115.00EA
0025102338 I-123 200uCi Cap102338 I-123 200uCi Cap 115QTY X $93.64 = $10,768.60NoBase4/1/253/31/26115EA1QuantityPricedPercent0NONENoNo3254126505____________________00E115.00EA
0026102330 I-123 Iobenguane Sulfate UD (I-123 MIBG)102330 I-123 Iobenguane Sulfate UD (I-123 MIBG) 2QTY X $4,775.33 = $9,550.66NoBase4/1/253/31/262EA1QuantityPricedPercent0NONENoNo3254126505____________________00E2.00EA
0027108640/108642 I-123 Ioflupane108640/108642 I-123 Ioflupane 2QTY X $1,803.45 = $3,606.90NoBase4/1/253/31/262EA1QuantityPricedPercent0NONENoNo3254126505____________________00E2.00EA
0028106236/108346 I-123 DaTscan106236/108346 I-123 DaTscan 5QTY X 0.00 (BILLED BY MANUFACTURER)NoBase4/1/253/31/265EA1QuantityN/CPercent0NONENoNo3254126505____________________00E5.00EA
0029102332 I-123 RC Nal Cap (I-123 Wholebody Imaging 2mCi)102332 I-123 RC Nal Cap (I-123 Wholebody Imaging 2mCi) 2QTY X $702.76 = $1,405.52NoBase4/1/253/31/262EA1QuantityPricedPercent0NONENoNo3254126505____________________00E2.00EA
0030102332 I-123 RC Nal Cap (I-123 Wholebody Imaging 2-5mCi each addnl)102332 I-123 RC Nal Cap (I-123 Wholebody Imaging 2-5mCi each addnl) 2QTY X $351.38 = $702.76NoBase4/1/253/31/262EA1QuantityPricedPercent0NONENoNo3254126505____________________00E2.00EA
0031107527 I-123 USP NAI 100 uCi cancellation Fee107527 I-123 USP NAI 100 uCi cancellation Fee 5QTY X $82.16 = $410.80NoBase4/1/253/31/265EA1QuantityPricedPercent0NONENoNo3254126505____________________00E5.00EA
0032107528 I-123 USP NAI 200 uCi cancellation Fee107528 I-123 USP NAI 200 uCi cancellation Fee 115QTY X $93.64 = $10,768.60NoBase4/1/253/31/26115EA1QuantityPricedPercent0NONENoNo3254126505____________________00E115.00EA
0033102366/102367 I-131 USP Dx Cap mCi -Source (I-131 Source)102366/102367 I-131 USP Dx Cap mCi -Source (I-131 Source) 10QTY X $158.24 = $1,582.40NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0034102366/102372/102367 I-131 USP Nal Dx Cap mCi/I-131 USP Nal Tx Cap (I-131 Capsule 1-6mCi)102366/102372/102367 I-131 USP Nal Dx Cap mCi/I-131 USP Nal Tx Cap (I-131 Capsule 1-6mCi) 10QTY X $158.24 = $1,582.40NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0035102366/102372 I-131 USP Nal Dx Cap mCi/I-131 USP Nal Tx Cap (I-131 Capsule per mCi)102366/102372 I-131 USP Nal Dx Cap mCi/I-131 USP Nal Tx Cap (I-131 Capsule per mCi) 50QTY X $15.82 = $791.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0036102369/102373 I-131 USP Nal Dx Sol mCi/I-131 USP Nal Tx Sol (I-131 Solution (1-6mCi)102369/102373 I-131 USP Nal Dx Sol mCi/I-131 USP Nal Tx Sol (I-131 Solution (1-6mCi) 10QTY X $158.24 = $1,582.40NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0037102410 In-111 Autologous WBC Suspension (In-111 WBC Oxine)102410 In-111 Autologous WBC Suspension (In-111 WBC Oxine) 2QTY X $2,487.20 = $4,974.40NoBase4/1/253/31/262EA1QuantityPricedPercent0NONENoNo3254126505____________________00E2.00EA
0038108261/102379 In-111 Chloride source108261/102379 In-111 Chloride source 5QTY X $450.00 = $2,250.00NoBase4/1/253/31/265EA1QuantityPricedPercent0NONENoNo3254126505____________________00E5.00EA
0039104295 In-111 Pentetate cancellation Fee104295 In-111 Pentetate cancellation Fee 2QTY X $2,487.20 = $4,974.40NoBase4/1/253/31/262EA1QuantityPricedPercent0NONENoNo3254126505____________________00E2.00EA
0040102396 In-111 Pentetate SDV/Vial102396 In-111 Pentetate SDV/Vial 2QTY X $2,487.20 = $4,974.40NoBase4/1/253/31/262EA1QuantityPricedPercent0NONENoNo3254126505____________________00E2.00EA
0041102400 In-111 Pentreotide UD (In-111 Octreoscan)102400 In-111 Pentreotide UD (In-111 Octreoscan) 2QTY X $5,854.04 = $11,708.08NoBase4/1/253/31/262EA1QuantityPricedPercent0NONENoNo3254126505____________________00E2.00EA
0042102405-11/103007-11 In-111 WBC Blood Kit / Tc-99m WBC Blood Kit (WBC Kits)102405-11/103007-11 In-111 WBC Blood Kit / Tc-99m WBC Blood Kit (WBC Kits) 5QTY X $60.78 = $303.90NoBase4/1/253/31/265EA1QuantityPricedPercent0NONENoNo3254126505____________________00E5.00EA
0043101891 Insta/Vent Ventilator Kit (Instavent kit)101891 Insta/Vent Ventilator Kit (Instavent kit) 10QTY X $37.75 = $377.50NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0044103931 Lymphoseek Study Dose103931 Lymphoseek Study Dose 5QTY X $727.00 = $3,635.00NoBase4/1/253/31/265EA1QuantityPricedPercent0NONENoNo3254126505____________________00E5.00EA
0045103135 Mask DD/Bacteria Filter/Tubing/Packets (Xenon Convenience Kit)103135 Mask DD/Bacteria Filter/Tubing/Packets (Xenon Convenience Kit) 50QTY X $34.00 = $1,700.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0046110469 Mask w/Direct Dose Leur Lock, Filter, Tube (Xenon Mask)110469 Mask w/Direct Dose Leur Lock, Filter, Tube (Xenon Mask) 50QTY X $12.00 = $600.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0047110465 Moisture Absorbing Granule Cartridge (Drierite) (Drierite Cartridge)110465 Moisture Absorbing Granule Cartridge (Drierite) (Drierite Cartridge) 50QTY X $14.00 = $700.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0048102244 Octreoscan Cancellation Fee102244 Octreoscan Cancellation Fee 5QTY X $5,854.04 = $29,270.20NoBase4/1/253/31/265EA1QuantityPricedPercent0NONENoNo3254126505____________________00E5.00EA
0049102682 Pyrophosphate in Saline Syringe (PYP syringe)102682 Pyrophosphate in Saline Syringe (PYP syringe) 25QTY X $64.69 = $1,617.25NoBase4/1/253/31/2625EA1QuantityPricedPercent0NONENoNo3254126505____________________00E25.00EA
0050102684 Pyrophosphate Vial (Cold Pyrophasphate)102684 Pyrophosphate Vial (Cold Pyrophasphate) 25QTY X $64.69 = $1,617.25NoBase4/1/253/31/2625EA1QuantityPricedPercent0NONENoNo3254126505____________________00E25.00EA
0051102692 Ra-223 Disochloride UD uCi (Ra-223 Xofigo)102692 Ra-223 Disochloride UD uCi (Ra-223 Xofigo) 10QTY X 0.00 (PRICED BY MANUFACTURER)NoBase4/1/253/31/2610EA1QuantityN/CPercent0NONENoNo3254126505____________________00E10.00EA
0052109217 Regadenoson Inj 0.4mg/5ml Syr109217 Regadenoson Inj 0.4mg/5ml Syr 10QTY X $165.63 = $1,656.30NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0053102694 Regadenoson Inj 0.4mg/5ml Syr (Lexiscan)102694 Regadenoson Inj 0.4mg/5ml Syr (Lexiscan) 10QTY X $319.94 = $3,199.40NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0054102767 Sincalide Vial102767 Sincalide Vial 50QTY X $176.28 = $8,814.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0055102773 Soda Lime CO2 Absorber 1lb (Soda Lime)102773 Soda Lime CO2 Absorber 1lb (Soda Lime) 50QTY X $29.00 = $1,450.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0056198009 Stat198009 Stat 50QTY X $88.58 = $4,429.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0057102932/103640 Tc-99m Bicisate UD (Tc99m Neurolite)102932/103640 Tc-99m Bicisate UD (Tc99m Neurolite) 10QTY X $1,545.61 = $15,456.10NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0058103344/103723 Tc-99m Cardiolite UD103344/103723 Tc-99m Cardiolite UD 10QTY X $47.12 = $471.20NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0059103012/103720 Tc-99m Exametazime WBC's (Tc99m HMPAO WBC)103012/103720 Tc-99m Exametazime WBC's (Tc99m HMPAO WBC) 10QTY X $2,344.58 = $23,445.80NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0060102940/103648 Tc-99m Exametazime UD (Tc99m Ceretec Brain)102940/103648 Tc-99m Exametazime UD (Tc99m Ceretec Brain) 10QTY X $1,913.26 = $19,132.60NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0061102943/103855/103651 Tc-99m Filtered Sulfur Colloid UD (Tc99m Filtered Sulfur Colloid Lymph)102943/103855/103651 Tc-99m Filtered Sulfur Colloid UD (Tc99m Filtered Sulfur Colloid Lymph) 10QTY X $207.71 = $2,077.10NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0062103728 Tc-99m Mac. Agg. Alb. Reduced Particle UD (Tc99m MAA RP 7 mCi max)103728 Tc-99m Mac. Agg. Alb. Reduced Particle UD (Tc99m MAA RP 7 mCi max) 5QTY X $627.99 = $3,139.95NoBase4/1/253/31/265EA1QuantityPricedPercent0NONENoNo3254126505____________________00E5.00EA
0063102970/103678 Tc-99m Macro Aggregated Albumin UD (Tc99m MAA 7 mCi max)102970/103678 Tc-99m Macro Aggregated Albumin UD (Tc99m MAA 7 mCi max) 305QTY X $174.16 = $53,118.80NoBase4/1/253/31/26305EA1QuantityPricedPercent0NONENoNo3254126505____________________00E305.00EA
0064102974/103682 Tc-99m Mebrofenin UD (Tc99m Choletec/Mebrofenin)102974/103682 Tc-99m Mebrofenin UD (Tc99m Choletec/Mebrofenin) 112QTY X $40.83 = $4,572.96NoBase4/1/253/31/26112EA1QuantityPricedPercent0NONENoNo3254126505____________________00E112.00EA
0065102977/103685 Tc-99m Medronate UD (Tc99m MDP 25 mCi max)102977/103685 Tc-99m Medronate UD (Tc99m MDP 25 mCi max) 250QTY X $47.69 = $11,922.50NoBase4/1/253/31/26250EA1QuantityPricedPercent0NONENoNo3254126505____________________00E250.00EA
0066102980/103866 Tc-99m Mertiatide UD (Tc99m MAG3)102980/103866 Tc-99m Mertiatide UD (Tc99m MAG3) 50QTY X $329.64 = $16,482.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0067102984/103692 Tc-99m NaTcO4 UD mCi (Tc99m Pertechnetate 40 mCi max)102984/103692 Tc-99m NaTcO4 UD mCi (Tc99m Pertechnetate 40 mCi max) 80QTY X $32.40 = $2,592.00NoBase4/1/253/31/2680EA1QuantityPricedPercent0NONENoNo3254126505____________________00E80.00EA
0068102383/103691 Tc-99m NaTco4 UD MD (Tc99m Pertechnetate bulk)102383/103691 Tc-99m NaTco4 UD MD (Tc99m Pertechnetate bulk) 50QTY X $2.49 = $124.50NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0069102982/106658 Tc-99m NaTcO4 UD uCi (Tc99m Pertechnetate 1000 uCi max)102982/106658 Tc-99m NaTcO4 UD uCi (Tc99m Pertechnetate 1000 uCi max) 50QTY X $16.62 = $831.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0070102986/103694 Tc-99m Oxidronate UD (Tc99m HDP 30 mCi max)102986/103694 Tc-99m Oxidronate UD (Tc99m HDP 30 mCi max) 80QTY X $48.84 = $3,907.20NoBase4/1/253/31/2680EA1QuantityPricedPercent0NONENoNo3254126505____________________00E80.00EA
0071102990/103698 Tc-99m Pentetate UD (Tc99m DTPA 15 mCi max)102990/103698 Tc-99m Pentetate UD (Tc99m DTPA 15 mCi max) 50QTY X $155.87 = $7,793.50NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0072102990 (009)/103698 Tc-99m Pentetate UD Aerosol UD (Tc99m DTPA aerosol 40 mCi max)102990 (009)/103698 Tc-99m Pentetate UD Aerosol UD (Tc99m DTPA aerosol 40 mCi max) 50QTY X $169.08 = $$8,454.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0073102991/103699 Tc-99m Pyrophosphate UD102991/103699 Tc-99m Pyrophosphate UD 50QTY X $65.78 = $3,289.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0074102994/103702 Tc-99m Sestamibi UD (Tc99m Sestamibi (Parathyroid, Cardiac Rest/Stress)102994/103702 Tc-99m Sestamibi UD (Tc99m Sestamibi (Parathyroid, Cardiac Rest/Stress) 50QTY X $35.09 = $1,754.50NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0075109180 Tc-99m Succimer UD (Tc99m DMSA)109180 Tc-99m Succimer UD (Tc99m DMSA) 50QTY X $1,837.50 = $91,875.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0076103003/103711 Tc-99m Sulfur Colloid UD (Tc99m Sulfur Colloid (Liver, bone marrow, gastic empty)103003/103711 Tc-99m Sulfur Colloid UD (Tc99m Sulfur Colloid (Liver, bone marrow, gastic empty) 75QTY X $109.02 = $8,176.50NoBase4/1/253/31/2675EA1QuantityPricedPercent0NONENoNo3254126505____________________00E75.00EA
0077103003/103711 Tc-99m Sulfur Colloid UD (Tc99m non-Filtered Sulfur Colloid Lymph)103003/103711 Tc-99m Sulfur Colloid UD (Tc99m non-Filtered Sulfur Colloid Lymph) 75QTY X $109.02= $8,176.50NoBase4/1/253/31/2675EA1QuantityPricedPercent0NONENoNo3254126505____________________00E75.00EA
0078103006/103714 Tc-99m Tetrofosmin UD (Tc99m Myoview)103006/103714 Tc-99m Tetrofosmin UD (Tc99m Myoview) 3550QTY X $41.30 = $146,615.00NoBase4/1/253/31/263550EA1QuantityPricedPercent0NONENoNo3254126505____________________00E3,550.00EA
0079102967 Tc-99m Tilmanocept UD (Tc99m Lymphoseek doses)102967 Tc-99m Tilmanocept UD (Tc99m Lymphoseek doses) 15QTY X 0.00NoBase4/1/253/31/2615EA1QuantityN/CPercent0NONENoNo3254126505____________________00E15.00EA
0080103039 Tl-201 Thallous Chloride UD (Thallium-201)103039 Tl-201 Thallous Chloride UD (Thallium-201) 50QTY X $19.63 = $981.50NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0081103080 Ultratag Vial (Ultratag kits)103080 Ultratag Vial (Ultratag kits) 70QTY X $173.92.00 = $12,174.40NoBase4/1/253/31/2670EA1QuantityPricedPercent0NONENoNo3254126505____________________00E70.00EA
0082198011 WBC After Hours198011 WBC After Hours 10QTY X $231.38 = $2,313.80NoBase4/1/253/31/2610EA1QuantityPricedPercent0NONENoNo3254126505____________________00E10.00EA
0083199001 Weekday Delivery 1199001 Weekday Delivery 1 50QTY X 0NoBase4/1/253/31/2650EA1QuantityN/CPercent0NONENoNo3254126505____________________00E50.00EA
0084199002 Weekday Delivery 2199002 Weekday Delivery 2 50QTY X 0NoBase4/1/253/31/2650EA1QuantityN/CPercent0NONENoNo3254126505____________________00E50.00EA
0085199003 Weekday Delivery 3199003 Weekday Delivery 3 50QTY X 0NoBase4/1/253/31/2650EA1QuantityN/CPercent0NONENoNo3254126505____________________00E50.00EA
0086199004 Weekday Delivery 4199004 Weekday Delivery 4 50QTY X 0NoBase4/1/253/31/2650EA1QuantityN/CPercent0NONENoNo3254126505____________________00E50.00EA
0087199005 Weekday Delivery 5199005 Weekday Delivery 5 50QTY X 0NoBase4/1/253/31/2650EA1QuantityN/CPercent0NONENoNo3254126505____________________00E50.00EA
0088199006 Weekend Delivery 1199006 Weekend Delivery 1 50QTY X $18.60 = $930.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0089199007 Weekend Delivery 2199007 Weekend Delivery 2 50QTY X $34.04 = $1,702.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0090199008 Weekend Delivery 3199008 Weekend Delivery 3 50QTY X $36.60 = $1,930.00NoBase4/1/253/31/2650EA1QuantityPricedPercent0NONENoNo3254126505____________________00E50.00EA
0091103100 Xe-133 Xenon Gas 10mCi Vial (Xe-133 (10mCi)103100 Xe-133 Xenon Gas 10mCi Vial (Xe-133 (10mCi) 300QTY X $122.08 = $36,624.00NoBase4/1/253/31/26300EA1QuantityPricedPercent0NONENoNo3254126505____________________00E300.00EA
0092103099 Xe-133 Xenon Gas 20mCi Vial (Xe-133 (20mCi)103099 Xe-133 Xenon Gas 20mCi Vial (Xe-133 (20mCi) 300QTY X $224.16 = $67,248.00NoBase4/1/253/31/26300EA1QuantityPricedPercent0NONENoNo3254126505____________________00E300.00EA
0093103104 Xenon Breathing Circuit - Large Adult Mask (RAF2370 Xenon Mask)103104 Xenon Breathing Circuit - Large Adult Mask (RAF2370 Xenon Mask) 300QTY X $11.08 = $3,324.00NoBase4/1/253/31/26300EA1QuantityPricedPercent0NONENoNo3254126505____________________00E300.00EA
0094SPP-057-200U Co-57 Penpoint Marker 200uCiSPP-057-200U Co-57 Penpoint Marker 200uCi 5QTY X 0 (SUBJECT TO CHANGE BASED ON MANUFACTURERS PRICE AT TIME)NoBase4/1/253/31/265EA1QuantityN/CPercent0NONENoNo3254126505____________________00E5.00EA
0095T6-953 Disposal Fee (Co-57 Penpoint Markeer) (Disposal Fee)T6-953 Disposal Fee (Co-57 Penpoint Markeer) (Disposal Fee) 5QTY X 0 (SUBJECT TO CHANGE BASED ON MANUFACTURERS PRICE AT TIME)NoBase4/1/253/31/265EA1QuantityN/CPercent0NONENoNo3254126505____________________00E5.00EA
1001104644 - Xenon Mask Case of 20 - CARD2380NoBase4/1/263/31/2750CS1QuantityPricedPercent0Department of Veterans AffairsVA SOUTHERN NEVADA HEALTH CARE SYSTEM6900 North Pecos RoadNorth Las VegasNV89086USA04/01/2026 - 03/31/2027DESTINATIONNoNo3254126505____________________
1002101881 - AeroventNoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1003104853/198001 - After Hours Call OutNoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1004198002 - After Hours Delivery ChargeNoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1005105608 - Canceled After Hours Call OutNoBase4/1/263/31/275EA1QuantityPricedPercent0NONENoNo3254126505____________________
1006110467 Soda Lime CartridgeNoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1007107858 Cu-64 DOTATATE (Detectnet)NoBase4/1/263/31/2710EA1QuantityN/CPercent0NONENoNo3254126505____________________
1008102126 DrieriteNoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1009102234 MedRad FDG (up to 15 mCi dose)NoBase4/1/263/31/271130EA1QuantityN/CPercent0NONENoNo3254126505____________________
1010102191 F-18 FDG MD (Med Rad)NoBase4/1/263/31/2795EA1QuantityPricedPercent0NONENoNo3254126505____________________
1011102192 FDG unit doseNoBase4/1/263/31/275EA1QuantityPricedPercent0NONENoNo3254126505____________________
1012102193 FDG Source (1-15 mCi)NoBase4/1/263/31/275EA1QuantityPricedPercent0NONENoNo3254126505____________________
1013102193 FDG Source(16-30 mCi)NoBase4/1/263/31/272EA1QuantityPricedPercent0NONENoNo3254126505____________________
1014102193 FDG Source (31-45 mCi)NoBase4/1/263/31/272EA1QuantityPricedPercent0NONENoNo3254126505____________________
1015106836 F-18 FlurpiridazNoBase4/1/263/31/275EA1QuantityN/CPercent0NONENoNo3254126505____________________
1016102201/105626 F-18 VizamylNoBase4/1/263/31/275EA1QuantityN/CPercent0NONENoNo3254126505____________________
1017102204 F Sodium Fluoride (NaF) USP for Bone Imaging (1 - 12 mCi dose)NoBase4/1/263/31/275EA1QuantityPricedPercent0NONENoNo3254126505____________________
1018102204 F Sodium Fluoride (Calibration only)NoBase4/1/263/31/275EA1QuantityPricedPercent0NONENoNo3254126505____________________
1019Flood Sources/Pen MarkersNoBase4/1/263/31/275EA1QuantityN/CPercent0NONENoNo3254126505____________________
1020102279 Ga-67 Gallium Citrate UD (Ga-67 per mCi)NoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1021105765 Ga-68 Dotatate UD (Ga68 Netspot)NoBase4/1/263/31/2715EA1QuantityN/CPercent0NONENoNo3254126505____________________
1022108632 Ga-68 Gozetotide (ILLUCCIX) UD (Ga-68 PSMA)NoBase4/1/263/31/27100EA1QuantityN/CPercent0NONENoNo3254126505____________________
1023109873 Ga-68 Gozetotide (LOCAMETZ) UD (Ga-68 PSMA)NoBase4/1/263/31/27100EA1QuantityN/CPercent0NONENoNo3254126505____________________
1024102337 I-123 100uCi CapNoBase4/1/263/31/27115EA1QuantityPricedPercent0NONENoNo3254126505____________________
1025102338 I-123 200uCi CapNoBase4/1/263/31/27115EA1QuantityPricedPercent0NONENoNo3254126505____________________
1026102330 I-123 Iobenguane Sulfate UD (I-123 MIBG)NoBase4/1/263/31/272EA1QuantityPricedPercent0NONENoNo3254126505____________________
1027108640/108642 I-123 IoflupaneNoBase4/1/263/31/272EA1QuantityPricedPercent0NONENoNo3254126505____________________
1028106236/108346 I-123 DaTscanNoBase4/1/263/31/275EA1QuantityN/CPercent0NONENoNo3254126505____________________
1029102332 I-123 RC Nal Cap (I-123 Wholebody Imaging 2mCi)NoBase4/1/263/31/272EA1QuantityPricedPercent0NONENoNo3254126505____________________
1030102332 I-123 RC Nal Cap (I-123 Wholebody Imaging 2-5mCi each addnl)NoBase4/1/263/31/272EA1QuantityPricedPercent0NONENoNo3254126505____________________
1031107527 I-123 USP NAI 100 uCi cancellation FeeNoBase4/1/263/31/275EA1QuantityPricedPercent0NONENoNo3254126505____________________
1032107528 I-123 USP NAI 200 uCi cancellation FeeNoBase4/1/263/31/27115EA1QuantityPricedPercent0NONENoNo3254126505____________________
1033102366/102367 I-131 USP Dx Cap mCi -Source (I-131 Source)NoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1034102366/102372/102367 I-131 USP Nal Dx Cap mCi/I-131 USP Nal Tx Cap (I-131 Capsule 1-6mCi)NoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1035102366/102372 I-131 USP Nal Dx Cap mCi/I-131 USP Nal Tx Cap (I-131 Capsule per mCi)NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1036102369/102373 I-131 USP Nal Dx Sol mCi/I-131 USP Nal Tx Sol (I-131 Solution (1-6mCi)NoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1037102410 In-111 Autologous WBC Suspension (In-111 WBC Oxine)NoBase4/1/263/31/272EA1QuantityPricedPercent0NONENoNo3254126505____________________
1038108261/102379 In-111 Chloride sourceNoBase4/1/263/31/275EA1QuantityPricedPercent0NONENoNo3254126505____________________
1039104295 In-111 Pentetate cancellation FeeNoBase4/1/263/31/272EA1QuantityPricedPercent0NONENoNo3254126505____________________
1040102396 In-111 Pentetate SDV/VialNoBase4/1/263/31/272EA1QuantityPricedPercent0NONENoNo3254126505____________________
1041102400 In-111 Pentreotide UD (In-111 Octreoscan)NoBase4/1/263/31/272EA1QuantityPricedPercent0NONENoNo3254126505____________________
1042102405-11/103007-11 In-111 WBC Blood Kit / Tc-99m WBC Blood Kit (WBC Kits)NoBase4/1/263/31/275EA1QuantityPricedPercent0NONENoNo3254126505____________________
1043101891 Insta/Vent Ventilator Kit (Instavent kit)NoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1044103931 Lymphoseek Study DoseNoBase4/1/263/31/275EA1QuantityPricedPercent0NONENoNo3254126505____________________
1045103135 Mask DD/Bacteria Filter/Tubing/Packets (Xenon Convenience Kit)NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1046110469 Mask w/Direct Dose Leur Lock, Filter, Tube (Xenon Mask)NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1047110465 Moisture Absorbing Granule Cartridge (Drierite) (Drierite Cartridge)NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1048102244 Octreoscan Cancellation FeeNoBase4/1/263/31/275EA1QuantityPricedPercent0NONENoNo3254126505____________________
1049102682 Pyrophosphate in Saline Syringe (PYP syringe)NoBase4/1/263/31/2725EA1QuantityPricedPercent0NONENoNo3254126505____________________
1050102684 Pyrophosphate Vial (Cold Pyrophasphate)NoBase4/1/263/31/2725EA1QuantityPricedPercent0NONENoNo3254126505____________________
1051102692 Ra-223 Disochloride UD uCi (Ra-223 Xofigo)NoBase4/1/263/31/2710EA1QuantityN/CPercent0NONENoNo3254126505____________________
1052109217 Regadenoson Inj 0.4mg/5ml SyrNoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1053102694 Regadenoson Inj 0.4mg/5ml Syr (Lexiscan)NoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1054102767 Sincalide VialNoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1055102773 Soda Lime CO2 Absorber 1lb (Soda Lime)NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1056198009 StatNoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1057102932/103640 Tc-99m Bicisate UD (Tc99m Neurolite)NoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1058103344/103723 Tc-99m Cardiolite UDNoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1059103012/103720 Tc-99m Exametazime WBC's (Tc99m HMPAO WBC)NoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1060102940/103648 Tc-99m Exametazime UD (Tc99m Ceretec Brain)NoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1061102943/103855/103651 Tc-99m Filtered Sulfur Colloid UD (Tc99m Filtered Sulfur Colloid Lymph)NoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1062103728 Tc-99m Mac. Agg. Alb. Reduced Particle UD (Tc99m MAA RP 7 mCi max)NoBase4/1/263/31/275EA1QuantityPricedPercent0NONENoNo3254126505____________________
1063102970/103678 Tc-99m Macro Aggregated Albumin UD (Tc99m MAA 7 mCi max)NoBase4/1/263/31/27305EA1QuantityPricedPercent0NONENoNo3254126505____________________
1064102974/103682 Tc-99m Mebrofenin UD (Tc99m Choletec/Mebrofenin)NoBase4/1/263/31/27112EA1QuantityPricedPercent0NONENoNo3254126505____________________
1065102977/103685 Tc-99m Medronate UD (Tc99m MDP 25 mCi max)NoBase4/1/263/31/27250EA1QuantityPricedPercent0NONENoNo3254126505____________________
1066102980/103866 Tc-99m Mertiatide UD (Tc99m MAG3)NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1067102984/103692 Tc-99m NaTcO4 UD mCi (Tc99m Pertechnetate 40 mCi max)NoBase4/1/263/31/2780EA1QuantityPricedPercent0NONENoNo3254126505____________________
1068102383/103691 Tc-99m NaTco4 UD MD (Tc99m Pertechnetate bulk)NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1069102982/106658 Tc-99m NaTcO4 UD uCi (Tc99m Pertechnetate 1000 uCi max)NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1070102986/103694 Tc-99m Oxidronate UD (Tc99m HDP 30 mCi max)NoBase4/1/263/31/2780EA1QuantityPricedPercent0NONENoNo3254126505____________________
1071102990/103698 Tc-99m Pentetate UD (Tc99m DTPA 15 mCi max)NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1072102990 (009)/103698 Tc-99m Pentetate UD Aerosol UD (Tc99m DTPA aerosol 40 mCi max)NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1073102991/103699 Tc-99m Pyrophosphate UDNoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1074102994/103702 Tc-99m Sestamibi UD (Tc99m Sestamibi (Parathyroid, Cardiac Rest/Stress)NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1075109180 Tc-99m Succimer UD (Tc99m DMSA)NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1076103003/103711 Tc-99m Sulfur Colloid UD (Tc99m Sulfur Colloid (Liver, bone marrow, gastic empty)NoBase4/1/263/31/2775EA1QuantityPricedPercent0NONENoNo3254126505____________________
1077103003/103711 Tc-99m Sulfur Colloid UD (Tc99m non-Filtered Sulfur Colloid Lymph)NoBase4/1/263/31/2775EA1QuantityPricedPercent0NONENoNo3254126505____________________
1078103006/103714 Tc-99m Tetrofosmin UD (Tc99m Myoview)NoBase4/1/263/31/273550EA1QuantityPricedPercent0NONENoNo3254126505____________________
1079102967 Tc-99m Tilmanocept UD (Tc99m Lymphoseek doses)NoBase4/1/263/31/2715EA1QuantityN/CPercent0NONENoNo3254126505____________________
1080103039 Tl-201 Thallous Chloride UD (Thallium-201)NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1081103080 Ultratag Vial (Ultratag kits)NoBase4/1/263/31/2770EA1QuantityPricedPercent0NONENoNo3254126505____________________
1082198011 WBC After HoursNoBase4/1/263/31/2710EA1QuantityPricedPercent0NONENoNo3254126505____________________
1083199001 Weekday Delivery 1NoBase4/1/263/31/2750EA1QuantityN/CPercent0NONENoNo3254126505____________________
1084199002 Weekday Delivery 2NoBase4/1/263/31/2750EA1QuantityN/CPercent0NONENoNo3254126505____________________
1085199003 Weekday Delivery 3NoBase4/1/263/31/2750EA1QuantityN/CPercent0NONENoNo3254126505____________________
1086199004 Weekday Delivery 4NoBase4/1/263/31/2750EA1QuantityN/CPercent0NONENoNo3254126505____________________
1087199005 Weekday Delivery 5NoBase4/1/263/31/2750EA1QuantityN/CPercent0NONENoNo3254126505____________________
1088199006 Weekend Delivery 1NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1089199007 Weekend Delivery 2NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1090199008 Weekend Delivery 3NoBase4/1/263/31/2750EA1QuantityPricedPercent0NONENoNo3254126505____________________
1091103100 Xe-133 Xenon Gas 10mCi Vial (Xe-133 (10mCi)NoBase4/1/263/31/27300EA1QuantityPricedPercent0NONENoNo3254126505____________________
1092103099 Xe-133 Xenon Gas 20mCi Vial (Xe-133 (20mCi)NoBase4/1/263/31/27300EA1QuantityPricedPercent0NONENoNo3254126505____________________
1093103104 Xenon Breathing Circuit - Large Adult Mask (RAF2370 Xenon Mask)NoBase4/1/263/31/27300EA1QuantityPricedPercent0NONENoNo3254126505____________________
1094SPP-057-200U Co-57 Penpoint Marker 200uCiNoBase4/1/263/31/275EA1QuantityN/CPercent0NONENoNo3254126505____________________
1095T6-953 Disposal Fee (Co-57 Penpoint Markeer) (Disposal Fee)NoBase4/1/263/31/275EA1QuantityN/CPercent0NONENoNo3254126505____________________
2001104644 - Xenon Mask Case of 20 - CARD2380NoBase4/1/273/31/2850EA1QuantityPricedPercent0Department of Veterans AffairsVA SOUTHERN NEVADA HEALTH CARE SYSTEM6900 North Pecos RoadNorth Las VegasNV89086USA04/01/2027 - 03/31/2028DESTINATIONNoNo3254126505____________________
2002101881 - AeroventNoBase4/1/273/31/2850EA1QuantityPricedPercent0NONENoNo3254126505____________________
2003104853/198001 - After Hours Call OutNoBase4/1/273/31/2850EA1QuantityPricedPercent0NONENoNo3254126505____________________
2004198002 - After Hours Delivery ChargeNoBase4/1/273/31/2850EA1QuantityPricedPercent0NONENoNo3254126505____________________
2005105608 - Canceled After Hours Call OutNoBase4/1/273/31/285EA1QuantityPricedPercent0NONENoNo3254126505____________________
2006110467 Soda Lime CartridgeNoBase4/1/273/31/2810EA1QuantityPricedPercent0NONENoNo3254126505____________________
2007107858 Cu-64 DOTATATE (Detectnet)NoBase4/1/273/31/2810EA1QuantityN/CPercent0NONENoNo3254126505____________________
2008102126 DrieriteNoBase4/1/273/31/2810EA1QuantityPricedPercent0NONENoNo3254126505____________________
2009102234 MedRad FDG (up to 15 mCi dose)NoBase4/1/273/31/281130EA1QuantityN/CPercent0NONENoNo3254126505____________________
2010102191 F-18 FDG MD (Med Rad)NoBase4/1/273/31/2895EA1QuantityPricedPercent0NONENoNo3254126505____________________
2011102192 FDG unit doseNoBase4/1/273/31/285EA1QuantityPricedPercent0NONENoNo3254126505____________________
2012102193 FDG Source (1-15 mCi)NoBase4/1/273/31/285EA1QuantityPricedPercent0NONENoNo3254126505____________________
2013102193 FDG Source(16-30 mCi)NoBase4/1/273/31/282EA1QuantityPricedPercent0NONENoNo3254126505____________________
2014102193 FDG Source (31-45 mCi)NoBase4/1/273/31/282EA1QuantityPricedPercent0NONENoNo3254126505____________________
2015106836 F-18 FlurpiridazNoBase4/1/273/31/285EA1QuantityN/CPercent0NONENoNo3254126505____________________
2016102201/105626 F-18 VizamylNoBase4/1/273/31/285EA1QuantityN/CPercent0NONENoNo3254126505____________________
2017102204 F Sodium Fluoride (NaF) USP for Bone Imaging (1 - 12 mCi dose)NoBase4/1/273/31/285EA1QuantityPricedPercent0NONENoNo3254126505____________________
2018102204 F Sodium Fluoride (Calibration only)NoBase4/1/273/31/285EA1QuantityPricedPercent0NONENoNo3254126505____________________
2019Flood Sources/Pen MarkersNoBase4/1/273/31/285EA1QuantityN/CPercent0NONENoNo3254126505____________________
2020102279 Ga-67 Gallium Citrate UD (Ga-67 per mCi)NoBase4/1/273/31/2810EA1QuantityPricedPercent0NONENoNo3254126505____________________
2021105765 Ga-68 Dotatate UD (Ga68 Netspot)NoBase4/1/273/31/2815EA1QuantityN/CPercent0NONENoNo3254126505____________________
2022108632 Ga-68 Gozetotide (ILLUCCIX) UD (Ga-68 PSMA)NoBase4/1/273/31/28100EA1QuantityN/CPercent0NONENoNo3254126505____________________
2023109873 Ga-68 Gozetotide (LOCAMETZ) UD (Ga-68 PSMA)NoBase4/1/273/31/28100EA1QuantityN/CPercent0NONENoNo3254126505____________________
2024102337 I-123 100uCi CapNoBase4/1/273/31/28115EA1QuantityPricedPercent0NONENoNo3254126505____________________
2025102338 I-123 200uCi CapNoBase4/1/273/31/28115EA1QuantityPricedPercent0NONENoNo3254126505____________________
2026102330 I-123 Iobenguane Sulfate UD (I-123 MIBG)NoBase4/1/273/31/282EA1QuantityPricedPercent0NONENoNo3254126505____________________
2027108640/108642 I-123 IoflupaneNoBase4/1/273/31/282EA1QuantityPricedPercent0NONENoNo3254126505____________________
2028106236/108346 I-123 DaTscanNoBase4/1/273/31/285EA1QuantityN/CPercent0NONENoNo3254126505____________________
2029102332 I-123 RC Nal Cap (I-123 Wholebody Imaging 2mCi)NoBase4/1/273/31/282EA1QuantityPricedPercent0NONENoNo3254126505____________________
2030102332 I-123 RC Nal Cap (I-123 Wholebody Imaging 2-5mCi each addnl)NoBase4/1/273/31/282EA1QuantityPricedPercent0NONENoNo3254126505____________________
2031107527 I-123 USP NAI 100 uCi cancellation FeeNoBase4/1/273/31/285EA1QuantityPricedPercent0NONENoNo3254126505____________________
2032107528 I-123 USP NAI 200 uCi cancellation FeeNoBase4/1/273/31/28115EA1QuantityPricedPercent0NONENoNo3254126505____________________
2033102366/102367 I-131 USP Dx Cap mCi -Source (I-131 Source)NoBase4/1/273/31/2810EA1QuantityPricedPercent0NONENoNo3254126505____________________

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