36C26125R0033 Attachement 1 - Price-Cost Schedule for Usage.xlsx
XLSX spreadsheet 30 KB Posted
- Attached to
- 6505--NEW IDIQ - NON-PET Radiopharmaceuticals For Ordering periods from FY25 through FY29
- Solicitation number
- 36C26125R0033
About this file
This is a price/cost schedule template for a 5-year IDIQ contract for non-PET radiopharmaceuticals spanning FY25-FY29. The schedule lists detailed quantities and specifications for various radiopharmaceuticals including Tc-99m products, iodine isotopes (I-123, I-131), gallium products (Ga-67, Ga-68), and other nuclear medicine products. Key items include 2,500 units per year of Tc99m Tetrofosmin (Myoview) UD, 150 units of Tc99m MDP (Medronate) UD, and 50 units each of Ga-68 Dotatate and I-123 Ioflupane.
The solicitation (36C26125R0033) from the VA Veterans Health Administration VISN 21 requires vendors to submit completed pricing for all line items along with technical documentation including SF 1449. Evaluation factors include pricing, technical capability, SDVOSB/VOSB status credit, and past performance with at least one similar reference required. The schedule specifies unit doses, millicurie/microcurie quantities, and includes provisions for after-hours delivery, pharmacist fees, and cancellation charges. Many Tc-99m products must be 100% LEU (Low Enriched Uranium) sourced.
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| S02 36C26125R0033.pdf |
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Price-Cost Schedule
| ATTACHMENT 2 - FY25 PRICE-COST SCHEDULE ESTIMATED quantities | 100% LEU-Tc99m | Generic is acceptable | ||||||
| mCi = Millicuries | 5 year contract total | |||||||
| uCi = Microcuries | ||||||||
| UD = UNIT DOSE | ||||||||
| UOM = UNIT OF MEASURE | ||||||||
| RADIOPHARMACEUTICAL OR RADIONUCLIDE NAME/DESCRIPTION | 100% LEU | UOM | QTY PER UOM | QTY | UNIT | PRICE (FY25) | COST | |
| Tl-201 Chloride UD (if available) | N/A | mCi | 1 mCi | 10 | EA | |||
| Ga-67 (Gallium Citrate) UD (per mCI) | N/A | mCi | 1 mCi | 20 | EA | |||
| I-123 (Sodium Iodide I-123 Capsule) per uCi | N/A | uCi | 1 uCi | 100 | EA | |||
| I-123 (Sodium Iodide I-123 Capsule) 100 uCi | N/A | uCi | 100 uCi | 30 | EA | |||
| I-123 (Sodium Iodide I-123 Capsule) 200 uCi | N/A | uCi | 200 uCi | 30 | EA | |||
| I-123 Ioflupane (Brand name Datscan) | N/A | dose | 5mCi | 50 | EA | |||
| I-123 Iobenguane Sulfate; I-123 MIBG (Adreview) UD | N/A | dose | 1-10 mCi | 2 | EA | |||
| I-131 (Sodium Iodide Compounded Capsules) first 1 mCi | N/A | mCi | 1 mCi | 15 | EA | |||
| I-131 (Sodium Iodide Compounded Capsules) per 1 mCi after first mCi | N/A | mCi | each mCi after 1st | 300 | EA | |||
| In-111 Oxine per 1.0 mCi vial | N/A | vial | each 1 mCi vial | 1 | EA | |||
| In-111 Pentetreotide (Octreoscan®) UD | N/A | dose | each dose | 1 | EA | |||
| In-111 DTPA (Pentetate) per 1.5 mCi vial | N/A | vial | each vial | 1 | EA | |||
| Tc99m DTPA ~50 mCi Pulmonary [for aerosol] UD* | yes | dose | each 50 mCi dose | 60 | EA | |||
| Tc99m MAA (Macroaggregated Albumin) UD* for Lung Perfusion | yes | dose | up to 5 mCi dose | 60 | EA | |||
| Tc99m MAA (Macroaggregated Albumin) for therapy mapping (dose split in # of syringes as requested) | yes | procedure | up to 5 mCi total | 60 | EA | |||
| Tc99m HDP (Technescan) UD* | yes | dose | each 25 mCi dose | 40 | EA | |||
| Tc99m MDP (Medronate) UD* | yes | dose | each 25 mCi dose | 150 | EA | |||
| Tc99m Mebrofenin (Choletec) UD* | yes | dose | each 0-10 mCi dose | 35 | EA | |||
| Tc99m Nephroscan (DMSA) UD* | yes | dose | 5mCi | 1 | EA | |||
| Tc99m Mertiatide (MAG3) UD* | yes | dose | each 0-10 mCi dose | 100 | EA | |||
| Tc99m NaTc04 QC-Activity, 3 mCi syringe* | yes | dose | each 3 mCi dose | 55 | EA | |||
| Tc99m NaTc04 UD; syringe (20 mCi per UD)* | yes | dose | each 20 mCi dose | 5 | EA | |||
| Tc99m NaTc04 QC-Activity as needed, per 3 mCi VIAL* | yes | dose | each 3 mCi vial | 21 | EA | |||
| Tc99m NaTc04 QC-Activity as needed, per 30 mCi VIAL* | yes | dose | each 30 mCi vial | 6 | EA | |||
| Tc99m NaTc04 QC-Activity as needed, per 300 mCi VIAL 4* | yes | dose | each 300 mCi vial | 6 | EA | |||
| Tc99m Pyrophosphate (PYP) | yes | dose | each up to 25 mCi | 90 | EA | |||
| Tc99m Sestamibi-Generic UD* | yes | dose | each 1 to 30 mCi dose | 20 | EA | |||
| Tc99m Tetrofosmin (Myoview) UD* | yes | dose | each 1 to 30 mCi dose | 2500 | EA | |||
| Tc99m Sulfur Colloid Filtered UD * | yes | dose | up to 10 mCi dose | 30 | EA | |||
| Tc99m Sulfur Colloid UD (~1 mCi per UD)* | yes | dose | up to 10mCi | 50 | EA | |||
| Sn-PYP (Pyrophosphate) cold kit VIAL for Red Blood Cells | N/A | per kit | per vial | 10 | EA | |||
| Labeled WBC (autologous leukocytes) In-111 Oxine UD | N/A | dose | per procedure | 3 | EA | |||
| Labeled WBC (autologous leukocytes) Tc99m Ceretec (Exametazime aka HMPAO) UD* | yes | dose | per procedure | 15 | EA | |||
| Cu-64 Detectnet | N/A | dose | per procedure | 1 | EA | |||
| Ga-68 Illucix (No cancellation fee if dose is unused) | N/A | dose | up to 5mCi | 1 | EA | |||
| Ga-68 Dotatate (Netspot) (No cancellation fee if dose is unused) | N/A | dose | up to 5.4mCi | 50 | EA | |||
| Ga-68 Locametz (No cancellation fee if dose is unused) | N/A | dose | up to 5 mCi | 1 | EA | |||
| Ultratag | N/A | kit | each kit | 10 | EA | |||
| After Hours Delivery | N/A | instance | each | 20 | EA | |||
| Pharmacist call out fee | N/A | instance | each | 20 | EA | |||
| Cancellation fees (as applicable, can vary per isotope) (Waived on Ga68 products if dose not used) | N/A | instance | each | 20 | EA | |||
| Miscellaneous line item | N/A | each | each | |||||
| Ordering Base Year | $0.00 |
| RADIOPHARMACEUTICAL OR RADIONUCLIDE NAME/DESCRIPTION | 100% LEU | UOM | QTY PER UOM | QTY | UNIT | PRICE (FY26) | COST |
| Tl-201 Chloride UD | N/A | mCi | 1 mCi | 10 | EA | ||
| Ga-67 (Gallium Citrate) UD (per mCI) | N/A | mCi | 1 mCi | 20 | EA | ||
| I-123 (Sodium Iodide I-123 Capsule) per uCi | N/A | uCi | 1 uCi | 100 | EA | ||
| I-123 (Sodium Iodide I-123 Capsule) 100 uCi | N/A | uCi | 100 uCi | 30 | EA | ||
| I-123 (Sodium Iodide I-123 Capsule) 200 uCi | N/A | uCi | 200 uCi | 30 | EA | ||
| I-123 Ioflupane (Brand name Datscan) | N/A | dose | 5mCi | 50 | EA | ||
| I-123 Iobenguane Sulfate; I-123 MIBG (Adreview) UD | N/A | dose | 1-10 mCi | 2 | EA | ||
| I-131 (Sodium Iodide Compounded Capsules) first 1 mCi | N/A | mCi | 1 mCi | 15 | EA | ||
| I-131 (Sodium Iodide Compounded Capsules) per 1 mCi after first mCi | N/A | mCi | each mCi after 1st | 300 | EA | ||
| In-111 Oxine per 1.0 mCi vial | N/A | vial | each 1 mCi vial | 1 | EA | ||
| In-111 Pentetreotide (Octreoscan®) UD | N/A | dose | each dose | 1 | EA | ||
| In-111 DTPA (Pentetate) per 1.5 mCi vial | N/A | vial | each vial | 1 | EA | ||
| Tc99m DTPA ~50 mCi Pulmonary [for aerosol] UD* | yes | dose | each 50 mCi dose | 60 | EA | ||
| Tc99m MAA (Macroaggregated Albumin) UD* for Lung Perfusion | yes | dose | up to 5 mCi dose | 60 | EA | ||
| Tc99m MAA (Macroaggregated Albumin) for therapy mapping (dose split in # of syringes as requested) | yes | procedure | up to 5 mCi total | 60 | EA | ||
| Tc99m HDP (Technescan) UD* | yes | dose | each 25 mCi dose | 40 | EA | ||
| Tc99m MDP (Medronate) UD* | yes | dose | each 25 mCi dose | 150 | EA | ||
| Tc99m Mebrofenin (Choletec) UD* | yes | dose | each 0-10 mCi dose | 35 | EA | ||
| Tc99m Nephroscan (DMSA) UD* | yes | dose | 5mCi | 1 | EA | ||
| Tc99m Mertiatide (MAG3) UD* | yes | dose | each 0-10 mCi dose | 100 | EA | ||
| Tc99m NaTc04 QC-Activity, 3 mCi syringe* | yes | dose | each 3 mCi dose | 55 | EA | ||
| Tc99m NaTc04 UD; syringe (20 mCi per UD)* | yes | dose | each 20 mCi dose | 5 | EA | ||
| Tc99m NaTc04 QC-Activity as needed, per 3 mCi VIAL* | yes | dose | each 3 mCi vial | 21 | EA | ||
| Tc99m NaTc04 QC-Activity as needed, per 30 mCi VIAL* | yes | dose | each 30 mCi vial | 6 | EA | ||
| Tc99m NaTc04 QC-Activity as needed, per 300 mCi VIAL 4* | yes | dose | each 300 mCi vial | 6 | EA | ||
| Tc99m Pyrophosphate (PYP) | yes | dose | each up to 25 mCi | 90 | EA | ||
| Tc99m Sestamibi-Generic UD* | yes | dose | each 1 to 30 mCi dose | 20 | EA | ||
| Tc99m Tetrofosmin (Myoview) UD* | yes | dose | each 1 to 30 mCi dose | 2500 | EA | ||
| Tc99m Sulfur Colloid Filtered UD * | yes | dose | up to 10 mCi dose | 30 | EA | ||
| Tc99m Sulfur Colloid UD (~1 mCi per UD)* | yes | dose | up to 10mCi | 50 | EA | ||
| Sn-PYP (Pyrophosphate) cold kit VIAL for Red Blood Cells | N/A | per kit | per vial | 10 | EA | ||
| Labeled WBC (autologous leukocytes) In-111 Oxine UD | N/A | dose | per procedure | 3 | EA | ||
| Labeled WBC (autologous leukocytes) Tc99m Ceretec (Exametazime aka HMPAO) UD* | yes | dose | per procedure | 15 | EA | ||
| Cu-64 Detectnet | N/A | dose | per procedure | 1 | EA | ||
| Ga-68 Illucix (No cancellation fee if dose is unused) | N/A | dose | up to 5mCi | 1 | EA | ||
| Ga-68 Dotatate (Netspot) (No cancellation fee if dose is unused) | N/A | dose | up to 5.4mCi | 50 | EA | ||
| Ga-68 Locametz (No cancellation fee if dose is unused) | N/A | dose | up to 5 mCi | 1 | EA | ||
| Ultratag | N/A | kit | each kit | 10 | EA | ||
| After Hours Delivery | N/A | instance | each | 20 | EA | ||
| Pharmacist call out fee | N/A | instance | each | 20 | EA | ||
| Cancellation fees (as applicable, can vary per isotope) | N/A | instance | each | 20 | EA | ||
| Miscellaneous line item | N/A | each | each | ||||
| Ordering Period 1 | $0.00 |
| RADIOPHARMACEUTICAL OR RADIONUCLIDE NAME/DESCRIPTION | 100% LEU | UOM | QTY PER UOM | QTY | UNIT | PRICE (FY27) | COST |
| Tl-201 Chloride UD | N/A | mCi | 1 mCi | 10 | EA | ||
| Ga-67 (Gallium Citrate) UD (per mCI) | N/A | mCi | 1 mCi | 20 | EA | ||
| I-123 (Sodium Iodide I-123 Capsule) per uCi | N/A | uCi | 1 uCi | 100 | EA | ||
| I-123 (Sodium Iodide I-123 Capsule) 100 uCi | N/A | uCi | 100 uCi | 30 | EA | ||
| I-123 (Sodium Iodide I-123 Capsule) 200 uCi | N/A | uCi | 200 uCi | 30 | EA | ||
| I-123 Ioflupane (Brand name Datscan) | N/A | dose | 5mCi | 50 | EA | ||
| I-123 Iobenguane Sulfate; I-123 MIBG (Adreview) UD | N/A | dose | 1-10 mCi | 2 | EA | ||
| I-131 (Sodium Iodide Compounded Capsules) first 1 mCi | N/A | mCi | 1 mCi | 15 | EA | ||
| I-131 (Sodium Iodide Compounded Capsules) per 1 mCi after first mCi | N/A | mCi | each mCi after 1st | 300 | EA | ||
| In-111 Oxine per 1.0 mCi vial | N/A | vial | each 1 mCi vial | 1 | EA | ||
| In-111 Pentetreotide (Octreoscan®) UD | N/A | dose | each dose | 1 | EA | ||
| In-111 DTPA (Pentetate) per 1.5 mCi vial | N/A | vial | each vial | 1 | EA | ||
| Tc99m DTPA ~50 mCi Pulmonary [for aerosol] UD* | yes | dose | each 50 mCi dose | 60 | EA | ||
| Tc99m MAA (Macroaggregated Albumin) UD* for Lung Perfusion | yes | dose | up to 5 mCi dose | 60 | EA | ||
| Tc99m MAA (Macroaggregated Albumin) for therapy mapping (dose split in # of syringes as requested) | yes | procedure | up to 5 mCi total | 60 | EA | ||
| Tc99m HDP (Technescan) UD* | yes | dose | each 25 mCi dose | 40 | EA | ||
| Tc99m MDP (Medronate) UD* | yes | dose | each 25 mCi dose | 150 | EA | ||
| Tc99m Mebrofenin (Choletec) UD* | yes | dose | each 0-10 mCi dose | 35 | EA | ||
| Tc99m Nephroscan (DMSA) UD* | yes | dose | 5mCi | 1 | EA | ||
| Tc99m Mertiatide (MAG3) UD* | yes | dose | each 0-10 mCi dose | 100 | EA | ||
| Tc99m NaTc04 QC-Activity, 3 mCi syringe* | yes | dose | each 3 mCi dose | 55 | EA | ||
| Tc99m NaTc04 UD; syringe (20 mCi per UD)* | yes | dose | each 20 mCi dose | 5 | EA | ||
| Tc99m NaTc04 QC-Activity as needed, per 3 mCi VIAL* | yes | dose | each 3 mCi vial | 21 | EA | ||
| Tc99m NaTc04 QC-Activity as needed, per 30 mCi VIAL* | yes | dose | each 30 mCi vial | 6 | EA | ||
| Tc99m NaTc04 QC-Activity as needed, per 300 mCi VIAL 4* | yes | dose | each 300 mCi vial | 6 | EA | ||
| Tc99m Pyrophosphate (PYP) | yes | dose | each up to 25 mCi | 90 | EA | ||
| Tc99m Sestamibi-Generic UD* | yes | dose | each 1 to 30 mCi dose | 20 | EA | ||
| Tc99m Tetrofosmin (Myoview) UD* | yes | dose | each 1 to 30 mCi dose | 2500 | EA | ||
| Tc99m Sulfur Colloid Filtered UD * | yes | dose | up to 10 mCi dose | 30 | EA | ||
| Tc99m Sulfur Colloid UD (~1 mCi per UD)* | yes | dose | up to 10mCi | 50 | EA | ||
| Sn-PYP (Pyrophosphate) cold kit VIAL for Red Blood Cells | N/A | per kit | per vial | 10 | EA | ||
| Labeled WBC (autologous leukocytes) In-111 Oxine UD | N/A | dose | per procedure | 3 | EA | ||
| Labeled WBC (autologous leukocytes) Tc99m Ceretec (Exametazime aka HMPAO) UD* | yes | dose | per procedure | 15 | EA | ||
| Cu-64 Detectnet | N/A | dose | per procedure | 1 | EA | ||
| Ga-68 Illucix (No cancellation fee if dose is unused) | N/A | dose | up to 5mCi | 1 | EA | ||
| Ga-68 Dotatate (Netspot) (No cancellation fee if dose is unused) | N/A | dose | up to 5.4mCi | 50 | EA | ||
| Ga-68 Locametz (No cancellation fee if dose is unused) | N/A | dose | up to 5 mCi | 1 | EA | ||
| Ultratag | N/A | kit | each kit | 10 | EA | ||
| After Hours Delivery | N/A | instance | each | 20 | EA | ||
| Pharmacist call out fee | N/A | instance | each | 20 | EA | ||
| Cancellation fees (as applicable, can vary per isotope) | N/A | instance | each | 20 | EA | ||
| Miscellaneous line item | N/A | each | each | ||||
| Ordering Period 2 | $0.00 | ||||||
| RADIOPHARMACEUTICAL OR RADIONUCLIDE NAME/DESCRIPTION | 100% LEU | UOM | QTY PER UOM | QTY | UNIT | PRICE (FY28) | COST |
| Tl-201 Chloride UD | N/A | mCi | 1 mCi | 10 | EA | ||
| Ga-67 (Gallium Citrate) UD (per mCI) | N/A | mCi | 1 mCi | 20 | EA | ||
| I-123 (Sodium Iodide I-123 Capsule) per uCi | N/A | uCi | 1 uCi | 100 | EA | ||
| I-123 (Sodium Iodide I-123 Capsule) 100 uCi | N/A | uCi | 100 uCi | 30 | EA | ||
| I-123 (Sodium Iodide I-123 Capsule) 200 uCi | N/A | uCi | 200 uCi | 30 | EA | ||
| I-123 Ioflupane (Brand name Datscan) | N/A | dose | 5mCi | 50 | EA | ||
| I-123 Iobenguane Sulfate; I-123 MIBG (Adreview) UD | N/A | dose | 1-10 mCi | 2 | EA | ||
| I-131 (Sodium Iodide Compounded Capsules) first 1 mCi | N/A | mCi | 1 mCi | 15 | EA | ||
| I-131 (Sodium Iodide Compounded Capsules) per 1 mCi after first mCi | N/A | mCi | each mCi after 1st | 300 | EA | ||
| In-111 Oxine per 1.0 mCi vial | N/A | vial | each 1 mCi vial | 1 | EA | ||
| In-111 Pentetreotide (Octreoscan®) UD | N/A | dose | each dose | 1 | EA | ||
| In-111 DTPA (Pentetate) per 1.5 mCi vial | N/A | vial | each vial | 1 | EA | ||
| Tc99m DTPA ~50 mCi Pulmonary [for aerosol] UD* | yes | dose | each 50 mCi dose | 60 | EA | ||
| Tc99m MAA (Macroaggregated Albumin) UD* for Lung Perfusion | yes | dose | up to 5 mCi dose | 60 | EA | ||
| Tc99m MAA (Macroaggregated Albumin) for therapy mapping (dose split in # of syringes as requested) | yes | procedure | up to 5 mCi total | 60 | EA | ||
| Tc99m HDP (Technescan) UD* | yes | dose | each 25 mCi dose | 40 | EA | ||
| Tc99m MDP (Medronate) UD* | yes | dose | each 25 mCi dose | 150 | EA | ||
| Tc99m Mebrofenin (Choletec) UD* | yes | dose | each 0-10 mCi dose | 35 | EA | ||
| Tc99m Nephroscan (DMSA) UD* | yes | dose | 5mCi | 1 | EA | ||
| Tc99m Mertiatide (MAG3) UD* | yes | dose | each 0-10 mCi dose | 100 | EA | ||
| Tc99m NaTc04 QC-Activity, 3 mCi syringe* | yes | dose | each 3 mCi dose | 55 | EA | ||
| Tc99m NaTc04 UD; syringe (20 mCi per UD)* | yes | dose | each 20 mCi dose | 5 | EA | ||
| Tc99m NaTc04 QC-Activity as needed, per 3 mCi VIAL* | yes | dose | each 3 mCi vial | 21 | EA | ||
| Tc99m NaTc04 QC-Activity as needed, per 30 mCi VIAL* | yes | dose | each 30 mCi vial | 6 | EA | ||
| Tc99m NaTc04 QC-Activity as needed, per 300 mCi VIAL 4* | yes | dose | each 300 mCi vial | 6 | EA | ||
| Tc99m Pyrophosphate (PYP) | yes | dose | each up to 25 mCi | 90 | EA | ||
| Tc99m Sestamibi-Generic UD* | yes | dose | each 1 to 30 mCi dose | 20 | EA | ||
| Tc99m Tetrofosmin (Myoview) UD* | yes | dose | each 1 to 30 mCi dose | 2500 | EA | ||
| Tc99m Sulfur Colloid Filtered UD * | yes | dose | up to 10 mCi dose | 30 | EA | ||
| Tc99m Sulfur Colloid UD (~1 mCi per UD)* | yes | dose | up to 10mCi | 50 | EA | ||
| Sn-PYP (Pyrophosphate) cold kit VIAL for Red Blood Cells | N/A | per kit | per vial | 10 | EA | ||
| Labeled WBC (autologous leukocytes) In-111 Oxine UD | N/A | dose | per procedure | 3 | EA | ||
| Labeled WBC (autologous leukocytes) Tc99m Ceretec (Exametazime aka HMPAO) UD* | yes | dose | per procedure | 15 | EA | ||
| Cu-64 Detectnet | N/A | dose | per procedure | 1 | EA | ||
| Ga-68 Illucix (No cancellation fee if dose is unused) | N/A | dose | up to 5mCi | 1 | EA | ||
| Ga-68 Dotatate (Netspot) (No cancellation fee if dose is unused) | N/A | dose | up to 5.4mCi | 50 | EA | ||
| Ga-68 Locametz (No cancellation fee if dose is unused) | N/A | dose | up to 5 mCi | 1 | EA | ||
| Ultratag | N/A | kit | each kit | 10 | EA | ||
| After Hours Delivery | N/A | instance | each | 20 | EA | ||
| Pharmacist call out fee | N/A | instance | each | 20 | EA | ||
| Cancellation fees (as applicable, can vary per isotope) | N/A | instance | each | 20 | EA | ||
| Miscellaneous line item | N/A | each | each | ||||
| Ordering Period 3 | $0.00 | ||||||
| RADIOPHARMACEUTICAL OR RADIONUCLIDE NAME/DESCRIPTION | 100% LEU | UOM | QTY PER UOM | QTY | UNIT | PRICE (FY29) | COST |
| Tl-201 Chloride UD | N/A | mCi | 1 mCi | 10 | EA | ||
| Ga-67 (Gallium Citrate) UD (per mCI) | N/A | mCi | 1 mCi | 20 | EA | ||
| I-123 (Sodium Iodide I-123 Capsule) per uCi | N/A | uCi | 1 uCi | 100 | EA | ||
| I-123 (Sodium Iodide I-123 Capsule) 100 uCi | N/A | uCi | 100 uCi | 30 | EA | ||
| I-123 (Sodium Iodide I-123 Capsule) 200 uCi | N/A | uCi | 200 uCi | 30 | EA | ||
| I-123 Ioflupane (Brand name Datscan) | N/A | dose | 5mCi | 50 | EA | ||
| I-123 Iobenguane Sulfate; I-123 MIBG (Adreview) UD | N/A | dose | 1-10 mCi | 2 | EA | ||
| I-131 (Sodium Iodide Compounded Capsules) first 1 mCi | N/A | mCi | 1 mCi | 15 | EA | ||
| I-131 (Sodium Iodide Compounded Capsules) per 1 mCi after first mCi | N/A | mCi | each mCi after 1st | 300 | EA | ||
| In-111 Oxine per 1.0 mCi vial | N/A | vial | each 1 mCi vial | 1 | EA | ||
| In-111 Pentetreotide (Octreoscan®) UD | N/A | dose | each dose | 1 | EA | ||
| In-111 DTPA (Pentetate) per 1.5 mCi vial | N/A | vial | each vial | 1 | EA | ||
| Tc99m DTPA ~50 mCi Pulmonary [for aerosol] UD* | yes | dose | each 50 mCi dose | 60 | EA | ||
| Tc99m MAA (Macroaggregated Albumin) UD* for Lung Perfusion | yes | dose | up to 5 mCi dose | 60 | EA | ||
| Tc99m MAA (Macroaggregated Albumin) for therapy mapping (dose split in # of syringes as requested) | yes | procedure | up to 5 mCi total | 60 | EA | ||
| Tc99m HDP (Technescan) UD* | yes | dose | each 25 mCi dose | 40 | EA | ||
| Tc99m MDP (Medronate) UD* | yes | dose | each 25 mCi dose | 150 | EA | ||
| Tc99m Mebrofenin (Choletec) UD* | yes | dose | each 0-10 mCi dose | 35 | EA | ||
| Tc99m Nephroscan (DMSA) UD* | yes | dose | 5mCi | 1 | EA | ||
| Tc99m Mertiatide (MAG3) UD* | yes | dose | each 0-10 mCi dose | 100 | EA | ||
| Tc99m NaTc04 QC-Activity, 3 mCi syringe* | yes | dose | each 3 mCi dose | 55 | EA | ||
| Tc99m NaTc04 UD; syringe (20 mCi per UD)* | yes | dose | each 20 mCi dose | 5 | EA | ||
| Tc99m NaTc04 QC-Activity as needed, per 3 mCi VIAL* | yes | dose | each 3 mCi vial | 21 | EA | ||
| Tc99m NaTc04 QC-Activity as needed, per 30 mCi VIAL* | yes | dose | each 30 mCi vial | 6 | EA | ||
| Tc99m NaTc04 QC-Activity as needed, per 300 mCi VIAL 4* | yes | dose | each 300 mCi vial | 6 | EA | ||
| Tc99m Pyrophosphate (PYP) | yes | dose | each up to 25 mCi | 90 | EA | ||
| Tc99m Sestamibi-Generic UD* | yes | dose | each 1 to 30 mCi dose | 20 | EA | ||
| Tc99m Tetrofosmin (Myoview) UD* | yes | dose | each 1 to 30 mCi dose | 2500 | EA | ||
| Tc99m Sulfur Colloid Filtered UD * | yes | dose | up to 10 mCi dose | 30 | EA | ||
| Tc99m Sulfur Colloid UD (~1 mCi per UD)* | yes | dose | up to 10mCi | 50 | EA | ||
| Sn-PYP (Pyrophosphate) cold kit VIAL for Red Blood Cells | N/A | per kit | per vial | 10 | EA | ||
| Labeled WBC (autologous leukocytes) In-111 Oxine UD | N/A | dose | per procedure | 3 | EA | ||
| Labeled WBC (autologous leukocytes) Tc99m Ceretec (Exametazime aka HMPAO) UD* | yes | dose | per procedure | 15 | EA | ||
| Cu-64 Detectnet | N/A | dose | per procedure | 1 | EA | ||
| Ga-68 Illucix (No cancellation fee if dose is unused) | N/A | dose | up to 5mCi | 1 | EA | ||
| Ga-68 Dotatate (Netspot) (No cancellation fee if dose is unused) | N/A | dose | up to 5.4mCi | 50 | EA | ||
| Ga-68 Locametz (No cancellation fee if dose is unused) | N/A | dose | up to 5 mCi | 1 | EA | ||
| Ultratag | N/A | kit | each kit | 10 | EA | ||
| After Hours Delivery | N/A | instance | each | 20 | EA | ||
| Pharmacist call out fee | N/A | instance | each | 20 | EA | ||
| Cancellation fees (as applicable, can vary per isotope) | N/A | instance | each | 20 | EA | ||
| Miscellaneous line item (Fair Market Price) | N/A | each | each | ||||
| Ordering Period 4 | $0.00 |
5 year contract total $0.00
File details come from the government source that posted it. Updated .