36C77018Q0169-002.pdf

VHAPM Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under $150K

VHAPM Part 813.106 Page 1 of 2 Original Date: 08/30/17

DEPARTMENT OF VETERANS AFFAIRS

Justification for Single Source Awards IAW FAR 13.106-1 For

Over Micro-Purchase Threshold but Not Exceeding the SAT ($150K)

Acquisition Plan Action ID: VA770-18-AP-0172

1. Contracting Activity:

Department of Veterans Affairs Consolidated Mail Outpatient Pharmacy (CMOP) Acquisitions Division.

Department of Veterans Affairs Network 15 Contracting Office (NCO 15) CMOP Division 3450 S. 4th St Trafficway Leavenworth, KS 66048 2237# 763-18-1-021-0170

2. Brief Description of Supplies/ Services required and the intended use:

One (1) Med-Surg Line Items 1 for CMOP Lancaster, TX.

Item

Description/Part Number*

Qty. Brand name

1 SENSOR, GLUCOSE,

CONTINUOUS,

DEXCOM G4

PLATINUM (XI43)

288 DEXCOM

Delivery Date: 12/22/2017

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used:

Within the VHA brand name items may be prescribed by physicians when in their clinical judgment, the brand name item will provide a better therapeutic outcome for patients. The brand name of the product is in the CMOP print name. Pharmacists legally must fill the prescription as it was written for Line Item 1.

Line Item 1

SENSOR, GLUCOSE, CONTINUOUS, DEXCOM G4 PLATINUM (XI43)

Dexcom G4 Platinum Continuous Glucose Monitoring Sensor, 40 to 400mg/dL Glucose Range, Stays Up to 7 Days, Water Resistant, Disposable, Sterile, 4/Pack, Retail

These Dexcom G4 and G5 platinum CGM sensors are made up of an applicator, a sensor pod, and a sensor wire. You remove the applicator after insertion. The sensor pod stays on your skin https://www.acquisition.gov/?q=/browse/far/13

VHAPM Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under $150K

VHAPM Part 813.106 Page 1 of 2 Original Date: 08/30/17 for the entire sensor session, up to 7 days. The pod is made of plastic and an adhesive patch.

The sensor wire is thin and flexible, and inserts just under your skin. It is attached to the sensor pod, and is made of silver and platinum metal with polymer membranes. You discard the sensor at the end of the sessiodexcomDen.

With a sensor needle that’s more than 1/3 smaller than the next available brand, virtually painless, simple to use, and easy to wear.

Designed to deliver exceptional sensing and outstanding performance to help drive decisions that empower you.

Improved accuracy in the low and high glucose ranges means better detection for diabetes decisions.

The only sensor on the market approved for up to 7 days use for added value and greater convenience for you and your schedule.

This sensor works with both Dexcom G4 and G5 devices.

4. Description of market research conducted and results or statement why it was not conducted:

This is available through multiple sources on the open market but there is only one manufacturer of this insulin pump component per physician prescriptions only Brand Name is acceptable.

NAC, FSS, and GSA ADVANTAGE were searched but no contract items were found but only a WOSB has been found on GSA ADVANTAGE.

5. Contracting Officer's Certification: Purchase is approved in accordance with FAR13.106-1(b). I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Name Date Title https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466