36C77018Q0626-003.pdf

VHAPM Part 806.3 Other Than Full and Open Competition (OFOC) SOP Attachment 2: Request for Sole Source Justification Format <SAT

OFOC SOP Revision 08 Page 1 of 2 Original Date: 03/22/11 Revision 08 Date: 04/18/2018

DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A) For

Other Than Full and Open Competition (<SAT)

Acquisition Plan Action ID:________36C770-18-AP-0096______________________________

1. Contracting Activity: Consolidated Mail Outpatient Pharmacy Leavenworth, KS the Department of Veterans Affairs Network 15 Contracting Office (NCO), 3450 S. 4th St Trafficway, Leavenworth, KS 66048 is the contracting agency . Supplies will be purchased for the CMOP Leavenworth location at 5000 S. 13th St Leavenworth, KS 66048.

2. Nature and/or Description of the Action Being Processed: This is a Justification and Approval request for the use of other than full and open competition. The requirement is for stock replenishment of medical supplies prescribed for patients and filled by CMOP at a firm fixed price. The purpose of this J&A request is to provide for the continued uninterrupted supply of direct patient care items required by the Facility.

3. Description of Supplies/Services Required to Meet the Agency’s Needs:

Description/Part Number* Qty

ACCU-CHEK CMPT PLUS(GLUCOSE) TEST DRM,51 2160

CETAPHIL LOTION 576

LANCET,ACCU-CHEK MULTICLIX DRUM 960

LANCET,ONE TOUCH DELICA 2640

BREEZE 2 (GLUCOSE) TEST STRIP 720

LANCET,ONE TOUCH ULTRA SOFT 2040

ONE TOUCH ULTRA (GLUCOSE) TEST STRIP 8400

4. Statutory Authority Permitting Other than Full and Open Competition:

(X ) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per FAR 6.302-1;

( ) (2) Unusual and Compelling Urgency per FAR 6.302-2;

( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert Services per FAR 6.302-3;

( ) (4) International Agreement per FAR 6.302-4 ( ) (5) Authorized or Required by Statute FAR 6.302-5;

( ) (6) National Security per FAR 6.302-6;

VHAPM Part 806.3 Other Than Full and Open Competition (OFOC) SOP Attachment 2: Request for Sole Source Justification Format <SAT

OFOC SOP Revision 08 Page 2 of 2 Original Date: 03/22/11 Revision 08 Date: 04/18/2018

( ) (7) Public Interest per FAR 6.302-7;

5. Demonstration that the Contractor’s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority): The product is being requested to fill prescriptions where the provider specifically requested this brand for the veteran. Prescriptions are entered as DAW or Dispense as Written meaning the pharmacy is not allowed to substitute any other brand for the prescription but can only fill the prescription with the brand that was ordered by the doctor.The site is not requesting purchase from any certain vendor. Multiple vendors offer these items.