36C77019Q0473-003.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 4 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:____36C770-19-AP-0590_______________________________________

1. Contracting Activity: Chelmsford VA CMOP

IFCAP 2237# 761-19-3-014-0266

2. Nature and/or Description of the Action Being Processed:

BRAND NAME SPECIFIC MEDICATION AS REQUESTED BY THE VA MEDICAL CENTERS THE Chelmsford

VA CMOP SERVES. AS REQUESTED ON 2237# 761-19-3-014-0266

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

XH019 - LANCET,ACCU-CHEK FASTCLIX DRUM

NDC/PART# 65702028810

Quantity of Request: 960

SUPPLIER – ROCHE

These special strips are designed to work with all models of Accu-Chek FastClix, the only one-click lancing system available with a drum. Accu-Chek lancets draw blood quickly and effectively for neat and easy application onto test strips. Each package comes with 102 lancets. Accu-Chek FastClix devices and test strips are sold separately.

Accu-Chek FastClix Lancets:

For all models of Accu-Chek FastClix Accu-Check FastClix devices are sold separately The only 1-click lancing system with a drum Designed to reduce the pain of blood glucose testing Proven least painful and overall easiest to use Package contains 102 Roche lancets

XI079 - INSULIN SYRINGE 0.5ML 31G 6MM

NDC/PART# 08290324911/324911

Quantity of request: 240

SUPPLIER: BD

OFOC SOP Revision 08 Page 2 of 4 Original Date: 03/22/11 Revision 08 Date: 04/18/2018

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

The NEW BD Insulin Syringe with the BD Ultra-Fine™ 6mm needle is effective as longer needles, are less intimidating, and reduces the risk of a painful injection in the muscle

XJ430 - GLUCOSE SENSOR (3) GUARDIAN MMT-7020A

NDC/PART# - MMT-7020(A)

Quantity of Request: 840

SUPPLIER: MEDTRONIC

The Guardian Sensor (3) is intended for use with the Medtronic MiniMed® 670G system to continuously monitor glucose levels in persons with diabetes. It is intended to be used for detecting trends and tracking patterns in persons aged fourteen years and older, and to be used by the MiniMed 670G system to automatically adjust basal insulin levels. It is indicated for use as an adjunctive device to complement, not replace, information obtained from standard blood glucose monitoring devices. The sensor is intended for single use and requires a prescription. The Guardian Sensor (3) is indicated for 7 days of continuous use.

XT868 - SET,INFUSION MINIMED #MMT-387

NDC/PART# 70524406515/MMT-387

Quantity of request: 500

SUPPLIER : MEDTRONIC

The Medtronic Minimed Quick-set® infusion conveniently disconnects at the infusion site and offers a pre-attached adhesive for a discreet, low profile design. The Medtronic Minimed Quick-set® Infusion Set (MMT397) offers a 9mm soft cannula and 23 inch tubing for mostly everyone. The Safe Needle Disposal System of the Medtronic Minimed Quick-set helps prevent accidental sticking when disposing of the introducer needle in your sharps container. This Medtronic Minimed set works with the Quick-serter to provide optimal insertion every time.

OFOC SOP Revision 08 Page 3 of 4 Original Date: 03/22/11 Revision 08 Date: 04/18/2018

4. FAR13.5 Simplified Procedures for Certain Commercial Items: The authority for applying the Simplified Procedures for Commercial Items of FAR 13.5 is 41 U.S.C. 1901 and is implemented by for restricting competition on this procurement via FAR 13.106-1(b)(2).

5. Demonstration that the Contractor’s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority):

These types of brand name drugs are prescribed by the Veteran's attending Physician who has the authority to prescribe the method of treatment to best satisfy the medical condition of his/her patient. The physician has determined this item as the best drug to treat the patient's medical condition. Substituting another drug other than that specifically prescribed is beyond the role, competency, and professional functions of the Contract Specialist and would be detrimental to the treatment of the Veteran patient

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable:

Chelmsford VA CMOP IS NOT REQUESTING PURCHASE FROM AND CERTAIN

VENDOR. MULTIPLE VENDORS OFFER THIS PARTICULAR NAME BRAND

7. Determination by the CO that the Anticipated Cost to the Government will be Fair and Reasonable: THE CO anticipates the cost will be considered fair and reasonable based on competition among name brand sellers.. CO anticipates bids from 2 or more SB who carry Guardian in their catalogs. An RFQ with SDVOSB Set-Aside is not possible due NMR Requirements

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted:

It is believed that two or more SDVOSB’s can provide the same product at a fair and reasonable price.

9. Any Other Facts Supporting the Use of Other than Full and Open Competition: NA

10. Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief.

Joseph Sousa Date Logsitics Charleston VA CMOP

OFOC SOP Revision 08 Page 4 of 4 Original Date: 03/22/11 Revision 08 Date: 04/18/2018

11. Approvals in accordance with the VHAPM Part 806.3 OFOC SOP:

a. Contracting Officer or Designee’s Certification (required): I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Prepared by

Jessica Hansroth Date

Contracting Specialist

NCO 15

Julian Lake Date Contracting Officer

NCO 15

b. One Level Above the Contracting Officer (Required over SAT but not exceeding $700K): I certify the justification meets requirements for other than full and open competition.

Ralph Crum Date

NCO 15

Supervisor, CMOP Acquisition

JESSICA M HANSROTH 1113621 Digitally signed by JESSICA M HANSROTH 1113621 Date: 2019.05.08 09:56:40 -05'00'

Julian S. Lake 251184

Digitally signed by Julian S. Lake 251184 Date: 2019.05.08 12:41:04 -05'00'

Ralph R. Crum 547284

Digitally signed by Ralph R.

Crum 547284 Date: 2019.05.08 12:53:11 -05'00'