36C77019Q0544-004.pdf

VHAPM Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT

VHAPM Part 813.106 Page 1 of 2 Original Date: 08/30/17 Revision 01 Eff Date: 04/23/2018

DEPARTMENT OF VETERANS AFFAIRS

Justification for Single Source Awards IAW FAR 13.106-1 For

Over Micro-Purchase Threshold but Not Exceeding the SAT ($250K) Acquisition Plan Action ID: 36C770-19-AP-0684 Purchase Request No: 766-19-3-400-1138

1. Contracting Activity:

Department of Veterans Affairs Department of Veterans Affairs CMOP Program Network Contracting Office 15 CMOP Acquisitions

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

· BRAND NAME medication as requested by the VA Medical Centers from the VA CMOP CHARLESTON

· Requested on 2237# 766-19-3-400-1138.

· *SPECIAL* request for SENSOR, GLUCOSE, DEXCOM G6 PRODUCT CODE XJ313

| 1 ITEM ID NO. 15221 SENSOR, GLUCOSE, DEXCOM G6 PRODUCT CODE XJ313 NDC 08627-0053-03 PKG: 3 per

BX

| QTY: 600

| NDC: 08627-0053-03

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

The product is being requested to fill prescriptions where the Physician specifically requested this brand for the veteran. Within the Veterans Health Administration brand name drugs and medical surgical (MedSurg) products may be prescribed by physicians when in their clinical judgment the brand name drug/MedSurg will provide a better therapeutic outcome for patients. Brand name drugs and MedSurg are requested when there is a clinical requirement for the drug/product or there is history of clinical requirements for the drug/product and inventory must be maintained to meet anticipated requirements. 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 prescription with the brand that was ordered by the Physician. The site is not requesting purchase from any certain vendor. Multiple vendors offer these items.

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

· The NAC website was searched and the requested NDC is not on contract

· Non-manufacturer rule (NMR) does NOT apply between the micro-purchase threshold and the simplified acquisition threshold (SAT) per 13 CFR 121.406(d).

· Market research was conducted through Vet Biz and DSBS under NAICS 325412

· Under SAT & Set-Aside is required

VHAPM Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT

VHAPM Part 813.106 Page 2 of 2 Original Date: 08/30/17 Revision 01 Eff Date: 04/23/2018

· Contracting Officer requesting a Service Disabled Veteran Owned SB procurement, to a(n) Open Market Vendor.

· The procurement method will be Competitive for purchase of MedSurg Supplies.

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. Note: COs are required to make a determination of price reasonableness IAW FAR 13. 106-3. See the Commercial Supply and Service SOP for Price Reasonableness.

Prepared by:

McAlhaney, Michael W.

Contract Specialist

Eagle, Joetta M.

Contracting Officer

MICHAEL W

MCALHANEY

592393

Digitally signed by MICHAEL

W MCALHANEY 592393

Date: 2019.06.07 09:48:02 -05'00'

Ralph R.

Crum 547284

Digitally signed by Ralph R. Crum 547284 Date: 2019.06.10 09:53:44 -05'00'