5-Attachment C - Cost Sheet.xlsx
XLSX spreadsheet 20 KB Posted
- Attached to
- MK27-105 WIC Pharmacy Services
- Solicitation number
- MK27-105
- Issued by
- Utah
About this file
This is a Cost Sheet attachment for the State of Utah Department of Health and Human Services' Women, Infants and Children (WIC) Pharmacy Services contract (MK27-105), a five-year procurement expected to result in a single contract award. The cost sheet requires bidders to provide pricing for a 30-item market basket of specialized nutritional products commonly dispensed through the WIC program, including infant formulas, pediatric nutritional supplements, and medical foods such as Alfamino Infant Powder, Neocate Infant Powder, Boost Kid Essentials, Compleat Pediatric products, and various peptide-based formulations. Each item is weighted according to anticipated utilization, ranging from 2% to 5%, with the total weighted cost calculating the overall bid evaluation score. Bidders must enter item prices, including shipping and handling costs, only in the designated yellow fields on the spreadsheet.
The pricing structure requires vendors to guarantee quoted prices for a minimum of one year from the contract start date. The cost sheet specifies that the listed 30 items represent the most commonly ordered products but is not all-inclusive; all pharmacy orders prescribed by licensed medical prescriptive authorities in Utah will be honored unless flagged by the WIC Nutrition Coordinator during prescription review. Vendors must demonstrate responsibility and responsiveness, with contract award determined by the highest score justified under Utah's procurement code, making the total weighted cost a critical evaluation criterion alongside other proposal requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| 3-Attachment F - Reference Document.docx | DOCX document | |
| 9-Attachment D - Mandatory Minimums Technical Requirements.docx | DOCX document | |
| 8-Attachment B - Scope of Work.docx | DOCX document | |
| 4-Attachment E - Delivery Locations.pdf | ||
| 6-Attachment A - Terms and Conditions.docx | DOCX document | |
| 7-Attachment G -Score Sheet.xls | XLS spreadsheet | |
| 2-Vendor Prerequisites - RFP Agency.pdf | ||
| 1-Claim of Business Confidentiality Updated.pdf.pdf |
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Text version
30 Item Market Basket
| Cost Sheet - 2027 - 2032 | ||||
| WIC Pharmacy Contract | ||||
| Firm Name: | ||||
| Please enter item prices only into the fields in yellow (include shipping & handling) | ||||
| Test Description | Weight | Item Price | Weighted Cost | |
| 1 | ALFAMINO INFANT 14.1 OZ PWD | 5% | $0.00 | 0.000 |
| 2 | BOOST KID ESSENTIALS 8 FL OZ RTF (CHOCOLATE, STRAWBERRY, VANILLA) | 5% | $0.00 | 0.000 |
| 3 | BOOST KID ESSENTIALS 1.5 8 FL OZ RTF (CHOCOLATE, STRAWBERRY, VANILLA) | 5% | $0.00 | 0.000 |
| 4 | NEOCATE INFANT 14.1 OZ PWD | 5% | $0.00 | 0.000 |
| 5 | KATE FARMS PEDIATRIC STANDARD 1.2 8.45 FL OZ RTF (CHOCOLATE, VANILLA) | 5% | $0.00 | 0.000 |
| 6 | PEPTICATE 13.2 OZ PWD | 5% | $0.00 | 0.000 |
| 7 | COMPLEAT PEDIATRIC STANDARD 1.0 VANILLA 8.45 FL OZ RTF | 5% | $0.00 | 0.000 |
| 8 | ELECARE INFANT DHA/ARA 14.1 OZ PWD | 5% | $0.00 | 0.000 |
| 9 | PURAMINO 14.1 OZ PWD | 5% | $0.00 | 0.000 |
| 10 | NEOCATE SYNEO INFANT 14.1 OZ PWD | 5% | $0.00 | 0.000 |
| 11 | ELECARE JR 14.1 OZ PWD (UNFLAVORED, VANILLA) | 3% | $0.00 | 0.000 |
| 12 | ALFAMINO JUNIOR 14.1 OZ PWD (UNFLAVORED, VANILLA) | 3% | $0.00 | 0.000 |
| 13 | COMPLEAT PEDIATRIC 8.45 FL OZ RTF | 3% | $0.00 | 0.000 |
| 14 | NOURISH PEPTIDE BERRY MEDLEY 12 FL OZ RTF | 3% | $0.00 | 0.000 |
| 15 | SIMILAC PM 60/40 14.1 OZ PWD | 3% | $0.00 | 0.000 |
| 16 | NUTREN JUNIOR 8.45 FL OZ RTF | 3% | $0.00 | 0.000 |
| 17 | NEOCATE JUNIOR WITH PREBIOTICS 14.1 OZ PWD (STRAWBERRY, VANILLA) | 3% | $0.00 | 0.000 |
| 18 | PEDIASURE 1.5 WITH FIBER VANILLA 8 FL OZ RTF | 3% | $0.00 | 0.000 |
| 19 | LIQUIGEN 8.45 FL OZ RTF | 3% | $0.00 | 0.000 |
| 20 | BENEPROTEIN INSTANT PROTEIN POWDER (8 OZ, 7 G) PWD | 3% | $0.00 | 0.000 |
| 21 | KATE FARMS PEDIATRIC PEPTIDE 1.0 VANILLA 8.45 FL OZ RTF | 2% | $0.00 | 0.000 |
| 22 | NOURISH PEPTIDE 12 FL OZ RTF | 2% | $0.00 | 0.000 |
| 23 | COMPLEAT PEDIATRIC PEPTIDE 1.5 VEGETABLE AND FRUIT MEDLEY 8.45 FL OZ RTF | 2% | $0.00 | 0.000 |
| 24 | PEDIASURE 1.5 VANILLA 8 FL OZ RTF | 2% | $0.00 | 0.000 |
| 25 | BOOST BREEZE 8 FL OZ RTF (ORANGE, WILDBERRY) | 2% | $0.00 | 0.000 |
| 26 | SUPER SOLUBLE DUOCAL 14 OZ PWD | 2% | $0.00 | 0.000 |
| 27 | COMPLEAT PEDIATRIC ORIGINAL 1.5 FRUIT MEDLEY 8.45 FL OZ RTF | 2% | $0.00 | 0.000 |
| 28 | POLYCAL 14.1 OZ PWD | 2% | $0.00 | 0.000 |
| 29 | PREGESTIMIL 16 OZ PWD | 2% | $0.00 | 0.000 |
| 30 | COMPLETE AMINO ACID MIX 7 OZ PWD | 2% | $0.00 | 0.000 |
| Totals | 100% | $0.00 | 0.000 |
Please enter item prices only into the fields in yellow (include shipping & handling).
This list is not all inclusive of products that may be ordered but represents the most commonly ordered products currently.
All pharmacy orders received by a licensed medical prescriptive authority in Utah will be honored unless there is an issue found by the WIC Nutrtition Coordinator during the reivew of prescriptions received on behalf of any active participant.
File details come from the government source that posted it. Updated .