A2 - Price Schedule.xlsx

XLSX spreadsheet 14 KB Posted

Attached to
Pharmacy Labels and Supplies for the Northern Cheyenne Service Unit, Lame Deer, Montana
Solicitation number
75H70926Q00006
Issued by

About this file

This is a Price Schedule for a commercial items contract (75H70926Q00006) with the Indian Health Service for pharmacy labels and supplies required at the Northern Cheyenne Service Unit in Lame Deer, Montana. The contract covers a one-year base period (05/25/2026 – 04/30/2027) with four optional one-year renewal periods extending through 04/30/2031.

The price schedule itemizes eight Contract Line Item Numbers (CLINs) for the base year and corresponding CLINs for each option year, with identical quantities maintained across all periods. Required items include: 2x4" custom prescription labels compatible with ScriptPro Automation (36 kits); four sizes of branded bags with IHS logos (4lb, 6lb, 12lb, and 20lb cases); tamper-resistant prescription pads (10 pads); and padded poly mailers in two sizes (6x10" and 8.5x12" cases). All unit prices and total prices are currently blank, indicating this is a template awaiting contractor pricing submissions. The solicitation is a 100% Total Small Business Set-Aside under NAICS code 323111 (Commercial Printing), with a small business size standard of 650 employees. This is a Request for Quotation (RFQ) for commercial products conducted under FAR Part 12.

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Sheet1

Base Year05/25/2026 - 04/30/2027
Contract LineDescriptionQuantityUnitUnit PriceTotal
CLIN 0012X4” custom prescription labels - labels compatible with ScriptPro Automation36Kit$ - 0
CLIN 0024lb bag (5 x 3 x 9.5” tall) - with IHS logo on outside of bags30Case$ - 0
CLIN 0036lb bag (6 x 3.5 x 11” tall) -with IHS logo on outside of bags20Case$ - 0
CLIN 00412lb bag (6.5 x 4 x 13.5” tall) - with IHS logo on outside of bags20Case$ - 0
CLIN 00520lb bag (8 x 5 x 16.5” tall) - with IHS logo on outside of bags15Case$ - 0
CLIN 006Tamper resistant prescription pad (4.25 x 5.5 vertical)10Pads$ - 0
CLIN 007Padded poly mailer (6x10”)10Case$ - 0
CLIN 008Padded poly mailer (8.5 x 12”)20Case$ - 0
$ - 0Total for all for Base Year
Option Year One05/01/2027 - 04/30/2028
CLIN 1012X4” custom prescription labels - labels compatible with ScriptPro Automation36Kit$ - 0
CLIN 1024lb bag (5 x 3 x 9.5” tall) - with IHS logo on outside of bags30Case$ - 0
CLIN 1036lb bag (6 x 3.5 x 11” tall) -with IHS logo on outside of bags20Case$ - 0
CLIN 10412lb bag (6.5 x 4 x 13.5” tall) - with IHS logo on outside of bags20Case$ - 0
CLIN 10520lb bag (8 x 5 x 16.5” tall) - with IHS logo on outside of bags15Case$ - 0
CLIN 106Tamper resistant prescription pad (4.25 x 5.5 vertical)10Pads$ - 0
CLIN 107Padded poly mailer (6x10”)10Case$ - 0
CLIN 108Padded poly mailer (8.5 x 12”)20Case$ - 0
$ - 0Total for all for Op Yr 1
Option Year Two05/01/2028 - 04/30/2029
CLIN 2012X4” custom prescription labels - labels compatible with ScriptPro Automation36Kit$ - 0
CLIN 2024lb bag (5 x 3 x 9.5” tall) - with IHS logo on outside of bags30Case$ - 0
CLIN 2036lb bag (6 x 3.5 x 11” tall) -with IHS logo on outside of bags20Case$ - 0
CLIN 20412lb bag (6.5 x 4 x 13.5” tall) - with IHS logo on outside of bags20Case$ - 0
CLIN 20520lb bag (8 x 5 x 16.5” tall) - with IHS logo on outside of bags15Case$ - 0
CLIN 206Tamper resistant prescription pad (4.25 x 5.5 vertical)10Pads$ - 0
CLIN 207Padded poly mailer (6x10”)10Case$ - 0
CLIN 208Padded poly mailer (8.5 x 12”)20Case$ - 0
$ - 0Total for all for Op Yr 2
Option Year Three05/01/2029 - 04/30/2030
CLIN 3012X4” custom prescription labels - labels compatible with ScriptPro Automation36Kit$ - 0
CLIN 3024lb bag (5 x 3 x 9.5” tall) - with IHS logo on outside of bags30Case$ - 0
CLIN 3036lb bag (6 x 3.5 x 11” tall) -with IHS logo on outside of bags20Case$ - 0
CLIN 30412lb bag (6.5 x 4 x 13.5” tall) - with IHS logo on outside of bags20Case$ - 0
CLIN 30520lb bag (8 x 5 x 16.5” tall) - with IHS logo on outside of bags15Case$ - 0
CLIN 306Tamper resistant prescription pad (4.25 x 5.5 vertical)10Pads$ - 0
CLIN 307Padded poly mailer (6x10”)10Case$ - 0
CLIN 308Padded poly mailer (8.5 x 12”)20Case$ - 0
$ - 0Total for all for Op Yr 3
Option Year Four05/01/2030 - 04/30/2031
CLIN 4012X4” custom prescription labels - labels compatible with ScriptPro Automation36Kit$ - 0
CLIN 4024lb bag (5 x 3 x 9.5” tall) - with IHS logo on outside of bags30Case$ - 0
CLIN 4036lb bag (6 x 3.5 x 11” tall) -with IHS logo on outside of bags20Case$ - 0
CLIN 40412lb bag (6.5 x 4 x 13.5” tall) - with IHS logo on outside of bags20Case$ - 0
CLIN 40520lb bag (8 x 5 x 16.5” tall) - with IHS logo on outside of bags15Case$ - 0
CLIN 406Tamper resistant prescription pad (4.25 x 5.5 vertical)10Pads$ - 0
CLIN 407Padded poly mailer (6x10”)10Case$ - 0
CLIN 408Padded poly mailer (8.5 x 12”)20Case$ - 0
$ - 0Total for all for Op Yr 4

Grand Total $ - 0

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