Atch A -Rate Schedule Pharmacy.xlsx

XLSX spreadsheet 34 KB Posted

Attached to
IAW Buy Indian Act - Pharmacy After Hours Services at ESU
Solicitation number
RFP-24-PHX-13
Issued by

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Written by GovTribe AI ·

This document appears to be a rate schedule for pharmacy after-hours contract line items related to a federal contract opportunity. The opportunity is a solicitation for commercial pharmacy services to provide non-personal professional pharmacy after-hours service for the Elko Southern Bands Health Center in Elko, Nevada. The solicitation is set-aside for Native American firms under the Buy Indian Act, with a base period of performance from September 24, 2024 to September 23, 2025. The contract will be a firm-fixed-price award, with pricing required for the base period and four option years. The rate schedule includes pricing for various pharmaceutical items, such as inhalers, nebulizer solutions, antibiotics, and other medications. Proposals are due by September 17, 2024 at 3 PM ET, and the North American Industry Classification System (NAICS) code is 456110 for Pharmacies and Drug Retailers.

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Other files

File Type Posted
Atch B - Business Associate Agreement.pdf PDF
Atch E - IEE Representation Form REV.pdf PDF
Atch D - Statement of Work - Pharmacy After Hours.pdf PDF
Atch C - 2024 Tax Exemption.pdf PDF
Atch F -Provisions Clauses Terms and Instructions RFP-24-PHX-13.pdf PDF

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Rate Schedule Rate Schedule for Pharmacy After Hours

Contract Line Item DescriptionBase PeriodOption Year OneOption Year TwoOption Year ThreeOption Year Four
QuantityUnitUnit PriceTotal PriceQuantityUnitUnit PriceTotal PriceQuantityUnitUnit PriceTotal PriceQuantityUnitUnit PriceTotal PriceQuantityUnitUnit PriceTotal Price
ALBUTEROL 90 MCG/SPRAY INHALER (1 INHALER)4EA$ - 0$ - 04EA$ - 0$ - 04EA$ - 0$ - 04EA$ - 0$ - 04EA$ - 0$ - 0
ALBUTEROL 0.083% (2.5 MG/3 ML) NEBULIZER SOLUTION 75 ML (25 BULLETS)2EA$ - 0$ - 02EA$ - 0$ - 02EA$ - 0$ - 02EA$ - 0$ - 02EA$ - 0$ - 0
AMOXICILLIN 500 CAPSULE100EA$ - 0$ - 0100EA$ - 0$ - 0100EA$ - 0$ - 0100EA$ - 0$ - 0100EA$ - 0$ - 0
AMOXICILLIN-CLAVULANATE 500 MG-125 MG TABLET40EA$ - 0$ - 040EA$ - 0$ - 040EA$ - 0$ - 040EA$ - 0$ - 040EA$ - 0$ - 0
AMOXICILLIN-CLAVULANATE 875 MG-125 MG TABLET40EA$ - 0$ - 040EA$ - 0$ - 040EA$ - 0$ - 040EA$ - 0$ - 040EA$ - 0$ - 0
AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION 75 ML (1 BOTTLE)4EA$ - 0$ - 04EA$ - 0$ - 04EA$ - 0$ - 04EA$ - 0$ - 04EA$ - 0$ - 0
AMLODIPINE 10 MG TABLET10EA$ - 0$ - 010EA$ - 0$ - 010EA$ - 0$ - 010EA$ - 0$ - 010EA$ - 0$ - 0
APIXABAN 5 MG TABLET10EA$ - 010EA$ - 010EA$ - 010EA$ - 010EA$ - 0
AZITHROMYCIN 250 MG TABLET12EA$ - 012EA$ - 012EA$ - 012EA$ - 012EA$ - 0
AZITHROMYCIN 500 MG TABLET20EA$ - 020EA$ - 020EA$ - 020EA$ - 020EA$ - 0
AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION 15 ML (1 BOTTLE)2EA$ - 02EA$ - 02EA$ - 02EA$ - 02EA$ - 0
CEFADROXIL 500 MG CAPSULE10EA$ - 010EA$ - 010EA$ - 010EA$ - 010EA$ - 0
CEFDINIR 300 MG CAPSULE100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0
CEFPODOXIME 100 MG TABLET10EA$ - 010EA$ - 010EA$ - 010EA$ - 010EA$ - 0
CEFUROXIME AXETIL 500 MG TABLET10EA$ - 010EA$ - 010EA$ - 010EA$ - 010EA$ - 0
CEPHALEXIN 500MG CAPSULE100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0
CHLORDIAZEPOXIDE 25 MG CAPSULE20EA$ - 020EA$ - 020EA$ - 020EA$ - 020EA$ - 0
CIPROFLOXACIN 250 MG TABLET30EA$ - 030EA$ - 030EA$ - 030EA$ - 030EA$ - 0
CIPROFLOXACIN 500 MG TABLET30EA$ - 030EA$ - 030EA$ - 030EA$ - 030EA$ - 0
CLINDAMYCIN 150 MG CAPSULE30EA$ - 030EA$ - 030EA$ - 030EA$ - 030EA$ - 0
CLINDAMYCIN 300 MG CAPSULE60EA$ - 060EA$ - 060EA$ - 060EA$ - 060EA$ - 0
CYCLOBENZAPRINE 10 MG TABLET30EA$ - 030EA$ - 030EA$ - 030EA$ - 030EA$ - 0
DOXYCYCLINE HYCLATE 100 MG TABLET100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0
FLUCONAZOLE 150 MG TABLET5EA$ - 05EA$ - 05EA$ - 05EA$ - 05EA$ - 0
FUROSEMIDE 40 MG TABLET100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0
HYDROXYZINE HCL 25 MG TABLET100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0
LEVOFLOXACIN 500 MG TABLET100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0
LEVOFLOXACIN 750 MG TABLET50EA$ - 050EA$ - 050EA$ - 050EA$ - 050EA$ - 0
NITROFURANTOIN MONO/MACRO 100 MG CAPSULE100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0
OMEPRAZOLE 40 MG CAPSULE100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0
ONDANSETRON 4MG DISINTEGRATING TABLET100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0
PHENAZOPYRIDINE 200 MG TABLET30EA$ - 030EA$ - 030EA$ - 030EA$ - 030EA$ - 0
POTASSIUM CHLORIDE 20 MEQ EXTENDED-RELEASE TABLET20EA$ - 020EA$ - 020EA$ - 020EA$ - 020EA$ - 0
PREDNISONE 20 MG TABLET100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0
SULFAMETHOXAZOLE-TRIMETHOPRIM 800 MG-160 MG TABLET100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0
TAMSULOSIN 0.4 MG CAPSULE10EA$ - 010EA$ - 010EA$ - 010EA$ - 010EA$ - 0
TRAMADOL 50 MG TABLET100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0100EA$ - 0
$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0
Line Item Subtotal$ - 0$ - 0$ - 0$ - 0$ - 0
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$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0
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Total CostERROR:#REF!$ - 0$ - 0$ - 0$ - 0
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Total Estimated Yearly Values$ - 0ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!
TOTAL VALUE OF CONTRACTERROR:#REF!

MEDICATION LIST IS NOT ALL INCLUSIVE; PRIMARY MEDICATIONS MOST ISSUED.

PLEASE ENSURE RATES ARE GOOD FOR 120 CALENDAR DAYS.

PATIENT PHARMACY INSURANCE MUST BE PROCESSED BEFORE INVOICING ANY REMAINING BALANCE INCLUDING COPAY.

&F&D&T

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