Attach 1 - Pricing Schedule Pharmacy Turn In.xlsx

XLSX spreadsheet 12 KB Posted

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Pharmacy Re-Distribution (Turn in of non-expended Products)
Solicitation number
RFP23PHX013
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File Type Posted
Attach 4 Phoenix Area Tax Exemption.pdf PDF
Attach 2 Statement of Work Reverse Distribution.pdf PDF
SF1449-Pharmacy Reverse Distro RFP 23 PHX - 013.pdf PDF
Attach 3 Provisions and Clauses RFP 23 PHX 13.pdf PDF

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Sheet1

RFP-23-PHX-13- Blanket Purchase Agreement
YearPrice*Total*
Base Year
Cibecue Health Center (Whiteriver Service Unit) – Small 1 pharmacist outpatient health care center with limited space and low volume – satellite clinic near Whiteriver Hospital below (2 onsite). *** will need in FY 2024****1$1.00$2.00
Hopi Health Care Center (Keams Canyon Service Unit) – small remote critical access hospital site with very low census and outpatient services (2 onsite)1$1.00$2.00
Parker Indian Health Center (Colorado River Service Unit) - small remote critical access hospital site with very low census and outpatient services(4 onsite)1$1.00$2.00
Peach Springs Indian Health Center (Colorado River Service Unit) – Small 3 pharmacist outpatient health care center with limited space(2 onsite)1$1.00$2.00
Phoenix Indian Medical Center – Large urban hospital with outpatient services (4 onsite)1$1.00$2.00
Whiteriver USPHS Hospital (Whiteriver Service Unit) – Large remote hospital with outpatient services (4 onsite). *** will need in FY 2024****1$1.00$2.00
Fort Yuma Health Center – small outpatient clinic, low volume (2 onsite)1$1.00$2.00
Southern Bands Health Center – small outpatient clinic, low volume (2 Mail-in)1$1.00$2.00
Fort Duchesne Indian Health Center – small outpatient clinic, low volume (2 onsite)1$1.00$2.00
* denotes that it is for the formulaTOTAL*$18.00*
1st Option Year
Cibecue Health Center (Whiteriver Service Unit) – Small 1 pharmacist outpatient health care center with limited space and low volume – satellite clinic near Whiteriver Hospital below (2 onsite)1$1.00$2.00
Hopi Health Care Center (Keams Canyon Service Unit) – small remote critical access hospital site with very low census and outpatient services (2 onsite)1$1.00$2.00
Parker Indian Health Center (Colorado River Service Unit) - small remote critical access hospital site with very low census and outpatient services(4 onsite)1$1.00$2.00
Peach Springs Indian Health Center (Colorado River Service Unit) – Small 3 pharmacist outpatient health care center with limited space(2 onsite)1$1.00$2.00
Phoenix Indian Medical Center – Large urban hospital with outpatient services (4 onsite)1$1.00$2.00
Whiteriver USPHS Hospital (Whiteriver Service Unit) – Large remote hospital with outpatient services (4 onsite)1$1.00$2.00
Fort Yuma Health Center – small outpatient clinic, low volume (2 onsite)1$1.00$2.00
Southern Bands Health Center – small outpatient clinic, low volume (2 Mail-in)1$1.00$2.00
Fort Duchesne Indian Health Center – small outpatient clinic, low volume (2 onsite)1$1.00$2.00
* denotes that it is for the formulaTOTAL*$18.00
2nd Option Year
Cibecue Health Center (Whiteriver Service Unit) – Small 1 pharmacist outpatient health care center with limited space and low volume – satellite clinic near Whiteriver Hospital below (2 onsite)1$1.00$2.00
Hopi Health Care Center (Keams Canyon Service Unit) – small remote critical access hospital site with very low census and outpatient services (2 onsite)1$1.00$2.00
Parker Indian Health Center (Colorado River Service Unit) - small remote critical access hospital site with very low census and outpatient services(4 onsite)1$1.00$2.00
Peach Springs Indian Health Center (Colorado River Service Unit) – Small 3 pharmacist outpatient health care center with limited space(2 onsite)1$1.00$2.00
Phoenix Indian Medical Center – Large urban hospital with outpatient services (4 onsite)1$1.00$2.00
Whiteriver USPHS Hospital (Whiteriver Service Unit) – Large remote hospital with outpatient services (4 onsite)1$1.00$2.00
Fort Yuma Health Center – small outpatient clinic, low volume (2 onsite)1$1.00$2.00
Southern Bands Health Center – small outpatient clinic, low volume (2 Mail-in)1$1.00$2.00
Fort Duchesne Indian Health Center – small outpatient clinic, low volume (2 onsite)1$1.00$2.00
* denotes that it is for the formulaTOTAL*$18.00
3rd Option Year
Cibecue Health Center (Whiteriver Service Unit) – Small 1 pharmacist outpatient health care center with limited space and low volume – satellite clinic near Whiteriver Hospital below (2 onsite)1$1.00$2.00
Hopi Health Care Center (Keams Canyon Service Unit) – small remote critical access hospital site with very low census and outpatient services (2 onsite)1$1.00$2.00
Parker Indian Health Center (Colorado River Service Unit) - small remote critical access hospital site with very low census and outpatient services(4 onsite)1$1.00$2.00
Peach Springs Indian Health Center (Colorado River Service Unit) – Small 3 pharmacist outpatient health care center with limited space(2 onsite)1$1.00$2.00
Phoenix Indian Medical Center – Large urban hospital with outpatient services (4 onsite)1$1.00$2.00
Whiteriver USPHS Hospital (Whiteriver Service Unit) – Large remote hospital with outpatient services (4 onsite)1$1.00$2.00
Fort Yuma Health Center – small outpatient clinic, low volume (2 onsite)1$1.00$2.00
Southern Bands Health Center – small outpatient clinic, low volume (2 Mail-in)1$1.00$2.00
Fort Duchesne Indian Health Center – small outpatient clinic, low volume (2 onsite)1$1.00$2.00
* denotes that it is for the formulaTOTAL*$18.00
4th Option Year
Cibecue Health Center (Whiteriver Service Unit) – Small 1 pharmacist outpatient health care center with limited space and low volume – satellite clinic near Whiteriver Hospital below (2 onsite)1$1.00$2.00
Hopi Health Care Center (Keams Canyon Service Unit) – small remote critical access hospital site with very low census and outpatient services (2 onsite)1$1.00$2.00
Parker Indian Health Center (Colorado River Service Unit) - small remote critical access hospital site with very low census and outpatient services(4 onsite)1$1.00$2.00
Peach Springs Indian Health Center (Colorado River Service Unit) – Small 3 pharmacist outpatient health care center with limited space(2 onsite)1$1.00$2.00
Phoenix Indian Medical Center – Large urban hospital with outpatient services (4 onsite)1$1.00$2.00
Whiteriver USPHS Hospital (Whiteriver Service Unit) – Large remote hospital with outpatient services (4 onsite)1$1.00$2.00
Fort Yuma Health Center – small outpatient clinic, low volume (2 onsite)1$1.00$2.00
Southern Bands Health Center – small outpatient clinic, low volume (2 Mail-in)1$1.00$2.00
Fort Duchesne Indian Health Center – small outpatient clinic, low volume (2 onsite)1$1.00$2.00

* denotes that it is for the formula TOTAL* $18.00

*Grand Total $90.00

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