Attach J.3 Product Cap Matrix.xlsx
XLSX spreadsheet 27 KB Posted
- Solicitation number
- 7571MN26R00052
- Issued by
- Not on record
About this file
This file is a Product Cap Matrix attachment that specifies the medications, vaccines, and medical supplies eligible for procurement under the Federal Occupational Health - Medications, Vaccines, and Medical Supplies (MVMS) contract solicitation 7571MN26R00052.
The medications section lists 33 pharmaceutical products with specified forms, dosages, strengths, and unit-of-measure packaging, including common over-the-counter items (acetaminophen, ibuprofen, diphenhydramine) and prescription medications for travel-related illnesses and altitude sickness (doxycycline, mefloquine, primaquine, acetazolamide). The vaccines section specifies 23 approved vaccines with NDC codes, including routine immunizations (MMR, Tdap, influenza) and travel-related vaccines (yellow fever, typhoid, Japanese encephalitis, rabies). The medical supplies section identifies 26 items across categories including respiratory therapy equipment (oxygen cylinders, regulators, resuscitators), diagnostic equipment and disposables (spirometry filters, ECG electrodes, AED pads), and laboratory supplies (blood glucose test strips and control solutions, specimen collection tubes, thermometers). All items in the matrix are marked "FALSE" for the "Required Form" field, indicating these represent approved products available for purchase but are not mandatory line items. Vendors responding to this RFP must acknowledge their ability to supply these specific products with the exact specifications, forms, dosages, and packaging configurations listed.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attach J.1 Product List.xlsx | XLSX spreadsheet | |
| Attach J.7 Cntr Self Assess.docx | DOCX document | |
| Attach J.6 Finan Cap Wrk.docx | DOCX document | |
| Attach J.5 Past Perform.docx | DOCX document | |
| Attach J.4 Offeror Checklist.docx | DOCX document | |
| Solicitation MVMS V7.1.pdf | ||
| Attach-J.2 Pricing Worksheet.xlsx | XLSX spreadsheet |
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Product List - Medications
| Formulary ID | Name | Required Form | Required Dosage/Strength | UOM | Yes/No |
| M01 | Acetaminophen | Tablet | 325mg | 2tabs/PK, 250PK/BX | FALSE |
| M02 | Acetylsalicylic Acid | Tablet | 325mg | 2tabs/PK, 250PK/BX | FALSE |
| M03 | Acetylsalicylic Acid | Chewable Tablet | 81mg | 36 tabs/BT | FALSE |
| M04 | Albuterol Sulfate | Aerosol | 90mcg/18GM | 200 doses per MDI | FALSE |
| M05 | Bacitracin Zinc | Ointment | 500IU/GM | 0.9g/PK, 144PK/BX | FALSE |
| M06 | Benzocaine | Gel | 20% Benzocaine | 0.75g/PK, 75PK/BX | FALSE |
| M07 | Benzocaine/Menthol | Swabs/Ampule | 20% Benzocaine, 1% Menthol | 0.6mL/Ampule, 10/BX | FALSE |
| M09 | Bismuth Subsalicylate | Tablet | 262mg | 2/PK, 100/BX | FALSE |
| M10 | Calcium Carbonate | Tablet | 420mg | 2/PK, 250PK/BX | FALSE |
| M11 | Carbamide Peroxide Otic 6.5% | Liquid | 6.5% Carbamide Peroxide | 15mL/BT | FALSE |
| M13 | Chlorpheniramine Maleate | Tablet | 4mg | 1tab/PK, 250/BX | FALSE |
| M14 | Diphenhydramine | Tablet | 25mg | 1 per packet, 200 per box | FALSE |
| M15 | Diphenhydramine 1% | Cream | 1% Diphenhydramine HCL | 1oz per Tube | FALSE |
| M16 | Diphenhydramine HCL | Injectable | 50mg/mL | 1mL per vial | FALSE |
| M17 | Epinephrine | Injectable | 1mg/mL | 1 mL per single use vial | FALSE |
| M18 | Eye Wash, Buffer, Sterile, Iso, Saline | Liquid | 98.3% purified water | 4oz/BT | FALSE |
| M23 | Glucose | Gel | 15 grams per pouch | 3 pouches per pack | FALSE |
| M24 | Guaifenesin | Liquid | 200mg/10mL | 10mL/Cup, 100Cups/Case | FALSE |
| M27 | Ibuprofen | Tablet | 200mg | 2tabs/PK, 200PK/BX | FALSE |
| M30 | Lubricant, Surgical, Sterile | Lubricating Jelly | N/A | 3g/PK, 144PK/BX | FALSE |
| M31 | Nitroglycerin | Sublingual Tablet | 0.4mg | 25tabs/BT | FALSE |
| M33 | Polyvinyl Alcohol/Povidone | Drops | 1.4% Polyvinyl Alcohol, 0.6% Povidone | 0.01 fl oz per single-use container, 50 per box | FALSE |
| M34 | Silver Sulfadiazine 1% | Cream | 1% Silver Sulfadiazine | 20g/Tube | FALSE |
| M35 | Sodium Chloride Irrigation 0.9% | Liquid | 0.9% Sodium Chloride | 1000mL/BT | FALSE |
| M37 | Sodium Chloride Irrigation 0.9% | Liquid | 0.9% Sodium Chloride | 250mL/BT | FALSE |
| M49 | Hydrocortisone 1% | Cream | 1% Hydrocortisone | 0.9g/PK, 144PK/BX | FALSE |
| M50 | Loratadine | Tablet | 10mg | 1/PK, 50/BX | FALSE |
| M41 | Atovaquone/Proguanil HCL | Tablet | 250mg/100mg | 24 tabs/BX | FALSE |
| M43 | Dimenhydrinate | Tablet | 50mg | 12 tabs/BX | FALSE |
| M44 | Doxycycline Monohydrate | Capsule | 100mg | 50 caps/BT | FALSE |
| M45 | Loperamide HCL | Caplet | 2mg | 24caps/BX | FALSE |
| M46 | Mefloquine HCL | Tablet | 250mg | 25 tabs/BT | FALSE |
| M47 | Primaquine Phosphate | Tablet | 26.3mg | 100 tabs/BT | FALSE |
| M48 | Menthol Lozenges Cough Drop (Sugarfree Menthol Flavor) | Lozenge | 7.6mg | Individually Wrapped, 300/BX | FALSE |
| M39 | Acetazolamide | Tablet | 125 mg | 12/BT | FALSE |
| M40 | Acetazolamide | Tablet | 250 mg | 12/BT | FALSE |
| M42 | Choroquine Phosphate | Tablet | 500 mg | 25tabs/BT | FALSE |
Product List - Vaccines
| Trade Name | Generic Name | Required Form | Required Dosage/Strength | Unit of Measure (UOM) | NDC | Yes/No |
| Havrix | Hepatitis A Vaccine | Injectable | 1440 EL.U./mL | 1 mL per SDV / 10 SDV per box | 58160-826-52 | FALSE |
| Twinrix | Hepatitis A/B Vaccine | Injectable | 720 EL.U. & 20 mcg/mL | 1 mL per SDV / 10 SDV per box | 58160-815-52 | FALSE |
| Engerix-B | Hepatitis B Vaccine | Injectable | 20 mcg/mL | 1mL per SDV / 10 SDV per box | 58160-821-52 | FALSE |
| Ixiaro | Japanese Encephalitis Vaccine | Injectable | 6 mcg/0.5 mL | 0.5mL per pre-filled syringe | 42515-002-01 | FALSE |
| MMR | Measles, Mumps, Rubella Vaccine | Injectable | 1,000 TCID(Measles), 12,500 TCID(Mumps), 1,000 TCID(Rubella)/0.5mL | 0.5mL per SDV / 10 SDV per box | 0006-4681-00 | FALSE |
| Menquadfi | Menquadfi | Injectable | 10 mcg each (Men A, C, Y, W)/0.5mL | 0.5mL per SDV / 5 SDV per box | 49281-0590-58 | FALSE |
| Prevnar 20 | Pneumococcal 20-valent Conjugate Vaccine | Injectable | 20 Serotypes (46.2mcg saccharides)/0.5mL | 0.5mL per pre-filled syringe) / one pre-filled syringe | 00005-2000-01 | FALSE |
| Ipol | Polio Virus Vaccine (Inactivated) | Injectable | 40-8-32 D antigen units/0.5mL | 0.5mL per dose / one 10 dose vial (5mL) | 49281-0860-10 | FALSE |
| Imovax | Rabies Vaccine | Injectable | 2.5 IU/mL | 1mL per SDV (kit) | 49281-252-51 | FALSE |
| Rabavert | Rabies Vaccine | Injectable | 2.5 IU/mL | 1mL per SDV (kit) | 50632-010-01 | FALSE |
| Tenivac | Tenivac - Tetanus-Diphtheria Tox | Injectable | 5 Lf of tetanus toxoid, 2Lf of diphtheria toxoid | 0.5mL per SDV / 10 SDV per box | 49281-0215-15 | FALSE |
| Tdap | Adacel - Tetanus-Diphtheria Toxoids with Accelular Pertussus | Injectable | 5Lf (T) -2Lf (d)-2.5mcg (PT) / 0.5 mL | 0.5mL per SDV / 5 SDV per box OR 10 SDV per box | 49281-0400-10 | FALSE |
| BOOSTRIX | Boostrix - Tetanus-Diphtheria Toxoids with Accelular Pertussus | Injectable | 5 Lf of tetanus toxoid, 2.5 Lf of diphtheria toxoid, 8 mcg of inactivated PT, 8 mcg of FHA, and 2.5 mcg of PRN (69 kiloDalton outer membrane protein) 0.5 mL | 0.5mL per SDV or PFS / 1 SDV or PFS per box OR 10 SDV or PFS per box | 5816-00842-52 | FALSE |
| Tubersol | Tuberculin Purified Protein Derivative (Mantoux) | Injectable | 5 units (TU) / 0.1 mL | 0.1 mL per dose / 10 doses per 1mL vial / 50 doses per 5mL vial | 49281-752-21 | FALSE |
| Typhim VI | Typhoid VI Polysaccharide Vaccine | Injectable | 25mcg/0.5mL | 0.5mL pre-filled syringe | 49281-790-51 | FALSE |
| Varivax | Varicella Virus Vaccine | Injectable | 1350 PFU/0.5mL | 0.5mL per SDV / 10 SDV per box | 0006-4827-00 | FALSE |
| Yellow Fever | Yellow Fever Vaccine | Injectable | 4.74 log 10 PFU | 0.5mL per SDV / 5 SDV per box OR one 5-dose vial per box | 49281-915-58 | FALSE |
| Shingrix | Zoster Vaccine Recombinant (RZV) | Injectable | 50 mcg/0.5mL | 0.65mL per SDV / one SDV | 58160-823-11 | FALSE |
| Vivotif | Typhoid Vivotif | Capsule | 2.0 – 10.0 x 109 CFU | 4 capsules per box | 69401-000-02 | FALSE |
| FLU | FLU Vaccine | Injectable | 60 mcg / 0.5 mL | 0.5mL per SDV / 10 SDV per box OR one 10-dose MDV | FALSE |
Product List - Medical Supplies
| Item Description | Major Category | UOM | MFR Information | Yes/No |
| Flow Tube Adapter EasyOne® | Respiratory Therapy | EA | Ndd Medical Technologies #5030-2 | FALSE |
| Calibration Adapter For Spirometer Serial 46000 and above | Respiratory Therapy | EA | Ndd Medical Technologies #2030-3 | FALSE |
| Lif-O-Gen® Disposable Oxygen Cylinder (Filled) | Respiratory Therapy | EA | Allied Healthcare #31-01-0510 | FALSE |
| Acquisition Module With HA Banana Leadwire | Patient Assessment/Monitoring | EA | Welch Allyn #41000-032-50 | FALSE |
| Oxygen Cylinder Stand | Respiratory Therapy | EA | Drive DeVilbiss Healthcare #18149KD | FALSE |
| Oxygen Regulator Adjustable 2 - 8 LPM | Respiratory Therapy | EA | Mada Medical Products #1309A | FALSE |
| Cancer Screening Test Kit EZ Detect™ Fecal Occult Blood Test (FOBT) 5 Tests CLIA Waived | Test Kit | BX | Biomerica Inc #08305910001 | FALSE |
| Blood Glucose Control Solution Contour® 2.5 mL Low Level | Lab-Blood Glucose Meters & Sup | KT | Ascensia Diabetes Care #7110 | FALSE |
| Blood Glucose Control Solution Ascensia™ Contour® 2.5 mL High Level | Lab-Blood Glucose Meters & Sup | EA | Ascensia Diabetes Care #7111 | FALSE |
| Digital Refrigerator / Freezer Thermometer with Alarm McKesson Fahrenheit / Celsius -58° to +158°F (-50° to +70°C) Glycol Bottle Probe Multiple Mounting Options Battery Operated | Lab-General Lab Equipment | EA | McKesson Brand #MCK821RFV | FALSE |
| Blood Glucose Test Strips Contour® 50 Strips per Pack | Lab-Blood Glucose Meters & Sup | BX | Ascensia Diabetes Care #7098C | FALSE |
| Cholestech LDX® Capillary Blood Collection Tube Heparin Additive 40 µL Without Closure Plastic Tube | Lab-Specimen Collection | VL | Abbott Rapid Dx North America LLC #52193 | FALSE |
| Electrode Adaptor Welch Allyn 90 Day Warranty For ECG Multifuction Electrocardiograph | Diagnostic Disposables | PK | Welch Allyn #715006 | FALSE |
| PAD, DEFIB PAD-PAK F/HEARTSINEUS AED ADLT | AED Accessory | EA | The Palm Tree Group #PAD-PAK-01 | FALSE |
| CYLINDER, OXY FILLED M9 249LL | Respiratory Therapy | EA | Mada Medical Products #1403M | FALSE |
| DATA LOGGER, VACCINE THERMCO FRIDGE TAG 2L | Lab-General Lab Equipment | EA | Fisher Anatomical #04500018 | FALSE |
| FILTER, EASYONE SP F/SPIRETTE(100/BX) | Diagnostic Disposables | BX | Ndd Medical Technologies #2091-412 | FALSE |
| FILTER, RESPIRATORY EASY ONEFT (100/BX) | Diagnostic Disposables | BX | Ndd Medical Technologies #2091-422 | FALSE |
| CYLINDER, OXY M9 W/TOGGLE ALUMFILLED | Respiratory Therapy | EA | Mada Medical Products #1402 | FALSE |
| REGULATOR MINIMADA | Respiratory Therapy | EA | Mada Medical Products #1443 | FALSE |
| CYLINDER, MADA OXYGEN FILLEDMADA | Respiratory Therapy | EA | Mada Medical Products #1403 | FALSE |
| CONTROL, CONTOUR NORMAL 2.5ML(12/CS) | Lab-Blood Glucose Meters & Sup | EA | Ascensia Diabetes Care #7109 | FALSE |
| RESUSCITATOR, SPUR W/HEPA FLTRMED ADLT (12/CS) AMBU | Respiratory Therapy | CS | Ambu #520211034 | FALSE |
| OXYGEN KIT W/TANK FILLEDW/SHOULDER BAG D/S | Respiratory Therapy | EA | Mada Medical Products #1415MS | FALSE |
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