Attachment 1 - Price Cost Schedule Template.xlsx
XLSX spreadsheet 443 KB Posted
- Solicitation number
- 36C24923Q0470
About this file
This document contains a price cost schedule template for an automated dispensing cabinet medication distribution system network contract opportunity. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 9 has a requirement to lease an enterprise-wide automated dispensing system for the Tennessee Valley Healthcare System that meets Joint Commission requirements for appropriate drug storage and accountability. The template includes pricing and quantity information for various medication dispensing cabinets to be provided at VA medical centers in Nashville and Murfreesboro, Tennessee over multiple contract periods and option years. Pricing is included for profiled and non-profiled medication dispensing cabinets, anesthesia cabinets, and refrigerated lock cabinets at monthly rates. The contract also requires associated system support services.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24923Q0470 0003.docx | DOCX document | |
| Attachment 3 - 36C24923Q0470 Amendment 1.docx | DOCX document | |
| Attachment 2 - Salient Characteristics Amendment 1.pdf | ||
| Attachment 1 - Price Cost Schedule Template Amendment 1.xlsx | XLSX spreadsheet | |
| 36C24923Q0470 0001 2-20-2024.docx | DOCX document | |
| Attachment 4 - RFQ 36C24924Q0270 Questions and Answers Amendment 1.docx | DOCX document | |
| Attachment 2 - Salient Characteristics 2-5-24C.pdf | ||
| 36C24923Q0470.docx | DOCX document |
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Action Line Item Information
| Action Type Name | Primary ID | Secondary ID | Mod Number | Title | Order Discount Type Name | Order Discount Type | Order Discount |
| RFQ | 36C24923Q0470 | 36C249-23-AP-0375 - Pharmacy Automated Dispensing Cabinet - TVHS-Leased | Percent | 0 |
KB Version: FY24.03A
Items
| Item Number | SLIN | Description | Ref CLIN | Comment | Include Comments in Document | Contract Period | Pop Begin | Pop End | Quantity | Unit of Measure | Packaging Multiple | Receipt Type | Line Item Is | Unit Price | Item Discount Type Name | Item Discount | Date Updated | Address1 | Address2 | Address3 | City | State | Zip | Zip4 | Country | Mark For | Contact Name | Contact Phone | Contact Email | Delivery Date | FOB | Special Instructions | Include Instructions/Comments in Document | Include Data Values in Document | PRINCIPAL NAICS CODE | PRODUCT/SERVICE CODE | UNSPSC | SIC CODE | MANUFACTURER PART NUMBER (MPN) | NATIONAL STOCK NUMBER | LOCAL STOCK NUMBER | DM DOC ID | DELIVERY REF. COUNTER | UNIT TEXT/DESCRIPTION | DELIVERY REFERENCE | ITEM MASTER FILE NUMBER | EXPENDABLE/NON-EXPENDABLE | QUANTITY REQUESTED | UNIT OF PURCHASE CODE |
| 0001 | TVHS VAMC Nashville Campus and Supported Facilities Point of Care Decentralized Automated Dispensing Cabinet Medication Distribution System and System Support. | Yes | Base | 45383 | 45565 | 6 | MO | 0 | Quantity | Priced | 71551.2 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||
| 0001 | AA | Medstation System (MSS) - Profiled | Yes | 22 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 0001 | AB | Medstation System (MSS) - Non Profiled | Yes | 25 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 0001 | AC | Medstation System (MSST) Tower/Cabinet Preferred - Non Profiled | Yes | 3 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 0001 | AD | Anesthesia Medstation System (AMSS) - Non Profiled | Yes | 12 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 0001 | AE | Medstation System (MSSR) w/ Refrigerator Lock- Non Profiled | Yes | 1 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 0001 | AF | Medstation System (MSSR) w/ Refrigerator Lock- Profiled | Yes | 1 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 0002 | TVHS VAMC Murfreesboro Campus and Supported Facilities Point of Care Decentralized Automated Dispensing Cabinet Medication Distribution System and System Support. | Yes | Base | 45383 | 45565 | 6 | MO | 0 | Quantity | Priced | 52953.6 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||
| 0002 | AA | Medstation System (MSS) - Profiled | Yes | 28 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 0002 | AB | Medstation System (MSS) - Profiled | Yes | 14 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 0002 | AC | Medstation System (MSST) Tower/Cabinet Preferred - Non Profiled | Yes | 2 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 0002 | AD | Anesthesia Medstation System (AMSS) - Non Profiled | Yes | 3 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 0002 | AE | Medstation System (MSSR) w/ Refrigerator Lock- Non Profiled | Yes | 0 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 0002 | AF | Medstation System (MSSR) w/ Refrigerator Lock- Profiled | Yes | 0 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 1001 | TVHS VAMC Nashville Campus and Supported Facilities Point of Care Decentralized Automated Dispensing Cabinet Medication Distribution System and System Support. | Yes | Option 1 | 45566 | 45930 | 6 | MO | 0 | Quantity | Priced | 71551.2 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||
| 1001 | AA | Medstation System (MSS) - Profiled | Yes | 22 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 1001 | AB | Medstation System (MSS) - Non Profiled | Yes | 25 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 1001 | AC | Medstation System (MSST) Tower/Cabinet Preferred - Non Profiled | Yes | 3 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 1001 | AD | Anesthesia Medstation System (AMSS) - Non Profiled | Yes | 12 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 1001 | AE | Medstation System (MSSR) w/ Refrigerator Lock- Non Profiled | Yes | 1 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 1001 | AF | Medstation System (MSSR) w/ Refrigerator Lock- Profiled | Yes | 1 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 1002 | TVHS VAMC Murfreesboro Campus and Supported Facilities Point of Care Decentralized Automated Dispensing Cabinet Medication Distribution System and System Support. | Yes | Option 1 | 45931 | 46295 | 6 | MO | 0 | Quantity | Priced | 52953.6 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||
| 1002 | AA | Medstation System (MSS) - Profiled | Yes | 28 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 1002 | AB | Medstation System (MSS) - Profiled | Yes | 14 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 1002 | AC | Medstation System (MSST) Tower/Cabinet Preferred - Non Profiled | Yes | 2 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 1002 | AD | Anesthesia Medstation System (AMSS) - Non Profiled | Yes | 3 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 1002 | AE | Medstation System (MSSR) w/ Refrigerator Lock- Non Profiled | Yes | 0 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 1002 | AF | Medstation System (MSSR) w/ Refrigerator Lock- Profiled | Yes | 0 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 2001 | TVHS VAMC Nashville Campus and Supported Facilities Point of Care Decentralized Automated Dispensing Cabinet Medication Distribution System and System Support. | Yes | Option 2 | 45931 | 46295 | 6 | MO | 0 | Quantity | Priced | 71551.2 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||
| 2001 | AA | Medstation System (MSS) - Profiled | Yes | 22 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 2001 | AB | Medstation System (MSS) - Non Profiled | Yes | 25 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 2001 | AC | Medstation System (MSST) Tower/Cabinet Preferred - Non Profiled | Yes | 3 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 2001 | AD | Anesthesia Medstation System (AMSS) - Non Profiled | Yes | 12 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 2001 | AE | Medstation System (MSSR) w/ Refrigerator Lock- Non Profiled | Yes | 1 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 2001 | AF | Medstation System (MSSR) w/ Refrigerator Lock- Profiled | Yes | 1 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 2002 | TVHS VAMC Murfreesboro Campus and Supported Facilities Point of Care Decentralized Automated Dispensing Cabinet Medication Distribution System and System Support. | Yes | Option 2 | 45931 | 46295 | 6 | MO | 0 | Quantity | Priced | 52953.6 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||
| 2002 | AA | Medstation System (MSS) - Profiled | Yes | 28 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 2002 | AB | Medstation System (MSS) - Profiled | Yes | 14 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 2002 | AC | Medstation System (MSST) Tower/Cabinet Preferred - Non Profiled | Yes | 2 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 2002 | AD | Anesthesia Medstation System (AMSS) - Non Profiled | Yes | 3 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 2002 | AE | Medstation System (MSSR) w/ Refrigerator Lock- Non Profiled | Yes | 0 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 2002 | AF | Medstation System (MSSR) w/ Refrigerator Lock- Profiled | Yes | 0 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 3001 | TVHS VAMC Nashville Campus and Supported Facilities Point of Care Decentralized Automated Dispensing Cabinet Medication Distribution System and System Support. | Yes | Option 3 | 46296 | 46660 | 6 | MO | 0 | Quantity | Priced | 71551.2 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||
| 3001 | AA | Medstation System (MSS) - Profiled | Yes | 22 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 3001 | AB | Medstation System (MSS) - Non Profiled | Yes | 25 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 3001 | AC | Medstation System (MSST) Tower/Cabinet Preferred - Non Profiled | Yes | 3 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 3001 | AD | Anesthesia Medstation System (AMSS) - Non Profiled | Yes | 12 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 3001 | AE | Medstation System (MSSR) w/ Refrigerator Lock- Non Profiled | Yes | 1 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 3001 | AF | Medstation System (MSSR) w/ Refrigerator Lock- Profiled | Yes | 1 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 3002 | TVHS VAMC Murfreesboro Campus and Supported Facilities Point of Care Decentralized Automated Dispensing Cabinet Medication Distribution System and System Support. | Yes | Option 3 | 46296 | 46660 | 6 | MO | 0 | Quantity | Priced | 52953.6 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||
| 3002 | AA | Medstation System (MSS) - Profiled | Yes | 28 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 3002 | AB | Medstation System (MSS) - Profiled | Yes | 14 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 3002 | AC | Medstation System (MSST) Tower/Cabinet Preferred - Non Profiled | Yes | 2 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 3002 | AD | Anesthesia Medstation System (AMSS) - Non Profiled | Yes | 3 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 3002 | AE | Medstation System (MSSR) w/ Refrigerator Lock- Non Profiled | Yes | 0 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 3002 | AF | Medstation System (MSSR) w/ Refrigerator Lock- Profiled | Yes | 0 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 4001 | TVHS VAMC Nashville Campus and Supported Facilities Point of Care Decentralized Automated Dispensing Cabinet Medication Distribution System and System Support. | Yes | Option 4 | 46661 | 47026 | 6 | MO | 0 | Quantity | Priced | 71551.2 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||
| 4001 | AA | Medstation System (MSS) - Profiled | Yes | 22 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 4001 | AB | Medstation System (MSS) - Non Profiled | Yes | 25 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 4001 | AC | Medstation System (MSST) Tower/Cabinet Preferred - Non Profiled | Yes | 3 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 4001 | AD | Anesthesia Medstation System (AMSS) - Non Profiled | Yes | 12 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 4001 | AE | Medstation System (MSSR) w/ Refrigerator Lock- Non Profiled | Yes | 1 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 4001 | AF | Medstation System (MSSR) w/ Refrigerator Lock- Profiled | Yes | 1 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 4002 | TVHS VAMC Murfreesboro Campus and Supported Facilities Point of Care Decentralized Automated Dispensing Cabinet Medication Distribution System and System Support. | Yes | Option 4 | 46661 | 47026 | 6 | MO | 0 | Quantity | Priced | 52953.6 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||
| 4002 | AA | Medstation System (MSS) - Profiled | Yes | 28 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 4002 | AB | Medstation System (MSS) - Profiled | Yes | 14 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 4002 | AC | Medstation System (MSST) Tower/Cabinet Preferred - Non Profiled | Yes | 2 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 4002 | AD | Anesthesia Medstation System (AMSS) - Non Profiled | Yes | 3 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 4002 | AE | Medstation System (MSSR) w/ Refrigerator Lock- Non Profiled | Yes | 0 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO | ||||||||||||||||||||||||||||||
| 4002 | AF | Medstation System (MSSR) w/ Refrigerator Lock- Profiled | Yes | 0 | EA | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | No | 0 | 0 | E | 6.00 | MO |
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