Attachment 1 Price Cost Schedule Template.xlsx
XLSX spreadsheet 10 KB Posted
- Attached to
- 6505--PET Prostate-Specific Membrane Antigen Radiopharmaceuticals Amend for Questions and Answers
- Solicitation number
- 36C25226Q0211
About this file
The file is a Price Cost Schedule Template for a Department of Veterans Affairs (VA) solicitation (36C25226Q0211) for PET-CT F-18 PSMA Prostate Imaging Radiopharmaceuticals. The template outlines pricing for a base year contract running from February 1, 2026 to January 31, 2027, with three line items: F-18 PSMA Imaging Radiopharmaceutical (205 unit doses at 9 mCi), ancillary delivery/handling fees, and an unused dose fee.
The solicitation is issued by the Veterans Health Administration's Veterans Integrated Service Network 12, seeking a supplier of specialized radiopharmaceutical imaging products for prostate cancer diagnostics. The pricing template requires vendors to complete unit pricing and extended pricing for each line item, with space for company name, authorized signature, and submission date. The document provides a structured format for potential contractors to submit their cost proposals for this medical imaging services procurement.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25226Q0211 0002.docx | DOCX document | |
| 36C25226Q0211 0001.docx | DOCX document | |
| 36C25226Q0211.docx | DOCX document |
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Text version
Sheet1
| Solicitation Number: 36C25226Q0211 |
| Contract Title: PET-CT F-18 PSMA Prostate Imaging Radiopharmaceuticals |
| Offeror Name: ___________________________ |
| Date: ___________________________ |
Base Year (February 1, 2026 – January 31, 2027)
| CLIN | Item Description | Normal Dose | Unit | Estimated Annual Quantity | Unit Price | Extended Price |
| 1 | F-18 PSMA Imaging Radiopharmaceutical | 9 mCi | Unit Dose | 205 | ||
| 2 | Ancillary Delivery/Handling Fees | N/A | Lot | |||
| 3 | Unused Dose Fee (if applicable) | N/A | Per Dose |
Base Year Total: $____________________
| Offeror Authorized Signature: ___________________________ |
| Printed Name & Title: ___________________________ |
| Date: ___________________________ |
File details come from the government source that posted it. Updated .