Attachment A Line Items Pricing Sheet.xlsx

XLSX spreadsheet 448 KB Posted

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6505--RFQ FOR (5) YEAR RADIOPHARMA-UNRESTRICTED
Solicitation number
36C24422Q0883
Issued by

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This document contains a line item pricing sheet for a request for quotation (RFQ) for radiopharmaceuticals for nuclear medicine issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4. The RFQ seeks pricing for 34 radiopharmaceutical products and services over a 60 month period including Iodine-123, Technetium-99m generators and doses, Indium-111 doses, Gallium-67, flood sources, imaging equipment software and support. Pricing is requested per unit or curie with estimated annual quantities provided. Responses are due under solicitation number 36C24422Q0883 for a potential five year indefinite delivery/indefinite quantity contract to satisfy nuclear medicine needs across VISN 4 medical centers.

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File Type Posted
Attachment A Line Items Pricing Sheet 1 Year.xlsx XLSX spreadsheet
36C24422Q0883 0003.docx DOCX document
36C24422Q0883 0002.docx DOCX document
RECORDS MANAGEMENT Copy.pdf PDF
36C24422Q0883.pdf PDF
36C24422Q0883 0001.docx DOCX document
Attachment A Line Items Pricing Sheet - Copy.xlsx XLSX spreadsheet
VHA Supplemental Contract Requirements for Combatting COVID Copy.pdf PDF
VHA Supplemental Contract Requirements for Combatting COVID.pdf PDF
RECORDS MANAGEMENT.pdf PDF
36C24422Q0883.docx DOCX document
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Action Line Item Information

Action Type NamePrimary IDSecondary IDMod NumberTitleOrder Discount Type NameOrder Discount TypeOrder Discount
RFQ36C24422Q0817RFQ for Radiopharmaceuticals for Nuclear Medicine (595 Station)Percent0

KB Version: FY22.07A

Items

Item NumberSLINDescriptionRef CLINCommentInclude Comments in DocumentContract PeriodPop BeginPop EndEstimated Quantity(60 Months)Unit of MeasurePackaging MultipleReceipt TypeLine Item IsUnit PriceItem Discount Type NameItem DiscountDate UpdatedAddress1Address2Address3CityStateZipZip4CountryMark ForContact NameContact PhoneContact EmailDelivery DateFOBSpecial InstructionsInclude Instructions/Comments in DocumentPRINCIPAL NAICS CODEPRODUCT/SERVICE CODEUNSPSCSIC CODEMANUFACTURER PART NUMBER (MPN)NATIONAL STOCK NUMBERLOCAL STOCK NUMBERDM DOC IDDELIVERY REF. COUNTERUNIT TEXT/DESCRIPTIONDELIVERY REFERENCEITEM MASTER FILE NUMBEREXPENDABLE/NON-EXPENDABLEQUANTITY REQUESTEDUNIT OF PURCHASE CODEUNIT OF PURCHASE TEXT/DESC.
0001I-123, SODIUM IODIDE CAPSULE 200 uCi (capsule)I-123, SODIUM IODIDE CAPSULE 200 uCi (capsule)No900EA0QuantityPriced85.5Percent0NONENo00E30EAEACH
0002TC99M SODIUM PERTECHNETATE BULK (per mCi)TC99M SODIUM PERTECHNETATE BULK (per mCi)No1500EA0QuantityPriced0.69Percent0NONENo00E500EAEACH
0003TC99M SODIUM PERTECHNETATE UD 25 mCi (Unit Dose)TC99M SODIUM PERTECHNETATE UD 25 mCi (Unit Dose)No600EA0QuantityPriced17.26Percent0NONENo00E20EAEACH
0004TC99M SODIUM PERTECHNETATE UD 26-50 mCi (Unit Dose)TC99M SODIUM PERTECHNETATE UD 26-50 mCi (Unit Dose)No600EA0QuantityPriced34.5Percent0NONENo00E20EAEACH
0005TC99M MEDRONATE (MDP) (Unit Dose)TC99M MEDRONATE (MDP) (Unit Dose)No9000EA0QuantityPriced38.85Percent0NONENo00E300EAEACH
0006TC99M MACROAGGREGATED ALBUMIN (Unit Dose)TC99M MACROAGGREGATED ALBUMIN (Unit Dose)No600EA0QuantityPriced135Percent0NONENo00E20EAEACH
0007TC99M PYROPHOSPHATE (PYP) (Unit Dose)TC99M PYROPHOSPHATE (PYP) (Unit Dose)No180EA0QuantityPriced71.75Percent0NONENo00E6EAEACH
0008TC99M SESTAMIBI (GENERIC) (Unit Dose)TC99M SESTAMIBI (GENERIC) (Unit Dose)No60000EA0QuantityPriced35.53Percent0NONENo00E2000EAEACH
0009TC99M SODIUM PERTECHNETATE, FLOOD/COR (Unit Dose)TC99M SODIUM PERTECHNETATE, FLOOD/COR (Unit Dose)No120EA0QuantityPriced3.81Percent0NONENo00E4EAEACH
0010TC99M PENTETATE (DTPA), AEROSOL (Unit Dose)TC99M PENTETATE (DTPA), AEROSOL (Unit Dose)No600EA0QuantityPriced126.88Percent0NONENo00E20EAEACH
0011TC99M MEBROFENIN (GENERIC) (Unit Dose)TC99M MEBROFENIN (GENERIC) (Unit Dose)No2400EA0QuantityPriced36.72Percent0NONENo00E80EAEACH
0012TC99M MERTIATIDE (MAG3) (Unit Dose)TC99M MERTIATIDE (MAG3) (Unit Dose)No900EA0QuantityPriced380.1Percent0NONENo00E30EAEACH
0013TC99M SULFUR COLLOID UD (Unit Dose)TC99M SULFUR COLLOID UD (Unit Dose)No2700EA0QuantityPriced92.25Percent0NONENo00E90EAEACH
0014ULTRATAG RBCULTRATAG RBCNo300VI0QuantityPriced227.02Percent0NONENo00E10VIVIAL
0015IN-111 PENTETREOTIDE (OCTREOSCAN) (Unit Dose)IN-111 PENTETREOTIDE (OCTREOSCAN) (Unit Dose)No150EA0QuantityPriced5677.6Percent0NONENo00E5EAEACH
0016TC99M EXAMETAZINE (CERETEC) WBC LABELING (Unit Dose)TC99M EXAMETAZINE (CERETEC) WBC LABELING (Unit Dose)No300EA0QuantityPriced1211.5Percent0NONENo00E10EAEACH
0017BLOOD COLLECTION KITBLOOD COLLECTION KITNo300EA0QuantityPriced51.26Percent0NONENo00E10EAEACH
0018flood source for: Discovery NM 530c & Discovery NM/CT 670 GAMMA Camerasflood source for: Discovery NM 530c & Discovery NM/CT 670 GAMMA CamerasNo60EA0QuantityPriced4582.75Percent0NONENo00E2EAEACH
0019Tc99m HMPAO Brain Scan (Unit Dose)Tc99m HMPAO Brain Scan (Unit Dose)No60EA0QuantityPriced1211.7Percent0NONENo00E2EAEACH
0020201 TICI (per mCi)201 TICI (per mCi)No900EA0QuantityPriced18.09Percent0NONENo00E30EAEACH
0021I-123 MIBG (Unit Dose)I-123 MIBG (Unit Dose)No120EA0QuantityPriced2709.13Percent0NONENo00E3EAEACH
0022In-111 DTPA- CSF Studies (Unit Dose)In-111 DTPA- CSF Studies (Unit Dose)No180EA0QuantityPriced1388.14Percent0NONENo00E6EAEACH
0023Tc99m DMSA (Unit Dose)Tc99m DMSA (Unit Dose)No60EA0QuantityPriced950Percent0NONENo00E2EAEACH
002467Ga Citrate (per mCi)67Ga Citrate (per mCi)No300EA0QuantityPriced57.75Percent0NONENo00E10EAEACH
0025Tc99m Sulfur Colloid UD FilteredTc99m Sulfur Colloid UD FilteredNo150EA0QuantityPriced123Percent0NONENo00E5EAEACH
0026Tc99m Myoview (Unit Dose)Tc99m Myoview (Unit Dose)No60EA0QuantityPriced33.02Percent0NONENo00E2EAEACH
0027In111 Oxine for WBC (Procedure)In111 Oxine for WBC (Procedure)No60EA0QuantityPriced1277.3Percent0NONENo00E2EAEACH
0028Tc99m Disofenin (Unit Dose)Tc99m Disofenin (Unit Dose)No60EA0QuantityPriced89.17Percent0NONENo00E2EAEACH
0029Tc99m Neurolite (Unit Dose)Tc99m Neurolite (Unit Dose)No60EA0QuantityPriced1618.93Percent0NONENo00E2EAEACH
0030HespanHespanNo300EA0QuantityPriced2.01Percent0NONENo00E10EAEACH
0031DaTscanDaTscanNo2160EA0QuantityPriced1640.1Percent0NONENo00E72EAEACH
0032I-131I-131No300EA0QuantityPriced130.04Percent0NONENo00E10EAEACH
0033I-131 ea addI-131 ea addNo19200EA0QuantityPriced15.47Percent0NONENo00E640EAEACH
0034EC2 Nuclear Medicine Information System (NMIS) most current Annual Software and Support (updates provided on CD)No5YR0QuantityPriced0Percent0NONENo

GRAND TOTAL: (60) MONTHS___________________________________________________________________________ $____________________

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