Attachment B Price Schedule.pdf

PDF 227 KB Posted

Attached to
Q517--VISN 4 Virtual Pharmacy Services Federal contract opportunity
Solicitation number
36C24426Q0299
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4

About this file

Written by GovTribe AI ·

This is a Price/Cost Schedule for a federal contract covering pharmacy services across seven VA Medical Centers over a five-year contract period from April 1, 2026, through March 31, 2031.

The contract encompasses a Base period (FY2026-2027) followed by four optional Ordering Periods (FY2027-2028, FY2028-2029, FY2029-2030, and FY2030-2031). The seven VA Medical Centers included are Altoona, Butler, Coatesville, Erie, Lebanon, Wilkes-Barre, and Wilmington, all classified under NAICS Code 456110 (Pharmacies and Drug Retailers) and Product/Service Code Q517 (Medical - Pharmacy Services). Each facility has line items for inpatient pharmacy orders measured in "EA" (each) units and unexpected services measured in hours (HR). Estimated monthly inpatient orders range from 275 (Altoona) to 1,500 (Lebanon and Wilkes-Barre), with corresponding annual quantities calculated at 12-month intervals. Wilkes-Barre and Wilmington also include significant outpatient order volumes of 228,000 units annually. All line items for unexpected services are estimated at 10 hours monthly (120 hours annually), except Wilmington which requires 125 hours monthly (1,500 hours annually). The schedule contains blank fields for unit prices and amounts to be completed by the contractor. A Grand Total field appears at the end for the complete contract value across all periods and locations.

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Attachment C All WDs.pdf PDF
Attachment A Performance Work Statement.pdf PDF
36C24426Q0299.docx DOCX document

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PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Altoona VA Medical Center Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 456110 - Pharmacies and Drug Retailers PRODUCT/SERVICE CODE: Q517 - Medical - Pharmacy Services

0001AA

3,300.00 EA __________________ __________________

Altoona VAMC Estimated Orders: 275 per month for Inpatient Orders Annual Quantity: 275 x 12= 3,300 Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

0001AB

120.00 HR __________________ __________________

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

Butler VA Medical Center

POP Begin: 04-01-2026 POP End: 03-31-2027

0002AA

3,600.00 EA __________________ __________________

Butler VAMC Estimated Orders: 300 per month for Inpatient Orders Annual Quantity: 300 x 12= 3,600 Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

0002AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

Coatesville VA Medical Center

POP Begin: 04-01-2026 POP End: 03-31-2027

0003AA

6,000.00 EA __________________ __________________

Coatesville VAMC Estimated Orders: 500 per month for Inpatient Orders Annual Quantity: 500 x 12= 6,000 Contract Period: Base POP Begin: 04-01-2026

0003AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

Erie VA Medical Center

POP Begin: 04-01-2026 POP End: 03-31-2027

0004AA

4,800.00 EA __________________ __________________

Erie VAMC Estimated Orders: 400 per month for Inpatient Orders Annual Quantity: 400 x 12= 4,800 Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

0004AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Base POP Begin: 04-01-2026

Lebanon VA Medical Center

POP Begin: 04-01-2026 POP End: 03-31-2027

0005AA

18,000.00 EA __________________ __________________

Lebanon VAMC Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

0005AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

Wilkes-Barre VA Medical Center

POP Begin: 04-01-2026 POP End: 03-31-2027

0006AA

Wilkes-Barre VAMC Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

0006AB

228,000.00 EA __________________ __________________

Estimated Orders: 19,000 per month for Outpatient Orders Annual Quantity: 19,000 x 12= 228,000 Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

0006AC

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

Wilmington VA Medical Center

POP Begin: 04-01-2026 POP End: 03-31-2027

0007AA

Wilmington VAMC Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

0007AB

Estimated Orders: 19,000 per month for Outpatient Orders Annual Quantity: 19,000 x 12= 228,000 Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

0007AC

1,500.00 HR __________________ __________________

Estimated Unexpected Services 125 hours per month x 12 months = 1,500 hours Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

Contract Period: Ordering Period 1 POP Begin: 04-01-2027 POP End: 03-31-2028

1001AA

Estimated Orders: 275 per month for Inpatient Orders

Annual Quantity: 275 x 12= 3,300

POP Begin: 04-01-2027 POP End: 03-31-2028

1001AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 1 POP Begin: 04-01-2027 POP End: 03-31-2028

POP Begin: 04-01-2027 POP End: 03-31-2028

1002AA

Estimated Orders: 300 per month for Inpatient Orders Annual Quantity: 300 x 12= 3,600 Contract Period: Ordering Period 1 POP Begin: 04-01-2027 POP End: 03-31-2028

1002AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours

POP Begin: 04-01-2027 POP End: 03-31-2028

POP Begin: 04-01-2027 POP End: 03-31-2028

1003AA

Estimated Orders: 500 per month for Inpatient Orders Annual Quantity: 500 x 12= 6,000 Contract Period: Ordering Period 1 POP Begin: 04-01-2027 POP End: 03-31-2028

1003AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 1 POP Begin: 04-01-2027 POP End: 03-31-2028

POP Begin: 04-01-2027

1004AA

Estimated Orders: 400 per month for Inpatient Orders Annual Quantity: 400 x 12= 4,800 Contract Period: Ordering Period 1 POP Begin: 04-01-2027 POP End: 03-31-2028

1004AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 1 POP Begin: 04-01-2027 POP End: 03-31-2028

POP Begin: 04-01-2027 POP End: 03-31-2028

1005AA

Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Ordering Period 1 POP Begin: 04-01-2027

1005AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 1 POP Begin: 04-01-2027 POP End: 03-31-2028

POP Begin: 04-01-2027 POP End: 03-31-2028

1006AA

Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Ordering Period 1 POP Begin: 04-01-2027 POP End: 03-31-2028

1006AB

Estimated Orders: 19,000 per month for Outpatient Orders Annual Quantity: 19,000 x 12= 228,000 Contract Period: Ordering Period 1 POP Begin: 04-01-2027

1006AC

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 1 POP Begin: 04-01-2027 POP End: 03-31-2028

POP Begin: 04-01-2027 POP End: 03-31-2028

1007AA

Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Ordering Period 1 POP Begin: 04-01-2027 POP End: 03-31-2028

1007AB

Estimated Orders: 19,000 per month for Outpatient Orders Annual Quantity: 19,000 x 12= 228,000 Contract Period: Ordering Period 1 POP Begin: 04-01-2027

1007AC

Estimated Unexpected Services 125 hours per month x 12 months = 1,500 hours Contract Period: Ordering Period 1 POP Begin: 04-01-2027 POP End: 03-31-2028

Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

2001AA

Estimated Orders: 275 per month for Inpatient Orders Annual Quantity: 275 x 12= 3,300 Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

2001AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

POP Begin: 04-01-2028 POP End: 03-31-2029

2002AA

Estimated Orders: 300 per month for Inpatient Orders Annual Quantity: 300 x 12= 3,600 Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

2002AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

POP Begin: 04-01-2028 POP End: 03-31-2029

2003AA

Estimated Orders: 500 per month for Inpatient Orders Annual Quantity: 500 x 12= 6,000 Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

2003AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

POP Begin: 04-01-2028 POP End: 03-31-2029

2004AA

Estimated Orders: 400 per month for Inpatient Orders Annual Quantity: 400 x 12= 4,800 Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

2004AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

POP Begin: 04-01-2028 POP End: 03-31-2029

2005AA

Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

2005AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

POP Begin: 04-01-2028

2006AA

Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

2006AB

Estimated Orders: 19,000 per month for Outpatient Orders Annual Quantity: 19,000 x 12= 228,000 Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

2006AC

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

POP Begin: 04-01-2028

2007AA

Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

2007AB

Estimated Orders: 19,000 per month for Outpatient Orders Annual Quantity: 19,000 x 12= 228,000 Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

2007AC

Estimated Unexpected Services 125 hours per month x 12 months = 1,500 hours Contract Period: Ordering Period 2 POP Begin: 04-01-2028 POP End: 03-31-2029

Contract Period: Ordering Period 3 POP Begin: 04-01-2029 POP End: 03-31-2030

3001AA

Estimated Orders: 275 per month for Inpatient Orders Annual Quantity: 275 x 12= 3,300 Contract Period: Ordering Period 3 POP Begin: 04-01-2029 POP End: 03-31-2030

3001AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 3 POP Begin: 04-01-2029 POP End: 03-31-2030

POP Begin: 04-01-2029 POP End: 03-31-2030

3002AA

Estimated Orders: 300 per month for Inpatient Orders Annual Quantity: 300 x 12= 3,600 Contract Period: Ordering Period 3 POP Begin: 04-01-2029

3002AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 3 POP Begin: 04-01-2029 POP End: 03-31-2030

POP Begin: 04-01-2029 POP End: 03-31-2030

3003AA

Estimated Orders: 500 per month for Inpatient Orders Annual Quantity: 500 x 12= 6,000 Contract Period: Ordering Period 3 POP Begin: 04-01-2029 POP End: 03-31-2030

3003AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 3 POP Begin: 04-01-2029

POP Begin: 04-01-2029 POP End: 03-31-2030

3004AA

Estimated Orders: 400 per month for Inpatient Orders Annual Quantity: 400 x 12= 4,800 Contract Period: Ordering Period 3 POP Begin: 04-01-2029 POP End: 03-31-2030

3004AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 3 POP Begin: 04-01-2029 POP End: 03-31-2030

POP Begin: 04-01-2029 POP End: 03-31-2030

3005AA

Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Ordering Period 3 POP Begin: 04-01-2029 POP End: 03-31-2030

3005AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 3 POP Begin: 04-01-2029 POP End: 03-31-2030

POP Begin: 04-01-2029 POP End: 03-31-2030

3006AA

Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Ordering Period 3 POP Begin: 04-01-2029 POP End: 03-31-2030

3006AB

Estimated Orders: 19,000 per month for Outpatient Orders Annual Quantity: 19,000 x 12= 228,000 Contract Period: Ordering Period 3 POP Begin: 04-01-2029 POP End: 03-31-2030

3006AC

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 3 POP Begin: 04-01-2029 POP End: 03-31-2030

POP Begin: 04-01-2029 POP End: 03-31-2030

3007AA

Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Ordering Period 3 POP Begin: 04-01-2029 POP End: 03-31-2030

3007AB

Estimated Orders: 19,000 per month for Outpatient Orders

Annual Quantity: 19,000 x 12= 228,000

POP Begin: 04-01-2029 POP End: 03-31-2030

3007AC

Estimated Unexpected Services 125 hours per month x 12 months = 1,500 hours Contract Period: Ordering Period 3 POP Begin: 04-01-2029 POP End: 03-31-2030

Contract Period: Ordering Period 4 POP Begin: 04-01-2030 POP End: 03-31-2031

4001AA

Estimated Orders: 275 per month for Inpatient Orders Annual Quantity: 275 x 12= 3,300 Contract Period: Ordering Period 4 POP Begin: 04-01-2030 POP End: 03-31-2031

4001AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours

POP Begin: 04-01-2030 POP End: 03-31-2031

POP Begin: 04-01-2030 POP End: 03-31-2031

4002AA

Estimated Orders: 300 per month for Inpatient Orders Annual Quantity: 300 x 12= 3,600 Contract Period: Ordering Period 4 POP Begin: 04-01-2030 POP End: 03-31-2031

4002AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 4 POP Begin: 04-01-2030 POP End: 03-31-2031

POP Begin: 04-01-2030

4003AA

Estimated Orders: 500 per month for Inpatient Orders Annual Quantity: 500 x 12= 6,000 Contract Period: Ordering Period 4 POP Begin: 04-01-2030 POP End: 03-31-2031

4003AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 4 POP Begin: 04-01-2030 POP End: 03-31-2031

POP Begin: 04-01-2030 POP End: 03-31-2031

4004AA

Estimated Orders: 400 per month for Inpatient Orders Annual Quantity: 400 x 12= 4,800 Contract Period: Ordering Period 4 POP Begin: 04-01-2030

4004AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 4 POP Begin: 04-01-2030 POP End: 03-31-2031

POP Begin: 04-01-2030 POP End: 03-31-2031

4005AA

Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Ordering Period 4 POP Begin: 04-01-2030 POP End: 03-31-2031

4005AB

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 4 POP Begin: 04-01-2030

POP Begin: 04-01-2030 POP End: 03-31-2031

4006AA

Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Ordering Period 4 POP Begin: 04-01-2030 POP End: 03-31-2031

4006AB

Estimated Orders: 19,000 per month for Outpatient Orders Annual Quantity: 19,000 x 12= 228,000 Contract Period: Ordering Period 4 POP Begin: 04-01-2030 POP End: 03-31-2031

4006AC

Estimated Unexpected Services 10 hours per month x 12 months = 120 hours Contract Period: Ordering Period 4 POP Begin: 04-01-2030

POP Begin: 04-01-2030 POP End: 03-31-2031

4007AA

Estimated Orders: 1,500 per month for Inpatient Orders Annual Quantity: 1,500 x 12= 18,000 Contract Period: Ordering Period 4 POP Begin: 04-01-2030 POP End: 03-31-2031

4007AB

Estimated Orders: 19,000 per month for Outpatient Orders Annual Quantity: 19,000 x 12= 228,000 Contract Period: Ordering Period 4 POP Begin: 04-01-2030 POP End: 03-31-2031

4007AC

Estimated Unexpected Services 125 hours per month x 12 months = 1,500 hours Contract Period: Ordering Period 4 POP Begin: 04-01-2030

GRAND TOTAL __________________

PRICE/COST SCHEDULE
ITEM INFORMATION

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