ATTACHMENT D.1 PRICE SCHEDULE 36C24923R0041 Solicitation Home Oxygen Lexington HCS Robley Rex VAs.xlsx

XLSX spreadsheet 439 KB Posted May 31, 2023

Attached to: Home Oxygen Services - Patients of the Lexington VA Healthcare System and the Robley Rex (Louisville) VA Medical Center
Solicitation number: 36C24923R0041_1
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 9

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Other files

File	Type	Posted
Amendment 36C24923R0041 0007.pdf	PDF	Oct 4, 2023
ATTACHMENT D.1 PRICE SCHEDULE 36C24923R0041 Lexington VA HCS - Robley Rex VAMC Rev 10-4-2023.xlsx	XLSX spreadsheet	Oct 4, 2023
Amendment 36C24923R0041 0006.pdf	PDF	Sep 20, 2023
Q and As Home Ox Kentucky 36C24923R0041.pdf	PDF	Sep 20, 2023
ATTACHMENT D.1 PRICE SCHEDULE 36C24923R0041 Lexington VA HCS - Robley Rex VAMC 9-19-2023.xlsx	XLSX spreadsheet	Sep 20, 2023
Amendment 36C24923R0041 0005.pdf	PDF	Sep 15, 2023
Amendement 36C24923R0041 0004.pdf	PDF	Sep 2, 2023
Amendment 36C24923R0041 0003.pdf	PDF	Aug 18, 2023
Amendment 36C24923R0041 0002 .pdf	PDF	Jul 31, 2023
S02 - Solicitation Amendment 36C24923R0041 0001 Home Oxygen Services - Lexington VA Healthcare System and Robley Rex (Louisville) VA .pdf	PDF	Jul 7, 2023
Attach D.2 - VHA 1605.05 BUSINESS ASSOCIATE AGREEMENT.docx	DOCX document	May 31, 2023
S02 - Solicitation Home O2 RFP Lexington Louisville VAs 5-31-2023.pdf	PDF	May 31, 2023
ATTACHMENT D.3 Reference Contract Worksheet Home O2.pdf	PDF	May 31, 2023

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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
VHA-SERVICES-PO-MOD		36C24923P0059	P00001	36C249-23-AP-0059 HOME O2 6 MONTH CONTRACT	Percent		0

KB Version: FY23.03A

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

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

UNIT OF PURCHASE TEXT/DESC.

0001

Oxygen concentrator five (5) liter, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0002

Rental of portable "E" system and/or M-6 system, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0003

Rental of oxygen conserving device: including demand valve, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0004

Rental of liquid oxygen system, stationary and portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0005

Liquid oxygen system refills, pound (lb.), per pound as needed for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0006

Rental of liquid oxygen portable conserving devise: including demand valve, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0007

Contractor owned ventilator rental, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0008

Government owned ventilator set-up and monthly assessment (vent patients), includes monthly purchase of supplies and respiratory therapist visit, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0009

H tank rental, each, rental per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0010

H tank refill, each, per refill, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0011

Compressors, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0012

Fire safety valves, purchase as needed, each, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0013

Rental of portable concentrator, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0014

Delivery of government owned property, each, per delivery, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0015

Rental of ultra-fill system (brand name or equal) VA owned, stationary & portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0016

One time delivery fee for any purchased items, each, per delivery, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0017

Equipment check of ultra-filled system (brand name or equal) VA owed, each, per check of equipment, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0018

Portable E and/or M6 tank refills, each, per refill, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0019

Rental of oxygen concentrator ten (10) liter, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

0020

Emergency patient visits, each, per visit, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Base

05/01/23

04/30/24

Quantity

Priced

Percent

As requested by service.

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1001

Oxygen concentrator five (5) liter, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1002

Rental of portable "E" system and/or M-6 system, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1003

Rental of oxygen conserving device: including demand valve, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1004

Rental of liquid oxygen system, stationary and portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1005

Liquid oxygen system refills, pound (lb.), per pound as needed for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1006

Rental of liquid oxygen portable conserving devise: including demand valve, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1007

Contractor owned ventilator rental, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1008

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1009

H tank rental, each, rental per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1010

H tank refill, each, per refill, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1011

Compressors, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1012

Fire safety valves, purchase as needed, each, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1013

Rental of portable concentrator, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1014

Delivery of government owned property, each, per delivery, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1015

Rental of ultra-fill system (brand name or equal) VA owned, stationary & portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1016

One time delivery fee for any purchased items, each, per delivery, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1017

Equipment check of ultra-filled system (brand name or equal) VA owed, each, per check of equipment, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1018

Portable E and/or M6 tank refills, each, per refill, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1019

Rental of oxygen concentrator ten (10) liter, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

1020

Emergency patient visits, each, per visit, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 1

05/01/24

04/30/25

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2001

Oxygen concentrator five (5) liter, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2002

Rental of portable "E" system and/or M-6 system, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2003

Rental of oxygen conserving device: including demand valve, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2004

Rental of liquid oxygen system, stationary and portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2005

Liquid oxygen system refills, pound (lb.), per pound as needed for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2006

Rental of liquid oxygen portable conserving devise: including demand valve, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2007

Contractor owned ventilator rental, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2008

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2009

H tank rental, each, rental per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2010

H tank refill, each, per refill, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2011

Compressors, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2012

Fire safety valves, purchase as needed, each, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2013

Rental of portable concentrator, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2014

Delivery of government owned property, each, per delivery, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2015

Rental of ultra-fill system (brand name or equal) VA owned, stationary & portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2016

One time delivery fee for any purchased items, each, per delivery, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2017

Equipment check of ultra-filled system (brand name or equal) VA owed, each, per check of equipment, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2018

Portable E and/or M6 tank refills, each, per refill, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2019

Rental of oxygen concentrator ten (10) liter, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

2020

Emergency patient visits, each, per visit, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 2

05/01/25

04/30/26

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3001

Oxygen concentrator five (5) liter, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3002

Rental of portable "E" system and/or M-6 system, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3003

Rental of oxygen conserving device: including demand valve, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3004

Rental of liquid oxygen system, stationary and portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3005

Liquid oxygen system refills, pound (lb.), per pound as needed for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3006

Rental of liquid oxygen portable conserving devise: including demand valve, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3007

Contractor owned ventilator rental, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3008

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3009

H tank rental, each, rental per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3010

H tank refill, each, per refill, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3011

Compressors, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3012

Fire safety valves, purchase as needed, each, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3013

Rental of portable concentrator, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3014

Delivery of government owned property, each, per delivery, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3015

Rental of ultra-fill system (brand name or equal) VA owned, stationary & portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3016

One time delivery fee for any purchased items, each, per delivery, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3017

Equipment check of ultra-filled system (brand name or equal) VA owed, each, per check of equipment, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3018

Portable E and/or M6 tank refills, each, per refill, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3019

Rental of oxygen concentrator ten (10) liter, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

3020

Emergency patient visits, each, per visit, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 3

05/01/26

04/30/27

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4001

Oxygen concentrator five (5) liter, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4002

Rental of portable "E" system and/or M-6 system, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4003

Rental of oxygen conserving device: including demand valve, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4004

Rental of liquid oxygen system, stationary and portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4005

Liquid oxygen system refills, pound (lb.), per pound as needed for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4006

Rental of liquid oxygen portable conserving devise: including demand valve, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4007

Contractor owned ventilator rental, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4008

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4009

H tank rental, each, rental per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4010

H tank refill, each, per refill, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4011

Compressors, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4012

Fire safety valves, purchase as needed, each, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4013

Rental of portable concentrator, portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4014

Delivery of government owned property, each, per delivery, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4015

Rental of ultra-fill system (brand name or equal) VA owned, stationary & portable, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4016

One time delivery fee for any purchased items, each, per delivery, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4017

Equipment check of ultra-filled system (brand name or equal) VA owed, each, per check of equipment, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4018

Portable E and/or M6 tank refills, each, per refill, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4019

Rental of oxygen concentrator ten (10) liter, stationary, each, per month, per unit for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

4020

Emergency patient visits, each, per visit, per patient for patients of the Lexington VA HCS and the Robley Rex VA.

Option 4

05/01/27

04/30/28

Quantity

Priced

Percent

NONE

As requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.

Yes

621610

Q999

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated May 31, 2023.