Attachment I Cost Proposal Form.xlsx

XLSX spreadsheet 26 KB Posted

Attached to
DPH | 503A Sterile Compounding Pharmacy Services
Solicitation number
SFGOV-0000011956
Issued by
California

About this file

This is a Cost Proposal Form for Request for Proposals SFGOV-0000011956 issued by the San Francisco Department of Public Health for 503A Sterile Compounding Pharmacy Services at Zuckerberg San Francisco General Hospital. The solicitation seeks qualified firms to prepare and deliver patient-specific Total Parenteral Nutrition (TPN) solutions for neonatal, pediatric, and adult patients on a continuous basis—seven days a week, 365 days per year. The RFP was published on September 8, 2026, with a pre-proposal conference scheduled for September 21, 2026, at 1:00 PM PST. The deadline for submitting questions is September 28, 2026, at 5:00 PM PST, with a Q&A addendum posting expected on October 5, 2026. Proposals are due by October 12, 2026, at 2:00 PM PST. Short-listing notifications are estimated for November 9, 2026, followed by estimated demonstrations from November 12–20, 2026. The announcement of award is expected on December 2, 2026, with an estimated contract start date of March 1, 2027.

The cost proposal form requires proposers to submit unit-based pricing for TPN ingredients including Trophamine/Plenamine (varying volumes from 1–3000+ mL), Nutrilipid 20% formulations, Intralipid, SMOF Lipid, and Clinimax solutions, with annual unit quantities specified for each item. Proposers must also identify additional costs such as delivery fees, latex surcharges, and containers. A separate unscored section requests unit costs for electrolytes (including sodium chloride, potassium chloride, calcium gluconate, and magnesium sulfate) and additives (including multivitamins, trace elements, insulin, heparin, and various other pharmaceutical compounds). The evaluation total combining Section 1 (ingredient costs) and Section 2 (delivery and other fees) serves as the basis for comparing proposers' cost scores. The form allows proposers to document pricing assumptions and exclusions in an unscored notes section.

View the file

Other files

Show all 22

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Cost Proposal

ATTACHMENT I
COST PROPOSAL FORM
REQUEST FOR PROPOSALS SFGOV-0000011956
503A STERILE COMPOUNDING PHARMACY SERVICES
Note: The information provided by the Proposer on this form is for comparative purposes only. This form does not determine the contract value. Please be sure to complete both worksheets.
Key: Orange-shaded cells require Proposer input. All other cells are pre-formatted labels or auto-calculated totals.
Proposer's Name:
SECTION 1: UNIT-BASED PRICING
Enter your proposed unit costs for each ingredient for the initial year of the contract. Costs should include amino acids, dextrose, and water.
ItemIngredientTPN VolumeUnit Cost ($)Units per YearTotal Cost ($)
1Trophamine® / Plenamine™1-1000 mL300$ - 0
2Trophamine® / Plenamine™1001-1500 mL300$ - 0
3Trophamine® / Plenamine™1501-2000 mL100$ - 0
4Trophamine® / Plenamine™2501-2500 mL100$ - 0
5Trophamine® / Plenamine™2501-3000 mL100$ - 0
6Trophamine® / Plenamine™3000 mL or greater100$ - 0
7Nutrilipid 20%Per 100 mL500$ - 0
8Nutrilipid 20% in Syringe (up to 50 mL)Per Syringe200$ - 0
9Nutrilipid 20%250 mL500$ - 0
10Intralipid500 mL400$ - 0
11SMOF Lipid in 3-in-1 TPNPer 100 mL50$ - 0
12SMOF Lipid in Syringe (up to 50 mL)Per Syringe50$ - 0
13SMOF 20%250 mL600$ - 0
14Clinimax 5%-20%2000 mL300
Subtotal$ - 0
SECTION 2: OTHER COSTS
List any delivery fees or other costs the Proposer believes are necessary to successfully carry out the scope of work in the initial year of the contract.
ItemDescriptionUnit TypeUnit Cost ($)Units per YearTotal Cost ($)
1Delivery FeesPer Delivery350$ - 0
2Other fees (e.g. Latex surcharge)Per Bag1,000$ - 0
3ContainersPer Item1,000$ - 0
4$ - 0
5$ - 0
6$ - 0
7$ - 0
8$ - 0
Subtotal$ - 0
EVALUATION TOTAL (Section 1 + Section 2)$ - 0
This is the amount used to compare Proposers' cost scores.
PROPOSER'S ASSUMPTIONS & NOTES
Please describe any pricing assumptions, exclusions, or optional services below. Note this section is not scored.

UNSCORED Information

ATTACHMENT I
COST PROPOSAL FORM
REQUEST FOR PROPOSALS SFGOV-0000011956
503A STERILE COMPOUNDING PHARMACY SERVICES
Note: The information provided on this form will not be scored or compared across Proposers. It is for informatlonal purposes only.

Proposer's Name:

INSTRUCTIONS
Provide your unit cost for each item in the list of electrolytes and additives. Modify the TPN volume to align with your pricing structure. Add additional lines if needed.

Electrolytes

ItemIngredientTPN VolumeUnit Cost ($)
1Sodium Chloride0-140 mEq/L
2Potassium Chloride0-40 mEq/L
3Calcium Gluconate0-9 mEq/L
4Magnesium Sulphate0-12mEq/L
5Sodium Phosphate0-20 mEq/L
6Calcium Gluconate10 - 100 mEq/L
7Sodium Acetate0-10 mEq/L
8Potassium Phosphate3 mmol/mL
9Potassium Acetate0-4 mEq/L

Additives

ItemIngredientTPN VolumeUnit Cost ($)
1Multivitamins10 mL
2Trace Elements2 mL
3Thiamine100 mg/mL
4Folic Acid1-5 mg/mL
5Zinc Sulfate2 mg
6Insulin Regular10-60 units
7Famotidine10-40 mg
8Copper
9Cysteine50 mg/mL
10Selenium40 mcg/mL
11Carnitine
12Heparin100 units/mL
13Ascorbic Acid500 mg/mL
14Chromium
15Cyanocobalamin1000 mcg/mL
16Levocarnitine200 mg/mL
17Manganese0.1 mg/mL
18Pyridoxone100 mg/mL

File details come from the government source that posted it. Updated .