Exhibit D.docx

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Pre-filled Syringes and Bags for Naval Medical Center Portsmouth
Solicitation number
HT940625QE012
Issued by

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Exhibit D is a detailed pricing and quantity schedule for FDA-approved medications, specifically for a naval medical center pharmacy contract. The document lists 24 different medications with their National Drug Codes, including various injectable drugs such as Hydromorphone, Ketamine, Midazolam, Fentanyl, Lidocaine, Morphine Sulfate, and others. Each medication entry specifies the maximum annual quantity and is set for a performance period from October 1, 2028 to September 30, 2029.

The related federal contract opportunity is a Firm Fixed Price (FFP) Indefinite Delivery/Indefinite Quantity (IDIQ) supply contract issued by the Defense Health Agency (DHA) for Pre-filled Syringes and Bags for the Pharmacy Department at Naval Medical Center Portsmouth. The solicitation follows FAR Part 12 (Commercial Items) and Part 13 (Simplified Acquisition Procedures), with proposals to be evaluated based on guidelines in the Instructions to Offerors and Evaluation Factors For Award sections of the SF1449 form.

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Other files

File Type Posted
Solicitation - HT940625QE012 0001.pdf PDF
Attachment 2- Past Performance Questionnaire.docx DOCX document
Exhibit B.docx DOCX document
Attachment 1 Project Summary Sheet.docx DOCX document
Exhibit E.docx DOCX document
Exhibit C.docx DOCX document
Attachment 2 Past Performance Questionnaire.docx DOCX document
Exhibit A.docx DOCX document
Solicitation - HT940625QE012.pdf PDF

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Exhibit D- POP 01 October 2028 – 30 September 2029 FDA Approved Medications

National Drug Code
Description
Max Annual Quantity
Unit Price
71266-9015-03
Fagron Glycopyrrolate 0.2mg/mL 0.6mg
300
71266-9027-01
Ephedrine Sulfate 5mg/mL (25mg/5mL) 5mL Syringe
200
71266-9110-03
Hydromorphone HCl 0.2mg/mL 30mL
1,000
71266-9080-02
Ketamine 10mg/mL (API) 5mL Fill in 5mL Syringe
864
71266-2003-02
Neostigmine Methylsulfate 1mg/mL (API) 5mL
580
71266-9032-01
PHENYLephrine 0.04mg/mL PF Inj Soln 10mL Syringe
300
71266-9011-01
PHENYLephrine 0.1mg/mL PF Inj Soln 10mL Syringe
400
71266-2002-01
Rocuronium Bromide Inj. 10mg/mL (API) 5mL
4,640
71266-2001-01
SUCCINYLcholine Chl. Inj. USP 100mg/5mL (20mg/mL)
864
71266-9090-01
Lidocaine HCl 2% 20mg/mL Sol for Inj. PF 5mL
864
71266-9228-01
Fentanyl Citrate 2mcg/mL Bupivacaine HCl 0.125% 100mL IV Bag
300
71266-9227-01
Fentanyl Citrate 2mcg/mL Bupivacaine HCl 0.125% 250mL IV Bag
2,000
71266-9225-01
Fentanyl Citrate 2mcg/mL Bupivacaine HCl 0.0625% 250mL IV Bag
50
71266-9190-06
Midazolam 1mg/mL 50mL Fill, 50mL syringe API
152
71266-5030-01
Midazolam 1mg/mL (100mg/100mL) 100mL in 100mL Bag
152
71266-5030-02
Midazolam 1mg/mL (50mg/50mL) 50mL in 100mL Bag
152
71266-6290-01
Lidocaine HCl 4% EPINEPHrine Bitartrate 0.18% tetracaine HCl 0.5% Sterile Topical Gel, 5mL syringe, 3mL Fill
152
71266-6286-03
Lidocaine 4% EPINEPHrine 0.05% tetracaine 0.5% Topical Solution, 5mL syringe, 3mL Fill
152
71266-5100-01
Fagron Oxytocin 30U Inj Sol 500ml in 500mL Bag
2,752
71449-018-32
Hydromorphone 1 mg/mL, 30mL in 50mL Syringe
72
71449-022-32
Morphine Sulfate 5 mg/mL, PF, 30 mL in 50 mL Syringe
864
71266-9115-01
Hydromorphone HCl 1mg/mL 30mL Fill, 30mL Syr, API
72
71266-0712-01
70% Dextrose Injection Solution in 50mL Vial
400
71266-5026-02
Norepinephrine 16mg 250mL 0.9% NaCl IV Bag S2S
50
71506-032-58
Norepinephrine 32mg Bag
20
71266-2010-01
Atropine 0.4mg/1mL Sol for Inj 2mL fill 3mL Syr.
400

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