Exhibit E.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 E is a detailed pricing and quantity schedule for FDA-approved medications and medical solutions for a Naval Medical Center Portsmouth contract. The document lists 24 specific pharmaceutical products with their National Drug Code (NDC), including precise medication types, concentrations, and maximum annual quantities, such as Glycopyrrolate, Ephedrine Sulfate, Hydromorphone HCl, Ketamine, Midazolam, and various injectable solutions. The document appears to be part of a Firm Fixed Price (FFP) Indefinite Delivery/Indefinite Quantity (IDIQ) supply contract for pre-filled syringes and bags, issued by the Defense Health Agency (DHA) and targeting the Pharmacy Department at Naval Medical Center Portsmouth, with a performance period from October 1, 2029 to September 30, 2030.

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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 D.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 E- POP 01 October 2029 – 30 September 2030 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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