JOFOC NCO17 Pyxis v_Redacted.pdf

Justification and Approval (J&A) For

Other Than Full and Open Competition (>SAT)

Acquisition Plan Action ID:

1. Contracting Activity: Department of Veterans Affairs, Health Service Area (HSA) 4.3, Located at 124 E HWY 67 STE Duncanville, TX 75137, in support of HSA 4.3 VA Healthcare System at 1901 Veterans Memorial Dr. Temple, TX 76504.

2. Nature and/or Description of the Action Being Approved: Central Texas Veteran Healthcare Services (CTVHCS) currently leases 115 Pyxis ES Medstations and components from CareFusion Solutions LLC. The Pyxis Medstations are installed and located throughout the VA medical centers in Waco and Temple as well as the Central TX Clinic Based Outpatient Clinics (CBOCS). CareFusion Solutions LLC is the manufacturer of the Pyxis Med Stations ES and retains ownership over lease, support, repair, and/or distribution.

Contract (CareFusion Solutions, LLC) provides Rental and Support for leased Pyxis Medstation ES located throughout CTVHCS. The current rental contract is for a base plus four option years, and the current option year one (1) will expire on November 30, 2026. Requirement is for a one-time buyout/procurement of the leased Pyxis Medstation ES, and components, (i.e. cubie drawers, and remote managers) that are currently in use at the facility, using a firm fixed price contract. This procurement will convert currently leased equipment from CareFusion Solutions to VA owned equipment for effective and efficient management.

3. Description of Supplies/Services Required to Meet the Agency’s Needs: CTVHCS requirement is for a one-time buyout of the Pyxis Medstations to convert from leased to VA owned equipment. Requesting the buyout of equipment to be purchased no later than (NLT) September 30, 2026. This procurement will eliminate the need for yearly leasing costs, as the equipment was recently updated and is expected to remain functional for the next 15 to 20 years. The remaining lease cost of $4,045,490.00 includes all future option years covered by the lease agreement. The buyout will result in cost savings of $147,660.00. The total estimate for the buyout is: $3,897,830.00. Detailed list of items in table below:

EQUIPMENT NAME QTY

SMART CUBIE DRAWER HH 24-

12-4

MED, SRM, FLAT, 25, LEFT, ROHS 1

MED,SRM,FLATOFFSET,12FT,RT 1

MEDSTATION,ES,MAIN,2DR , SN#

15213620

MEDSTATION,ES,MAIN,2DR , SN#

15273148

MEDSTATION,ES,MAIN,6DR 3

PYXIS ANESTHESIA SYSTEM ES 10

MEDSTATION,ES,MAIN,6DR 20

MEDSTATION,ES,AUX,7-

DRAWER

MEDSTATION,ES,MAIN,6DR 12

MEDSTATION,ES,MAIN,2DR 16

MEDSTATION,ES,MAIN,2DR 2

MEDSTATION,ES,MAIN,2DR 2

MEDSTATION,ES,MAIN,6DR,MLM 4

MEDSTATION,ES,MAIN,6DR 1

MED,SRM,FLATOFFSET,12FT,RT 1

MED,SRM,FLATOFFSET,25FT,LT 2

CCE Enterprise SW Site license (2 - 5)

Enterprise User/Form Mgmt Lic 61+Mains

ES VM LARGE 2016 SERVER

W/SQL

ES VM TEST 2016 SERVER 1

CUBIE Drawer, Enhanced FH(2-U) 0 5 5 0

CUBIE Drawer, Enhanced FH(2-U) 0 5 5 1

SMART CUBIE DRAWER HH 24-

12-4

OBS RM MANAGER SRM FLAT

DOOR 25FT CABLE

MED,SRM,FLATOFFSET,25FT,LT 1

Transfer Service Fee 1 Applicable Property Tax Fees 1

4. Statutory Authority Permitting Other than Full and Open Competition:

( X ) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy

Agency Requirements per 41 USC §3304(a)(1) as implemented by RFO 6.103-1;

( ) (2) Unusual and Compelling Urgency per 41 USC §3304(a)(2) as implemented by RFO

6.103-2;

( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or

Expert Services per 41 USC §3304(a)(3) as implemented by RFO 6.103-3;

( ) (4) International Agreement per 41 USC §3304(a)(4) as implemented by RFO 6.103-4 ( ) (5) Authorized or Required by Statute per 41 USC §3304(a)(5) as implemented by RFO

6.103-5;

( ) (6) National Security per 41 USC §3304(a)(6) as implemented by RFO 6.103-6;

( ) (7) Public Interest per 41 USC §3304(a)(7) as implemented by RFO 6.103-7;

5. Demonstration that the Contractor’s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority):

The Pyxis ES Medstation equipment is currently leased by CTVHCS facilities. This highly specialized equipment is used to dispense medications and controlled substances for patient care to the clinical areas and outpatient clinics.

This requirement is unique because the Pyxis Medstations and associated components are currently leased to the Government and remain the sole property of CareFusion Solutions, LLC. Only CareFusion Solutions, LLC, is legally authorized to sell, transfer, or convey ownership of the leased equipment. The buyout includes all accessories and software licenses with these units. No other vendor can provide a buyout of these specific units.

The Pyxis system is fully installed, configured, and integrated with clinical workflows.

Clinicians rely on Pyxis for rapid and safe medication retrieval. If the system is replaced or unavailable, workflows revert to manual process, resulting in delayed medication access and compromised patient care. Replacement with a different system would require removal of current equipment, substantial new purchases, installation, and multiple interface changes.

This transition would involve significant disruption to patient care, increased costs, and potential delays.

Therefore, the procurement is inherently sole source, as the Government cannot obtain the leased equipment from any alternate source.

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as possible (including whether a notice was or will be publicized as required by RFO Part 5 and, if not, which exception under RFO Part 5 applies): An Intent to sole source was posted in the Contract Opportunities under 36C25726Q0616 June 2, 2026, to June 16, 2026. No responses were received that can provide the equipment. A proprietary letter dated May 21, 2026, was provided by Becton Dickinson (BD). BD states that their subsidiary, CareFusion Solutions, LLC (Large Business), is the only company that can support the buyout of the leased equipment. Furthermore, in accordance with the Justification for Other Than Full and Open Competition posting requirements, the approved justification will be posted within 14 days after award.

7. Determination by the CO that the Anticipated Cost to the Government will be Fair and

Reasonable: The anticipated cost will be considered fair and reasonable by comparing similar CareFusion Solutions, LLC procurements and existing leasing terms vs. buyout.

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted: Market research was conducted from May 2026 to June 2026 to identify potential sources capable of meeting the Government’s requirement. This included reviewing recent market research undertaken to fulfill similar or identical needs, querying Governmentwide database contracts, and procurement instruments intended for cross-agency use, and analyzing records in Federal Procurement Data System

(FPDS), Small Business Search (SBS), and Analytics, Data and Decision Support Unified Platform (ADDS UP).

Market Research results:

SBS- 86 Vendors, There are Services-Disabled Veteran-Owned Small Businesses (SDVOSB) capable of supplying the equipment. However, none of them are authorized to offer the buyout lease. The equipment is currently leased from CareFusion Solutions LLC, and they are the only contractor authorized to sell, transfer, or convey ownership of the leased equipment.

ADDS UP- 16 active contracts for Pyxis ES Medstations for supplies and/or services with CareFusion Solutions, LLC.

Searched FPDS: No similar lease buy-out contracts found.

Currently, the required equipment is installed at the facility under leasing contract

. Based on prior procurements and an extensive review of available sources, it has been determined that the equipment can only be provided by CareFusion Solutions.

This is further supported by a proprietary letter from BD, confirming that CareFusion Solutions, LLC, a BD subsidiary, is the exclusive provider of this equipment.

9. Any Other Facts Supporting the Use of Other than Full and Open Competition:

None

10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition:

N/A.

11. A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any

Barriers to Competition before Making subsequent acquisitions for the supplies or services required: The Government will continue to monitor changes in new and developing Dispensing Medstations that allow interoperability with existing equipment to plan future acquisitions for this requirement.

12. Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief.

13. Approvals in accordance with the VHAPM Part 806.3 OFOC SOP:

a. Contracting Officer Certification (required): I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.