KCVA Common Supplies and Chemotherapy Agents List.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C25523Q0553
About this file
This document contains a spreadsheet listing chemotherapy and oncology drugs along with required supplies and equipment for compounding sterile hazardous drugs. It includes the drug names and NDC codes, recommended diluents and containers, tubing, and specialized equipment needed.
The related federal contract opportunity is solicitation number 36C25523Q0553 for sterile hazardous drug compounding services at the Kansas City Veterans Affairs Medical Center pharmacy. It seeks a contractor to provide compounding of the chemotherapy and oncology drugs listed in the spreadsheet, including all necessary supplies and equipment. The solicitation is open to all responsible sources and was issued by the Department of Veterans Affairs Veterans Health Administration VISN 15. Pricing, delivery terms, and other requirements are not specified in this document excerpt.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25523Q0553_2 final.docx | DOCX document | |
| Chemotherapy Infusion SOW.docx | DOCX document | |
| VHA PBM.pdf | ||
| Service Contract Act WD No 2015-5105 Rev 20.pdf |
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Text version
Sheet1
| Drugs | NDC | Infusion Bag + Brand Manufacturer (if applicable) | Tubings (if applicable) | Fixtures (special equipment needed) |
| Arsenic trioxide 14.9mg | 63459-0601-06 | 0.9% NaCL 100 ML PVC free (we use Grifols) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Atezolizumab 1200mg | 50242-0917-01 | 0.9% NaCL 250 ML PVC free (we use Grifols) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Azacitadine 100mg SQ | 00781-3253-94 | (Sterile Water for Injection for reconstitution) | N/A | Equashield female luer lock adaptor and spike adaptor |
| Bendamustine 145mg | 63459-0348-04 | 0.9% NaCL 500 ML PVC free (we use Grifols), (Sterile Water for Injection for reconstitution) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Bevacizumab-bvzr 100mg, 400mg | 00069-0315-01 | 0.9% NaCL 100 ML PVC free (we use Grifols) | N/A | N/A |
| Bortezomib 3.5mg syringe – | 63323-0821-10 | (0.9% NaCl for reconstitution) | N/A | Equashield female luer lock adaptor and spike adaptor |
| Brentuximab vedotin 120 mg | 51144-0050-01 | 0.9% NaCL 100 ML PAB Braun A Bag, (Sterile Water for Injection for reconstitution) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Cabazitaxel 60mg | 00024-5824-11 | 0.9% NaCL 250 ML PVC free (Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Carboplatin 150mg | 00703-4248-01 | 0.9% NaCL 100 ML PAB Braun A Bag, (Sterile Water for Injection for reconstitution) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Carfilzomib 60mg | 76075-0101-01 | D5W 100 ML PAB Bag | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Cetuximab 500mg | 66733-0948-23 | 0.9% NaCL 250 ML PVC free (Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500, 0.2 micron filter | Equashield female luer lock adaptor and spike adaptor |
| Cisplatin 100mg, 50mg | 63323-0103-51 | 0.9% NaCL 250 ML PVC free (Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Cladribine 10mg | 63323-0140-10 | 0.9% NaCL 500 ML PVC free (we use Grifols) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Cyclophosphamide 1g, 2g | 10019-0956-01 | 0.9% NaCL 250 ML PVC free (Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Cytarabine 100mg BOLUS | 61703-0319-22 | N/A | N/A | Equashield syringe and spike adaptor |
| Cytarabine 2g | 63323-0120-20 | N/A | N/A | Equashield syringe and spike adaptor |
| Dacarbazine 200mg | 63323-0128-20 | 0.9% NaCL 250 ML PVC free (Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Daratumumab 400mg, 100mg | 57894-0502-05 | 0.9% NaCL 500 ML PVC free (we use Grifols) | BD Alaris, Low-Sorbing tube, Item #2260-0500, 0.2 micron filter | Equashield female luer lock adaptor and spike adaptor |
| Decitabine 50mg | 67457-0316-25 | Chilled sterile water 10ml (Fresnius kabi), Chilled 0.9% NaCl (Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Docetaxel 80mg | 16729-0267-64 | 0.9% NaCL 250 ML PVC free (Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Doxorubicin 50mg | 00069-3032-20 | N/A | N/A | Equashield syringe and spike adaptor |
| Durvalumab 500mg | 00310-4611-50 | 0.9% NaCL 500 ML PVC free (we use Grifols) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Eculizumab 300mg | 25682-0001-01 | Empty bag, 0.9% NaCl | BD Alaris, Low-Sorbing tube, Item #2260-0500, 0.2 micron filter | Equashield female luer lock adaptor and spike adaptor |
| Elotuzumab 300mg, 400mg | 00003-2291-11 | (Sterile Water for Injection for reconstitution) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Etoposide 100mg | 63323-0104-05 | 0.9% NaCL 1000 ML (Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Fam-trastuzumab deruxtecan-nxki 100mg | 65597-0406-01 | Dextrose 5% Water, 100 ML - bag must be made of polyvinylchloride or polyolefin (PVC-containing bag) (we use Baxter) | 0.2 micron filter extension set | Equashield Syringe |
| Ferric carboxymaltose 750mg | 00517-0650-01 | Do not use | N/A | N/A |
| Fludarabine 50mg | 63323-0192-02 | 0.9% NaCL 100 ML - any brand (we use Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield Syringe |
| Fluorouracil 1g | 63323-0117-20 | Straight draw into Equashield Syringe | N/A | Equashield Syringe |
| Fluorouracil 500mg | 63323-0117-10 | Straight draw into Equashield Syringe | N/A | Equashield Syringe |
| Fluorouracil 5g | 63323-0117-61 | QS to 241 ML using 0.9% NaCL, PVC-free, DEHP-free, no latex bag (we use Grifols, Fresenius, Braun) | Avanos Homepump C-Series (5 ml/hr flow rate), Item #C270050 | Equashield Syringe |
| Fosaprepitant 150mg | 00591-4385-79 | 0.9% NaCL 250 ML, PVC-free, DEHP-free, no latex bag (we use Grifols, Fresenius, Braun) | N/A | N/A |
| Fulvestrant 250mg | 63323-0715-05 | Do not use - we administer as IM injection | N/A | N/A |
| Furosemide 100mg | 63323-0280-10 | QS to 100 ML using 0.9% NaCL - any brand bag (we use Baxter) | N/A | N/A |
| Furosemide 20mg | 63323-0280-02 | Do not use - we administer as an IV push | N/A | N/A |
| Ganciclovir 500mg | 63323-0315-10 | 0.9% NaCL 250 ML - any brand (we use Baxter) | N/A | N/A |
| Gemcitabine 1g | 00409-0181-01 | Dextrose 5% Water, 250 ML - any brand (we use Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield Syringe |
| Gemcitabine 2g | 00409-0182-01 | Dextrose 5% Water, 250 ML - any brand (we use Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield Syringe |
| Gemcitabine 200mg | 00409-0183-01 | Dextrose 5% Water, 250 ML - any brand (we use Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield Syringe |
| Gentamicin Sulfate 80mg | 63323-0010-02 | Do not use - we can buy premix if needed | N/A | N/A |
| Idarubicin 10mg | 00013-2586-91 | Do not use | N/A | N/A |
| Idarubicin 20mg | 00013-2596-91 | Do not use | N/A | N/A |
| Idarubicin 5mg | 00013-2576-91 | Do not use | N/A | N/A |
| Ifosfamide 1g | 10019-0925-01 | Dextrose 5% Water, 250 ML - any brand (we use Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield Syringe |
| Ifosfamide 3g | 10019-0926-02 | Dextrose 5% Water, 250 ML - any brand (we use Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield Syringe |
| Infliximab 100mg | 57894-0030-01 | 0.9% NaCL 250 ML, PVC-free, DEHP-free, no latex bag (we use Grifols, Fresenius, Braun) | 0.2 micron filter extension set | N/A |
| Infliximab-abda 100mg | 78206-0162-01 | 0.9% NaCL 250 ML, PVC-free, DEHP-free, no latex bag (we use Grifols, Fresenius, Braun) | 0.2 micron filter extension set | N/A |
| Irinotecan 100mg : 380MG DOSE, ns250m1, d5w250m1 bag, nitro tubing, Equashield products- spike adaptor, female luer lock connecter, vial adaptor 20, 20cc syringe | 00009-7529-03 | 0.9% NaCL 250 ML, Dextrose 5% Water 250ML | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Liposomal Doxorubicin 20mg | 00338-0063-01 | N/A | N/A | N/A |
| Liposomal Doxorubicin 50mg | 43598-0541-25 | N/A | N/A | N/A |
| Lurbinectedin | 68727-0712-01 | 0.9% NaCL 250 ML - any brand (we use Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Mepolizumab 100mg | 00173-0881-01 | N/A | N/A | |
| Mesna 1g | 10019-0953-01 | N/A | N/A | |
| Methotrexate 1g | 61703-0408-41 | 0.9% NaCL 50 ML - any brand (we use Baxter) | Alaris BD Secondary Set 72213N | Equashield female luer lock adaptor and spike adaptor |
| Mitomycin 5mg | 16729-0115-05 | Do not use | N/A | N/A |
| Mitoxantrone 25mg | 63323-0132-12 | Do not use | N/A | N/A |
| Mycophenolate mofetil 500mg | 60429-0070-01 | QS to 85 ML using Dextrose 5% Water - any brand (we use Baxter) | N/A | N/A |
| Nivolumab 100mg | 00003-3774-12 | Do not use - we don't use this concentration | N/A | N/A |
| Nivolumab 240mg | 00003-3734-13 | 0.9% NaCL 100 ML -OR- Dextrose 5% Water 100 ML - any brand (we use Baxter) | 0.2 micron filter extension set | N/A |
| Nivolumab 40mg | 00003-3772-11 | Do not use - we don't use this concentration | N/A | N/A |
| Ocrelizumab 300mg | 50242-0150-01 | 0.9% NaCL 250 ML - any brand (we use Baxter) | 0.2 micron filter extension set | N/A |
| Ondansetron 20mg | 63323-0374-20 | 0.9% NaCL 50 ML - any brand (we use Baxter) | N/A | N/A |
| Ondansetron 16mg | 00641-6078-25 | 0.9% NaCL 50 ML - any brand (we use Baxter) | N/A | N/A |
| Ondansetron 4mg | 60505-6130-05 | Do not use - we administer as an IV push | N/A | N/A |
| Oxaliplatin 100mg | 43066-0018-01 | Dextrose 5% Water, 250 ML - any brand (we use Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield Syringe |
| Oxaliplatin 50mg | 00703-3985-01 | Dextrose 5% Water, 250 ML - any brand (we use Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield Syringe |
| Paclitaxel 300mg | 61703-0342-50 | 0.9% NaCL 500 ML, PVC-free, DEHP-free, no latex bag (we use Grifols, Fresenius, Braun) | Bd Alaris, Low-Sorbing tube, Item #2260-0500 -AND- 0.2 micron filter extension set | Equashield Syringe |
| Paclitaxel 100mg | 61703-0342-22 | 0.9% NaCL 250 ML, PVC-free, DEHP-free, no latex bag (we use Grifols, Fresenius, Braun) | Bd Alaris, Low-Sorbing tube, Item #2260-0500 -AND- 0.2 micron filter extension set | Equashield Syringe |
| Paclitaxel 30mg | 61703-0342-09 | 0.9% NaCL 100 ML, PVC-free, DEHP-free, no latex bag (we use Grifols, Fresenius, Braun) | Bd Alaris, Low-Sorbing tube, Item #2260-0500 -AND- 0.2 micron filter extension set | Equashield Syringe |
| Paclitaxel Protein-Bound 100mg | 68817-0134-50 | Inject appropriate amount of reconstituted paclitaxel protein-bound formulation into an empty, sterile, polyvinylchloride (PVC) container or PVC or non-PVC IV bag | N/A | Equashield Syringe |
| Paclitaxel Protein-Bound 200mg | 60505-6230-04 | Inject appropriate amount of reconstituted paclitaxel protein-bound formulation into an empty, sterile, polyvinylchloride (PVC) container or PVC or non-PVC IV bag | N/A | Equashield Syringe |
| Palonosetron 0.25mg | 63323-0673-05 | Do not use | N/A | N/A |
| Pamidronate 30mg | 67457-0430-10 | 0.9% NaCL 500 ML - any brand (we use Baxter) | N/A | N/A |
| Pamidronate 60mg | 61703-0324-18 | 0.9% NaCL 1000 ML - any brand (we use Baxter) | N/A | N/A |
| Pamidronate 90mg | 61703-0326-18 | 0.9% NaCL 1000 ML - any brand (we use Baxter) | N/A | N/A |
| Panitumumab 100mg | 55513-0954-01 | 0.9% NaCL 100 ML - any brand (we use Baxter) | 0.2 micron filter extension set | N/A |
| Panitumumab 400mg | 55513-0956-01 | 0.9% NaCL 100 ML - any brand (we use Baxter) | 0.2 micron filter extension set | N/A |
| Pemetrexed 800mg | 00338-0722-01 | 0.9% NaCL 100 ML - any brand (we use Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Pertuzumab 420mg | 50242-0145-01 | 0.9% NaCL 250 ML - any brand (we use Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Polatuzumab Vedotin-piiq 30mg | 50242-0103-01 | 0.9% NaCL 100 ML - any brand (we use Baxter) | Bd Alaris, Low-Sorbing tube, Item #2260-0500 -AND- 0.2 micron filter extension set | Equashield female luer lock adaptor and spike adaptor |
| Ramucirumab 100mg | 00002-7669-01 | 0.9% NaCL 250 ML - any brand (we use Baxter) | Bd Alaris, Low-Sorbing tube, Item #2260-0500 -AND- 0.2 micron filter extension set | Equashield female luer lock adaptor and spike adaptor |
| Ramucirumab 500mg | 00002-7678-01 | 0.9% NaCL 250 ML - any brand (we use Baxter) | Bd Alaris, Low-Sorbing tube, Item #2260-0500 -AND- 0.2 micron filter extension set | Equashield female luer lock adaptor and spike adaptor |
| Risankizumab-rzaa 150mg | 00074-2100-01 | N/A | N/A | N/A |
| Rituximab-pvvr 500mg | 00069-0249-01 | 0.9% nacl 500ml bag EXCEL braun A | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Trastuzumab -dttb 150mg | 78206-0147-01 | 0.9% NaCL 250 ML - any brand (we use Baxter), (Sterile water for injection for reconstitution) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Vedolizumab 300mg | 64764-0300-20 | 0.9% NaCL 250 ML - any brand (we use Baxter) | BD Alaris, Low-Sorbing tube, Item #2260-0500 | Equashield female luer lock adaptor and spike adaptor |
| Vinblastine 10mg | 63323-0278-10 | 0.9% NaCL 50 ML - any brand (we use Baxter) | Alaris BD Secondary Set 72213N | Equashield female luer lock adaptor and spike adaptor |
| Vincristine 1mg – see below | 00703-4402-11 | 0.9% NaCL 50 ML - any brand (we use Baxter) | Alaris BD Secondary Set 72213N | Equashield female luer lock adaptor and spike adaptor |
| Vincristine 2mg | 00703-4412-11 | 0.9% NaCL 50 ML - any brand (we use Baxter) | Alaris BD Secondary Set 72213N | Equashield female luer lock adaptor and spike adaptor |
| Vinorelbine 50mg | 45963-0607-56 | 0.9% NaCL 50 ML - any brand (we use Baxter) | Alaris BD Secondary Set 72213N | Equashield female luer lock adaptor and spike adaptor |
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