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Base Year Oct22-Sept23
| SCHEDULE OF SUPPLIES AND PRICES | | | | | |
| Estimated Quantities Only, Actual Amounts May Differ | | | | | |
| Base Year : October 1, 2022-Sept 30, 2023 | | | | | |
| Item Description | Estimated Quantity | | Unit Price | Total Estimated Cost |
| | | UNIT | | |
| Item # | | | | | |
| Products (Unit Doses) | | | | |
| 1 | Tc99m Flood ( 2mCi point source daily) | 300 | dose |
| 2 | Tc99m Linearity 250 mCi | 4 | dose |
| 3 | Tc99m LInearity 4 mCi | 4 | dose |
| 4 | Tc99m Cardiolite | 1 | dose |
| 5 | Tc99m Sestamibi (Generic) | 2200 | dose |
| 6 | Tc99m MAA | 100 | dose |
| 7 | Tc99m MAA (110k particles) | 20 | dose |
| 8 | Tc99m MDP | 250 | dose |
| 9 | Tc99m HDP | 1 | dose |
| 10 | Tc99m Mebrofenin | 90 | dose |
| 11 | Tc99m DTPA GFR | 25 | dose |
| 12 | Tc99m DTPA Brain | 1 | dose |
| 13 | Tc99m DTPA CSF | 2 | dose |
| 14 | Tc99m DTPA Vent | 40 | dose |
| 15 | Tc99m DMSA | 1 | dose |
| 16 | Tc99m Mag-3 | 5 | dose |
| 17 | Tc99m Pertechnetate < 50 mCi | | |
| 17a | 35 mCi | 26 | dose |
| 17b | 30 mCi | 55 | dose |
| 17c | 20 mCi | 10 | dose |
| 17d | 10 mCi | 1 | dose |
| 17e | 5 mCi | 2 | dose |
| 18 | Tc99m Pertechnetate >50 mCi doses (calculated per mCi) | | |
| 18a | 50 mCi (x8= 400mCi) | 400 | mCi |
| 18b | 80 mCi (x 4 = 320mCi) | 320 | mCi |
| 19 | Tc Brain Imaging agents | | |
| 19a | Tc99m Certec Brain | 1 | dose |
| 19b | Tc99m Neurolite | 10 | dose |
| 20 | Tc99m Ceretc (WBC) | 4 | dose |
| 21 | Tc99m Sulfur Colloid Filtered | 10 | dose |
| 22 | Tc99m Sulfur Colloid Unfiltered | 20 | dose |
| 23 | Tc99m Myoview | 1 | dose |
| 24 | In-111 Oxine Vial | 1 | vial |
| 25 | Tc99m Pyrophosphate | 3 | dose |
| 26 | Ga-67 Citrate 10mCi | 2 | dose |
| 27 | I-131 Therapy Capsules/Liquid - various doses (cost per mCi) | | |
| 27a | 150 mCi capsule/liquid Qty 2 | 300 mCi | mCi |
| 27b | 100 mCi capsule/liquid QTY 4 | 400 mCi | mCi |
| 27c | 30 mCi capsule/liquid QTY 4 | 120 mCi | mCi |
| 27d | 15 mCi capsule/liquid QTY 4 | 60 mCi | mCi |
| 28 | I-131 Diagnostic Cap 10 uCi | 3 | cap |
| 29 | I-131 WB Dose 3 mCi dose | 3 | cap |
| 30 | I-131 WB Dose 3 mCi dose (liquid) | 1 | dose |
| 30a | I-123 Ioflupane | 15 | dose |
| 31 | I-123 cap (0.1mCi) | 25 | cap |
| 32 | I-123 cap (0.2 mCi) | 24 | cap |
| 33 | I-123 MIBG (AdreView) | 1 | dose |
| 34 | In-111 Octreoscan | 1 | dose |
| 35 | In-111 DTPA | 2 | dose |
| 36 | In-111 Oxine (WBC) | 25 | dose |
| 37 | Tl-201 Chloride 4 mCi doses | 40 mCi | mCi |
| 38 | Cu-64 (Pet Isotope) | 30 | dose |
| 39 | Ventiscan IV Replacemnet Kits | 42 | each |
| 40 | Kinevac Vials | 90 | vial |
| 41 | PYP vials | 1 | vial |
| 42 | Ultratag RBC Kit | 100 | each |
| 43 | Potassium Perchlorate 400 mg | 2 | cap |
| 44 | Ultratag Heat Damaged or sequestration | 3 | dose |
| 45 | Ga-67 QC source 10 uCi | 1 | dose |
| 46 | In-111 QC source 10 uCi | 1 | dose |
| 47 | I-123 QC source (10 uCi) | 1 | dose |
| 48 | I-131 QC source (10uCi) | 1 | dose |
| 49 | DELIVERY CHARGES | | |
| 49a | additional routine delivery charge | 2 | each |
| 49b | Emergency Delivery (4:30 pm, wknd,holiday) | 30 | each |
| 50 | Emergency blood label | 3 | each |
| 51 | REMOVAL OF RADIOACTIVE WASTE | | |
| 51a | removal of radioactive wase, including syringes and vials no longer used | 10 | each |
| 52 | RADIOACTIVE CHECK SOURCES | market | PRICING |
| 52a | Cs-137 vial source | 1 | each |
| 52b | Co-57 Sheet sources | 2 | each |
| 52c | Co-57 Vial source | 1 | each |
| 53c | Ba-133 Vial sourc | 1 | each |
| 54 d | Ge-68 rod source (Pet CT QC) | 1 | each |
Grand Total for Base Year (Estimated) $ - 0
The Department of Veterans Affairs, Oklahoma City VA Mecical Center Nuclear Medicine Serivices requires teh contractor to provide the commodity of radiopharmaeuticals and sources to be used with SPECT, SPECT/CT and PET/CT imaging systems. Items will be in unit dose, daily and on an as-needed basis, in accordance with patient requirements for a period of 1 base year plus 4 option years. NOTE: all annual quanties are estimates , contractor will only be paid for items and quantites actually ordered adn delivered. Pricing for Tc99m Productes should be LEU pricing. Radioactive sources are ordered through contract at market pricing - price is not included in price of contract
Opt YR1 Oct23-Sept24
| SCHEDULE OF SUPPLIES AND PRICES | | | | | |
| Estimated Quantities Only, Actual Amounts May Differ | | | | | |
| Option Year 1: October 1, 2023 - September 30, 2024 | | | | | |
| Item Description | Estimated Quantity | | Unit Price | Total Estimated Cost |
| | | UNIT | | |
| Item # | | | | | |
| Products (Unit Doses) | | | | |
| 1 | Tc99m Flood ( 2mCi point source daily) | 300 | dose | |
| 2 | Tc99m Linearity 250 mCi | 4 | dose | |
| 3 | Tc99m LInearity 4 mCi | 4 | dose | |
| 4 | Tc99m Cardiolite | 1 | dose | |
| 5 | Tc99m Sestamibi (Generic) | 2200 | dose | |
| 6 | Tc99m MAA | 100 | dose | |
| 7 | Tc99m MAA (110k particles) | 20 | dose | |
| 8 | Tc99m MDP | 250 | dose | |
| 9 | Tc99m HDP | 1 | dose | |
| 10 | Tc99m Mebrofenin | 90 | dose | |
| 11 | Tc99m DTPA GFR | 25 | dose | |
| 12 | Tc99m DTPA Brain | 1 | dose | |
| 13 | Tc99m DTPA CSF | 2 | dose | |
| 14 | Tc99m DTPA Vent | 40 | dose | |
| 15 | Tc99m DMSA | 1 | dose | |
| 16 | Tc99m Mag-3 | 5 | dose | |
| 17 | Tc99m Pertechnetate < 50 mCi | | | |
| 17a | 35 mCi | 26 | dose | |
| 17b | 30 mCi | 55 | dose | |
| 17c | 20 mCi | 10 | dose | |
| 17d | 10 mCi | 1 | dose | |
| 17e | 5 mCi | 2 | dose | |
| 18 | Tc99m Pertechnetate >50 mCi doses (calculated per mCi) | | | |
| 18a | 50 mCi (x8= 400mCi) | 400 | mCi | |
| 18b | 80 mCi (x 4 = 320mCi) | 320 | mCi | |
| 19 | Tc Brain Imaging agents | | | |
| 19a | Tc99m Certec Brain | 1 | dose | |
| 19b | Tc99m Neurolite | 10 | dose | |
| 20 | Tc99m Ceretc (WBC) | 4 | dose | |
| 21 | Tc99m Sulfur Colloid Filtered | 10 | dose | |
| 22 | Tc99m Sulfur Colloid Unfiltered | 20 | dose | |
| 23 | Tc99m Myoview | 1 | dose | |
| 24 | In-111 Oxine Vial | 1 | vial | |
| 25 | Tc99m Pyrophosphate | 3 | dose | |
| 26 | Ga-67 Citrate 10mCi | 2 | dose | |
| 27 | I-131 Therapy Capsules/Liquid - various doses (cost per mCi) | | | |
| 27a | 150 mCi capsule/liquid Qty 2 | 300 mCi | mCi | |
| 27b | 100 mCi capsule/liquid QTY 4 | 400 mCi | mCi | |
| 27c | 30 mCi capsule/liquid QTY 4 | 120 mCi | mCi | |
| 27d | 15 mCi capsule/liquid QTY 4 | 60 mCi | mCi | |
| 28 | I-131 Diagnostic Cap 10 uCi | 3 | cap | |
| 29 | I-131 WB Dose 3 mCi dose | 3 | cap | |
| 30 | I-131 WB Dose 3 mCi dose (liquid) | 1 | dose | |
| 30a | I-123 Ioflupane | 15 | dose | |
| 31 | I-123 cap (0.1mCi) | 25 | cap | |
| 32 | I-123 cap (0.2 mCi) | 24 | cap | |
| 33 | I-123 MIBG (AdreView) | 1 | dose | |
| 34 | In-111 Octreoscan | 1 | dose | |
| 35 | In-111 DTPA Cisternogram) | 2 | dose | |
| 36 | In-111 Oxine (WBC) | 25 | dose | |
| 37 | Tl-201 Chloride 4 mCi doses | 40 mCi | mCi | |
| 38 | Cu-64 (Pet Isotope) | 30 | dose | |
| 39 | Ventiscan IV Replacemnet Kits | 42 | each | |
| 40 | Kinevac Vials | 90 | vial | |
| 41 | PYP vials | 1 | vial | |
| 42 | Ultratag RBC Kit | 100 | each | |
| 43 | Potassium Perchlorate 400 mg | 2 | cap | |
| 44 | Ultratag Heat Damaged or sequestration | 3 | dose | |
| 45 | Ga-67 QC source 10 uCi | 1 | dose | |
| 46 | In-111 QC source 10 uCi | 1 | dose | |
| 47 | I-123 QC source (10 uCi) | 1 | dose | |
| 48 | I-131 QC source (10uCi) | 1 | dose | |
| 49 | DELIVERY CHARGES | | | |
| 49a | additional routine delivery charge | 2 | each | |
| 49b | Emergency Delivery (4:30 pm, wknd,holiday) | 30 | each | |
| 50 | Emergency blood label | 3 | each | |
| 51 | REMOVAL OF RADIOACTIVE WASTE | | | |
| 51a | removal of radioactive wase, including syringes and vials no longer used | 10 | each | |
| 52 | RADIOACTIVE CHECK SOURCES | market | PRICING | |
| 52a | Cs-137 vial source | 1 | each | |
| 52b | Co-57 Sheet sources | 2 | each | |
| 52c | Co-57 Vial source | 1 | each | |
| 53c | Ba-133 Vial sourc | 1 | each | |
| 54d | Ge-68 rod source (Pet CT QC) | 1 | each | |
| Grand Total for Option yr 1 (Estimated) | | | $ - 0 |
Opt YR2 Oct24-Sept25
| SCHEDULE OF SUPPLIES AND PRICES | | | | | |
| Estimated Quantities Only, Actual Amounts May Differ | | | | | |
| Option Year 2: October 1, 2024 - September 30, 2025 | | | | | |
| Item Description | Estimated Quantity | | Unit Price | Total Estimated Cost |
| | | UNIT | | |
| Item # | | | | | |
| Products (Unit Doses) | | | | |
| 1 | Tc99m Flood ( 2mCi point source daily) | 300 | dose | |
| 2 | Tc99m Linearity 250 mCi | 4 | dose | |
| 3 | Tc99m LInearity 4 mCi | 4 | dose | |
| 4 | Tc99m Cardiolite | 1 | dose | |
| 5 | Tc99m Sestamibi (Generic) | 2200 | dose | |
| 6 | Tc99m MAA | 100 | dose | |
| 7 | Tc99m MAA (110k particles) | 20 | dose | |
| 8 | Tc99m MDP | 250 | dose | |
| 9 | Tc99m HDP | 1 | dose | |
| 10 | Tc99m Mebrofenin | 90 | dose | |
| 11 | Tc99m DTPA GFR | 25 | dose | |
| 12 | Tc99m DTPA Brain | 1 | dose | |
| 13 | Tc99m DTPA CSF | 2 | dose | |
| 14 | Tc99m DTPA Vent | 40 | dose | |
| 15 | Tc99m DMSA | 1 | dose | |
| 16 | Tc99m Mag-3 | 5 | dose | |
| 17 | Tc99m Pertechnetate < 50 mCi | | | |
| 17a | 35 mCi | 26 | dose | |
| 17b | 30 mCi | 55 | dose | |
| 17c | 20 mCi | 10 | dose | |
| 17d | 10 mCi | 1 | dose | |
| 17e | 5 mCi | 2 | dose | |
| 18 | Tc99m Pertechnetate >50 mCi doses (calculated per mCi) | | | |
| 18a | 50 mCi (x8= 400mCi) | 400 | mCi | |
| 18b | 80 mCi (x 4 = 320mCi) | 320 | mCi | |
| 19 | Tc Brain Imaging agents | | | |
| 19a | Tc99m Certec Brain | 1 | dose | |
| 19b | Tc99m Neurolite | 10 | dose | |
| 20 | Tc99m Ceretc (WBC) | 4 | dose | |
| 21 | Tc99m Sulfur Colloid Filtered | 10 | dose | |
| 22 | Tc99m Sulfur Colloid Unfiltered | 20 | dose | |
| 23 | Tc99m Myoview | 1 | dose | |
| 24 | In-111 Oxine Vial | 1 | vial | |
| 25 | Tc99m Pyrophosphate | 3 | dose | |
| 26 | Ga-67 Citrate 10mCi | 2 | dose | |
| 27 | I-131 Therapy Capsules/Liquid - various doses (cost per mCi) | | | |
| 27a | 150 mCi capsule/liquid Qty 2 | 300 mCi | mCi | |
| 27b | 100 mCi capsule/liquid QTY 4 | 400 mCi | mCi | |
| 27c | 30 mCi capsule/liquid QTY 4 | 120 mCi | mCi | |
| 27d | 15 mCi capsule/liquid QTY 4 | 60 mCi | mCi | |
| 28 | I-131 Diagnostic Cap 10 uCi | 3 | cap | |
| 29 | I-131 WB Dose 3 mCi dose | 3 | cap | |
| 30 | I-131 WB Dose 3 mCi dose (liquid) | 1 | dose | |
| 30a | I-123 Ioflupane | 15 | dose | |
| 31 | I-123 cap (0.1mCi) | 25 | cap | |
| 32 | I-123 cap (0.2 mCi) | 24 | cap | |
| 33 | I-123 MIBG (AdreView) | 1 | dose | |
| 34 | In-111 Octreoscan | 1 | dose | |
| 35 | In-111 DTPA (cisternogram) | 2 | dose | |
| 36 | In-111 Oxine (WBC) | 25 | dose | |
| 37 | Tl-201 Chloride 4 mCi doses | 40 mCi | mCi | |
| 38 | Cu-64 (Pet Isotope) | 30 | dose | |
| 39 | Ventiscan IV Replacemnet Kits | 42 | each | |
| 40 | Kinevac Vials | 90 | vial | |
| 41 | PYP vials | 1 | vial | |
| 42 | Ultratag RBC Kit | 100 | each | |
| 43 | Potassium Perchlorate 400 mg | 2 | cap | |
| 44 | Ultratag Heat Damaged or sequestration | 3 | dose | |
| 45 | Ga-67 QC source 10 uCi | 1 | dose | |
| 46 | In-111 QC source 10 uCi | 1 | dose | |
| 47 | I-123 QC source (10 uCi) | 1 | dose | |
| 48 | I-131 QC source (10uCi) | 1 | dose | |
| 49 | DELIVERY CHARGES | | | |
| 49a | additional routine delivery charge | 2 | each | |
| 49b | Emergency Delivery (4:30 pm, wknd,holiday) | 30 | each | |
| 50 | Emergency blood label | 3 | each | |
| 51 | REMOVAL OF RADIOACTIVE WASTE | | | |
| 51a | removal of radioactive wase, including syringes and vials no longer used | 10 | each | |
| 52 | RADIOACTIVE CHECK SOURCES | market | PRICING | |
| 52a | Cs-137 vial source | 1 | each | |
| 52b | Co-57 Sheet sources | 2 | each | |
| 52c | Co-57 Vial source | 1 | each | |
| 53c | Ba-133 Vial sourc | 1 | each | |
| 54d | Ge-68 rod source (Pet CT QC) | 1 | each | |
| Grand Total for Option yr 2 (Estimated) | | | $ - 0 |
Opt YR3 Oct25-Sept26
| SCHEDULE OF SUPPLIES AND PRICES | | | | | |
| Estimated Quantities Only, Actual Amounts May Differ | | | | | |
| Option Year 3: October 1, 2025 - September 30, 2026 | | | | | |
| Item Description | Estimated Quantity | | Unit Price | Total Estimated Cost |
| | | UNIT | | |
| Item # | | | | | |
| Products (Unit Doses) | | | | |
| 1 | Tc99m Flood ( 2mCi point source daily) | 300 | dose | |
| 2 | Tc99m Linearity 250 mCi | 4 | dose | |
| 3 | Tc99m LInearity 4 mCi | 4 | dose | |
| 4 | Tc99m Cardiolite | 1 | dose | |
| 5 | Tc99m Sestamibi (Generic) | 2200 | dose | |
| 6 | Tc99m MAA | 100 | dose | |
| 7 | Tc99m MAA (110k particles) | 20 | dose | |
| 8 | Tc99m MDP | 250 | dose | |
| 9 | Tc99m HDP | 1 | dose | |
| 10 | Tc99m Mebrofenin | 90 | dose | |
| 11 | Tc99m DTPA GFR | 25 | dose | |
| 12 | Tc99m DTPA Brain | 1 | dose | |
| 13 | Tc99m DTPA CSF | 2 | dose | |
| 14 | Tc99m DTPA Vent | 40 | dose | |
| 15 | Tc99m DMSA | 1 | dose | |
| 16 | Tc99m Mag-3 | 5 | dose | |
| 17 | Tc99m Pertechnetate < 50 mCi | | | |
| 17a | 35 mCi | 26 | dose | |
| 17b | 30 mCi | 55 | dose | |
| 17c | 20 mCi | 10 | dose | |
| 17d | 10 mCi | 1 | dose | |
| 17e | 5 mCi | 2 | dose | |
| 18 | Tc99m Pertechnetate >50 mCi doses (calculated per mCi) | | | |
| 18a | 50 mCi (x8= 400mCi) | 400 | mCi | |
| 18b | 80 mCi (x 4 = 320mCi) | 320 | mCi | |
| 19 | Tc Brain Imaging agents | | | |
| 19a | Tc99m Certec Brain | 1 | dose | |
| 19b | Tc99m Neurolite | 10 | dose | |
| 20 | Tc99m Ceretc (WBC) | 4 | dose | |
| 21 | Tc99m Sulfur Colloid Filtered | 10 | dose | |
| 22 | Tc99m Sulfur Colloid Unfiltered | 20 | dose | |
| 23 | Tc99m Myoview | 1 | dose | |
| 24 | In-111 Oxine Vial | 1 | vial | |
| 25 | Tc99m Pyrophosphate | 3 | dose | |
| 26 | Ga-67 Citrate 10mCi | 2 | dose | |
| 27 | I-131 Therapy Capsules/Liquid - various doses (cost per mCi) | | | |
| 27a | 150 mCi capsule/liquid Qty 2 | 300 mCi | mCi | |
| 27b | 100 mCi capsule/liquid QTY 4 | 400 mCi | mCi | |
| 27c | 30 mCi capsule/liquid QTY 4 | 120 mCi | mCi | |
| 27d | 15 mCi capsule/liquid QTY 4 | 60 mCi | mCi | |
| 28 | I-131 Diagnostic Cap 10 uCi | 3 | cap | |
| 29 | I-131 WB Dose 3 mCi dose | 3 | cap | |
| 30 | I-131 WB Dose 3 mCi dose (liquid) | 1 | dose | |
| 30a | I-123 Ioflupane | 15 | dose | |
| 31 | I-123 cap (0.1mCi) | 25 | cap | |
| 32 | I-123 cap (0.2 mCi) | 24 | cap | |
| 33 | I-123 MIBG (AdreView) | 1 | dose | |
| 34 | In-111 Octreoscan | 1 | dose | |
| 35 | In-111 DTPA (cisternogram) | 2 | dose | |
| 36 | In-111 Oxine (WBC) | 25 | dose | |
| 37 | Tl-201 Chloride 4 mCi doses | 40 mCi | mCi | |
| 38 | Cu-64 (Pet Isotope) | 30 | dose | |
| 39 | Ventiscan IV Replacemnet Kits | 42 | each | |
| 40 | Kinevac Vials | 90 | vial | |
| 41 | PYP vials | 1 | vial | |
| 42 | Ultratag RBC Kit | 100 | each | |
| 43 | Potassium Perchlorate 400 mg | 2 | cap | |
| 44 | Ultratag Heat Damaged or sequestration | 3 | dose | |
| 45 | Ga-67 QC source 10 uCi | 1 | dose | |
| 46 | In-111 QC source 10 uCi | 1 | dose | |
| 47 | I-123 QC source (10 uCi) | 1 | dose | |
| 48 | I-131 QC source (10uCi) | 1 | dose | |
| 49 | DELIVERY CHARGES | | | |
| 49a | additional routine delivery charge | 2 | each | |
| 49b | Emergency Delivery (4:30 pm, wknd,holiday) | 30 | each | |
| 50 | Emergency blood label | 3 | each | |
| 51 | REMOVAL OF RADIOACTIVE WASTE | | | |
| 51a | removal of radioactive wase, including syringes and vials no longer used | 10 | each | |
| 52 | RADIOACTIVE CHECK SOURCES | market | PRICING | |
| 52a | Cs-137 vial source | 1 | each | |
| 52b | Co-57 Sheet sources | 2 | each | |
| 52c | Co-57 Vial source | 1 | each | |
| 53c | Ba-133 Vial sourc | 1 | each | |
| 54d | Ge-68 rod source (Pet CT QC) | 1 | each | |
| Grand Total for Option Year 3 (Estimated) | | | $ - 0 |
Opt YR4 Oct26-Sept27
| SCHEDULE OF SUPPLIES AND PRICES | | | | | |
| Estimated Quantities Only, Actual Amounts May Differ | | | | | |
| Option Year 4: October 1, 2026 - September 30, 2027 | | | | | |
| Item Description | Estimated Quantity | | Unit Price | Total Estimated Cost |
| | | UNIT | | |
| Item # | | | | | |
| Products (Unit Doses) | | | | |
| 1 | Tc99m Flood ( 2mCi point source daily) | 300 | dose | |
| 2 | Tc99m Linearity 250 mCi | 4 | dose | |
| 3 | Tc99m LInearity 4 mCi | 4 | dose | |
| 4 | Tc99m Cardiolite | 1 | dose | |
| 5 | Tc99m Sestamibi (Generic) | 2200 | dose | |
| 6 | Tc99m MAA | 100 | dose | |
| 7 | Tc99m MAA (110k particles) | 20 | dose | |
| 8 | Tc99m MDP | 250 | dose | |
| 9 | Tc99m HDP | 1 | dose | |
| 10 | Tc99m Mebrofenin | 90 | dose | |
| 11 | Tc99m DTPA GFR | 25 | dose | |
| 12 | Tc99m DTPA Brain | 1 | dose | |
| 13 | Tc99m DTPA CSF | 2 | dose | |
| 14 | Tc99m DTPA Vent | 40 | dose | |
| 15 | Tc99m DMSA | 1 | dose | |
| 16 | Tc99m Mag-3 | 5 | dose | |
| 17 | Tc99m Pertechnetate < 50 mCi | | | |
| 17a | 35 mCi | 26 | dose | |
| 17b | 30 mCi | 55 | dose | |
| 17c | 20 mCi | 10 | dose | |
| 17d | 10 mCi | 1 | dose | |
| 17e | 5 mCi | 2 | dose | |
| 18 | Tc99m Pertechnetate >50 mCi doses (calculated per mCi) | | | |
| 18a | 50 mCi (x8= 400mCi) | 400 | mCi | |
| 18b | 80 mCi (x 4 = 320mCi) | 320 | mCi | |
| 19 | Tc Brain Imaging agents | | | |
| 19a | Tc99m Certec Brain | 1 | dose | |
| 19b | Tc99m Neurolite | 10 | dose | |
| 20 | Tc99m Ceretc (WBC) | 4 | dose | |
| 21 | Tc99m Sulfur Colloid Filtered | 10 | dose | |
| 22 | Tc99m Sulfur Colloid Unfiltered | 20 | dose | |
| 23 | Tc99m Myoview | 1 | dose | |
| 24 | In-111 Oxine Vial | 1 | vial | |
| 25 | Tc99m Pyrophosphate | 3 | dose | |
| 26 | Ga-67 Citrate 10mCi | 2 | dose | |
| 27 | I-131 Therapy Capsules/Liquid - various doses (cost per mCi) | | | |
| 27a | 150 mCi capsule/liquid Qty 2 | 300 mCi | mCi | |
| 27b | 100 mCi capsule/liquid QTY 4 | 400 mCi | mCi | |
| 27c | 30 mCi capsule/liquid QTY 4 | 120 mCi | mCi | |
| 27d | 15 mCi capsule/liquid QTY 4 | 60 mCi | mCi | |
| 28 | I-131 Diagnostic Cap 10 uCi | 3 | cap | |
| 29 | I-131 WB Dose 3 mCi dose | 3 | cap | |
| 30 | I-131 WB Dose 3 mCi dose (liquid) | 1 | dose | |
| 30a | I-123 Ioflupane | 15 | dose | |
| 31 | I-123 cap (0.1mCi) | 25 | cap | |
| 32 | I-123 cap (0.2 mCi) | 24 | cap | |
| 33 | I-123 MIBG (AdreView) | 1 | dose | |
| 34 | In-111 Octreoscan | 1 | dose | |
| 35 | In-111 DTPA (cisternogram) | 2 | dose | |
| 36 | In-111 Oxine (WBC) | 25 | dose | |
| 37 | Tl-201 Chloride 4 mCi doses | 40 mCi | mCi | |
| 38 | Cu-64 (Pet Isotope) | 30 | dose | |
| 39 | Ventiscan IV Replacemnet Kits | 42 | each | |
| 40 | Kinevac Vials | 90 | vial | |
| 41 | PYP vials | 1 | vial | |
| 42 | Ultratag RBC Kit | 100 | each | |
| 43 | Potassium Perchlorate 400 mg | 2 | cap | |
| 44 | Ultratag Heat Damaged or sequestration | 3 | dose | |
| 45 | Ga-67 QC source 10 uCi | 1 | dose | |
| 46 | In-111 QC source 10 uCi | 1 | dose | |
| 47 | I-123 QC source (10 uCi) | 1 | dose | |
| 48 | I-131 QC source (10uCi) | 1 | dose | |
| 49 | DELIVERY CHARGES | | | |
| 49a | additional routine delivery charge | 2 | each | |
| 49b | Emergency Delivery (4:30 pm, wknd,holiday) | 30 | each | |
| 50 | Emergency blood label | 3 | each | |
| 51 | REMOVAL OF RADIOACTIVE WASTE | | | |
| 51a | removal of radioactive wase, including syringes and vials no longer used | 10 | each | |
| 52 | RADIOACTIVE CHECK SOURCES | market | PRICING | |
| 52a | Cs-137 vial source | 1 | each | |
| 52b | Co-57 Sheet sources | 2 | each | |
| 52c | Co-57 Vial source | 1 | each | |
| 53c | Ba-133 Vial source | 1 | each | |
| 54d | Ge-68 rod source (Pet CT QC) | 1 | each | |
| Grand Total for Option yr 4 (Estimated) | | | $ - 0 |