Radiopharmaceutical_Pricing.xls

XLS spreadsheet 38 KB Posted

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Radiopharmaceutical Supplies
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N62645-16-R-0052
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Radiopharmaceutical Pricing

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Radiopharmaceutical_Pricing_II.xls XLS spreadsheet
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Radiopharmaceuticals

RADIOPHARMACEUTICAL PRICING
DescriptionAnnual QuantityYear I PricingYear II PricingYear III PricingYear IV PricingYear V Pricing
Ceretec WBC, Ceretec WBC Per Study2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc-99 m WBC Blood Kit (Heparin) Blood Kit5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Choletec,Tc99m Choletec Mebrofenin80$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
COS955, QC Equip CO-57 Flood Source1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
DMSA,DMSA,TC99m5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
DTPA-TC99m, DTPA,Technetium Penetate30$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ga-67,Gallium Citrate, Gallium Citrate per mCi15$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
I-123 20, I-123 Iodine Capsule 200uCi50$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
I-123 11, I-123 Iodine Capsule 100uCi50$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
I-131, Therapy Capsule-I131-5mCi5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
I-131/Therapy Capsule, Each additional mCi5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
I-131 NAI OX Cap mCi 1-5mCi5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
I-131 NAI OX Cap mCi Each Additional mCi5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
In-111 Octreo, In-111 Pentetreolide/6mCi3$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TC-99m Sestamibi (Cardiolite) per Dose100$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m Generic Sestambi20$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Indium WBC, Per Study5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
In-111 WBC Blood Kit (Heparin) -Blood Collection5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
MAA, TC99m Macro Aggregated Albumin50$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
MDP,TC99m MOP, Medronate Diphosphate150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Myoview, Tetrofosmin, Tc99m400$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
PYP, Pyrophosphate2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Pyrophosphate Vial2$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Sulfur Colloid. Tc99m Sulfur Colloid50$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Sulfur Colloid filtered, Tc99m Sulfur Colloid Filtered100$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc9900, Mag-3, Mertiatide,Tc99m30$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99M Bulk (per mCi) (Linearity and Contingency)300$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m Unit Dose, Tc99m Unit Dose20$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
TI-201, Thallous Chloride/mCi30$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ultratag, Ultratag RBC Kit30$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
DTPA-TC99m Technetium Pentete Aerosol10$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Adenosine Vial 30ml10$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Lexiscan Dose (Syringe)10$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Dose Calibrator Vial CS-137 250uCi1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Dose Calibrator Vial C0-57 5mCi1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
I-123 MIGBSCAN4$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Licensing fee1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Hardware fee1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
YEARLY TOTALS$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

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