Pricing_Spreadsheet.xls

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Radiopharmaceutical Supplies
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N62645-16-R-0055
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Pricing Spreadsheet

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Pricing Spreadsheet

PRICING SPREADSHEET
DescriptionUnitAnnual QuantityBase YearYear IYear IIYear IIIYear IV
Tc99m MOP (Medronate)Up to 25 mCi1100$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m Myoview (Tetrofosmin)Up to 35 mCi1200$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m Choletec (Mebrofenin)Up to 10 mCi150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m MAG3 (Mertiatide)Up to 10 mCi100$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m Pertechnetate (NaTc04) (1 - 30 mCi)Up to 30 mCi500$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m Pertechnetate (NaTc04) (Add'l mCi)Each additional mCi10000$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m Filtered Sulfur ColloidUp to 2 mCi150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m Sulfur ColloidUp to 10 mCi100$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m Cardiolite (Sestamibi)Up to 30 mCi30$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m DTPA (Pentetate Aerosol)Up to 40 mCi30$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m MAA (Microaggregated Albumin)Up to 7 mCi30$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m HOP (Oxidronate)Up to 25 mCi10$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m Neurolite (Bicisate)Up to 30 mCi1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m Hepatolite (Disofenin)Up to 10 mCi1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m PYP (Pyrophosphate)Up to 25 mCi1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m DTPA (Pentetate Renal)Up to 25 mCi1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m Ceretec (Exametazime)Up to 30 mCi5$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m Ceretec (Exametazime) White Blood Cell TagEach1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Tc99m DMSA (Succimer)Up to 5 mCi30$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
In-111 White Blood Cell (WBC) TagEach80$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
In-111 Octreoscan (Pentetreotide)Up to 6 mCi30$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
In-111 DTPA (Pentetate)Each1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
I-123 Capsule (200 microcuries)200 µCi100$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
I-123 Capsule2 mCi100$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
I-123 MIBG (lobenguane)Up to 10 mCi12$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
I-131 Therapy Capsule (Up to 5 mCi)Up to 5 mCi200$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
I-131 Therapy Capsule (Each Add'l mCi)Each additional mCi10000$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Gallium-67 (Gallium Citrate)Per mCi18$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Samarium-153 Quadramet (Lexidronam)Each1$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Thallium-201 (Thallous Chloride)Per mCi20$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Sincalide (Cholycystokinin)Each150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Ultratag Red Blood Cell (RBC) Tag KitEach110$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Heparin I Hespan KitEach80$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0
YEARLY TOTALS$ - 0$ - 0$ - 0$ - 0$ - 0

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