1001_N6809419R6054_PRICE_OFFER_-_RADIOPHARMACUTICAL_PRODUCT_LIST.xlsx

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RADIO PHARMACUTICAL
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N6809419R6054
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PRICE OFFER OPTION YEAR 1

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Sheet1

***The lowest priced offer will be determined by the aggregate contractor price for a quantity of one (1) for each product listed on the attached product list. ***
PLEASE ANNOTATE YOUR COMPANY PRODUCT CODE UNIT OF MEASURE AND PACKAGE TYPE FOR EACH ITEM
Pharmacy Product CodeProduct DescriptionUnit of MeasurePkg TypeQuantityUnit of IssueUnit PriceExtended Price
Tc99m NaTc040 - 25mCisyringe1Each$0.00
Tc99m MDP1 - 25 mCisyringe1Each$0.00
Tc99m DTPA1 - 25 mCisyringe1Each$0.00
Tc99m Sulfur ColloidUp to 8 mCisyringe1Each$0.00
Tc99m MAA1 - 7 mCisyringe1Each$0.00
Tc99m Filtered Sulfur Colloidup to 1 mCisyringe1Each$0.00
Tc99m MAG-3™1 - 15 mCisyringe1Each$0.00
Tc99m Mebrofenin1 - 10 mCisyringe1Each$0.00
Tc99m Sestamibi1 - 30 mCisyringe1Each$0.00
Tc99m Ceretec®1 - 30 mCisyringe1Each$0.00
Tc99m Myoview®1 - 30 mCisyringe1Each$0.00
Tc99m Rotop DMSAUp to 5 mCisyringe1Each$0.00
Ultratag Kit1 vialkit1Each$0.00
Tc99m Ceretec® WBCper studyper study1Each$0.00
Rotop DMSA KitEachvial1Each$0.00
Tl201(Thallous Chloride) UDUp to 1 mCisyringe1Each$0.00
Ga-67 Citrate (UD)Up to 1 mCisyringe/Vial1Each$0.00
NaI I-123 Cap 200uCi200 uCieach1Each$0.00
In-111 Labeled WBCper studyper study1Each$0.00
In-111 Octreoscanper studyper study1Each$0.00
Kinevac Kitvialvial1Each$0.00
TOTAL$0.00
4Scheduled Deliveries Mon thru Fri,
0500, 0900, 1130, and 1330

1 Scheduled Saturday Delivery - 0700

* STAT delivery (all Sunday, holiday, After Hours, STAT or emergency orders)

* Pharmacy Call-Out Fee: A Pharmacist call-out fee will be assessed for all orders placed on a STAT basis after normal business hoursafter normal business hours.

After Hours WBC Labeling - Pharmacy Call Out Fee

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