P03 Part813.106_Atch1_SingleSourceJustification_MPT-SAT---redacted--.pdf

VHAPM Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT

VHAPM Part 813.106 Page 1 of 2 Original Date: 08/30/17 Revision 02 Eff Date: 03/31/2020

DEPARTMENT OF VETERANS AFFAIRS

Justification for Single Source Awards IAW FAR 13.106-1 For

Over Micro-Purchase Threshold but Not Exceeding the SAT ($250K)

Acquisition Plan Action ID:_______ 36C770-21-AP-0201_____________

1. Contracting Activity: Department of Veterans Affairs, NCO-15 (CMOP Hines). 2237 : 765-21-1-021-

2. Brief Description of Supplies/ Services required and the intended use/Estimated Amount:

Estimated Amount :

LINE

ITEM NDC #/UPC

CMOP

Item

# DESCRIPTION QTY

UNIT OF

MEASURE

1 82112-0731-

07 XH218 BARRIER,BRAVA STRIPS C

900 BX

2 76212-3002-

04 XX251 BAG,LEG CONVEEN

300 BX

3 76300-0332-

10 XZ835 RESERVOIR,MINIMED #MMT-332A

2000 BX

4 89152-1681-

05 XJ504

SET,INFUSION AUTOSOFT XC TANDEM 240 BX

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used:

The product is being requested to fill prescriptions where the provider specifically requested this brand for the veteran. Prescriptions are entered as DAW or Dispense as Written meaning the pharmacy is not allowed to substitute any other brand for the prescription but can only fill the prescription with the brand that was ordered by the doctor. Contracting Officers has no authority to change Doctor prescription orders for name brand only.

4. Description of market research conducted and results or statement why it was not conducted:

The NAC website was searched and the requested ndc is not on contract.

Because the Government is not allowed to do business using Wholesale Trade or Retail Trade NAICS codes, searches must be conducted using the manufacturer NAICS code 325413 (In-Vitro Diagnostic Substance Manufacturing). There is a NMR waiver in place for NAICS code 325413 for diabetic test strips, so the procurement will be set-aside to SDVOSB.

https://www.acquisition.gov/?q=/browse/far/13

VHAPM Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source Attachment 1: Single Source Justification for SAP under the SAT

VHAPM Part 813.106 Page 2 of 2 Original Date: 08/30/17 Revision 02 Eff Date: 03/31/2020

5. Contracting Officer's Certification: Purchase is approved in accordance with FAR13.106-1(b). I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Jessica Hansroth Date Contract Officer https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466