Pricing Document.Monthly.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- IVHL Pharmacy Bid
- Solicitation number
- 26-497DVA-LASAL-B-48971
- Issued by
- Lasalle County, Illinois
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Text version
INSTRUCTIONS
| PRICING DOCUMENT - 26-497DVA-LASAL-B-48971 |
| Bidder is to enter data into the yellow fields that will automatically calculate Estimated Monthly Cost. |
| For lines 3, 4, and 5 - please enter a percentage "plus" or "minus". Plus being it will be more than the WAC cost or Minus |
| being it will be less than the WAC cost. |
| Example of Plus: $18,500 times 2.5 (for 2.5%) = $18,962.50 |
| Example of Minus: $18,500 times -2.5 (for -2.5%) = $18,037.50 |
| For lines 9 and 10 - please enter an hourly rate. |
| The charge represents a one month sample of pharmaceutical purchasing activity and will be used for comparison purposes only. The actual |
| amounts being purchased under the contract as well as the number of prescriptions will vary based on the needs of the facility. The costs in this contract are all estimated. |
| The percentage discount off of Wholesale Acquisition Cost for both generic and brand name pharmaceuticals will remain firm throughout the |
| duration of this contract. The hourly consulting fee shall remain firm throughout the duration of the contract. |
VENDOR MUST COMPLETE
| Bidding Vendor - fill in yellow area; Estimated Monthly Cost column will automatically calculate. | ||||
| DESCRIPTION | MONTHLY SPEND/HOURS ESTIMATE | % Discount off of WAC/Per Hour Cost - VENDOR FILL IN | ESTIMATED YEARLY COST | |
| Brand Name Pharmaceuticals | $ 18,500.00 | $ | $ 18,500.00 | |
| Generic Pharmaceuticals | $ 69,000.00 | $ | $ 69,000.00 | |
| Over the Counter Drugs | $ 5,000.00 | $ | $ 5,000.00 |
Subtotal $ 92,500.00
| Consulting Fee - Pharmacist by Hours | 15 | Hrs | $ - 0 |
| Consulting Fee - Registered Nurse by Hours | 15 | Hrs | $ - 0 |
Subtotal $ - 0
Total (Brand Name + Generic + Over the Counter + Consulting Fee-Pharmacist + Consulting Fee Registered Nurse = $ 92,500.00
| Notes: Bidder shall provide percentage discounts off the Wholesale Acquisition Cost (WAC) for both brand name and generic pharmaceuticals. |
| The agreed percentage discounts shall be applicable to both prescriptions and over the counter (OTC) medications purchased under this contract. |
| Upon request, the Bidder shall provide the Illinois Department of Veterans Affairs with the most recent Wholesale Acquisition Cost data |
| that the bidder used as a basis for the invoiced pricing. The data shall be acquired from a published commercial drug pricing compendia |
| including First Databank, Redbook, or Medi-span. |
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