RFQ26_18 CostForm.pdf
PDF 122 KB Posted
- Solicitation number
- PE-66020-NONST-2026-000000095
- Issued by
- Fulton County, Georgia
About this file
This is a cost form for Request for Quote (RFQ) 26-18 submitted by the South Fulton Fire Rescue Department in Georgia for pharmaceutical supplies and related pharmacy services. The RFQ seeks a contractor to provide EMS pharmaceutical products, drug box restocking, inspection support, expiration tracking, and pharmacy services. The cost form details multiple medication inventories organized by certification level: ALS (Advanced Life Support) with 9 bags requiring 45 total units annually, AEMT (Advanced Emergency Medical Technician) with 20 units annually, BLS (Basic Life Support) with 22 boxes requiring 166 units annually through January 27, Narcan inventory with 16 bags requiring 52 units annually, Narcotic medications with 9 bags requiring 30 units annually, a Supervisor's Cyanide and Toxidrome Kit with 1 unit, and Supervisor's Medication Restock Boxes (2 units) requiring 120 annual units. The medications listed include critical emergency pharmaceuticals such as epinephrine, albuterol, adenosine, amiodarone, naloxone, fentanyl, ketamine, and various other cardiac, respiratory, and trauma medications in specified dosages and delivery formats.
The cost form establishes unit costs for each medication and supply item, with quantities reflecting estimated annual consumption across the department's operational needs. Pricing is structured by individual medication type and package format, including vials, pre-filled syringes, auto-injectors, ampules, bottles, and tubes. The form requires bidders to provide unit costs for each listed item to enable the department to calculate total annual pharmaceutical expenses. The RFQ encompasses comprehensive pharmacy management services beyond product supply, including medication box restocking, inventory tracking, expiration date management, and inspection support to ensure compliance with EMS protocols and regulatory standards.
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Other files
| File | Type | Posted |
|---|---|---|
| Addendum1RFQ26_18.pdf | ||
| RFQ26_18Pharmaceutical Services051526.pdf |
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Text version
RFQ 26-18 South Fulton Fire Rescue Department Pharmaceuticals Cost Form (Service #815)
ALS Medication Inventory 9 Bags QTY Estimated Annual Quantity Unit Cost (Each) 0.9% Normal Saline 100 m/l 1 9
Acetominophin 160mg/5ml 1 9
Adenosine'Adenocard 6mg/2ml 5 45
Albuterol 2.5mg/3ml 8 72
Amiodarone 150 mg 4 36
ASA Aspirin 81mg Chewable 1 9
Atropine 0.1mg/ml 1 9
Calcium Chloride 1gm/10ml 2 18
Dextrose D50 50%/ 50Ml or D10% 250ml if D50 MFBO 2 18
Dihpenhydramine/ Benadryl 50mg/ml 2 18
Epinephrine 1;1,000 1mg/ ml 5 45
Epinephrine 1:10,000 0.1mg/ml 6 54
Glucagon 1mg Kit 1 9
Haloperidol 5mg/ml/ Haldol 2 18
Insta- Glucose Oral Glucose Tube 2 18
Ipratropium/ Atrovent 0.02% 0.5mg/2.5ml 4 36
Kerolac/Tromethamine-Toradol 60mg/2ml 4 36
Levophed 4mg/ml 1 9
Lidocaine 100mg, Xylocaine 100mg/5ml 1 9
Magnesium Sulfate- MgSO4 50% 1gm 2ml 3 27
Nitroglycerin 0.4mg ODT tablets 1/150 tablets 1 (25) 9
Ondansetron/ Zofran 4mg/2ml or Oral (ODT) 4 36
Sodium Bicarbonate 8.4%, Sodium Bicarb 50mEq/50ml P 2 18
Solu-Medrol 125mg/ Methylprednisolone 2 18
Spikes ,Micropin Supply 3 27
Yellow Seal 1 9
AEMT Medication Inventory 20 QTY Estimated Annual Quantity Unit Cost (Each) Acetominophen 150mg/ml 1 20
Albuterol 2.5mg/3ml 8 160
ASA Aspirin 81mg chewable Bottle 36 1 20
Pre-Fill
Bottle
Pack
Type
Bottle
Vial
Bottle
Vial/ Bottle
Pre-Fill
Vial
Tube
Prefill
Vial
Vial
Pre-Fill
Vial
Amp/Vial
Pre-Fill
Vial
Vial
Vial
Bottle
Pre-Fill
Pre-Fill
Prefill/ Bag
Type
Bag
Bottle
Pre-Fill
AEMT Medication Inventory 20 QTY Estimated Annual Quantity Unit Cost (Each) Dextrose D50 50% 50ml or D10% 250ml if D50 MFBO 2 40
Epinephrine 1: 1,000 1mg/ml 5 100
Epinephrine1:10,000 0.1mg/ml 6 120
Glucagon 1mg Kit 1 20
Insta- Glucose Oral Glucose Tube 2 40
Kerolac/Tromethamine/Toradol 30mg/1ml60mg/2ml SDV 4 80
Ipratropium/ Atrovent 0.02% 0.5mg/2.5ml 4 80
Nitroglycerin 0.4mg ODT tablets 1/150 tablets 1 (25) 20
Ondansetron/ Zofran 4mg/2ml or Oral (OD) 4 80
Yellow Seal 1 20
Spikes, Micropin 3 60 BLS Medication Inventory 22 Boxes till 1/27 QTY Estimated Annual Quantity Unit Cost( Each)
Acetominophin 160mg/5ml 1 22 Albuterol 2.5mg/3ml 8 166
ASA Aspirin 81mg chewable Bottle 36 1 22 Dextrose 10% or D50 25G 2 44
Epi-Pen, Junior 0.15mg, Epinephrine 1 20 Epi-Pen, Adult 0.3mg, Epinephrine 1 20
Insta- Glucose Oral Glucose Tube 2 44 Ipratropium/ Atrovent 0.02% 0.5mg/2.5ml 4 88
Yellow Seal 1 1
Narcan Medication Inventory 16 Bags QTY
Naloxone 2mg/ml 2 52 Narcotic Medication Inventory 9 Bags QTY
Fentanyl 100mcg/2ml SDV 2 30
Ketamine 500mg/10ml- 10ml SDV 2 30
Midazolam 5mg/ml 1ml in SDV vial , Versed 2 30
Morhpine 4mg/2ml 2 30
Yellow 1 30
Type
Vial
Vial
Vial
Estimated Annual QuantityUnit Cost (Each)
Prefill Type Estimated Annual QuantityUnit Cost (Each)
Pre-Fill
Tube Pre-Fill
Type
Pre-Fill
Bottle Pre-Fill
Auto-Injec Auto-Inject
Vial/ Bottle
Pack Type
Bottle
Vial
Tube
Vial
Prefill
Bottle
Bag/ Pre- fil
Ampule/ Via
Supervisor's Cyanide and Toxidrome Kit 1 QTY Estimated Annual Quantity Unit Cost (Each)
Cyano- Kit Hydroxocobalamin IV Inj 1 1
Pralidoxime & Atropine/ 2PAM Duo/Dote 1 1
Yellow Seal 1 1
Supervisor's Medication Re Stock Box (2) QTY Estimated Annual Quantity Unit Cost (Each)
Acetominophen 160mg/5ml 2 20
Adenosine/Adenocard 6mg/2ml 3 20
Albuterol 2.5mg/ml 24 120
Amiodarone 150mg/3ml 4 20
ASA / Aspirin 81mg Chewable Bottle 36 2 15
Atropine 2 15
Calcium Chloride 1gm/ 10ml 6 10
Dextrose D50% 50ml 25G D10% 250ml IV if MFBO 10 20
Diphenhydramine 50mg/ml 4 10
Epinephrine 1:1,000 1ml SDV 10 20
Epinephrine 1:10,000 0.1mg/ml 10ml 12 76
Epi-Pen Adult 0.3mg 4 10
Epi-Pen Junior 0.15mg 3 5
Glucagon 1mg/ Kit 4 10
Halperdol/Hadol 5mg/ml 2 10
Insta- Glucose 31gm 2 10
Ipratropium 0.02% 0.5mg/2.5ml Atrovent 12 80
Kerolac/ Tromethamine-Toradol 30mg/ml IM or IV 4 40
Levophed 4mg/4ml 1 10
Lidocaine 100mg Xylocaine 100mg/5ml 2 10
Magnesium Sulfate- MgSO4 50% 2ml 3 10 Nitroglycerin 0.4mg ODT tablets 1/150 tablets 2 8 Ondansetron/ Zofran 4mg/2ml or Oral (OD) 8 50 Sodium Bicarbonate 8.4%, Sodium Bicarb 50mEq/50ml P 6 18
Bottle
Vial/ Bottle
Pre-Fill
Prefill
Vial
Vial
Prefill
Vial
Auto-Inj
Auto-Inj
Kit
Vial
Tube
Pre-fill
Pre-fill/bag
Vial
Vial
Pre-fill
Pre-fill
Pre-fill
Vial
Bottle
Pre-fill
Kit
Kit
Type
Bottle
Type
Supervisor's Medication Re Stock Box (2) QTY Estimated Annual Quantity Unit Cost (Each)
Solu-Medrol 125mg/ml Methylprednisolone 4 10 Yellow Seal 1 100
Spikes, Micropin 3 20Pack
Type
Vial
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