S02 Attachment B Price Schedule RFQ 36C24823Q0154_Pharmaceutical Reverse Distribution Service_17 Jan 2023.docx

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Q702--Pharmaceutical Reverse Distributor Services at VA Caribbean Healthcare System
Solicitation number
36C24823Q0154
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B.3 PRICE/COST SCHEDULE ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

NSP

NSP

The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to process credit return and/or arrange for proper disposal of designated pharmaceuticals, including Schedule II through V controlled substances at VACHS as defined in the Performance Work Statement (PWS). The contractor shall perform to the standards of the contract.

Contract Period: Base POP Begin: 02-16-2023 POP End: 02-15-2024 PRINCIPAL NAICS CODE: 492210 - Local Messengers and Local Delivery PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

0001AA

12.00
EA
$__________________
$__________________

San Juan VA Medical Center. Include services to both Inpatient & Outpatient Pharmacies. Services are to be provided in a monthly basis.

POP Begin: 02-16-2023 POP End: 02-15-2024

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

0001AB

4.00
EA
$__________________
$__________________

Ponce Outpatient Clinic (POPC). Services are to be provided in a quarterly basis.

POP Begin: 02-16-2023 POP End: 02-15-2024

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

0001AC

4.00
EA
$__________________
$__________________

Mayaguez Outpatient Clinic (MOPC). Services are to be provided in a quarterly basis.

POP Begin: 02-16-2023 POP End: 02-15-2024

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

TOTAL BASE YEAR
$__________________

NSP

NSP

The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to process credit return and/or arrange for proper disposal of designated pharmaceuticals, including Schedule II through V controlled substances at VACHS as defined in the Performance Work Statement (PWS). The contractor shall perform to the standards of the contract.

Contract Period: Option 1 POP Begin: 02-16-2024 POP End: 02-15-2025

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

1001AA

12.00
EA
$__________________
$__________________

San Juan VA Medical Center. Include services to both Inpatient & Outpatient Pharmacies. Services are to be provided in a monthly basis.

POP Begin: 02-16-2024 POP End: 02-15-2025

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

1001AB

4.00
EA
$__________________
$__________________

Ponce Outpatient Clinic (POPC). Services are to be provided in a quarterly basis.

POP Begin: 02-16-2024 POP End: 02-15-2025

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

1001AC

4.00
EA
$__________________
$__________________

POP Begin: 02-16-2024 POP End: 02-15-2025

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

TOTAL FIRST OPTION
$__________________

NSP

NSP

The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to process credit return and/or arrange for proper disposal of designated pharmaceuticals, including Schedule II through V controlled substances at VACHS as defined in the Performance Work Statement (PWS). The contractor shall perform to the standards of the contract.

Contract Period: Option 2 POP Begin: 02-16-2025 POP End: 02-15-2026

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

2001AA

12.00
EA
$__________________
$__________________

San Juan VA Medical Center. Include services to both Inpatient & Outpatient Pharmacies. Services are to be provided in a monthly basis.

POP Begin: 02-16-2025 POP End: 02-15-2026

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

2001AB

4.00
EA
$__________________
$__________________

POP Begin: 02-16-2025 POP End: 02-15-2026

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

2001AC

4.00
EA
$__________________
$__________________

POP Begin: 02-16-2025 POP End: 02-15-2026

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

TOTAL SECOND OPTION
$__________________

NSP

NSP

The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to process credit return and/or arrange for proper disposal of designated pharmaceuticals, including Schedule II through V controlled substances at VACHS as defined in the Performance Work Statement (PWS). The contractor shall perform to the standards of the contract.

Contract Period: Option 3 POP Begin: 02-16-2026 POP End: 02-15-2027

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

3001AA

12.00
EA
$__________________
$__________________

San Juan VA Medical Center. Include services to both Inpatient & Outpatient Pharmacies. Services are to be provided in a monthly basis.

POP Begin: 02-16-2026 POP End: 02-15-2027

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

3001AB

4.00
EA
$__________________
$__________________

POP Begin: 02-16-2026 POP End: 02-15-2027

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

3001AC

4.00
EA
$__________________
$__________________

POP Begin: 02-16-2026 POP End: 02-15-2027

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

TOTAL THIRD OPTION
$__________________

NSP

NSP

The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to process credit return and/or arrange for proper disposal of designated pharmaceuticals, including Schedule II through V controlled substances at VACHS as defined in the Performance Work Statement (PWS). The contractor shall perform to the standards of the contract.

Contract Period: Option 4 POP Begin: 02-16-2027 POP End: 02-15-2028

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

4001AA

12.00
EA
$__________________
$__________________

San Juan VA Medical Center. Include services to both Inpatient & Outpatient Pharmacies. Services are to be provided in a monthly basis.

POP Begin: 02-16-2027 POP End: 02-15-2028

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

4001AB

4.00
EA
$__________________
$__________________

POP Begin: 02-16-2027 POP End: 02-15-2028

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

4001AC

4.00
EA
$__________________
$__________________

POP Begin: 02-16-2027 POP End: 02-15-2028

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

TOTAL FOURTH OPTION
$__________________

NSP

NSP

CONTRACTOR SHALL NOT PRICE THIS ITEM. FAR 52.217-8, OPTION TO EXTEND SERVICES. The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to process credit return and/or arrange for proper disposal of designated pharmaceuticals, including Schedule II through V controlled substances at VACHS as defined in the Performance Work Statement (PWS). The contractor shall perform to the standards of the contract.

Contract Period: 52.217-8 POP Begin: TBD POP End: TBD

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

5001AA

6.00
EA
NSP
NSP

CONTRACTOR SHALL NOT PRICE THIS ITEM. FAR 52.217-8, OPTION TO EXTEND SERVICES. San Juan VA Medical Center. Include services to both Inpatient & Outpatient Pharmacies. Services are to be provided in a monthly basis.

POP Begin: TBD POP End: TBD

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

5001AB

2.00
EA
NSP
NSP

CONTRACTOR SHALL NOT PRICE THIS ITEM. FAR 52.217-8, OPTION TO EXTEND SERVICES. Ponce Outpatient Clinic (POPC). Services are to be provided in a quarterly basis.

POP Begin: TBD POP End: TBD

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

5001AC

2.00
EA
NSP
NSP

CONTRACTOR SHALL NOT PRICE THIS ITEM. FAR 52.217-8, OPTION TO EXTEND SERVICES. Mayaguez Outpatient Clinic (MOPC). Services are to be provided in a quarterly basis.

POP Begin: TBD POP End: TBD

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

GRAND TOTAL
$__________________

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