Attachment_3_-_Pricing.xls
XLS spreadsheet 29 KB Posted
- Attached to
- Electronic Pharmacy Solution
- Solicitation number
- TFSAAFRG15CI0004
About this file
Attachment 3 - Pricing
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Amendment_0001.pdf | ||
| Attachment_2_-_Wage_Determination_WD_2005-2301.pdf | ||
| Attachment_4_-__Subcontracting_Plan.doc | DOC document | |
| Attachment_1_-_HIPPA_Statement.docx | DOCX document | |
| TFSAAFRG15CI0004.pdf |
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Text version
Price Quote Sample
| Pricing Formula Key | ||||||
| WAC = Wholesaler Acquisition Cost/Price | ||||||
| AWP = Average Wholesale Price | ||||||
| MAC = Maxiumum Allowable Cost | ||||||
| FUL = Federal Upper Limit | ||||||
| Example: AWP plus ___%, plus any additional $____ fees | ||||||
| Base Year Pricing Formula | Option Year 1 | Option Year 2 | Option Year 3 | Option Year 4 | ||
| Prescriptions: | Provide Pricing Formula | Provide Pricing Formula | Provide Pricing Formula | Provide Pricing Formula | Provide Pricing Formula | |
| 1 | Brand Legend Name Medications | |||||
| 2 | Generic Medications | |||||
| 3 | Non-legend medications & over the counter supplies | |||||
| 4 | Non resident specific, bulk house stock product | |||||
| 5 | Routine oral solid medications | |||||
| IV Therapy Services: | Provide Pricing Formula | Provide Pricing Formula | Provide Pricing Formula | Provide Pricing Formula | Provide Pricing Formula | |
| 6 | IV Antibiotic | |||||
| 7 | IV Pain | |||||
| 8 | IV Chemotheray | |||||
| 9 | IV Hydration | |||||
| 10 | TPN (Standard formulation with lipids) | |||||
| 11 | TPN (Non-Standard additives) | |||||
| 12 | IV Supplies | |||||
| 13 | IV Pumps | |||||
| 14 | IV Line Placement - Peripheral IV insertion | |||||
| 15 | Midline Insertion | |||||
| 16 | PICC Insertion | |||||
| 17 | Nursing Visit | |||||
| 18 | Access Port | |||||
| 19 | PICC Repair | |||||
| 20 | IV Education | |||||
| 21 | Certification Preparation | |||||
| 22 | Basic IV Review - 1 day course | |||||
| 23 | IV Inservices | |||||
| Services: | Provide Hourly Rates | Provide Hourly Rates | Provide Hourly Rates | Provide Hourly Rates | Provide Hourly Rates | |
| 24 | Standard Pharmacy Consulting Svs. | |||||
| 25 | Add'l. Pharmacy Consulting Svs. | |||||
| 26 | Nursing IV Certifications | |||||
| 27 | Nursing Professional Services | |||||
| 28 | Other: | |||||
| 29 | Other: | |||||
| 30 | Other: | |||||
| Supplies: | Provide Per Unit Price | Provide Per Unit Price | Provide Per Unit Price | Provide Per Unit Price | Provide Per Unit Price | |
| 31 | Forms | |||||
| 32 | Other: | |||||
| 33 | Other: | |||||
| 34 | Other: | |||||
| 35 | Other: | |||||
| 36 | Other: | |||||
| 37 | Other: | |||||
| 38 | Other: | |||||
| 39 | Other: |
&CAttachment 3 - Priceing
File details come from the government source that posted it. Updated .