Carefusion Solutions, LLC

Carefusion Solutions, LLC, Pyxis Division, a subsidiary of Becton, Dickinson and Company, manufactures and delivers Pyxis automated medication dispensing cabinets, Alaris infusion pump systems, IV preparation and compounding workflow platforms, and comprehensive maintenance and support services to federal healthcare agencies as a prime contractor on a sole-source basis across all federal buyer categories. The division operates without SBA set-asides and competes on proprietary technology and original equipment manufacturer status rather than competitive procurement vehicles.

Carefusion's federal customer base is concentrated in three healthcare agencies and one defense logistics partner. The Department of Veterans Affairs dominates the footprint: across the entire Becton Dickinson parent entity, VISN 12 leads by potential value at $470.4 million across 135 awards; VISN 1 anchors the $63 million nationwide infusion pump and medication management solutions IDC extending through August 2030, which alone has generated approximately $56.8 million in delivery orders across multiple regional networks. Defense Logistics Agency Troop Support Medical places the second-largest dollar concentration at $175.8 million across 298 awards. Indian Health Service ranks third by award count (534 awards, $48.4 million). Within the VA, VISN 10 (206 awards, $45.7 million), VISN 8 (168 awards, $42.4 million), and VISN 7 (161 awards, $47.1 million) round out active engagement. These top five customers account for 52% of Carefusion's combined potential value across its prime contract footprint.

Carefusion's capability portfolio centers on proprietary pharmacy automation hardware, software licensing, preventive and emergency maintenance, 24/7 remote technical support, installation and integration services, and training. Representative work includes a $63 million VA nationwide IDIQ for infusion pumps and medication management solutions (VISN 1, awarded August 2025, extending through August 2030); a $61.2 million Defense Health Agency enterprise maintenance and support services contract for pharmacy inpatient automation (DHA, awarded July 2024, completing January 2029); a $19.05 million Tennessee Valley Healthcare System lease contract for automated dispensing cabinets (VISN 9, awarded April 2024, completing September 2028); and numerous VISN-level purchase orders for Pyxis equipment maintenance, software subscriptions, and infusion pump procurement ranging from $22,000 to $6.35 million. Recent awards show consistent sole-source procurement: VISN 17 (Exercise OY1, $6.35 million lease and support, December 2024), VISN 2 (carefusion service, $3.53 million, October 2025), VISN 12 (automated dispensing cabinet system, $2.15 million, October 2025), and VISN 8 (infusion pump procurement, $2.04 million, September 2025).

Vehicle position reflects Carefusion's role as a sole-source supplier anchoring large standing agreements. The $63 million VA Nationwide Infusion Pump Equipment IDIQ (VISN 1, August 2025–August 2030) has issued at least 24 delivery orders totaling $56.8 million to date. The Medical Equipment and Supplies GSA Schedule carries the largest task-order volume at 3,036 orders worth $482.3 million—a reflection of Becton Dickinson's broader enterprise medical device and supplies portfolio rather than Carefusion-specific activity. Additional vehicles include IDC SPM2D112D8302 (270 task orders, $14.2 million), BPA VA240CBP0001 (28 task orders, $22 million), a $137.5 million single-award IDC with VISN 12 for Pyxis IT infrastructure upgrades and monthly support (awarded June 2024, expiring June 2027), and an $84 million BPA with VISN 4 for Alaris GuardRails software and support (awarded September 2025, through September 2030). All vehicles are non-set-aside and establish pre-negotiated pricing for rapid procurement across VA networks.

Activity has grown markedly. Awards per year across the Becton Dickinson parent entity show acceleration: 43 in 2022, 52 in 2023, 61 in 2024, 90 in 2025, and 40 recorded through mid-2026. The Pyxis Division's recent award velocity is consistent with this trend—the source captures roughly 130 purchase orders and delivery orders to Carefusion Solutions across federal health buyers between September 2023 and September 2026. Eighty-four awards (combined potential value $45.4 million) reach ultimate completion within the next 24 months, creating recompete exposure across multiple VISN networks and IHS service units.

On federal service contracts captured in the Service Contract Inventory, Carefusion Solutions reported $9.2 million in invoiced revenue across FY2022–FY2024 ($2.6 million in FY2022 across 46.4 FTEs, $3.3 million in FY2023 across 150 FTEs, $3.3 million in FY2024 across 104 FTEs). SCI data is a partial view limited to service contracts above the $150,000 threshold and does not include goods, products, leases, or micro-purchases—the bulk of Carefusion's federal revenue. Government-paid hourly rates on SCI-reportable prime contracts run a wide spectrum, with median around $12/hr, 10th percentile near $0/hr (likely reflecting contract-level aggregation artifacts), and 90th percentile at $127/hr for specialized technical roles. Carefusion performs all work internally on SCI records; no subcontractor hours are reported, consistent with the vendor's position as sole-source equipment manufacturer and service provider.

Carefusion Solutions competes exclusively as a prime contractor—100% of recent awards are prime—and does not subcontract on federal work in the source record. The division's market position rests on proprietary Pyxis and Alaris technologies, original equipment manufacturer status, and exclusive vendor relationships with VA regional networks. Contract award descriptions consistently cite sole-source procurement justifications rooted in equipment propriety, warranty protection, and lack of third-party authorized service providers. This posture limits competitive exposure but creates dependency on contract recompete and renewal cycles across dispersed VA networks, IHS service units, and DLA procurement events.