Q--PVAMC Unit Dose Delivery of Radiopharmaceuticals BPA

PRICING SCHEDULE: ITEM NO DESCRIPTION EST QTY UNIT UNIT PRICE TOTAL AMOUNT 001 Pertechnetate (1 mCi dose) 348 Dose 002 Pertechnetate (50 mCi dose) 90 Dose 003 Pertechnetate (500 mCi dose) 1 Dose 004 HDP (25 mCi dose) 528 Dose 005 Myoview (30 mCi dose) Tetrofosmin 500 Dose 006 Myoview (40 mCi dose) Tetrofosmin 80 Dose 007 Myoview (10 mCi dose) Tetrofosmin 30 Dose 008 MAG-3 (7.5 mCi dose) 60 Dose 009 99m-DTPA (2 mCi dose) 2 Dose 010 IN-111 DTA 2 Dose 011 IN-111 WBC (range 428-616) 16 Units 012 Tc-99m HMPAO WBC 65 Dose 013 In-111 oxine (100 uCi dose) 2 Dose 014 Strontium-89 (4 mCi dose) 4 Dose 015 Xe-133 Xenon gas (20 mCi dose) 5 Dose 016 MAA (5 mCi dose) 30 Dose 017 MAA (5 mCi dose) reduced particle 5 Dose 018 Ultratag RBC kit 90 Kit 019 Ceretec (30 mCi dose) HMPAO 2 Dose 020 Sulfur Colloid (10 mCi dose) 80 Dose 021 1-123 Capsul 200 uCi (200 uCi dose)N60220 50 Dose 022 1-131 Therapy (1st mCi) (N452AO) Each additional mCi (N452A1) 250 mCi 023 1-131 Diagnostic N31000 100uCi 4 uCi 024 1-131 Diagnostic (N452CO) Each Additional mCi (N452C1) 4 mCi 025 Choletec (average 4-5 mCi) 25 mCi 026 TI-201 (average 2-4 mCi) 1 mCi 027 IN-111 Pendtreotide (4 mCi) 2 Dose 028 IN-111 Chl Prostascint (mCi) 2 Each 029 Pyrophosate (vial) 1 Vial 030 Sestemibi (30 mCi dose) 943 Dose 031 1-131 MIBG (4 mCi dose) 1 Dose 032 After hour delivery charge 25 Each 033 Stat Delivery Charge 150 Each Estimated Total: $_______________________ STATEMENT OF WORK: 1. Supplies will be ordered as required. Orders will be placed directly with the Contractor by the Radiology/Nuclear Medicine Service. 2. The items shall be ordered by 5 P.M. for next day delivery by 7:30 A.M. the following day. (Items ordered Friday shall be delivered by Monday at 7:30 A.M.) 3. Stat orders are required to be delivered the same day as they are ordered. Individual STAT delivery times shall be established at delivery order request. 4. Contractor shall be available for order placement & delivery twenty-four (24) hours per day 365 days per year. Emergency orders may be required after normal working hours, weekends or during Federal Holidays (Normal Working Hours: 6:30 A.M. to 5:00 P.M.) 5. Pricing will be F.O.B. destination. 6. Deliveries: a. Scheduled deliveries to be made during normal pharmacy business hours, Monday - Friday. b. Saturday and Sunday a.m. scheduled deliveries require delivery ordered by 5:00 p.m. previous day and are limited to one per day during normal business hours. c. STAT deliveries include all deliveries required after normal pharmacy business hours and pharmacy-recognized holidays. d. Unscheduled deliveries include any delivery which is not STAT and cannot be placed on one of the "scheduled" runs assigned the customer but needs to be delivered during normal pharmacy business hours and pharmacy-recognized holidays. 7. Stat deliveries must be delivered to the VA within 90 minutes of order receipt. 8. Contractor shall accept telephone and/or facsimile orders. Product availability information will be available at the time of order placement. 9. Contractor shall verify all orders received via facsimile. 10. Contractor shall include with each dose delivered two (2) identical, self-adhesive labels/stickers that will be used for tracking and maintaining records within the Nuclear Medicine Department. 11. Turn around time for leukocyte labeling will be a maximum of three (3) hours from pick-up of blood to delivery of labeled white blood cells. 12. Contractor shall provide 2 copies of shipping invoice with each delivery. Deliveries will be made directly to the Nuclear Medicine Department located in Building 100, 2nd Floor, Room 2D159. Deliveries must be signed for by Nuclear Medicine Technologists.