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FBO DAILY - FEDBIZOPPS ISSUE OF MARCH 19, 2017 FBO #5595
DOCUMENT

65 -- PRIVIGEN VIALS - 5 MG 10MG 20 MG - Justification and Approval (J&A)

Notice Date

3/17/2017
 

Notice Type

Justification and Approval (J&A)
 

NAICS

325412 — Pharmaceutical Preparation Manufacturing
 

Contracting Office

Department of Veterans Affairs;Western New York Healthcare System;3495 Bailey Ave.;Buffalo NY 14215
 

ZIP Code

14215
 

Archive Date

5/16/2017
 

Point of Contact

Mary T Betker
 

E-Mail Address

2-6385<br
 

Small Business Set-Aside

N/A
 

Award Number

V797D-50358 VA242-17-F-1492
 

Award Date

3/17/2017
 

Description

VISN 2 NCA Pharmacy NON-Prime Vendor Request Revised: September 30, 2011 NON-PRIME VENDOR PHARMACEUTICAL PROCUREMENTS OVER $3,000 AND UNDER $150,000 Purpose: To ensure standardization of the submission process for pharmaceutical requirements the below form will accompany the request for procurement. ALL DOCUMENTS ARE TO BE PROVIDED ELECTRONICALLY. DATE: 03/15/17 1. Provide requestors name and phone number. Name:_PHARMACY TECHNICIAN ______________ Phone Number__5186265725_____________ 2. Enter funded 2237#: 528-17-2-8319-0471 3. Requirements Name/Description of requested drug: PRIVIGEN 20GM, 10GM & 5GM VIALS Quantity Required: 30 20GM VIALS, 20 10GM VIALS, & 10 5GM VIALS Special Packaging Requirements: Dates Needed: 03/21/17 Is/are the requested drug/s available for purchase against a mandatory use single award contract? Yes __X___ No_____ (check one) If the answer is yes, please provide the vendor name, contract number, and expiration date of contract in the section below; or check the box that the information was provided on the 2237. No further information is required and you may skip the remaining questions on this form. Vendor Name: CSL BEHRING Contract Number: V797D-50358 Expiration Date of Contract: 3/31/2020 ____ Information referenced above can be found within the submitted 2237. Estimated Cost: $___43673.20________ Estimate was based on procurement history? Yes ___X___ No______ (check one), or Estimate was based on review of published prices? Yes____X__ No______ (check one) If estimate was developed using a different approach than described above please explain:_______________________________________________________________________ Generic Drug Yes _____ No___X___ (check one) Brand Name Justification: When brand name drugs are requested please check the applicable justification below: _______Within the Veterans Health Administration brand name drugs may be prescribed by physicians when in their clinical judgment the brand name drug will provide a better therapeutic outcome for patients. Brand name drugs are requested when there is a clinical requirement for the drug or there is history of clinical requirements for the drug and inventory must be maintained to meet anticipated requirements. ___x____ A generic form of the requested drug is not available. Will there be a recurring need for the requested drug? Yes_X___ No______ (check one) If you answered yes, please provide your estimated annual requirements: POSSIBLY DEPENDING ON BACKORDER ISSUES. BRAND NAME IVIG DISTRIBUTED VIA THE PHARMACY PRIME VENDOR IS ON BACKORDER. THIS IS THE ONLY ACCEPTABLE BRAND NAME SUBSTITUTE AVAILABLE FOR THS VETERAN PATIENT. THE PHYSICIAN AND PHARMACY CONTINUE TO RESEARCH THE AVAILABILITY OF IVIG VIA THE PPV IN LIEU OF ORDERING DIRECT. AS MORE IVIG IS AVAILABLE THIS DIRECT ORDER TO THE FSS CONTRACTOR WILL NOT BE NEEDED.
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/notices/a4f91dbad7c883fb8ebfb693dea15a35)
 

Document(s)

Justification and Approval (J&A)
 

File Name: V797D-50358 VA242-17-F-1492 V797D-50358 VA242-17-F-1492_1.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3347387&FileName=V797D-50358-004.docx)

Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3347387&FileName=V797D-50358-004.docx

 

Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
 

Record

SN04438840-W 20170319/170317234114-a4f91dbad7c883fb8ebfb693dea15a35 (fbodaily.com)
 

Source

FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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