Nuclear Medicine Radiopharmaceuticals for Cheyenne VA Medical Center

Page 6 of 7 Page 1 of Page 1 of STATEMENT OF NEED FOR CHEYENNE VA MEDICAL CENTER DIAGNOSTIC IMAGING (RADIOLOGY) 2360 E PERSHING BLVD, CHEYENNE WY 82001 REQUIREMENT The Cheyenne VA Medical Center Diagnostic Imaging (Radiology) requires a Nuclear Medicine Radiopharmaceuticals contract which is necessary to conduct Nuclear Medicine exams (i.e. Nuclear Cardiac Stress tests etc.). In accordance with Handbook 6500.6 Appendix A, A&A

requirements do not apply to this request, and a Security Accreditation Package is not required. SPECIFICATIONS Nuclear Radiopharmaceuticals require half-life for storage and cannot be stored in bulk at the Cheyenne VA Medical Center. Weekly delivery of nuclear radiopharmaceuticals shall be determined by type and number of exams ordered by physicians. Item # Amount 1 Xe133 20mCi Vials 208 2 Albumin Aggregated (MAA) Kit 26 3 Mebrofenin (Choletec) Kit 40 4 Mebrofenin (Generic) Kit 30 5 Medronate (MDP) Kit 20 6 Albumin Aggregated Tc-99m Non-HEU 30 7 Sodium Pertechnetate Tc-99m - Pre-Cal Over Time Limit 60 8 Sodium Pertechnetate Tc-99m - Act Over Dose Range mCi 40 9 Sodium Pertechnetate Tc-99m Non-HEU - Multi-Dose Quantity 140 10 Sodium Pertechnetate Tc-99m Non-HEU 120 11 Sodium Pertechnetate Tc-99m Non-HEU 90 12 I-123 Capsule (200uCi) 90 13 Mebrofenin (Generic) Tc-99m Non-HEU 80 14 Medronate (MDP) Tc-99m Non-HEU 85 15 Mertiatide (MAG-3) Tc-99m Non-HEU 85 16 Pyrophosphate (PYP) Tc-99m Non-HEU 85 17 Sestamibi Tc-99m Non-HEU 60 18 Sulfur Colloid Tc-99m Non-HEU 45 19 Oxidronate (HDP) Tc-99m Non-HEU (Amyloid) 28 20 Delivery Charges 261 21 Co-57 sheet source 2 22 Survey Meter Calibration 2 End Statement of Need Barron Long to this opportunity. Statement of Need - radiopharmaceuticals.docx