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RES 2013-0349 - PO from Meridian Medical Technologies for cyanokits �MAHA,Nge 1"_ ciaw ��p �►, Office of the Mayor 't 'I��YC'J �`M ` 4 T; k 1819 Farnam Street,Suite 300 rip_yt�` Omaha,Nebraska 68183-0300 �0 4'kry (402)444-5000 �'ED FE9Rk-r FAX: 402 411 6059 City of Omaha q P4 A ,.. N (:, a fi. Jim Suttle,Mayor Honorable President and Members of the City Council, Transmitted herewith is a Resolution authorizing the purchase of and payment for thirty-seven (37) cases of Cyanokit in the amount of$24,050.00. The Cyanokits will be used by the Omaha Metropolitan Medical Response System (OMMRS), providing an adequate supply of this antidote to cyanide poisoning. Meridian Medical Technologies is the sole vendor of the Cyanokits that will allow OMMRS to treat cyanide poisoning victims. In accordance with the provisions of Section 5.16, Home Rule Charter, in the event of a sole source vendor, the City Council may, by resolution, authorize the Purchasing Division to issue a purchase order for the services. The Cyanokits are budgeted and will be funded by the Nebraska Emergency Management Agency(NEMA) FY 2010 Metropolitan Medical Response System Grant, Award # 2010-SS-TO- 0013, approved by City Council on August 23, 2011, Ordinance No. 39103, Fund 12151, Organization 130762. Respectfully submitted, Approved as to Funding: dillP , , . I C 1-'C-L C--((-jai VCL7 ).--- -- .4 Jim s ate Leslie Schaefer Date M. • Interim Finance Director Approved: '1 C 'i. -:31 Z/J, 4 Han Rights and Relations Date P:1MYR10050PR EQUIPMENT PROCUREMENT REQUEST FORM (EPRF) Select: ❑ 2009 STATE HOMELAND SECURITY 2009-SS-T9-0061 09/01/2009-07/31/2012 ❑ 2009 METROPOLITAN MEDICAL RESPONSE SYSTEM 2009-SS-T9-0061 09/01/2009-07/31/2012 ❑ 2010 URBAN AREA SECURITY INITIATIVE 2010-SS-T8-0013 10/01/2010-07/31/2013 ❑Q 2010 METROPOLITAN MEDICAL RESPONSE SYSTEM 2010-SS-T8-0013 10/01/2010-07/31/2013 ❑ 2010 STATE HOMELAND SECURITY(HAZMAT MOU) 2010-SS-T8-0013 10/01/2010-07/31/2013 ❑ 2011 STATE HOMELAND SECURITY ❑ 2011 METROPOLITAN MEDICAL RESPONSE SYSTEM Agency/Committee Requesting Purchase: Omaha Metropolitan Medical Response System(OMMRS) Contact Information: SHIP TO(IF DIFFERENT FROM CONTACT): Name: Phyllis Dutton Name: Fred Massoomi Address: 11128 John Galt Blvd. Room 550 Address:84th.And Dodge Om aha NER 68137 Omaha NE.68114 Email: phyllis.dutton@alegent.org Phone: 402-717-1733 Fax: 402-717-1735 Strategy Goal and Objective: Increase CBRNE Capability AEL Reference Number: 09PH-05-CYKT Budget Task Number: 03.14 Item Description: Pharmaceutical Cyanokit's for chemical exposure Is the total cost of the equipment equal to or greater than$20,000.00? E Yes ❑ No If Yes: A. Attach three competitive Vendor quotes. ❑ OR B. Attach Sole Source Justification and Vendor quote. Note: Any procurement over$20,000.00 requires Omaha City Council Approval. If No: Attach Vendor quote. ❑ Do you require a Purchase Order from the City of Omaha? ❑ Yes O No Committee Chair Approval: Phyllis Dutton 1/30/2013 Signature Date City of Omaha Use Only Fund Project Task Org Award Account 8/10/2010 JUSTIFICATION FOR NON-COMPETITIVE PROCUREMENT (SOLE SOURCE JUSTIFICATION) Cyanokits PARAGRAPH 1: A brief description of the program and what is being contracted. The Cyanokit's are the antidote for a cyanide poisoning and is needed in this area due to limited supply. It is important to a victim for life safety to be treated in a timely manner. PARAGRAPH 2: Explanation of why a non-competitive contract is necessary, to include the following: • Expertise of the contractor. Meridian is the vendor that Methodist Hospital has a contract with and that our OMMRS Pharmacy Committee has purchased items from in previous grant years. • Management: The OMMRS Pharmacy committee is responsible for the distribution and maintaining the inventory list of product location. • Responsiveness. The company has been very responsive with answers to questions regarding the product and to provide a quote as requested in a timely manner. • Knowledge of the program. The OMMRs Pharmacy Committee is comprised of Licensed Pharmacist who have the expertise and knowledge of the product usage and limitations. . • Experience of personnel. OMMRS has personnel that is trained in the pharmaceutical field who are aware of the efficiency of the product and are available to provide training as needed with the distribution of the product.The product will be utilized by the trained EMS personnel and hospital trained personnel. Page 1 of 2 PARAGRAPH 3: Time Contracts • When contractual coverage is required and why. This product is a limited resource in the OMMRS Jurisdictional area and the purchase oft his product will help fill a gap in the community in our CBRNE response capability.. • Impact on program if dates are not met. This product will be purchased with FY MMRS 2010 grant funds which the City of Omaha has requested that we spend the funds as soon as possible. The grant end date is June 30th. 2013. • How long would it take another contractor to reach the same level of competence? (Equate to dollars if desired) Not applicable. PARAGRAPH 4: Uniqueness This product is the antidote to be utilized with a cyanide poisoning. PARAGRAPH 5: Other points that should be covered to make a convincing case. This product will help in a major event where cyanide exposure could occur and increase life safety rather than having a . fatality situation. PARAGRAPH 6: A declaration that this action is in the best interest of the agency. This product will not only benefit the personnel that is involved In trying to save the life of the patient who is contaminated but will also assist in enhancing the care of personnel that is providing the service. Page 2 of 2 M • HOSPITAL An Affiliate of Methodist Health System January 23, 2013 Dear Phyllis Dutton: Nebraska Methodist Hospital (NMH) has purchased drugs for the Omaha Metropolitan Medical Response System (OMMRS) since 1999 as a courtesy service. In that course of time we have used three companies to primarily provide drugs for OMMRS: Amerisource Bergen, LLC out of Kansas City, MO, Dey Pharmaceuticals and Meridian Medical Technologies out of Columbia, MD. NMH is limited on who they can order drugs from based on contracts. In the past NMHS has purchased the product CyanoKit®directly from Dey Pharmaceuticals. Since 2009, Dey has since sold this product to Pfizer Pharmaceuticals who now exclusively distribute this product through Meridian Medical Technologies and Emergency Medical Products, Inc. It is NOT available through Amerisource Bergen, LLC. As noted previously, NMH has limited contracts for ordering drugs and Emergency Medical Products, Inc. is a vendor NOT listed for NMH to use. In addition, the cost of the CyanoKit®from Emergency Medical Products is $999.35/kit (see page 2) (FYI, cost was $935.35 in 2011) versus $650.00/kit from Meridian Medical Technologies (see page 3) (FYI, no increase for 2013). We are requesting to continue to use Meridian Medical Technologies to order CyanoKit®for OMMRS based on contract availability and costs. Please feel free to contact me if you have any questions or require additional information. Sincerely, Firouzan `Fred' Massoomi, Pharm.D., FASHP Pharmacy Operations Coordinator Nebraska Methodist Hospital 402-354-4340 Fred.massoomi@nmhs.org Price Quote from EMP for Cyanokit ',i Cyanokit I EmergencyMedlcai Products-Mortlla Firolox �'" ''I, a�al� i t Edo Yam+` Fesio$Y @wkmakf Tam f1 Cyanokt I Emergency Medial Products x[ J ag. 111i 's €4is'sr3L, p�. C 3{;y emergency Medical products } * l onesq� .En*15t iTrt ^UK PharloxF 5ern$gs y t t 51Pret ., I a 1 `a00.55U.62/0 I(INTACT US *IIVF Cn AT I.UG IV CREATE At COUNT «;VIEW l A Al TIE+IS:D TOTAL:f0.00 a ''�' �".a�Aw`�rau°swarth- ° f ., �t�LArlaesG �.. EMP 0' "� t CrSJrCK Er..N EMERGENCY MEDICAL PRODUCTS,INC. _ keyword search/Item number ..; ` Home EMS Physician Offices Teaching&Training Diabetic First Aid :. Cyanokit Cyanokit Item: 550-02-CYANOKIT 5G(HYDRO%OCOBALAMIN FOR INJECTION) --...„ U of M: 11 EACH J This item requires a Prescription Drug Authorization Form. d4013:. Your Price:$999.35 Qty: .. ..�_.0 � . Add to Supply I..Istj Features Shipping Review Cyanokit 5 gm Hydroxocobalamin Kit contains 1 IV Admin Set and 1 Transfer Spike NDC#1170d 0370 01 ... a �i..—,. -1 'a.J5tarti,.1 [� tnbox•t+icr..:I;.�Fredbeck (a1°mks Cyu,.li lt'Cyanokit I... �.t),N CW K. '-®Q•S.:J A/' 3:i9PM Price Quote from Meridian for Cyanokit II N QUOTATION MEDICAL TECHNOLOGIES' USA Shipments A zer Company 6350 Stevens Forest Rd.,Suite 301 Quote Number:13-0221-1958 Columbia,MD 21046 USA Date of Quote:1/8/2013 Telephone:(443)259-7800 Fax#(443)259-7801 Quotation Provided To: Products Shipping to: Nebraska Methodist Hospital Nebraska Methodist Hospital Accounts Payable Attn:Pharmacy 8511 West Dodge Rd 8303 Dodge Street Omaha,NE 68114 Omaha,NE 68114 (402)354-4340(tel) (402)354-4340(tel) Delivery Terms Payment Terms Shipping Method FOB Origin Net 30 Ground Product Description(packaging configuration) Unit Price Quantity Total Price Number (Units) FPWS Cyanokit®5g(hydroxocobalamin for injection)(CASE $650.00 37 $24,050.00 Discount)SINGLE VIAL Maryland State Sales Tax(6%) Shipping&Handling Total $24,050.00 ALL SALES FINAL-NO RETURNS IMPORTANT: Auto-Injector drug delivery systems are subject to the International Traffic in Arms Regulations(ITAR)and may not be exported or otherwise removed from the United States of America without prior written authorization from the U.S.Department of State. TERMS & CONDITIONS CONFIDENTIALITY:This quotation is the confidential information of Meridian Medical Technologies,Inc. and may not be further distributed without prior consent. ORDERS from State/Municipality Government agencies With Purchase Order or Credit Card Authorization,please include: • Prescription Authorization Form,signed by Medical Director indicating end user,product,and medical license number • End User Certification Letter: "We certify that the items purchased will be used by .The material will not be sold to a third party,distributed or used for any other purpose." • Diazepam Orders: Copy of DEA Registration Certificate for schedule IV drug:diazepam C-IV (No Shipments to Home addresses) • Morphine Orders: DEA 222 Form with Quota Statement for schedule I or II drug:morphine C-II (No Shipments to Home addresses) ORDERS from Hospitals/Ambulance Company With Purchase Order or Credit Card Authorization,please include: • Copy of Pharmacy License or STATE DEA License Payment Terms:Net 30. All prices quoted above are valid for 180 days from the date of this quote. Purchase orders should include the documents shown above PLUS: • Shipping Address • Ground Freight included,additional charge for expedited • Billing Address shipments COMMENTS: For additional information,please call: 443-259-7800 Prepared by:Bryan Salapong bryan.salapong@meridianmt.com,(443)259-7892 Please sign quote and return with your order. Authorized Signature C-25A CITY OF OMAHA LEGISLATIVE CHAMBER Omaha,Nebraska RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: WHEREAS, Meridian Medical Technologies submitted a quote in the amount of twenty four thousand fifty dollars ($24,050.00) for the purchase of thirty-seven (37) Cyanokits that will be used by the Omaha Metropolitan Medical Response System (OMMRS); and, WHEREAS, Meridian Medical Technologies is the sole source vendor for this product as provided in Chapter 5.16 of the Home Rule Charter; and, WHEREAS, the Cyanokits will allow OMMRS to treat cyanide poisoning victims; and, WHEREAS, The purchase is budgeted from and will be funded by the Nebraska Emergency Management Agency (NEMA) FY 2010 Metropolitan Medical Response System Grant, Award# 2010-SS-T0-0013, Fund 12151, Organization 130762; and, WHEREAS, the Mayor recommends your favorable consideration of this Resolution. NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: THAT, as recommended by the Mayor, the purchase from Meridian Medical Technologies, a sole source vendor provided in Chapter 5.16 of the Home Rule Charter in the amount of twenty four thousand fifty dollars ($24,050.00) for the purchase of thirty-seven (37) Cyanokits that will be used by the Omaha Metropolitan Medical Response System (OMMRS), providing an adequate supply of this antidote to cyanide poisoning, is hereby approved. FURTHER THAT, the Finance Department of the City of Omaha is authorized to pay Meridian Medical Technologies in the amount of $24,050.00 for the purchase of thirty-seven (37) Cyanokits, budgeted from and funded by the Nebraska Emergency Management Agency (NEMA) FY 2010 Metropolitan Medical Response System Grant, Award # 2010-SS-T0-0013, Fund 12151, Organization 130762. APPROVED AS TO FORM: � - 7- 13 ASSI ANT CITY ATTORNEY DATE I3y I/` i _ P:\MYR\0050PR f • icilmember Adopted M' ' 1 2 13 '�` a Ci Clerk /Y %-/5 Approved 4",c07 Mayor NO. + Resolution by Res.that,as recommended by the Mayor,the purchase from Meridian Medical Technologies, a sole source vendor provided in Chapter 5.16 of the Home Rule Charter in the amount of twenty four thousand fifty dollars ($24,050.00) for the purchase of thirty-seven (37) Cyanokits that will be used by the Omaha Metropolitan Medical Response System (OMMRS),providing an adequate supply of this antidote to cyanide poisoning, is hereby approved. Further that,the Finance Department of the City of Omaha is authorized to pay Meridian Medical Technologies in the amount of$24,050.00 for the purchase of thirty-seven (37) Cyanokits, budgeted from and funded by the Nebraska Emergency Management Agency (NEMA) FY 2010 Metropolitan Medical Response System Grant, Award # 2010-SS-T0-0013, Fund 12151, Organization 130762. P:\MYR\0050PR Presented to City Council MAR 1 2 2013 Adopted Puiter grown City Clerk