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Department of Veterans Affairs

Federal Supply Service

Authorized Federal Supply Schedule Price List

Effective Date: 04/15/2013

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Federal Supply Schedule (FSS) 621 II

Medical Laboratory Testing and Analysis Services

Product Service Code Q301

Contract #: V797P-7103a     

For more information on ordering from Federal Supply Schedules click on the FSS Schedules at

Contract Period: 04/15/2013 through 04/14/2017

Contractor Name: Monogram Biosciences, Inc

Company Address: 345 Oyster Point Blvd; South San Francisco, CA 94080

Company Website:

Primary Contact: Pat Langsdale, langsdp@

Alternative Contact: Sheila Ornelas, ornelas@

Phone# (800)777-0177 Fax# (650)615-0177

Business Size: Small Business

Data Universal Number System (DUNS) Number: 945494490

Central Contractor Registration (CCR) Cage Code: 2XFL0

Customer Information:

1. Table of awarded special item number(s):

|SIN | Catalog # |Product Description | Price |

|621- | | | |

|209 |G5000 |GenoSure® MG (HIV – 1 Genotype assay) | $ 361.81 |

| | |CPT codes 87900 x1; 87901 x1 | |

|209 |P5000 |GenoSure PRIme® | $ 578.11 |

| | |CPT codes: 87900 x1, 87901 x1, 87906 x1 | |

|209 |R6000 |GenoSure Archive® | $ 578.11 |

| | |CPT codes: 87900 x1, 87901 x1, 87906 x1 | |

|209 |V3200 |PhenoSense® (HIV – 1 Phenotype assay) | $ 703.52 |

| | |CPT codes: 87903 x1; 87904 x11 | |

|209 |V7000 V7100 |PhenoSense® GT (HIV – 1 Genotype & Phenotype assay) | $ 919.60 |

| | |CPT codes: 87900 x1; 87901 x1; 87903 x1; 87904 x11 | |

|209 |S3200 |PhenoSense® Integrase (HIV – 1 Phenotype assay) | $ 653.27 |

| | |CPT codes: 87903 x1 | |

|209 |M7110 M7010 |PhenoSense GT® Plus Integrase | $ 1,343.32 |

| | |CPT code: 87900 x1, 87901 x1, 87903 x 1, 87904 x14, 87906 x 1 | |

|209 |E2000 |PhenoSense® Entry (HIV – 1 Phenotype assay) | $ 653.27 |

| | |CPT codes: 87903 x1 | |

|209 |E3100 |Trofile® ES (Tropism assay) | $ 1,871.36 |

| | |CPT code: 87999 x1 | |

|209 |E3600 |Trofile® DNA (Tropism assay) | $ 1,871.36 |

| | |CPT code: 87999 x1 | |

|209 |C1300 |IL28B | $ 30.39 |

| | |CPT Code: 83891 x1; 83896 x2; 83898 x1; 83912 x1 | |

|209 |C5000 |HCV GenoSure® NS3/4A(HCV) | $ 410.85 |

| | |CPT code: 87900 x1; 87902 x1 | |

|209 |C6230 |Hepatitis C Virus (HCV) NS5A Drug Resistance Assay | $ 410.85 |

| | |CPT code: 87900 x1; 87902 x1 | |

|209 |C6220 |Hepatitis C Virus (HCV) GT3 NS5A Drug Resistance Assay | $ 410.85 |

| | |CPT code: 87900 x1; 87902 x1 | |

|209 |C6300 |Hepatitis C Virus (HCV) NS5B Drug Resistance Assay | $ 410.85 |

| | |CPT code: 87900 x1; 87902 x1 | |

|209 |C1200 |Hepatitis C Virus (HCV) Genotype (Subtype) | $ 271.75 |

| | |CPT code: 87902 x1 | |

|209 |C1000 |Hepatitis C Virus (HCV) RNA Quantitative RTPCR (Non-Graphical) | $ 110.55 |

| | |CPT code: 87522 x1 | |

|209 |C6230G |Hepatitis C Virus (HCV) Genotyping with 1A Subtype Reflex to HCV NS5A Drug | $ 683.97 |

| | |Resistance Assay | |

| | |CPT code: 87900 x1, 87902 x2 | |

|209 |C6230RG |Hepatitis C Virus (HCV) GT1A NS5A Profile (HCV RNA Quant, HCV Genotype and HCV NS5A| $ 794.52 |

| | |Drug Resistance Assay) | |

| | |CPT code: 87522 x1, 87900 x1, 87902 x2 | |

2. Maximum order: $1,000,000 per order.

3. Minimum order: One Test

4. Geographic coverage (service area): 50 States, Washington D.C. and Puerto Rico

5. Place of Performance: 345 Oyster Point Blvd; South San Francisco, CA 94080

6. Prompt Payment Terms: 30 Days

7. Government Commercial Credit Card: Yes, up to and over the MicroPurchase Threshold

8. Ordering address: Monogram Biosciences, 345 Oyster Point Blvd; South San Francisco, CA 94080

9. Delivery Time: 14 – 16 days from sample receipt

10. Payment address: Dept 33185; PO Box 39000, San Francisco, CA 94139-3185.

11. Medical Liability Insurance Limits: $1,000,000 aggregate.

12. For services, the ordering procedures, information on Blanket Purchase order procedures, are found in the Federal Acquisition Regulation (FAR) 8.405-2 and 8405-3.

13. Net Pricings per Test or Mix of Tests: The awarded prices are listed above

14. Terms for TATs and STATs and other concessions as awarded: TAT’s 14-16 Days from day of sample receipt

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