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Servicios asistenciales de salud", "hasEnquiries": true, "value": {"amount": 106918713456, "currency": "PYG"}, "datePublished": "2021-11-01T16:49:14-04:00", "tenderPeriod": {"startDate": "2022-01-13T08:00:00-04:00", "endDate": "2022-01-14T08:00:00-04:00", "durationInDays": 1}, "awardPeriod": {"startDate": "2022-01-18T09:00:00-04:00"}, "contractPeriod": {"durationInDays": 720}, "enquiryPeriod": {"endDate": "2021-11-26T10:00:00-04:00", "startDate": "2021-11-01T16:49:14-04:00", "durationInDays": 24}, "mainProcurementCategory": "goods", "additionalProcurementCategories": ["services"], "procurementMethod": "open", "procurementMethodDetails": "Licitaci\u00f3n P\u00fablica Nacional", "procuringEntity": {"id": "DNCP-SICP-CODE-157", "name": "Instituto de Previsi\u00f3n Social (IPS)"}, "criteria": [{"id": "1", "title": "Garant\u00eda de Mantenimiento de Ofertas", "description": "Los oferentes, proveedores o contratistas deber\u00e1n garantizar la seriedad de sus ofertas, mediante la garant\u00eda de mantenimiento de la oferta", "source": "tenderer", "requirementGroups": [{"id": "1-1", "description": "La garant\u00eda debe ser de un cierto porcentaje, periodo y tipo", "requirements": [{"id": "1-1-1", "title": "Porcentaje de la garantia", "expectedValue": "3"}, {"id": "1-1-2", "title": "Validez de la garantia en d\u00edas", "expectedValue": "180"}]}]}], "enquiries": [{"id": "3", "date": "2021-11-25T13:39:51-04:00", "title": "Detalle de los productos con sus respectivas especificaciones t\u00e9cnica", "description": "2 Con relaci\u00f3n al \u00edtem 2, Adalimumab inyectable, de la LPN SBE N\u00b0 130/21 ADQUISICI\u00d3N DE MEDICAMENTOS MONOCLONALES PARA EL IPS (ID 402427), se observa que el monto m\u00ednimo a contratar es de Gs. 696.619.968 (cantidad m\u00ednima 96) y el monto m\u00e1ximo de Gs. 1.393.239.936 (cantidad m\u00e1xima 192). \nConsideramos que dichas cantidades deber\u00edan ser ampliadas atendiendo a que el crecimiento de los pacientes tratados por a\u00f1o con esta mol\u00e9cula se estima entre un 20 y un 30% lo cual equivaldr\u00eda a no menos de 2000 pen aplicadores. Y, la estrategia f\u00e1rmaco econ\u00f3mica m\u00e1s eficiente para el IPS ser\u00eda comenzar a tratar al nuevo paciente con el producto biosimilar, que, por naturaleza maneja precios inferiores a la terapia llevada a cabo con la mol\u00e9cula original, sin sacrificar calidad ni eficacia terap\u00e9utica. \nUn producto biosimilar ha demostrado por una serie de estudios cl\u00ednicos y fisicoqu\u00edmicos tener la misma eficacia que el producto original. La aparici\u00f3n de los biosimilares ha ofrecido a los sistemas de salud de diferentes pa\u00edses del mundo la oportunidad de bajar sus costos de tratamientos y redirigir fondos para cubrir otros tipos de tratamientos de terapias de alto costo.\t\n\nPor lo expuesto precedentemente solicitamos que las cantidades m\u00e1ximas a contratar en este \u00edtem sean aumentadas.\n", "author": {"name": "FARMACEUTICA PARAGUAYA S.A.", "id": "PY-RUC-80006276-0"}, "answer": "El oferente deber\u00e1 remitirse al Pliego de Bases y Condiciones.", "dateAnswered": "2022-01-10T10:37:40-04:00"}, {"id": "5", "date": "2021-11-25T16:47:52-04:00", "title": "SUMINISTROS REQUERIDOS - ESPECIFICACIONES T\u00c9CNICAS", "description": "VISTO QUE:\nEl Pliego de Bases y Condiciones en el apartado: SUMINISTROS REQUERIDOS - ESPECIFICACIONES T\u00c9CNICAS, apartado, detalle de los productos con las respectivas especificaciones t\u00e9cnicas en el \u00edtem 2 (ADALIMUMAB), titulo presentaci\u00f3n de entrega, prev\u00e9 cuanto sigue: \u0085JERINGA PRELLENADA (sic). \nCONSIDERANDO QUE:\nEn primer lugar, el medicamento en cuesti\u00f3n tiene una dosis fija que no var\u00eda por cada paciente, sino que debe suministrarse en una dosis plena y \u00fanica al paciente por ciclo, debiendo desecharse el dispositivo de forma inmediata luego de la inyecci\u00f3n. \nEn segundo lugar, los dispositivos autoinyectores son productos sanitarios dise\u00f1ados para liberar de forma autom\u00e1tica una dosis exacta, est\u00e9ril, apirogena y libre de part\u00edculas de un f\u00e1rmaco en concreto. Por su dise\u00f1o son f\u00e1ciles de utilizar por los propios pacientes para autoadministrarse la medicaci\u00f3n. Estos sistemas de autoinyeccion han evolucionado desde las primeras jeringas de vidrio, pasando por jeringas precargadas, lapiceras monodosis o multidosis, hasta los nuevos sistemas autom\u00e1ticos asociados a softwares inform\u00e1ticos. Es por este motivo que existen varias categor\u00edas de jeringas prellenadas.\nEn este sentido, se conoce al sistema de autoinyeccion convencional con aguja como jeringa prellenada y como lapicera al sistema m\u00e1s sofisticado de autoinyeccion, ya que este dispositivo se compone de una aguja, el inyector en s\u00ed y una jeringa precargada. En esencia, ambos dispositivos son jeringas prellenadas, cumpliendo la misma funci\u00f3n, adem\u00e1s de utilizar los mismos mecanismos y v\u00edas de administraci\u00f3n.  La diferencia principal radica en que la lapicera ofrece una mayor precisi\u00f3n, seguridad y comfort para el paciente en contraste con la presentaci\u00f3n convencional, por lo que se podr\u00eda decir que la lapicera representa la evoluci\u00f3n de la jeringa prellenada. \nComo dato no menor, es importante mencionar que anteriormente en el cuadro b\u00e1sico del IPS estaban incluidas tanto la presentaci\u00f3n de jeringa prellenada como la de lapicera, ya que la presentaci\u00f3n del medicamento original es tambi\u00e9n lapiceras precargadas, por lo que con ello se comprueba el beneficio para el paciente con la tecnolog\u00eda innovadora.  \nPor \u00faltimo, resulta claro de lo expuesto que la presentaci\u00f3n de jeringa prellenada se divide en dos categor\u00edas importantes: la jeringa prellenada y la lapicera precargada, ambas presentaciones son en efecto jeringas y ambas cumplen con el objetivo de la administraci\u00f3n del medicamento de forma \u00fanica y uniforme de la dosis contenida en ella, aunque la lapicera ofrezca las ventajas adicionales mencionadas m\u00e1s arriba. \nSOLICITAMOS QUE:\nPor todo lo expuesto, se solicita a la Convocante que se sirva en aclarar que en el \u00edtem 2 (ADALIMUMAB), conforme a la clasificaci\u00f3n de los sistemas autoinyectores con aguja, al solicitar jeringas prellenadas, la presentaci\u00f3n de lapiceras precargadas corresponde a dicha categor\u00eda, por tanto se trata del mismo dispositivo con mayores prestaciones. Solicitamos esta aclaraci\u00f3n de modo a que una interpretaci\u00f3n err\u00f3nea de dicha clasificaci\u00f3n no restrinja de forma injustificada o il\u00edcita la participaci\u00f3n y la libre concurrencia.\n", "author": {"name": "EXXEL TECHNOLOGIES S.A.E.", "id": "PY-RUC-80024779-5"}, "answer": "La presentaci\u00f3n establecida en el vadem\u00e9cum es jeringa prellenada, el oferente deber\u00e1 remitirse al Pliego de Bases y Condiciones.", "dateAnswered": "2022-01-10T10:37:57-04:00"}, {"id": "1", "date": "2021-11-04T00:51:27-04:00", "title": "ESPECIFICACIONES TECNICAS ", "description": "El Pliego de Bases y Condiciones, en el punto SUMINISTROS REQUERIDOS - ESPECIFICACIONES T\u00c9CNICAS, apartado detalle de los productos con las respectivas especificaciones t\u00e9cnicas, hace menci\u00f3n en la presentaci\u00f3n de entrega del \u00edtem 3 debe ser \u0085FRASCO AMPOLLA (sic). Por lo que, en este sentido, se solicita a la Convocante se sirva en analizar la posibilidad de extender dicho requerimiento ampliando la presentaci\u00f3n a VIAL de modo a no restringir la participaci\u00f3n, y considerando adem\u00e1s que la presentaci\u00f3n vial a diferencia de la Ampolla puede ser utilizada en m\u00faltiples dosis, mientras que la Ampolla debe desecharse despu\u00e9s de un solo uso. ", "author": {"name": "CASA BOLLER S.A.", "id": "PY-RUC-80001556-8"}, "answer": "Se aclara que las presentaciones de entrega Frasco Ampolla  y Vial son considerados sin\u00f3nimos. El oferente deber\u00e1 remitirse a lo establecido en el Pliego de Bases y Condiciones.", "dateAnswered": "2021-11-26T12:20:31-04:00"}, {"id": "2", "date": "2021-11-04T00:52:17-04:00", "title": "PLAN DE ENTREGAS", "description": "El Pliego de Bases y Condiciones en este punto menciona cuanto sigue: \u0085Cronograma de Entrega// Las \u00f3rdenes de entrega ser\u00e1n emitidas por la Direcci\u00f3n de Log\u00edstica de Suministros de Salud, seg\u00fan necesidad y disponibilidad de espacio f\u00edsico y stock en el DASM (Parque Sanitario). Los plazos de entrega ser\u00e1n computados en d\u00edas calendarios a partir de la recepci\u00f3n de la Orden de Entrega por parte del proveedor, con los siguientes plazos: //CANTIDAD MINIMA: //- 20%: Hasta 8 (ocho) d\u00edas calendarios. //- 80%: Hasta 15 (quince) d\u00edas calendarios. Con entregas que podr\u00e1n ser fraccionadas hasta dos (2) veces, siempre dentro del mencionado plazo. Las \u00d3rdenes de Entrega podr\u00e1n ser fraccionadas de acuerdo a la necesidad del IPS y el espacio disponible en DASM.// CANTIDAD M\u00c1XIMA: Con Orden de Entrega de la Direcci\u00f3n de Log\u00edstica de Suministros de Salud, una vez emitida la totalidad de las Cantidades M\u00ednimas. El plazo de entrega ser\u00e1 de hasta 15 (quince) d\u00edas calendarios. Las \u00d3rdenes de Entrega podr\u00e1n ser fraccionadas de acuerdo a la necesidad del IPS y el espacio disponible en DASM (Sic)\nEn este punto, considerando que estos productos deben ser importados y que los tiempos de importaci\u00f3n hoy son m\u00e1s extensos a consecuencia de la pandemia que ha ocasionado la disminuci\u00f3n significativa de alternativas de transporte, y que, por otro lado, la vida \u00fatil de estos productos es limitada, solicitamos a la Convocante que analice la posibilidad de implementar el siguiente cronograma de entregas: \nCANTIDAD MINIMA: \n- 1\u00b0era entrega, 20% Hasta los 10 (diez) d\u00edas calendarios contados desde la recepci\u00f3n de la Orden de compra por parte del proveedor\n\u0096  2\u00b0 Entrega 80%: Hasta los 20 (veinte) d\u00edas calendarios, contados desde la recepci\u00f3n de la Orden de compra por parte del proveedor. \nCon entregas que podr\u00e1n ser fraccionadas siempre dentro del mencionado plazo en todos los casos. \nCANTIDAD MAXIMA:  al ser emitida una vez emitida la totalidad de las cantidades m\u00ednimas, con plazos de entregas de hasta 30 (treinta) d\u00edas a ser contados a partir de la recepci\u00f3n de la orden de compra por parte del proveedor.\nCon entregas que podr\u00e1n ser fraccionadas siempre dentro del mencionado plazo en todos los casos. \nEste ajuste en los plazos de entrega a su vez permitir\u00e1 que mas oferentes puedan participar del proceso.\n", "author": {"name": "CASA BOLLER S.A.", "id": "PY-RUC-80001556-8"}, "answer": "El oferente deber\u00e1 remitirse a lo establecido en el Pliego de Bases y Condiciones.", "dateAnswered": "2021-11-26T12:20:53-04:00"}, {"id": "4", "date": "2021-11-25T13:41:03-04:00", "title": "\u0093Detalle de los productos con sus respectivas especificaciones t\u00e9cnicas\u0094 \u0096 \u00cdtem Nro. 2", "description": "Con relaci\u00f3n al \u00edtem 2, Adalimumab inyectable, de la LPN SBE N\u00b0 130/21 ADQUISICI\u00d3N DE MEDICAMENTOS MONOCLONALES PARA EL IPS (ID 402427), se observa que el monto m\u00ednimo a contratar es de Gs. 696.619.968 (cantidad m\u00ednima 96) y el monto m\u00e1ximo de Gs. 1.393.239.936 (cantidad m\u00e1xima 192). \nConsideramos que dichas cantidades deber\u00edan ser ampliadas atendiendo a que el crecimiento de los pacientes tratados por a\u00f1o con esta mol\u00e9cula se estima entre un 20 y un 30% lo cual equivaldr\u00eda a no menos de 2000 pen aplicadores. Y, la estrategia f\u00e1rmaco econ\u00f3mica m\u00e1s eficiente para el IPS ser\u00eda comenzar a tratar al nuevo paciente con el producto biosimilar, que, por naturaleza maneja precios inferiores a la terapia llevada a cabo con la mol\u00e9cula original, sin sacrificar calidad ni eficacia terap\u00e9utica. \nUn producto biosimilar ha demostrado por una serie de estudios cl\u00ednicos y fisicoqu\u00edmicos tener la misma eficacia que el producto original. La aparici\u00f3n de los biosimilares ha ofrecido a los sistemas de salud de diferentes pa\u00edses del mundo la oportunidad de bajar sus costos de tratamientos y redirigir fondos para cubrir otros tipos de tratamientos de terapias de alto costo.\t\n\nPor lo expuesto precedentemente solicitamos que las cantidades m\u00e1ximas a contratar en este \u00edtem sean aumentadas.\n", "author": {"name": "FARMACEUTICA PARAGUAYA S.A.", "id": "PY-RUC-80006276-0"}, "answer": "El oferente deber\u00e1 remitirse al Pliego de Bases y Condiciones.", "dateAnswered": "2022-01-10T10:37:50-04:00"}], "lots": [{"id": "ShoTd5eOaPk=", "title": "4 - Ocrelizumab Inyectable", "status": "complete", "statusDetails": "Cerrado Con Lances", "value": {"amount": 19350727536, "currency": "PYG"}, "openContractType": " Por cantidad", "simultaneousSupply": true, "attributes": [{"name": "Orden", "value": "4", "id": "1"}]}, {"id": "JikQu01N68Q=", "title": "6 - Pertuzumab Inyectable", "status": "complete", "statusDetails": 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