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La presente consulta guarda relaci\u00f3n con la versi\u00f3n inicial del PBC. Conforme a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 230/2025, art\u00edculo 50, la convocante no se encuentra obligada a responder consultas que refieran a versiones anteriores del PBC. 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Uso parenteral. Triglic\u00e9ridos de cadena media, aceite de oliva y aceite de pescado rico en omega 3.\u201d\n\nSolicitamos modificar lo requerido a:\n\u201cEmulsi\u00f3n lip\u00eddica con Omega 3 al 20%. Uso parenteral. Triglic\u00e9ridos de cadena media y cadena larga (MCT/LCT), y aceite de pescado rico en omega 3.\u201d\n\nConsiderando que para las emulsiones lip\u00eddicas lo importante son las cadenas de los triglic\u00e9ridos y as\u00ed como solicitan \u201ctriglic\u00e9ridos de cadena media\u201d sin mencionar el/los aceite/s para el origen de este, solicitamos no limitar \u00fanicamente a \u201caceite de oliva\u201d como fuente de triglic\u00e9ridos de cadena larga (LCT); es decir solicitamos considerar la emulsi\u00f3n lip\u00eddica con triglic\u00e9ridos de cadena media y cadena larga sin limitar el origen de estos, as\u00ed como se ha hecho para el lote 3 \u00edtem 1.\n\u00bfPor qu\u00e9 considerar \u00fanicamente el aceite de oliva como fuente de triglic\u00e9ridos de cadena larga (LCT)? \u00bfPor qu\u00e9 no considerar tambi\u00e9n el aceite de soja? Es importante mencionar adem\u00e1s que limitar a \u201caceite de oliva\u201d dirige las especificaciones t\u00e9cnicas a una \u00fanica marca en el mercado que es Fresenius Kabi con su producto \u201cSMOFlipid\u201d.", "answer": "Favor verificar la \u00faltima versi\u00f3n del PBC", "dateAnswered": "2025-11-20T11:07:55-04:00"}, {"id": "7bb8b4132f82a4ba45582a48aed39ae5-1", "date": "2025-11-27T10:13:55-04:00", "title": "PRECIOS REFERENCIALES", "description": "Se solicita a la convocante ajustar el precio referencial del Lote 15 \u00cdtem 2 a Gs. a 44.000 precio adjudicado en la \u00faltima licitaci\u00f3n CVE N\u00b0 06/2025 ADQUISICI\u00d3N DE MEDICAMENTOS E INSUMOS PARA PREPARADOS NUTRICIONALES PARENTERALES DESTINADOS AL HOSPITAL NACIONAL DE ITAUGUA Y AL HOSPITAL GENERAL PEDIATRICO NI\u00d1OS DE ACOSTA \u00d1U MSPBS - SIMESE N\u00b0 29670-30461/25. en atenci\u00f3n a que el precio referencial no se ajusta al precio del mercado actual, y teniendo en cuenta tambi\u00e9n que en la actual licitaci\u00f3n solicitan equipos en comodato, lo cual encarecen los costos al realizar una apreciaci\u00f3n de los precios referenciales para participar en el llamado.", "answer": "Se informa cuanto sigue: Se procedi\u00f3 a la verificaci\u00f3n de los precios realizados en el An\u00e1lisis de Precio Referencial de fecha 04 de agosto 2025, como as\u00ed tambi\u00e9n, y que lo actuado en dicho an\u00e1lisis se encuentra acorde a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 454/24, como as\u00ed tambi\u00e9n a lo relacionado en el Art. 4 de la ley 7021/2022, en la cual se establece los Principios de Econom\u00eda, Eficacia y Eficiencia seg\u00fan los cuales las necesidades p\u00fablicas deben ser satisfechas con la oportunidad, calidad y costo que aseguren al Estado Paraguayo las mejores condiciones, sujet\u00e1ndose a disposiciones de racionalidad, austeridad y disciplina presupuestaria. Cabe mencionar por lo expuesto precedentemente, los Precios Referenciales que se encuentran en el An\u00e1lisis de Precio y respaldada en el Dictamen de DOC N\u00b0 134/2025 de fecha 11 de agosto, se ratifican y mantienen iguales", "dateAnswered": "2025-11-28T10:35:30-04:00"}, {"id": "38545bcd923d39cc767001a3a4298c2d-1", "date": "2025-11-25T09:12:23-04:00", "title": "LOTE 22 EETT:\u00a0JERINGA DESECHABLE SIN AGUJA (3 ML. PL\u00c1STICO, TIPO LUER LOCK , SIN AGUJA ,EMBOLO EXTREMO DISTAL DE GOMA QUE NO PERMITA FILTRACIONES, GRADUADO CADA 0,1 ML)", "description": "CONSULTA:\u00a0Se solicita amablemente a la convocante flexibilizar su solicitud de la siguiente manera 3 ML. PL\u00c1STICO, TIPO LUER LOCK, CON O\u00a0SIN AGUJA, EMBOLO EXTREMO DISTAL DE GOMA QUE NO PERMITA FILTRACIONES, GRADUADO CADA 0,1 ML. Esto permitir\u00e1 que un mayor n\u00famero de oferentes, incluidos los actuales proveedores de instituciones de salud, puedan participar.", "answer": "Ajustarse a PBC. La presente consulta guarda relaci\u00f3n con la versi\u00f3n inicial del PBC. Conforme a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 230/2025, art\u00edculo 50, la convocante no se encuentra obligada a responder consultas que refieran a versiones anteriores del PBC. Solo ser\u00e1n consideradas las consultas que versen sobre la adenda emitida.", "dateAnswered": "2025-11-28T09:38:46-04:00"}, {"id": "64aef7d15cf5a48fb12f9144cc6c7165-1", "date": "2025-11-24T15:27:49-04:00", "title": "Muestras", "description": "En el apartado de Muestras solicitamos a la convocante en caso de ofertarse en varios \u00edtems del mismo tipo de material y/o insumo, pero de diferentes medidas, ser\u00e1 suficiente la presentaci\u00f3n de uno de ellos, debiendo ajustarse exactamente al \u00edtem para el cual se entrega la muestra, acompa\u00f1adas de una declaraci\u00f3n jurada en la que el oferente se compromete, en caso de ser adjudicado, a entregar el producto conforme a las especificaciones t\u00e9cnicas requeridas en el \u00edtem correspondiente de igual marca, calidad, origen y procedencia que la muestra presentada.  EJEMPLO: LOTE 11, 12, 13, 14 son el mismo producto, pero de diferentes medidas, en el LOTE 15 los \u00edtems 1, 2, 3, mismo producto diferentes medidas, LOTE 17 AL 23 mismo producto, pero diferentes medidas.", "answer": "Ajustarse al PBC. No se aceptar\u00e1 declaraci\u00f3n jurada en sustituci\u00f3n de muestras. Cada oferente deber\u00e1 presentar las muestras correspondientes a cada lote/\u00edtem ofertado, sin excepci\u00f3n.\nAunque varios \u00edtems pertenezcan a un mismo tipo de producto, las diferencias en medidas, volumen, tipo de conexi\u00f3n, calibre, resistencia, materialidad y compatibilidad pueden impactar directamente en la seguridad y el desempe\u00f1o durante la administraci\u00f3n parenteral\n", "dateAnswered": "2025-11-28T09:37:52-04:00"}, {"id": "177707fae157da893cf7bd5094502751-1", "date": "2025-11-27T11:05:07-04:00", "title": "\u00edtem 21 Jeringa desechable", "description": "Se solicita a la convocante para el \u00edtem 21 -  Jeringa desechable sin aguja, donde dice graduado cada 0,2 ml, sea modificada a 0,5, debido a la practicidad a la hora de medici\u00f3n producto a ser suministrado.", "answer": "Ajustarse a PBC. La presente consulta guarda relaci\u00f3n con la versi\u00f3n inicial del PBC. Conforme a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 230/2025, art\u00edculo 50, la convocante no se encuentra obligada a responder consultas que refieran a versiones anteriores del PBC. Solo ser\u00e1n consideradas las consultas que versen sobre la adenda emitida.", "dateAnswered": "2025-11-28T09:40:36-04:00"}, {"id": "0d7eee3acf1a9dbb9fa6439cce12db92-1", "date": "2025-09-02T15:29:30-04:00", "title": "Especificaciones T\u00e9cnicas del lote 13 \u00edtem 1 \u201cSoluci\u00f3n de Nutrici\u00f3n Parenteral\u201d", "description": "En el PBC, en las especificaciones t\u00e9cnicas para lote 13 \u00edtem 1 solicitan:\n\u201cAMINOACIDOS, GLUCOSA, LIPIDOS Y ELECTROLITOS Bolsa tricameral con soluci\u00f3n de glucosa, amino\u00e1cidos, con electrolitos, y emulsi\u00f3n lip\u00eddica. Osmolaridad: 1300 a 1500 mOsml/l. Aporte energ\u00e9tico: 1600 kcal. BOLSA DE 1400 A 1500 ML CON SISTEMA CERRADO.\u201d\n\nSolicitamos modificar lo requerido a:\n\u201cAMINOACIDOS, GLUCOSA, LIPIDOS Y ELECTROLITOS Bolsa tricameral con soluci\u00f3n de glucosa (175-185 g), soluci\u00f3n de amino\u00e1cidos (65-75 g), emulsi\u00f3n lip\u00eddica (50-60 g) con aceite de pescado (5-6 g). Osmolaridad: 1500\u00b150 mOsm/l; Aporte energ\u00e9tico 1600\u00b1150 kcal. Presentaci\u00f3n en bolsa de 1200-1500 ml con sistema cerrado. Criterio de evaluaci\u00f3n: kcal/ml.\u201d\nConsiderando que lo solicitado en el PBC no aclara los valores requeridos para las tres soluciones que debe contener las bolsas y es importante definir el contenido requerido para cada soluci\u00f3n; para ello solicitamos contemplar el rango de valores sugeridos. Asimismo, solicitamos tener en cuenta un rango de valores para la osmolaridad, el aporte cal\u00f3rico y el volumen de la bolsa requerida teniendo como criterio de evaluaci\u00f3n las Kcal aportadas por volumen de contenido.\nLos valores actualmente descriptos en el PBC dirigen las especificaciones t\u00e9cnicas a una \u00fanica marca en el mercado que es Fresenius Kabi con su producto \u201cSmofKabiven\u201d.\n\u00bfPor qu\u00e9 limitar la osmolaridad a 1500 mOsml/l? \u00bfPor qu\u00e9 no se podr\u00eda considerar productos con una peque\u00f1a diferencia de osmolaridad de 1500 \u00b150 mOsm/l?\n\u00bfPor qu\u00e9 limitar el aporte energ\u00e9tico a 1600 kcal/l en un volumen de entre 1400 a 1500 ml? \u00bfPor qu\u00e9 no se podr\u00eda considerar productos con un aporte energ\u00e9tico de 1600\u00b1150 kcal/l en un rango de volumen de 1200-1500 ml? Considerando adem\u00e1s que en nutrici\u00f3n cl\u00ednica lo importante es un mayor aporte energ\u00e9tico en un menor volumen de soluci\u00f3n.", "answer": "Favor verificar la \u00faltima versi\u00f3n del PBC", "dateAnswered": "2025-11-20T11:07:18-04:00"}, {"id": "486230939c9e445839e62062085da4bb-1", "date": "2025-09-08T11:20:22-04:00", "title": "Plan de entrega", "description": "Para cantidades m\u00e1ximas, se solicita a la convocante que las \u00f3rdenes de compra sean emitidas con plazos de hasta 30 (treinta) d\u00edas corridos. Teniendo como referencia llamados anteriores del MSP como la \u201cLPN N\u00b0 44/2025 - ADQUISICION DE MEDICAMENTOS PARA EL PROGRAMA NACIONAL DE DIABETES \u2013 MSPBS\u201d", "answer": "Ajustarse a lo establecido en el PBC, considerando que el plan de entrega estipulado responde a las necesidades del MSPBS. \n\n", "dateAnswered": "2025-11-20T11:23:05-04:00"}, {"id": "62ed17a308de69f46858309ddbdd9b40-1", "date": "2025-11-24T12:45:40-04:00", "title": "Licitaci\u00f3n 459780-LPN 38/2025 LOTE 2 ITEM 1 (AMINO\u00c1CIDOS SOLUCI\u00d3N PEDIATRICO).", "description": "Solicitamos a la convocante ampliar la presentaci\u00f3n de frasco ampolla desde 250ml a 500ml. El pedido obedece a que m\u00e1s oferentes puedan participar en el \u00edtem mencionado.", "answer": "Ajustarse a PBC. La presente consulta guarda relaci\u00f3n con la versi\u00f3n inicial del PBC. Conforme a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 230/2025, art\u00edculo 50, la convocante no se encuentra obligada a responder consultas que refieran a versiones anteriores del PBC. Solo ser\u00e1n consideradas las consultas que versen sobre la adenda emitida", "dateAnswered": "2025-11-28T09:37:32-04:00"}, {"id": "45180b99ce6cbc7441f0f28877380995-1", "date": "2025-09-01T12:09:33-04:00", "title": "Abastecimiento simultaneo", "description": "En relaci\u00f3n con la Licitaci\u00f3n P\u00fablica Nacional N\u00b0 38/2025 \u2013 Adquisici\u00f3n de Medicamentos e Insumos con Equipos en Comodato para el Centro Nacional de Preparados Nutricionales, ID N\u00b0 459780, quisi\u00e9ramos plantear una consideraci\u00f3n respecto al mecanismo de adjudicaci\u00f3n previsto.\n\nActualmente la convocatoria est\u00e1 establecida como adjudicaci\u00f3n \u00fanica; sin embargo, solicitamos que sea evaluada la posibilidad de aplicar la modalidad de abastecimiento simult\u00e1neo, teniendo en cuenta lo siguiente:\n\nNaturaleza de los productos: La licitaci\u00f3n contempla medicamentos e insumos que, en su mayor\u00eda, son productos importados.\n\nDisponibilidad en el mercado local: Los proveedores no cuentan con cantidades significativas en stock para una entrega inmediata, justamente por la caracter\u00edstica de importaci\u00f3n de los bienes.\n\nTiempos log\u00edsticos de importaci\u00f3n: La reposici\u00f3n depende de embarques v\u00eda mar\u00edtima, lo que implica plazos log\u00edsticos considerables, fuera del control del proveedor.\n\nMitigaci\u00f3n de riesgos de desabastecimiento: Permitir la adjudicaci\u00f3n a varios proveedores mediante el esquema de abastecimiento simult\u00e1neo fortalece la seguridad en el suministro y reduce el riesgo de incumplimientos por causas ajenas a los oferentes.\n\nCompetencia y equidad: Con esta modalidad, se fomenta la participaci\u00f3n de m\u00faltiples oferentes, generando un proceso m\u00e1s competitivo y transparente.\n\nPor lo expuesto, solicitamos a la entidad convocante que considere aplicar la modalidad de abastecimiento simult\u00e1neo en lugar de adjudicaci\u00f3n \u00fanica, atendiendo a la naturaleza de los bienes y la importancia de asegurar el abastecimiento oportuno y sostenido para el Centro Nacional de Preparados Nutricionales.", "answer": "Favor ajustarse a la \u00faltima versi\u00f3n del PBC, que establece: ABASTECIMIENTO SUMULTANEO: APLICA PARA TODOS LOS LOTES A EXCEPCION DEL LOTE 15 y 16 (los cuales incluye provisi\u00f3n de equipos en car\u00e1cter de comodato)", "dateAnswered": "2025-09-02T07:40:43-04:00"}, {"id": "b036d486253a8946da8581b283172238-1", "date": "2025-09-02T15:29:18-04:00", "title": "Especificaciones T\u00e9cnicas del lote 14 \u00edtem 1 \u201cSoluci\u00f3n de Nutrici\u00f3n Parenteral\u201d", "description": "En el PBC, en las especificaciones t\u00e9cnicas para lote 14 \u00edtem 1 solicitan:\n\u201cAMINOACIDOS, GLUCOSA, LIPIDOS Y ELECTROLITOS Bolsa tricameral con soluci\u00f3n de glucosa, amino\u00e1cidos, con electrolitos, y emulsi\u00f3n lip\u00eddica. Osmolaridad: 1300 a 1500 mOsml/l. Aporte energ\u00e9tico: 2100 a 2200 kcal. BOLSA 1900 ML A 2000 ML CON SISTEMA CERRADO.\u201d\nSolicitamos modificar lo requerido a:\n\u201cAMINOACIDOS, GLUCOSA, LIPIDOS Y ELECTROLITOS Bolsa tricameral con soluci\u00f3n de glucosa (270-280 g), soluci\u00f3n de amino\u00e1cidos (100-110 g), emulsi\u00f3n lip\u00eddica (70-80 g) con aceite de pescado (7-8 g). Osmolaridad: 1500 \u00b1150 mOsm/l. Aporte energ\u00e9tico 2100 \u00b1150 kcal. Presentaci\u00f3n en bolsa de 1800-2100 ml. Criterio de evaluaci\u00f3n: kcal/ml.\u201d\nConsiderando que lo solicitado en el PBC no aclara los valores requeridos para las tres soluciones que debe contener las bolsas y es importante definir el contenido requerido para cada soluci\u00f3n; para ello solicitamos contemplar el rango de valores sugeridos. Asimismo, solicitamos tener en cuenta un rango de valores para la osmolaridad, el aporte cal\u00f3rico y el volumen de la bolsa requerida teniendo como criterio de evaluaci\u00f3n las Kcal aportadas por volumen de contenido.\nLos valores actualmente descriptos en el PBC dirigen las especificaciones t\u00e9cnicas a una \u00fanica marca en el mercado que es Fresenius Kabi con su producto \u201cSmofKabiven\u201d.\n\u00bfPor qu\u00e9 limitar la osmolaridad a 1500 mOsml/l? Solicitamos considerar un rango de 1500 \u00b1150 mOsm/l?\n\u00bfPor qu\u00e9 limitar el aporte energ\u00e9tico como m\u00e1x. a 2200 kcal/l en un volumen de entre 1900 a 2000 ml? \u00bfPor qu\u00e9 no se podr\u00eda considerar productos con un rango de aporte energ\u00e9tico de 2100\u00b1150 kcal/l en un rango de volumen de 1800-2100 ml? Considerando adem\u00e1s que en nutrici\u00f3n cl\u00ednica lo importante es un mayor aporte energ\u00e9tico en un menor volumen de soluci\u00f3n.", "answer": "En el PBC, se establece que dicho mecanismo aplica para todos los lotes, con excepci\u00f3n de los Lotes 15 y  16, que incluyen provisi\u00f3n de equipos en car\u00e1cter de comodato. En tal sentido, se solicita ajustarse a lo dispuesto en el Pliego de Bases y Condiciones.", "dateAnswered": "2025-11-20T10:39:22-04:00"}, {"id": "824da59dd32a5ae5abc6c6ba9557b91e-1", "date": "2025-09-08T11:57:16-04:00", "title": "Precio referencial", "description": "Se solicita a la convocante ajustar el precio referencial del Lote 16 Item 2 a Gs. a 44.000 en atenci\u00f3n a que el precio no se ajusta al precio del mercado, teniendo en cuenta tambi\u00e9n a los equipos en comodato solicitados.", "answer": "Se informa cuanto sigue: Se procedi\u00f3 a la verificaci\u00f3n de los precios realizados en el An\u00e1lisis de Precio Referencial de fecha 11 de agosto 2025, y que lo actuado en dicho an\u00e1lisis se encuentra acorde a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 454/24, como as\u00ed tambi\u00e9n, a lo relacionado en el Art. 4 de la ley 7021/2022, en la cual se establece los Principios de Econom\u00eda, Eficacia y Eficiencia seg\u00fan los cuales las necesidades p\u00fablicas deben ser satisfechas con la oportunidad, calidad y costo que aseguren al Estado Paraguayo las mejores condiciones, sujet\u00e1ndose a disposiciones de racionalidad, austeridad y disciplina presupuestaria. Cabe mencionar por lo expuesto precedentemente, los Precios Referenciales que se encuentran en el An\u00e1lisis de Precio y respaldada en el Dictamen de DOC N\u00b0 134/2025 de fecha 11 de agosto, se ratifican y mantienen iguales.", "dateAnswered": "2025-09-11T07:42:06-04:00"}, {"id": "8267788fe93f9028a380339661984e99-1", "date": "2025-11-27T10:14:06-04:00", "title": "PRECIOS REFERENCIALES", "description": "Se solicita a la convocante ajustar el precio referencial del Lote 15 \u00cdtem 3 a Gs. a 40.000 precio adjudicado en la \u00faltima licitaci\u00f3n CVE N\u00b0 06/2025 ADQUISICI\u00d3N DE MEDICAMENTOS E INSUMOS PARA PREPARADOS NUTRICIONALES PARENTERALES DESTINADOS AL HOSPITAL NACIONAL DE ITAUGUA Y AL HOSPITAL GENERAL PEDIATRICO NI\u00d1OS DE ACOSTA \u00d1U MSPBS - SIMESE N\u00b0 29670-30461/25. en atenci\u00f3n a que el precio referencial no se ajusta al precio del mercado actual, y teniendo en cuenta tambi\u00e9n que en la actual licitaci\u00f3n solicitan equipos en comodato, lo cual encarecen los costos al realizar una apreciaci\u00f3n de los precios referenciales para participar en el llamado.", "answer": "Se informa cuanto sigue: Se procedi\u00f3 a la verificaci\u00f3n de los precios realizados en el An\u00e1lisis de Precio Referencial de fecha 04 de agosto 2025, como as\u00ed tambi\u00e9n, y que lo actuado en dicho an\u00e1lisis se encuentra acorde a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 454/24, como as\u00ed tambi\u00e9n a lo relacionado en el Art. 4 de la ley 7021/2022, en la cual se establece los Principios de Econom\u00eda, Eficacia y Eficiencia seg\u00fan los cuales las necesidades p\u00fablicas deben ser satisfechas con la oportunidad, calidad y costo que aseguren al Estado Paraguayo las mejores condiciones, sujet\u00e1ndose a disposiciones de racionalidad, austeridad y disciplina presupuestaria. Cabe mencionar por lo expuesto precedentemente, los Precios Referenciales que se encuentran en el An\u00e1lisis de Precio y respaldada en el Dictamen de DOC N\u00b0 134/2025 de fecha 11 de agosto, se ratifican y mantienen iguales", "dateAnswered": "2025-11-28T10:35:39-04:00"}, {"id": "5c5cf3abbdf20a15fc971719ab42c825-1", "date": "2025-11-25T09:12:05-04:00", "title": "LOTE 21 EETT:\u00a0JERINGA DESECHABLE SIN AGUJA (5 ML. PL\u00c1STICO, TIPO LUER LOCK , SIN AGUJA ,EMBOLO EXTREMO DISTAL DE\u00a0GOMA QUE NO PERMITA FILTRACIONES, GRADUADO CADA 0,2 ML)", "description": "CONSULTA:\u00a0Se solicita amablemente a la convocante flexibilizar su solicitud de la siguiente manera 5 ML. PL\u00c1STICO, TIPO LUER LOCK, CON O\u00a0SIN AGUJA, EMBOLO EXTREMO DISTAL DE GOMA QUE NO PERMITA FILTRACIONES, GRADUADO CADA 0,2 ML. Esto permitir\u00e1 que un mayor n\u00famero de oferentes, incluidos los actuales proveedores de instituciones de salud, puedan participar.", "answer": "Ajustarse a PBC. La presente consulta guarda relaci\u00f3n con la versi\u00f3n inicial del PBC. Conforme a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 230/2025, art\u00edculo 50, la convocante no se encuentra obligada a responder consultas que refieran a versiones anteriores del PBC. Solo ser\u00e1n consideradas las consultas que versen sobre la adenda emitida.", "dateAnswered": "2025-11-28T09:38:29-04:00"}, {"id": "9f4f2ecab4d28ef3e551053498650c04-1", "date": "2025-09-08T11:56:45-04:00", "title": "Precio referencial", "description": "Se solicita a la convocante ajustar el precio referencial del Lote 16 Item 1 a Gs. a 44.000 en atenci\u00f3n a que el precio no se ajusta al precio del mercado, teniendo en cuenta tambi\u00e9n a los equipos en comodato solicitados.", "answer": "Se informa cuanto sigue: Se procedi\u00f3 a la verificaci\u00f3n de los precios realizados en el An\u00e1lisis de Precio Referencial de fecha 11 de agosto 2025, y que lo actuado en dicho an\u00e1lisis se encuentra acorde a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 454/24, como as\u00ed tambi\u00e9n, a lo relacionado en el Art. 4 de la ley 7021/2022, en la cual se establece los Principios de Econom\u00eda, Eficacia y Eficiencia seg\u00fan los cuales las necesidades p\u00fablicas deben ser satisfechas con la oportunidad, calidad y costo que aseguren al Estado Paraguayo las mejores condiciones, sujet\u00e1ndose a disposiciones de racionalidad, austeridad y disciplina presupuestaria. Cabe mencionar por lo expuesto precedentemente, los Precios Referenciales que se encuentran en el An\u00e1lisis de Precio y respaldada en el Dictamen de DOC N\u00b0 134/2025 de fecha 11 de agosto, se ratifican y mantienen iguales.", "dateAnswered": "2025-09-11T07:41:55-04:00"}, {"id": "7e6e754a368c3553e4501f14711ca3ec-1", "date": "2025-09-08T11:56:07-04:00", "title": "Precio referencial", "description": "Se solicita a la convocante ajustar el precio referencial del Lote 15 Item 3 a Gs. a 44.000 en atenci\u00f3n a que el precio no se ajusta al precio del mercado, teniendo en cuenta tambi\u00e9n a los equipos en comodato solicitados.", "answer": "Se informa cuanto sigue: Se procedi\u00f3 a la verificaci\u00f3n de los precios realizados en el An\u00e1lisis de Precio Referencial de fecha 11 de agosto 2025, y que lo actuado en dicho an\u00e1lisis se encuentra acorde a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 454/24, como as\u00ed tambi\u00e9n, a lo relacionado en el Art. 4 de la ley 7021/2022, en la cual se establece los Principios de Econom\u00eda, Eficacia y Eficiencia seg\u00fan los cuales las necesidades p\u00fablicas deben ser satisfechas con la oportunidad, calidad y costo que aseguren al Estado Paraguayo las mejores condiciones, sujet\u00e1ndose a disposiciones de racionalidad, austeridad y disciplina presupuestaria. Cabe mencionar por lo expuesto precedentemente, los Precios Referenciales que se encuentran en el An\u00e1lisis de Precio y respaldada en el Dictamen de DOC N\u00b0 134/2025 de fecha 11 de agosto, se ratifican y mantienen iguales.", "dateAnswered": "2025-09-11T07:41:44-04:00"}, {"id": "6f4757da97fd51a7eed4749fdec601b7-1", "date": "2025-09-07T22:47:57-04:00", "title": "1.1 Lote 1 \u00cdtem 1 Amino\u00e1cidos Soluci\u00f3n", "description": "Se solicita a la convocante ampliar el rango de % de 10 % a 12% de la soluci\u00f3n, ya que en la descripci\u00f3n del EETT dice claramente que el rango de nitr\u00f3geno puede ser de 15,5 g a 16,5 g por litro y con el porcentaje de 10 no se puede alcanzar los gramos de nitr\u00f3geno solicitados.", "answer": "Se aclara que el porcentaje indicado (10%) corresponde a la suma de amino\u00e1cidos libres presentes en la soluci\u00f3n. El porcentaje del 10% establecido en el Pliego responde a una concentraci\u00f3n est\u00e1ndar en soluciones de amino\u00e1cidos para nutrici\u00f3n parenteral en adultos. Se verific\u00f3 que existen diversas marcas comerciales al 10% que cumplen con el rango de nitr\u00f3geno exigido (15,5-16.5 g/L), por lo cual se solicita ajustarse al PBC", "dateAnswered": "2025-11-20T11:19:42-04:00"}, {"id": "3ad06081c24fe7783f22ea125c462241-1", "date": "2025-11-27T10:13:44-04:00", "title": "PRECIOS REFERENCIALES", "description": "Se solicita a la convocante ajustar el precio referencial del Lote 15 \u00cdtem 1 a Gs. a 56.000 precio adjudicado en la \u00faltima licitaci\u00f3n CVE N\u00b0 06/2025 ADQUISICI\u00d3N DE MEDICAMENTOS E INSUMOS PARA PREPARADOS NUTRICIONALES PARENTERALES DESTINADOS AL HOSPITAL NACIONAL DE ITAUGUA Y AL HOSPITAL GENERAL PEDIATRICO NI\u00d1OS DE ACOSTA \u00d1U MSPBS - SIMESE N\u00b0 29670-30461/25. en atenci\u00f3n a que el precio referencial no se ajusta al precio del mercado actual, y teniendo en cuenta tambi\u00e9n que en la actual licitaci\u00f3n solicitan equipos en comodato, lo cual encarecen los costos al realizar una apreciaci\u00f3n de los precios referenciales para participar en el llamado.", "answer": "Se informa cuanto sigue: Se procedi\u00f3 a la verificaci\u00f3n de los precios realizados en el An\u00e1lisis de Precio Referencial de fecha 04 de agosto 2025, como as\u00ed tambi\u00e9n, y que lo actuado en dicho an\u00e1lisis se encuentra acorde a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 454/24, como as\u00ed tambi\u00e9n a lo relacionado en el Art. 4 de la ley 7021/2022, en la cual se establece los Principios de Econom\u00eda, Eficacia y Eficiencia seg\u00fan los cuales las necesidades p\u00fablicas deben ser satisfechas con la oportunidad, calidad y costo que aseguren al Estado Paraguayo las mejores condiciones, sujet\u00e1ndose a disposiciones de racionalidad, austeridad y disciplina presupuestaria. Cabe mencionar por lo expuesto precedentemente, los Precios Referenciales que se encuentran en el An\u00e1lisis de Precio y respaldada en el Dictamen de DOC N\u00b0 134/2025 de fecha 11 de agosto, se ratifican y mantienen iguales", "dateAnswered": "2025-11-28T10:35:22-04:00"}, {"id": "b8d3e8c071f2f16cc6e1a9f9200e77ff-1", "date": "2025-11-27T11:05:01-04:00", "title": "\u00edtem 20 Jeringa desechable", "description": "Se solicita a la convocante para el \u00edtem 20 -  Jeringa desechable sin aguja, donde dice graduado cada 0,2 ml, sea modificada a 0,5, debido a la practicidad a la hora de medici\u00f3n producto a ser suministrado.", "answer": "Ajustarse a PBC. La presente consulta guarda relaci\u00f3n con la versi\u00f3n inicial del PBC. Conforme a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 230/2025, art\u00edculo 50, la convocante no se encuentra obligada a responder consultas que refieran a versiones anteriores del PBC. Solo ser\u00e1n consideradas las consultas que versen sobre la adenda emitida.", "dateAnswered": "2025-11-28T09:40:16-04:00"}, {"id": "127508fee8f3109336c0b7e1b0b15376-1", "date": "2025-09-08T11:10:33-04:00", "title": "Especificaciones T\u00e9cnicas del Lote 8. 1 \u00cdtem 1 Oligoelementos Inyectable", "description": "Se solicita a la convocante ampliar las concentraciones de los componentes del producto solicitados ya que no cumple los requerimientos diarios conforme a las gu\u00edas internacionales (Aspen/ Espen). Esto significa par compensar deber\u00e1 aumentar la dosis o usar suplementos adicionales, no previsto en el contrato. Dosis en el producto solicitado , cinc 45%,cromo 53%, Selenio 17%, molibdeno19%,todo 11%, insuficientes, usar  este producto no cubre las necesidades de requerimientos diarios", "answer": "Los porcentajes mencionados en la consulta no corresponden con los c\u00e1lculos basados en las sales declaradas y los valores de referencia de las gu\u00edas. La formulaci\u00f3n solicitada en el PBC asegura un aporte adecuado y seguro de oligoelementos en la mayor\u00eda de los pacientes. En aquellos casos donde se requieran aportes superiores (p. ej. selenio en situaciones de alta demanda), la pr\u00e1ctica cl\u00ednica contempla la suplementaci\u00f3n espec\u00edfica. Por lo que se solicita ajustarse al Pliego de Bases y Condiciones.", "dateAnswered": "2025-11-20T11:22:04-04:00"}, {"id": "7b23298c3ccdc147b77d16f9ffe3935f-1", "date": "2025-11-25T09:11:46-04:00", "title": "LOTE 20 EETT:\u00a0JERINGA DESECHABLE SIN AGUJA (10 ML. PL\u00c1STICO, TIPO LUER LOCK , SIN AGUJA ,EMBOLO EXTREMO DISTAL DE GOMA QUE NO PERMITA FILTRACIONES, GRADUADO CADA 0,2 ML)", "description": "CONSULTA:\u00a0Se solicita amablemente a la convocante flexibilizar su solicitud de la siguiente manera 10 ML. PL\u00c1STICO, TIPO LUER LOCK, CON O\u00a0SIN AGUJA, EMBOLO EXTREMO DISTAL DE GOMA QUE NO PERMITA FILTRACIONES, GRADUADO CADA 0,2 ML. Esto permitir\u00e1 que un mayor n\u00famero de oferentes, incluidos los actuales proveedores de instituciones de salud, puedan participar.", "answer": "Ajustarse a PBC. La presente consulta guarda relaci\u00f3n con la versi\u00f3n inicial del PBC. Conforme a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 230/2025, art\u00edculo 50, la convocante no se encuentra obligada a responder consultas que refieran a versiones anteriores del PBC. Solo ser\u00e1n consideradas las consultas que versen sobre la adenda emitida.", "dateAnswered": "2025-11-28T09:38:10-04:00"}, {"id": "4b9b9481f98bcb5249402f616153e912-1", "date": "2025-11-26T11:48:22-04:00", "title": "LOTE 2 ITEM N\u00ba 1 PRESENTACION DE ENTREGA", "description": "La presentaci\u00f3n de entrega detallada, FRASCO AMPOLLA DE 500 ML CON SISTEMA CERRADO, no permite una libre participaci\u00f3n a potenciales oferentes, por lo que solicitamos a la convocante modificar la presentaci\u00f3n a: FRASCO AMPOLLA DE 250 ML CON SISTEMA CERRADO. cumpliendo con la Ley 7021/22 Art 4. Inciso D- Igualdad y Libre Competencia.", "answer": "Ajustarse a PBC. La presente consulta guarda relaci\u00f3n con la versi\u00f3n inicial del PBC. Conforme a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 230/2025, art\u00edculo 50, la convocante no se encuentra obligada a responder consultas que refieran a versiones anteriores del PBC. Solo ser\u00e1n consideradas las consultas que versen sobre la adenda emitida.", "dateAnswered": "2025-11-28T09:39:21-04:00"}, {"id": "325173447dbf7b4337929f2ba436b107-1", "date": "2025-09-08T11:55:31-04:00", "title": "Precio referencial", "description": "Se solicita a la convocante ajustar el precio referencial del Lote 15 Item 2 a Gs. a 55.000 en atenci\u00f3n a que el precio no se ajusta al precio del mercado, teniendo en cuenta tambi\u00e9n a los equipos en comodato solicitados.", "answer": "Se informa cuanto sigue: Se procedi\u00f3 a la verificaci\u00f3n de los precios realizados en el An\u00e1lisis de Precio Referencial de fecha 11 de agosto 2025, y que lo actuado en dicho an\u00e1lisis se encuentra acorde a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 454/24, como as\u00ed tambi\u00e9n, a lo relacionado en el Art. 4 de la ley 7021/2022, en la cual se establece los Principios de Econom\u00eda, Eficacia y Eficiencia seg\u00fan los cuales las necesidades p\u00fablicas deben ser satisfechas con la oportunidad, calidad y costo que aseguren al Estado Paraguayo las mejores condiciones, sujet\u00e1ndose a disposiciones de racionalidad, austeridad y disciplina presupuestaria. Cabe mencionar por lo expuesto precedentemente, los Precios Referenciales que se encuentran en el An\u00e1lisis de Precio y respaldada en el Dictamen de DOC N\u00b0 134/2025 de fecha 11 de agosto, se ratifican y mantienen iguales.", "dateAnswered": "2025-09-11T07:41:33-04:00"}, {"id": "2f45a7e3927acb0a8a1bd850015c5884-1", "date": "2025-11-27T10:14:30-04:00", "title": "PRECIOS REFERENCIALES", "description": "Se solicita a la convocante ajustar el precio referencial del Lote 16 \u00cdtem 2 a Gs. a 40.000 precio adjudicado en la \u00faltima licitaci\u00f3n CVE N\u00b0 06/2025 ADQUISICI\u00d3N DE MEDICAMENTOS E INSUMOS PARA PREPARADOS NUTRICIONALES PARENTERALES DESTINADOS AL HOSPITAL NACIONAL DE ITAUGUA Y AL HOSPITAL GENERAL PEDIATRICO NI\u00d1OS DE ACOSTA \u00d1U MSPBS - SIMESE N\u00b0 29670-30461/25. en atenci\u00f3n a que el precio referencial no se ajusta al precio del mercado actual, y teniendo en cuenta tambi\u00e9n que en la actual licitaci\u00f3n solicitan equipos en comodato, lo cual encarecen los costos al realizar una apreciaci\u00f3n de los precios referenciales para participar en el llamado.", "answer": "Se informa cuanto sigue: Se procedi\u00f3 a la verificaci\u00f3n de los precios realizados en el An\u00e1lisis de Precio Referencial de fecha 04 de agosto 2025, como as\u00ed tambi\u00e9n, y que lo actuado en dicho an\u00e1lisis se encuentra acorde a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 454/24, como as\u00ed tambi\u00e9n a lo relacionado en el Art. 4 de la ley 7021/2022, en la cual se establece los Principios de Econom\u00eda, Eficacia y Eficiencia seg\u00fan los cuales las necesidades p\u00fablicas deben ser satisfechas con la oportunidad, calidad y costo que aseguren al Estado Paraguayo las mejores condiciones, sujet\u00e1ndose a disposiciones de racionalidad, austeridad y disciplina presupuestaria. Cabe mencionar por lo expuesto precedentemente, los Precios Referenciales que se encuentran en el An\u00e1lisis de Precio y respaldada en el Dictamen de DOC N\u00b0 134/2025 de fecha 11 de agosto, se ratifican y mantienen iguales", "dateAnswered": "2025-11-28T10:35:56-04:00"}, {"id": "0c29a1bbab6838ae36771e7df6d35d4f-1", "date": "2025-11-27T10:14:15-04:00", "title": "PRECIOS REFERENCIALES", "description": "Se solicita a la convocante ajustar el precio referencial del Lote 16 \u00cdtem 1 a Gs. a 38.500 precio adjudicado en la \u00faltima licitaci\u00f3n CVE N\u00b0 06/2025 ADQUISICI\u00d3N DE MEDICAMENTOS E INSUMOS PARA PREPARADOS NUTRICIONALES PARENTERALES DESTINADOS AL HOSPITAL NACIONAL DE ITAUGUA Y AL HOSPITAL GENERAL PEDIATRICO NI\u00d1OS DE ACOSTA \u00d1U MSPBS - SIMESE N\u00b0 29670-30461/25. en atenci\u00f3n a que el precio referencial no se ajusta al precio del mercado actual, y teniendo en cuenta tambi\u00e9n que en la actual licitaci\u00f3n solicitan equipos en comodato, lo cual encarecen los costos al realizar una apreciaci\u00f3n de los precios referenciales para participar en el llamado.", "answer": "Se informa cuanto sigue: Se procedi\u00f3 a la verificaci\u00f3n de los precios realizados en el An\u00e1lisis de Precio Referencial de fecha 04 de agosto 2025, como as\u00ed tambi\u00e9n, y que lo actuado en dicho an\u00e1lisis se encuentra acorde a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 454/24, como as\u00ed tambi\u00e9n a lo relacionado en el Art. 4 de la ley 7021/2022, en la cual se establece los Principios de Econom\u00eda, Eficacia y Eficiencia seg\u00fan los cuales las necesidades p\u00fablicas deben ser satisfechas con la oportunidad, calidad y costo que aseguren al Estado Paraguayo las mejores condiciones, sujet\u00e1ndose a disposiciones de racionalidad, austeridad y disciplina presupuestaria. Cabe mencionar por lo expuesto precedentemente, los Precios Referenciales que se encuentran en el An\u00e1lisis de Precio y respaldada en el Dictamen de DOC N\u00b0 134/2025 de fecha 11 de agosto, se ratifican y mantienen iguales", "dateAnswered": "2025-11-28T10:35:46-04:00"}, {"id": "d5cfe5eb6f611c478b399eadf83dd2dc-1", "date": "2025-09-08T10:41:17-04:00", "title": "VENCIMIENTO DE LOS PRODUCTOS", "description": "La convocante solicita que para productos con vencimiento menor a 18 meses el proveedor, adem\u00e1s de la autorizaci\u00f3n de la DGGIES y del Centro Nacional de Preparados Nutricionales., se deber\u00e1 presentar P\u00f3liza de Seguro por el 100% del monto del producto con identificaci\u00f3n del n\u00famero de Lote, al respecto solicitamos que la obligaci\u00f3n de la presentaci\u00f3n de la garant\u00eda sea a partir de 12 meses para abajo, esto atendiendo que garantizar un producto con un vencimiento de 17 meses y 364 d\u00edas representa un alto costo para las empresas proveedoras, adem\u00e1s es irrisorio exigir dicha garant\u00eda para productos con m\u00e1s de un a\u00f1o de vida \u00fatil, ya que resulta imposible que el MSPBS mantenga en stock productos por m\u00e1s de un a\u00f1o sin rotaci\u00f3n.", "answer": "Favor ajustarse al PBC", "dateAnswered": "2025-11-20T11:20:08-04:00"}, {"id": "ccc43da1a9fee8a2dbdf46b20067c2c3-1", "date": "2025-09-08T11:55:04-04:00", "title": "Precio referencial", "description": "Se solicita a la convocante ajustar el precio referencial del Lote 15 Item 1 a Gs. a 60.000 en atenci\u00f3n a que el precio no se ajusta al precio del mercado, teniendo en cuenta tambi\u00e9n a los equipos en comodato solicitados.", "answer": "Se informa cuanto sigue: Se procedi\u00f3 a la verificaci\u00f3n de los precios realizados en el An\u00e1lisis de Precio Referencial de fecha 11 de agosto 2025, y que lo actuado en dicho an\u00e1lisis se encuentra acorde a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 454/24, como as\u00ed tambi\u00e9n, a lo relacionado en el Art. 4 de la ley 7021/2022, en la cual se establece los Principios de Econom\u00eda, Eficacia y Eficiencia seg\u00fan los cuales las necesidades p\u00fablicas deben ser satisfechas con la oportunidad, calidad y costo que aseguren al Estado Paraguayo las mejores condiciones, sujet\u00e1ndose a disposiciones de racionalidad, austeridad y disciplina presupuestaria. Cabe mencionar por lo expuesto precedentemente, los Precios Referenciales que se encuentran en el An\u00e1lisis de Precio y respaldada en el Dictamen de DOC N\u00b0 134/2025 de fecha 11 de agosto, se ratifican y mantienen iguales.", "dateAnswered": "2025-09-11T07:41:18-04:00"}, {"id": "e4d004e121a617cfebdb409a0d326cbc-1", "date": "2025-11-26T11:38:37-04:00", "title": "ESPECIFICACIONES TECNICAS LOTE 2 ITEM N\u00ba 1", "description": "Solicitamos a la convocante modificar la presentaci\u00f3n del LOTE 2 \u00cdTEM 1 de la siguiente manera: FRASCO AMPOLLA DE 250 ML CON SISTEMA CERRADO. La petici\u00f3n debe a que con esta presentaci\u00f3n da apertura a m\u00e1s oferentes", "answer": "Ajustarse a PBC. La presente consulta guarda relaci\u00f3n con la versi\u00f3n inicial del PBC. Conforme a lo establecido en la Resoluci\u00f3n DNCP N\u00b0 230/2025, art\u00edculo 50, la convocante no se encuentra obligada a responder consultas que refieran a versiones anteriores del PBC. Solo ser\u00e1n consideradas las consultas que versen sobre la adenda emitida.", "dateAnswered": "2025-11-28T09:39:04-04:00"}], "lots": [{"id": "1f07df5e-d69e-6076-a5e2-8fc388fb4fff", "title": "14 - 1 - MEDICAMENTOS E INSUMOS PARA EL CENTRO DE PREPARADOS NUTRICIONALES", "status": "active", "statusDetails": "activo", "value": {"amount": 7704000000, "currency": "PYG"}, "openContractType": "cantidad", "simultaneousSupply": true, "attributes": [{"name": "Orden", "value": "1", "id": "14"}]}, {"id": "1efefcb0-98f2-63f6-b98c-1d3169e475fb", "title": "4 - 2 - MEDICAMENTOS E INSUMOS PARA EL CENTRO DE PREPARADOS NUTRICIONALES", "status": "active", "statusDetails": "activo", "value": {"currency": "PYG"}, "openContractType": "cantidad", "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "2", "id": "4"}]}, {"id": "1efefd95-f623-6594-9d50-29aa9ab94cbc", "title": "19 - 1 - MEDICAMENTOS E INSUMOS PARA EL CENTRO DE PREPARADOS NUTRICIONALES", "status": "active", "statusDetails": 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