| | 26AP2812 - PLUVICTO - CLEVELAND VAMC | NOVARTIS PHARMACEUTICALS CORPORATION | $617,297 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | May 14, 2026 | Jul 1, 2026 | Dec 31, 2026 |
| | FABHALTA 200 MG | NOVARTIS PHARMACEUTICALS CORPORATION | $34,874 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Apr 7, 2026 | Apr 7, 2026 | Apr 15, 2026 |
| | PLUVICTO - LUTETIUM LU 177 VIPIVOTIDE TETRA 27MCI/ML | NOVARTIS PHARMACEUTICALS CORPORATION | $342,943 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Mar 27, 2026 | Apr 1, 2026 | Sep 30, 2026 |
| | FABHALTA 200 MG | NOVARTIS PHARMACEUTICALS CORPORATION | $34,874 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Mar 6, 2026 | Mar 6, 2026 | Mar 13, 2026 |
| | PLUVICTO | NOVARTIS PHARMACEUTICALS CORPORATION | $4,732,608 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Feb 24, 2026 | Feb 24, 2026 | Aug 31, 2026 |
| | FABHALTA 200 MG | NOVARTIS PHARMACEUTICALS CORPORATION | $34,874 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Feb 12, 2026 | Feb 12, 2026 | Feb 23, 2026 |
| | RADIOPHARMACEUTICALS PLUVICTO / LUTATHERA | NOVARTIS PHARMACEUTICALS CORPORATION | $2,423,133 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Feb 9, 2026 | Feb 1, 2026 | Dec 31, 2026 |
| | LU177 - PLUVICTO/LUTATHERA | NOVARTIS PHARMACEUTICALS CORPORATION | $4,162,659 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Feb 6, 2026 | Feb 7, 2026 | Feb 6, 2027 |
| | PLUVICTO | NOVARTIS PHARMACEUTICALS CORPORATION | $685,885 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Jan 29, 2026 | Feb 1, 2026 | Jul 31, 2026 |
| | PLUVICTO 2026 - CLEVELAND VAMC | NOVARTIS PHARMACEUTICALS CORPORATION | $617,297 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Jan 20, 2026 | Jan 20, 2026 | Jun 30, 2026 |
| | FABHALTA 200 MG | NOVARTIS PHARMACEUTICALS CORPORATION | $34,874 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Jan 20, 2026 | Jan 20, 2026 | Jan 23, 2026 |
| | ACQUISITION OF PLUVICTO AND LUTATHERA FOR RADIOLOGY PATIENTS. | NOVARTIS PHARMACEUTICALS CORPORATION | $578,754 | DEFENSE HEALTH AGENCY (DHA) | DEFENSE HEALTH AGENCY (DHA) | — | 325412Pharmaceutical Preparation Manufacturing | 6550IN VITRO DIAGNOSTIC SUBSTANCES, REAGENTS, TEST KITS AND SETS | Jan 12, 2026 | Jan 15, 2026 | Jan 15, 2026 |
| | PLUVICTO 2026 CLEVELAND | NOVARTIS PHARMACEUTICALS CORPORATION | $334,446 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Jan 5, 2026 | Jan 5, 2026 | Dec 31, 2026 |
| | RADIOPHARMACEUTICALS PLUVICTO / LUTATHERA | NOVARTIS PHARMACEUTICALS CORPORATION | $316,160 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Dec 31, 2025 | Jan 1, 2026 | Jan 31, 2026 |
| | VA GLA NETSPOT | NOVARTIS PHARMACEUTICALS CORPORATION | $160,623 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Dec 30, 2025 | Jan 3, 2026 | Dec 31, 2026 |
| | PLUVICTO (LUTETIUM LU 177 VIPIVOTIDE TETRA 27MCI/ML) | NOVARTIS PHARMACEUTICALS CORPORATION | $4,984,371 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Dec 30, 2025 | Jan 2, 2026 | Jan 1, 2027 |
| | RADIOPHARMACEUTICALS-LUTATHERA AND PLUVICTO INJECTIONS | NOVARTIS PHARMACEUTICALS CORPORATION | $1,980,571 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Dec 19, 2025 | Jan 1, 2026 | Dec 31, 2026 |
| | PLUVICTO AND LUTATHERA INJECTIONS | NOVARTIS PHARMACEUTICALS CORPORATION | $275,812 | DEFENSE HEALTH AGENCY (DHA) | DEFENSE HEALTH AGENCY (DHA) | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Dec 19, 2025 | Dec 19, 2025 | Jan 2, 2026 |
| | FABHALTA 200 MG | NOVARTIS PHARMACEUTICALS CORPORATION | $33,838 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Dec 16, 2025 | Dec 16, 2025 | Dec 19, 2025 |
| | PLUVICTO RADIOPHARMACEUTICAL | NOVARTIS PHARMACEUTICALS CORPORATION | $365,521 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Nov 14, 2025 | Nov 7, 2025 | Jan 31, 2026 |
| | FABHALTA 200 MG | NOVARTIS PHARMACEUTICALS CORPORATION | $33,838 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Nov 12, 2025 | Nov 12, 2025 | Nov 21, 2025 |
| | PLUVICTO (LUTETIUM LU 177 VIPIVOTIDE TETRA 27MCI/ML) | NOVARTIS PHARMACEUTICALS CORPORATION | $813,476 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Oct 28, 2025 | Nov 1, 2025 | Oct 31, 2026 |
| | FABHALTA 200 MG | NOVARTIS PHARMACEUTICALS CORPORATION | $33,838 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Oct 21, 2025 | Oct 21, 2025 | Oct 24, 2025 |
| | PLUVICTO AND LUTATHERA | NOVARTIS PHARMACEUTICALS CORPORATION | $3,914,028 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Oct 8, 2025 | Nov 1, 2025 | Oct 31, 2026 |
| | GA-68 DOTATATE (NETSPOT) | NOVARTIS PHARMACEUTICALS CORPORATION | $171,860 | VETERANS AFFAIRS, DEPARTMENT OF | VETERANS AFFAIRS, DEPARTMENT OF | — | 325412Pharmaceutical Preparation Manufacturing | 6505DRUGS AND BIOLOGICALS | Oct 1, 2025 | Oct 1, 2025 | Sep 30, 2026 |