The VA Midwest Healthcare Network (VISN 23) requires a sole-source expansion and upgrade of its existing BD Pyxis automated medication dispensing systems at facilities in Minneapolis, MN, and Omaha, NE, to comply with VHA Directive 1195 for high-alert medication safety. The contractor must provide all licensing, hardware, software, installation, training, and project management services, with all products installed and operational by October 2026. The place of performance is at the Minneapolis VA Medical Center (1 Veterans Dr, Minneapolis, MN) and the Nebraska-Western Iowa VA in Omaha (4101 Woolworth Ave, Omaha, NE). The project includes a detailed list of specific Pyxis cabinets, servers, and ancillary equipment to be delivered and installed across numerous clinical locations. No budget amount is specified in the description.