S02 Attch- Price Sheet 36C77023Q0326_ close-date extended_07.03.2023.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77023Q0326
About this file
This is a solicitation price sheet for pharmaceutical products for the Leavenworth Consolidated Mail Outpatient Pharmacy. The solicitation seeks quotes for 13 line items of various pharmaceutical products to be delivered before or on July 15, 2023. Products include medications for acid reflux, high blood pressure, vitamins, and pain relief. Quotes are due by July 3rd and must include licensing documentation and point of contact information. The Buy American Act applies with a 20% price add-on for foreign manufactured items. The solicitation is associated with Federal Contract Opportunity 36C77023Q0326 to supply the Leavenworth CMOP operated by the Department of Veterans Affairs Veterans Health Administration VISN 15.
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| File | Type | Posted |
|---|---|---|
| 36C77023Q0326 0001.docx | DOCX document | |
| 36C77023Q0326_1.docx | DOCX document | |
| S02 Attch- Price Sheet 36C77023Q0326.xlsx | XLSX spreadsheet |
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Text version
Your Business Name Here
| CMOP Nationwide | ||||||||||||
| 36C77023Q0326 | Delivery Before or On: 15 Days After Receipt of Order (ARO) | |||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 6/21/23 | ||||||||||
| Vendor Complete | Closing Date: | 7/3/23 | ||||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Standard Time (CDT) | ||||||||||
| Unique Entity ID: | E-mail quotes to Gerald.Bingham@va.gov | |||||||||||
| POC Name: | Requireed: Signed SF1449 Form, Copy of State-Issued License (for Drug Items), Authorization Letter from Source, and | |||||||||||
| POC E-Mail: | Vendors shall submit no more than (1) one quote per vendor | |||||||||||
| Phone: | Buy America Act (BAA) applies; a 20% add-on on foreign end products is applicable for evaluation purposes. | |||||||||||
| Type of Small Business | If vendors are proposing NDC with Qty or Package Count other than CMOP listed NDC, convert to closest amount in RFQ. | |||||||||||
| **Mandatory Fill-in: Country of Origin means Country of Manufacture Location (attached photos of product(s) packaging labels welcomed by not mandatory, helps verify location) | ||||||||||||
| QTY shall be adjusted for that count and this should be noted in "Vendor Comments" and/or ARO notes | ||||||||||||
| Vendor Complete | ||||||||||||
| Line Item | VA VISTA Item Number | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | QTY | Unit | Unit Price | Total Price | Vendor Comments (i.e., DAYS ARO, Delivery Days) |
| 1 | 13367 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
| AMLODIPINE 10/ BENAZEPRIL 40MG CAP 100CT (A1325), | |||||||
| PKG: 100 per BT | 65862-0587-01 | 2160 | BT | $ - 0 | $0.00 | ||
| 2 | 13501 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
ELETRIPTAN 40MG,
TAB 6 PKG E0363,
| PKG: 6 per BT | 00093-8311-18 | 1584 | BT | $ - 0 | $0.00 | ||
| 3 | 13176 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
ESOMEPRAZOLE
MAGNESIUM 40MG EC CAP 90CT (E0444),
PKG: MUST BE 90 per BT
| *BT TO BE 90CT AND AT LEAST TWO INCHES TALL TO RUN IN FLEX DISTRIBUTION MACHINE AT FACILITY | *70377-0056-12 | 6912 | BT | $ - 0 | $0.00 | ||
| 4 | 3125 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
ESTRADIOL (ESTROGEL) 0.06% TRANSDERM GEL 50GM,E0622
PKG: 50 per TU
| *BRAND NAME ONLY | *17139-0617-40 | 120 | TU | $ - 0 | $0.00 | ||
| 5 | 17075 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
ESOMEPRAZOLE 20MG
(BASE) EC CAP (E0811),
PKG: 90 per BT
| *BT TO BE 90CT AND AT LEAST TWO INCHES TALL TO RUN IN FLEX DISTRIBUTION MACHINE AT FACILITY | *31722-0664-90 | 1608 | BT | $ - 0 | $0.00 | ||
| 6 | 2185 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
HYDROXYZINE PAMOATE,
25MG CAP 500CT (H0087),
| PKG: 500 per BT | 14539-0674-05 | 432 | BT | $ - 0 | $0.00 | ||
| 7 | 14342 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
HCTZ 25MG/VALSARTAN 320MG TAB 90CT, H0505
PKG: 90 per BT
| *BT TO BE 90CT AND AT LEAST TWO INCHES TALL TO RUN IN FLEX DISTRIBUTION MACHINE AT FACILITY | *33342-0078-10 | 504 | BT | $ - 0 | $0.00 | ||
| 8 | 102285 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
| MULTIVITAMINS W/MIN, PRENATAL CHEW TAB 100CT, M0541 PKG: 100 per BT | 60258-0197-01 | 552 | BT | $ - 0 | $0.00 | |
| 9 | 12467 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
MICROGESTIN 1.5/30
TAB, 21 6CT, M0874
| PKG: 6 per BX | 51862-0872-06 | 60 | BX | $ - 0 | $0.00 | ||
| 10 | 2551 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
NITROGLYCERIN 2%
OINTMENT 60GM, N0066
| PKG: 60 per TU | 00281-0326-60 | 324 | TU | $ - 0 | $0.00 | ||
| 11 | 3939 (N0250) | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
| NAPROXEN 500MG EC TAB, 100CT PKG: 100 per BT | 69543-0426-10 | 120 | BT | |
| 12 | 18385 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
| NEBIVOLOL 5MG TAB 90CT, N0567 PKG: 90 per BT | |||||
| *BT TO BE 90CT AND AT LEAST TWO INCHES TALL TO RUN IN FLEX DISTRIBUTION MACHINE AT FACILITY | *31722-0586-90 | 1032 | BT | ||
| 13 | 18389 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
NEBIVOLOL 20MG
TAB 90CT, N0601
PKG: 90 per BT *BT TO BE 90CT AND AT LEAST TWO INCHES TALL TO RUN IN FLEX DISTRIBUTION MACHINE AT FACILITY *59651-0140-90 480 BT
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