S02.Pricing Schedule_Q0253 Amended.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- 6505--6 LINE PHARM-LEAVENWORTH CMOP
- Solicitation number
- 36C77024Q0253
About this file
This document is a pricing schedule for a Request for Quote (RFQ) issued by the Department of Veterans Affairs (VA) for the Consolidated Mail Outpatient Pharmacy (CMOP) in Leavenworth. The RFQ, numbered 36C77024Q0253, is for various pharmaceutical products with a required delivery date of May 5, 2024. Vendors must submit a completed SF1449 solicitation cover page, quote spreadsheet, state wholesale distributor license, and Buy American Act certificate (if quoting non-domestic products) by the closing date of April 18, 2024 at 5:00 PM Central Standard Time. The pricing schedule lists 6 line items for Lurasidone HCL and Metformin tablets, including NDCs, quantities, and instructions for vendors. Vendors are limited to submitting one quote per vendor. Pharmaceutical expiration dates must be no less than one year from the delivery date.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77024Q0253 0001.docx | DOCX document | |
| S02.Pricing Schedule_Q0253.xlsx | XLSX spreadsheet | |
| 36C77024Q0253_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Leavenworth | ||||||
| RFQ: 36C77024Q0253 | Delivery on or before: 5/5/2024 | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 4/11/24 | 1. SF1449 - Solicitation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 4/18/24 | 2. Quote - excel spreadsheet | |||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | 3. State Wholesale Distributor License (valid and unexpired) | |||
| ueiSAM: | 4. Buy American Act (BAA ) Certificate, if quoting non-domestic product | |||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | |||||
| POC E-Mail: | * If vendor is proposing NDC with count other than CMOP listed NDC, | |||||
| Phone: | QTY shall be adjusted for that count and this should be noted in "Vendor Comments" | |||||
| * Per the Statement of Requirements, expiration dates of all pharmacueticals and/or medical surgical supplies | Email quotes to kayla.powers@va.gov | |||||
| shall be no less than one (1) year of date of delivery. Please provide expiration in "Vendor Comments" if short-dated | ||||||
| Line | ||||||
| Item | File | |||||
| Number | Description | NDC | Alternate | |||
| NDCs | Mfr | Country of | ||||
| Origin | Packaging | |||||
| Multiple | Unit | QTY | Unit | |||
| Price | Total | |||||
| Price | Vendor |
Comments
| 0001 | 20457 | LURASIDONE HCL 40MG TAB 30CT (L0516) | 65862-0954-30 | 30 | BT | 1152 | $ - 0 | $0.00 |
| 0002 | 20613 | LURASIDONE HCL 80MG TAB (L0518) 30CT | 65862-0956-30 | 30 | BT | 912 | $ - 0 | $0.00 |
| 0003 | 20614 | LURASIDONE HCL 120MG TAB 30CT (L0559) | 65862-0957-30 | 30 | BT | 528 | $ - 0 | $0.00 |
| 0004 | 20611 | LURASIDONE HCL 20MG TAB 30CT (L0560) | 65862-0953-30 | 30 | BT | 816 | $ - 0 | $0.00 |
| 0005 | 20612 | LURASIDONE HCL 60MG TAB (L0603) | 65862-0955-30 | 30 | BT | 624 | $ - 0 | $0.00 |
| 0006 | 20439 | METFORMIN (EQV-FORTAMET) 1000MG SA TAB 60CT (M1295) | 29033-0032-06 | 60 | BT | 1248 | $ - 0 | $0.00 |
File details come from the government source that posted it. Updated .