S02_Pricing Schedule_Q0259.xlsx
XLSX spreadsheet 20 KB Posted
- Solicitation number
- 36C77024Q0259
About this file
This document is a Pricing Schedule related to a Request for Quote (RFQ) for pharmaceutical products for the Department of Veterans Affairs (VA) Chelmsford Community-Based Outpatient Pharmacy (CMOP).
The RFQ is for two line item pharmaceutical products, Clomiphene Citrate 50mg Tablets and Sulfacetamide Sodium 10%/Sulfur 5% Lotion. The quote spreadsheet provides details on the required NDCs, packaging, quantities, and pricing. Vendors must complete and submit the spreadsheet, along with a signed SF1449 cover page and other required documents, by the closing date of May 1, 2024 at 3:00 PM CT. Awards will be made to the vendor(s) providing the lowest priced, technically acceptable quote that meets the stated requirements. The required delivery time is 10 days After Receipt of Order (ARO), and all quoted pharmaceuticals must have an expiration date of at least one year from the date of delivery.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0259_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Chelmsford | ||||||||||||
| RFQ: 36C77024Q0259 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | ||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 4/24/24 | 1. SF1449 - Solicitation cover page (signed) | |||||||||
| Vendor shall complete all areas in orange | Closing Date: | 5/1/24 | 2. Quote - excel spreadsheet | |||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Time (CT) | 3. State Wholesale Distributor License, valid and unexpired | |||||||||
| ueiSAM: | 4. Trade Agreement Act (TAA) Certificate | |||||||||||
| 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, | Email quotes to: Kelley.Cunningham@va.gov | ||||||||||
| 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 pharmaceuticals and/or medical surgical supplies | ||||||||||||
| shall be no less than one (1) year of date of delivery. Please provide expiration in "Vendor Comments" if short-dated | ||||||||||||
| Line Item | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | Chelmsford | CLOMIPHENE CITRATE 50MG TAB 30CT, (C0482) | 00713-0885-30 | 30 | BX | 288 | $ - 0 | $0.00 | ||||
| 0002 | Chelmsford | SULFACETAMIDE NA 10/SULFUR 5% LOT 25GM, (S0371) | 44523-0602-01 | 25 | EA | 3600 | $ - 0 | $0.00 | ||||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .