S02_Pricing Schedule_Q0320_Updated.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77024Q0320
About this file
This document is a pricing schedule spreadsheet related to a Request for Quotation (RFQ) for pharmaceutical products needed by the Department of Veterans Affairs (VA) for the Leavenworth Community-Based Outpatient Pharmacy (CMOP). The RFQ has a closing date of August 28, 2024 at 4:00 PM Central Standard Time. Vendors must submit a signed SF1449 solicitation cover page, a completed quote spreadsheet, proof of a state wholesale distributor license, and a Buy American Act (BAA) certificate if proposing non-domestic products. Vendors must provide the country of origin, packaging details, pricing, and expiration dates for the requested NDC pharmaceutical products. The RFQ is set aside for small businesses, and the BAA applies. The VA CMOP Leavenworth facility in VISN 15 requires specific quantities of Metformin, Saxagliptin, and Olmesartan Medoxomil drug products.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77024Q0320 0001.pdf | ||
| S02_RFQ_36C77024Q0320.pdf | ||
| S02_Pricing Schedule_Q0320.xlsx | XLSX spreadsheet |
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Text version
Quote Spreadsheet **** Updated Pricing Schedule **** CMOP - Leavenworth
| RFQ: 36C77024Q0320 | Delivery on or before: 10 days ARO | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 8/21/24 | 1. SF1449 - Solicitation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 8/28/24 | 2. Quote - excel spreadsheet - Country of Origin | |||
| Vendor Name: | Closing Time: | 4:00PM Central Standard Time (CST) | 3. State Wholesale Distributor License | |||
| ueiSAM: | 4. BAA Certificate - for non-domestic quotes | |||||
| POC Name: | ||||||
| POC E-Mail: | * If vendor is proposing NDC with count other than CMOP listed NDC, | Email quotes to: Jennifer.Knight@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 | File | |||||
| Number | CMOP | |||||
| Facility | Description | NDCs | Alternative | |||
| NDCs | Mfr | Country of | ||||
| Origin | Packaging | |||||
| Multiple | Unit | QTY | Unit | |||
| Price | Total | |||||
| Price | Vendor |
Comments
| 0003 | 20626 | VA CMOP Leavenworth - 760 | METFORMIN 1000/SAXAGLIPTIN 2.5MG SA TAB 60 COUNT (M0922) | 43598-0618-60 | 60 | BT | 144 | $ - 0 | $0.00 |
| 0004 | 20637 | VA CMOP Leavenworth - 760 | METFORMIN 1000MG/SAXAGLIPTIN 5MG SA TAB 30CT (M0923) | 43598-0619-30 | 30 | BT | 72 | $ - 0 | $0.00 |
| 0005 | 20628 | VA CMOP Leavenworth - 760 | OLMESARTAN MEDOXOMIL 5MG TAB 90CT (O0168) | 00527-2425-46 | 90 | BT | 384 | $ - 0 | $0.00 |
| Total Small Business Set-aside | $0.00 | ||||||||
| Buy American Act Applies (BAA) |
File details come from the government source that posted it. Updated .