S02_Pricing Schedule_Q0030.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- 6505--770-25-1-801-0013 - National CMOP CHLORHEXIDINE GLUCONATE 4% TOP LIQUID (VA-24-00109489)
- Solicitation number
- 36C77025Q0030
About this file
This document is a Quote Spreadsheet for a Request for Quote (RFQ) issued by the Department of Veterans Affairs (VA) Veterans Health Administration Veterans Integrated Service Network 15 for the National CMOP CHLORHEXIDINE GLUCONATE 4% TOP LIQUID product (Solicitation Number: 36C77025Q0030). The RFQ requires vendors to submit quotes on the provided spreadsheet template, which includes details such as CMOP facility locations, National Drug Codes (NDCs), packaging, quantities, unit pricing, and total pricing. Key requirements include a 10-day delivery after receipt of order, submission of the SF1449 solicitation cover page, proof of state wholesale distributor license or SAM registration, OEM documentation, and a Buy American Act certificate if quoting a non-domestic product. Quotes are due by 3:00 PM Central Time on 10/30/24. The solicitation was posted on 10/25/24.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77025Q0030_2.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - National | |||||||||||||
| RFQ: 36C77025Q0030 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 10/25/24 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 10/30/24 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Time (CT) | 3. State Wholesale Distributor License -and/or- | ||||||||||
| ueiSAM: | 4. OEM authorized dealer or distributor documentation for OTC products | ||||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | 5. Buy American Act (BAA) Certificate, if quoting a non-domestic product | |||||||||||
| 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" | Email quotes to: Lacie.nowak@va.gov | |||||||||||
| * 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 | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 7254 | Leavenworth CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 1680 | $ - 0 | $0.00 | ||||
| 0002 | 7254 | Chelmsford CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 1440 | $ - 0 | $0.00 | ||||
| 0003 | 7254 | Tucson CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 1600 | $ - 0 | $0.00 | ||||
| 0004 | 7254 | Lancaster (Dallas) CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 1600 | $ - 0 | $0.00 | ||||
| 0005 | 7254 | Murfreesboro SJ CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 1200 | $ - 0 | $0.00 | ||||
| 0006 | 7254 | Hines CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 2400 | $ - 0 | $0.00 | ||||
| 0007 | 7254 | Ladson (Charleston) CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 2400 | $ - 0 | $0.00 | ||||
| $0.00 |
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