S02_Pricing Schedule_Q0062.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77025Q0062
About this file
This document is a pricing schedule spreadsheet for a Request for Quote (RFQ) solicitation issued by the Department of Veterans Affairs (VA) Veterans Health Administration (VHA) Veterans Integrated Service Network 15 for pharmaceuticals for the Chelmsford CMOP location.
The solicitation number is 36C77025Q0062, and the required documents include a signed SF1449 cover page, the completed pricing spreadsheet, a valid state wholesale distributor license, and a Trade Agreements Act (TAA) certificate. Vendors are limited to submitting one quote per vendor. The solicitation closing date is 12/2/24 at 3:00 PM Central Time. The pricing schedule includes 7 line items for pharmaceutical products such as Clomiphene Citrate, Sulfacetamide, Zolmitriptan, and various Amlodipine/Benazepril combination products. Vendors must provide pricing, alternate NDCs, manufacturer country of origin, and packaging information. Per the requirements, all pharmaceuticals must have at least 1 year of expiration from the date of delivery.
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| File | Type | Posted |
|---|---|---|
| 36C77025Q0062_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Chelmsford | ||||||||||||
| RFQ: 36C77025Q0062 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | ||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 11/22/24 | 1. SF1449 - Solicitation cover page (signed) | |||||||||
| Vendor shall complete all areas in orange | Closing Date: | 12/2/24 | 2. Quote - excel spreadsheet | |||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Time (CT) | 3. State Wholesale Distributor License, valid and unexpired | |||||||||
| ueiSAM: | 4. Trade Agreements 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 | 432 | $ - 0 | $0.00 | ||||
| 0002 | Chelmsford | SULFACETAMIDE NA 10/SULFUR 5% | 44523-0602-01 | 25 | EA | 4800 | $ - 0 | $0.00 | ||||
| 0003 | Chelmsford | ZOLMITRIPTAN 5MG/SPRAY NASAL SOLN 0.1ML | 45802-0711-91 | 6 | EA | 432 | $ - 0 | $0.00 | ||||
| 0004 | Chelmsford | AMLODIPINE 5/BENAZEPRIL 10MG CAP (A0605) | 65862-0583-05 | 500 | BT | 336 | $ - 0 | $0.00 | ||||
| 0005 | Chelmsford | AMLODIPINE 5/BENAZEPRIL 20MG CAP 500CT, (A0606) | 55111-0340-05 | 500 | BT | 432 | $ - 0 | $0.00 | ||||
| 0006 | Chelmsford | AMLODIPINE 10MG / BENAZEPRIL 20MG CAP 500CT (A1115) | 55111-0341-05 | 500 | BT | 528 | $ - 0 | $0.00 | ||||
| 0007 | Chelmsford | AMLODIPINE 5/BENAZEPRIL 40MG CAP 100CT (A1324) | 65862-0585-01 | 100 | BT | 1536 | $ - 0 | $0.00 | ||||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .