S02_Pricing_Schedule_Q0183.xlsx
XLSX spreadsheet 16 KB Posted
- Solicitation number
- 36C77025Q0183
About this file
The file is a Pricing Schedule for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration for pharmaceutical products at the Leavenworth CMOP (Consolidated Mail Outpatient Pharmacy) facility. The solicitation (RFQ 36C77025Q0183) seeks quotes for 10 specific pharmaceutical products, including medications such as Galantamine Hydrobromide, Hydrocortisone, HCTZ/Valsartan, Imiquimod, Lithium Carbonate, Nystatin, Nebivolol, Olanzapine, Phenazopyridine HCL, and Pyridostigmine Bromide.
Key submission details include a closing date of 3/31/25 at 4:00 PM Central Time, with vendors required to submit a single quote using the provided Excel spreadsheet. Required documentation includes a signed SF1449 solicitation cover page, state wholesale distributor license, Buy American Act certificate, and OEM authorization documentation. Vendors must provide full case quantities, with product expiration dates no less than one year from delivery, and quotes should be emailed to sarah.fry2@va.gov. The pricing schedule allows vendors to input unit prices and total prices for each pharmaceutical line item, with specific packaging and quantity requirements noted for each product.
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| File | Type | Posted |
|---|---|---|
| S02_RFQ_0183.pdf |
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Quote Spreadsheet
| CMOP - Leavenworth | |||||||||||||
| RFQ: 36C77025Q0183 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 3/24/25 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 3/31/25 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 4:00PM Central Time (CST) | 3. State Wholesale Distributor License, valid and unexpired | ||||||||||
| ueiSAM: | 4. Buy American Act (BAA) Certificate | ||||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | 5. OEM Authorzation documentation for all (Over the Counter) (OTC) products. | |||||||||||
| POC E-Mail: | * If vendor is proposing NDC with count other than CMOP listed NDC, | Email quotes to: sarah.fry2@va.gov | |||||||||||
| Phone: | QTY shall be adjusted for that count and this should be noted in "Vendor Comments" | Customer is requesting full case quantities for products below; please adjust quantity to change total for a full case and make note within 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 | Place of Manufacture | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments | |
| 0001 | Leavenworth | (G0209)GALANTAMINE HYDROBROMIDE 4MG TAB 60 | 57237-0049-60 | 60 | BT | 672 | $ - 0 | $0.00 | |||||
| 0002 | Leavenworth | HYDROCORTISONE 2.5% OINT 30GM (H0062) | |||||||||||
| NEED 30 GM | 00168-0146-30 | 30 | TU | 792 | $ - 0 | $0.00 | |||||||
| 0003 | Leavenworth | HCTZ 25MG/VALSARTAN 320MG TAB 90CT, H0505 | |||||||||||
| NEED 90CT 3+ INCHES TALL FOR PHARMACY LABEL | 00378-6325-77 | 90 | BT | 576 | $ - 0 | $0.00 | |||||||
| 0004 | Leavenworth | IMIQUIMOD 5% TOP CREAM PKT 0.25GM 24CT (I0237) | |||||||||||
| NEED 24CT | 51672-4145-06 | 24 | PG | 528 | $ - 0 | $0.00 | |||||||
| 0005 | Leavenworth | LITHIUM CARBONATE 300MG 1000 (L0047) | 68462-0221-10 | 1000 | BT | 120 | $ - 0 | $0.00 | |||||
| 0006 | Leavenworth | NYSTATIN 100000 UNT/ML SUSP, 480ML (N0095) | |||||||||||
| NEED 480 ML W/SAFETY CAP | 00121-0868-16 | 480 | BT | 300 | $ - 0 | $0.00 | |||||||
| 0007 | Leavenworth | NEBIVOLOL 20MG TAB 90CT, N0601 | 59651-0140-90 | 90 | BT | 792 | $ - 0 | $0.00 | |||||
| 0008 | Leavenworth | OLANZAPINE 10MG TAB (O0075) 1000CT | 72241-0054-11 | 1000 | BT | 84 | $ - 0 | $0.00 | |||||
| 0009 | Leavenworth | PHENAZOPYRIDINE HCL 100MG TAB 100'S (P0039) | 65162-0681-10 | 100 | BT | 144 | $ - 0 | $0.00 | |||||
| 0010 | Leavenworth | PYRIDOSTIGMINE BROMIDE 180MG SA TAB, 30CT (P0174) | |||||||||||
| DISPENSES IN ORIG CONTAINER. NEED 30CT 3+ INCHES TALL FOR PHARMACY LABEL | 68682-0301-30 | 30 | BT | 360 | $ - 0 | $0.00 | |||||||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .