Attachment C - Bid Form.xlsx

XLSX spreadsheet 30 KB Posted Aug 11, 2026

Attached to: New York State Vaccine Program Supply
Solicitation number: 2138013
Issued by: New York

About this file

Written by GovTribe AI · Aug 11, 2026

This is a Bid Form attachment for the New York State Department of Health's Vaccine Program Supply procurement, which seeks qualified organizations to supply vaccines for pediatric and adult immunization programs serving Child Health Plus enrollees, underinsured children, and underinsured and uninsured adults. The bid form catalogs vaccines across five primary categories: pediatric VFC vaccines, adult vaccines, pediatric influenza vaccines, adult influenza vaccines, and pediatric and adult COVID-19 vaccines. The form lists specific vaccine brand names, trade names, National Drug Codes (NDCs), packaging configurations, and manufacturers for each vaccine type, with instructions referencing Attachment D for detailed bidding guidance. The procurement timeline established a bid submission deadline of September 10, 2026, at 5:00 p.m. ET, with an anticipated contract start date of April 1, 2027. The Department's written question submission deadline was August 13, 2026, with responses posted by approximately August 28, 2026.

Bidders are instructed to either accept the Current CDC Vaccine Price List at the time of order or propose pricing if lower than the CDC Price List for each vaccine listed. The form includes provisions for future pediatric and adult vaccines, directing bidders to reference the CDC price list website for updates to available vaccines. No incumbent information is specified, and there are no minority/women business enterprise (MWBE), Service-Disabled Veteran-Owned Business (SDVOB), or Disadvantaged Business Enterprise (DBE) contracting goals established for this procurement. The Department intends to award one or more contracts to ensure comprehensive coverage of all vaccines identified on the Current CDC Vaccine Price List, with the contract term commencing April 1, 2027.

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Other files

File	Type	Posted
Attachment E - Estimated Order Volume by Vaccine Brand.pdf	PDF	Aug 11, 2026
Attachment B - Application Form.pdf	PDF	Aug 11, 2026
Attachment D - Bid Form Instructions.pdf	PDF	Aug 11, 2026
Invitation for Bids.pdf	PDF	Aug 11, 2026

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Pediatric VFC Vaccine

	Instructions: Please refer to Attachment D: Bid Form Instructions
	https://www.cdc.gov/vaccines-for-children/php/price-list/index.html
	Vaccine	Brandname/ Tradename	NDC	Packaging	Manufacturer	Accept the Current CDC Price list @ time of order	Bidder's Proposed, If less than CDC Price List
	DTaP	Daptacel®	49281-
0286-10	10 pack – 1 dose vial	Sanofi
	DTaP	Infanrix®	58160-
0810-52	10 pack – 1 dose syringe	GlaxoSmithKline
	DTaP-IPV	Quadracel™	49281-
0564-15	10 pack – 1
dose syringe	Sanofi
	DTaP-IPV	Kinrix®	58160-
0812-52	10 pack – 1
dose syringe	GlaxoSmithKline
	DTaP-Hep B-IPV	Pediarix®	58160-
0811-52	10 pack – 1
dose syringe	GlaxoSmithKline
	DTaP-IP-HI	Pentacel®	49281-
0511-05	5 pack – 1
dose vial	Sanofi
	DTaP-IPV-HIB-HEPB	Vaxelis™	63361-
0243-15	10 pack – 1
dose syringe	Merck
	e-IPV	IPOL®	49281-
0860-10	1 pack – 10 dose vial	Sanofi
	Hepatitis A Pediatric	Vaqta®	00006-
4095-02	10 pack – 1 dose syringe	Merck
	Hepatitis A Pediatric	Havrix®	58160-
0825-52	10 pack – 1
dose syringe	GlaxoSmithKline
	Hepatitis A-Hepatitis
B 18 only	Twinrix®	58160-
0815-52	10 pack – 1
dose syringe	GlaxoSmithKline
	Hepatitis B
Pediatric/Adolescent	Engerix B®	58160-
0820-52	10 pack – 1
dose syringe	GlaxoSmithKline
	Hepatitis B
Pediatric/Adolescent	Recombivax
HB®	00006-
4093-02	10 pack – 1
dose syringe	Merck
	Hib	PedvaxHIB®	00006-
4897-00	10 pack – 1 dose vial	Merck
	Hib	ActHIB®	49281-
0545-03	5 pack – 1
dose vial	Sanofi
	Hib	Hiberix®	58160-
0726-15	10 pack – 1
dose vial	GlaxoSmithKline
	HPV – Human
Papillomavirus 9-valent	Gardasil®9	00006-
4121-02	10 pack – 1 dose syringe	Merck
	MENB –
Meningococcal Group B	Trumenba®	00005-
0100-10	10 pack – 1 dose syringe	Pfizer
	MENB –
Meningococcal Group B	Bexsero®	58160-
0976-20	10 pack – 1 dose syringe	GlaxoSmithKline
	Meningococcal Conjugate (Groups A, C, W and Y)	MenQuadfi™	49281-
0590-10	10 pack – 1 dose vial	Sanofi
	Meningococcal Conjugate (Groups A, C, Y and W-135)	Menveo® one-vial	58160-
0827-30	10 pack – 1 dose vial	GlaxoSmithKline
	Meningococcal
Conjugate (Groups A, C, Y and W-135)	Menveo® two-vial	58160-
0955-09	5 pack – 1 dose vial	GlaxoSmithKline
	Meningococcal (Groups A, B, C, W and Y-135)	Penbraya™	00069-
0600-05	5 pack – 1 dose vial	Pfizer
	Meningococcal (Groups A, B, C, W
and Y-135)	Penmenvy	58160-
0757-15	10 pack – 1 dose vial	GlaxoSmithKline
	Measles, Mumps and
Rubella (MMR)	M-M-R®II	00006-
4681-00	10 pack – 1
dose vial	Merck
	Measles, Mumps and Rubella (MMR)	Priorix	58160-
0824-15	10 pack – 1 dose vial	GlaxoSmithKline
	MMR/Varicella	ProQuad®	00006-
4171-00	10 pack – 1
dose vial	Merck
	Monkeypox	JynneosTM	50632-
0001-03	10 pack – 1
dose vial	Bavarian Nordic
	Pneumococcal
15-valent	VaxneuvanceTM	00006-
4329-03	10 pack – 1
dose syringe	Merck
	Pneumococcal
20-valent	Prevnar 20TM	00005-
2000-10	10 pack – 1
dose syringe	Pfizer
	Pneumococcal Polysaccharide (23
Valent)	Pneumovax®23	00006-
4837-03	10 pack – 1 dose syringe	Merck
	Respiratory Syncytial Virus (RSV)	BeyfortusTM
(100mg)	49281-
0574-15	5 pack – 1
dose syringe	Sanofi
		BeyfortusTM (50mg)	49281-
0575-15	5 pack – 1 dose syringe
	Respiratory Syncytial Virus (RSV)	Abrysvo™	00069-
2465-01	1 pack – 1 dose vial	Pfizer
	Respiratory Syncytial Virus (RSV)	Enflonsia™	00006-
5073-01	1 pack – 1
dose syringe	Merck
			00006-
5073-02	10 pack – 1

dose syringe

	Rotavirus, Live, Oral, Pentavalent	RotaTeq®	00006-
4047-41	10 pack – 1
oral dose	Merck
			00006-
4047-20	25 pack – 1

oral dose

	Rotavirus, Live, Oral,
Oral	Rotarix®	58160-
0740-21	10 pack – 1
oral dose	GlaxoSmithKline
	Tetanus and Diphtheria Toxoids	Tenivac®	49281-
0215-15	10 pack – 1 dose syringe	Sanofi
			49281-
0215-10	10 pack – 1 dose vial
	Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular
Pertussis	Boostrix®	58160-
0842-52	10 pack – 1 dose syringe	GlaxoSmithKline
	Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular
Pertussis	Adacel®	49281-
0400-10	10 pack – 1
dose vial	Sanofi
			49281-
0400-20	5 pack – 1

dose syringe

	Varicella	Varivax®	00006-
4827-00	10 pack – 1 dose vial	Merck
	Future Pediatric VFC Vaccines (Updates to the CDC Price List - See Attachment D for more information)	Various	Various	Various	Various	N/A

https://www.cdc.gov/vaccines-for-children/php/price-list/index.html Adult Vaccines

Instructions: Please refer to Attachment D: Bid Form Instructions
https://www.cdc.gov/vaccines-for-children/php/price-list/index.html
Vaccine	Brandname/ Tradename	NDC	Packaging	Manufacturer	Accept the Current CDC Price list @ time of order	Bidder's Proposed, If less than CDC Price List
e-IPV	IPOL®	49281-

0860-

10	1 pack – 10 dose vial	Sanofi
	Hepatitis A Adult	Vaqta®	00006-

4096-

02	10 pack – 1 dose syringe	Merck
	Hepatitis A Adult	Havrix®	58160-

0826-

52	10 pack – 1 dose syringe	GlaxoSmith Kline
	Hepatitis A-Hepatitis B Adult	Twinrix®	58160-

0815-

52	10 pack – 1 dose syringe	GlaxoSmith Kline
	Hepatitis B Adult	Heplisav-B™	43528-

0003-

05	5 pack – 1 dose syringe	Sanofi Pasteur
	Hepatitis B Adult	Engerix-B®	58160-

0821-

11	10 pack – 1 dose vial	GlaxoSmith Kline
	Hepatitis B Adult	Engerix-B®	58160-

0821-

52	10 pack – 1 dose syringe	GlaxoSmith Kline
	Hepatitis B-Adult	Recombivax HB®	00006-

4094-

02	10 pack – 1 dose syringe	Merck
	HPV-Human Papillomavirus 9 Valent	Gardasil®9	00006-

4121-

02	10 pack – 1 dose syringe	Merck
	Measles, Mumps, & Rubella	M-M-R®II	00006-

4681-

00	10 pack – 1 dose vial	Merck
	Measles, Mumps and Rubella (MMR)	Priorix	58160-

0824-

15	10 pack – 1 dose vial	GlaxoSmith Kline
	Meningococcal Conjugate (Groups
A, C, W and Y)	Menquadfi	49281-

0590-

10	10 pack – 1 dose vial	Sanofi
	Meningococcal
Conjugate (Groups A, C, Y and W-135)	Menveo® one-vial	58160-

0827-

30	10 pack – 1 dose vial	GlaxoSmith Kline
	Meningococcal (Groups A, B, C, W
and Y)	PenbrayaTM	00069-

0600-

05	5 pack – 1 dose vial	Pfizer
	Meningococcal (Groups A, B, C, W
and Y-135)	Penmenvy	58160-

0757-

15	10 pack – 1 dose vial	GlaxoSmith Kline
	MENB –
Meningococcal Group B	Trumenba®	00005-

0100-

10	10 pack – 1 dose syringe	Pfizer
	MENB –
Meningococcal Group B	Bexsero®	58160-

0976-

20	10 pack – 1 dose syringe	GlaxoSmith Kline
	Monkeypox	Jynneos™	50632-

0001-

03	10 pack – 1 dose vial	Bavarian Nordic
	Pneumococcal 20-valent	Prevnar 20™	00005-

2000-

10	10 pack – 1 dose syringe	Pfizer
	Pneumococcal 21-valent	Capvaxive	00006-

4347-

02	10 pack – 1 dose syringe	Merck
	Pneumococcal
Polysaccharide (23 Valent)	Pneumovax®2 3	00006-

4837-

03	10 pack – 1 dose syringe	Merck
	Respiratory Syncytial Virus (RSV)	Abrysvo™	00069-

2465-

10	10 pack – 1 dose vial	Pfizer
	Respiratory Syncytial Virus (RSV)	Arexvy	58160-

0848-

11	10 pack – 1 dose vial	GlaxoSmith Kline
	Respiratory Syncytial Virus (RSV)	mResvia	80777-

0345-

96	10 pack – 1 dose syringe	Moderna
	Tetanus and Diphtheria Toxoids	Tenivac	49281-

0215-

10	10 pack – 1 dose vial	Sanofi
			49281-

0215-

15	10 pack – 1 dose syringe
	Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis	Adacel®	49281-

0400-

10	10 pack – 1 dose vial	Sanofi
			49281-

0400-

20	5 pack – 1 dose syringe
	Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular
Pertussis	Boostrix®	58160-

0842-

52	10 pack – 1 dose syringe	GlaxoSmith Kline
	Varicella	Varivax®	00006-

4827-

00	10 pack – 1 dose vial	Merck
	Zoster Vaccine Recombinant, Adjuvanted	Shingrix®	58160-

0849-

52	10 pack – 1 dose syringe	GlaxoSmith Kline
	Future Adult Vaccines (Updates to the CDC Price List - See Attachment D for more information)	Various	Various	Various	Various	N/A

Pediatric Influenza Vaccines

	Instructions: Please refer to Attachment D: Bid Form Instructions
	https://www.cdc.gov/vaccines-for-children/php/price-list/index.html
	Vaccine	Brandname/ Tradename	NDC	Packaging	Manufacturer	Accept the Current CDC Price list @ time of order	Bidder's Proposed, If less than CDC Price List
	Inﬂuenza
(Age 65 years and older)	Fluzone High-dose® TIV	49281-
0126-65	10 pack – 1 dose syringe	Sanoﬁ
	Inﬂuenza

(Age 6 months and

older)	Fluzone®
TIV	49281-
0426-50	10 pack – 1 dose syringe	Sanoﬁ
	Influenza

(Age 9 years and

older)	Flublok® TIV	49281-
0726-10	10 pack – 1 dose syringe	Sanofi
	Influenza

(Age 6 months and

older)	Fluarix® TIV	58160-
0725-52	10 pack - 1 dose syringe	GlaxoSmithKline
	Influenza

(Age 6 months and

older)	FluLaval® TIV	19515-
0822-52	10 pack - 1 dose syringe	GlaxoSmithKline
	Influenza

(Age 6 months and

older)	Flucelvax® TIV	70461-
0656-03	10 pack – 1 dose syringe	Seqirus USA, Inc
	Influenza
(Age 65 years and older)	Fluad TIV	70461-
0026-03	10 pack - 1 dose syringe	Seqirus USA, Inc
	Influenza
Live, Intranasal (Age 2-49 years)	FluMist® TIV	66019-
0113-10	10 pack - 1 dose sprayer
(Intranasal)	AstraZeneca
	Future Pediatric Influenza Vaccines (Updates to the CDC Price List - See Attachment D for more information)	Various	Various	Various	Various	N/A

Adult Influenza Vaccines

	Instructions: Please refer to Attachment D: Bid Form Instructions
	https://www.cdc.gov/vaccines-for-children/php/price-list/index.html
	Vaccine	Brandname/ Tradename	NDC	Packaging	Manufacturer	Accept the Current CDC Price list @ time of order:	Bidder's Proposed, If less than CDC Price List
	Influenza
(Age 65 years and older)	Fluzone High-dose® TIV	49281-

0126-

65	10 pack - 1 dose syringe	Sanofi
	Influenza
(Age 6 months and older)	Fluzone® TIV	49281-

0426-

50	10 pack - 1 dose syringe	Sanofi
	Influenza
(Age 9 years and older)	Flublok® TIV	49281-

0726-

10	10 pack - 1 dose syringe	Sanofi
	Influenza
(Age 6 months and older)	Fluarix® TIV	58160-

0725-

52	10 pack - 1 dose syringe	GlaxoSmithKline
	Influenza
(Age 6 months and older)	FluLaval® TIV	19515-

0822-

52	10 pack - 1 dose syringe	GlaxoSmithKline
	Influenza
(Age 6 months and older)	Flucelvax® TIV	70461-

0656-

03	10 pack - 1 dose syringe	Seqirus USA, Inc
	Influenza
(Age 65 years and older)	Fluad TIV	70461-

0026-

03	10 pack - 1 dose syringe	Seqirus USA, Inc
	Influenza
Live, Intranasal (Age 2-49 years)	FluMist® TIV	66019-

0113-

10	10 pack - 1 dose sprayer
(Intranasal)	AstraZeneca
	Future Adult Influenza Vaccines (Updates to the CDC Price List - See Attachment D for more information)	Various	Various	Various	Various	N/A

Pediatric COVID-19 Vaccines

	Instructions: Please refer to Attachment D: Bid Form Instructions
	https://www.cdc.gov/vaccines-for-children/php/price-list/index.html
	Vaccine	Brandname/ Tradename	NDC	Packaging	Manufacturer	Accept the Current CDC Price list @ time of order	Bidder's Proposed, If less than CDC Price List
	Covid-19
(Age 12 years and older)	Spikevax™	80777-

0112-

96	10 pack - 1 dose syringe	Moderna
	Covid-19 (Age 6
months through 11 years)	Spikevax™	80777-

0113-

80	10 pack- 1 dose syringe	Moderna
	Covid-19 (Age 12 years and older)	Comirnaty®	00069-

2528-

10	10 pack- 1 dose syringe	Pfizer
	Covid-19 (Age 5
years through 11 years)	Comirnaty®	00069-

2501-

10	10 pack- 1 dose vial	Pfizer
	Future Pediatric COVID-19 Vaccines (Updates to the CDC Price List - See Attachment D for more information, i.e. Nuvaxovid™ and mNEXSPIKE®)	Various	Various	Various	Various	N/A

https://www.cdc.gov/vaccines-for-children/php/price-list/index.html Adult COVID-19 Vaccines

	Instructions: Please refer to Attachment D: Bid Form Instructions
	https://www.cdc.gov/vaccines-for-children/php/price-list/index.html
	Vaccine	Brandname/ Tradename	NDC	Packaging	Manufacturer	Accept the Current CDC Price list @ time of order	Bidder's Proposed, If less than CDC Price List
	Covid-19
(Age 12 years and older)	Spikevax™	80777-

0112-

96	10 pack - 1 dose syringe	Moderna
	Covid-19
(Age 12 years and older)	Comirnaty®	00069-

2528-

10	10 pack- 1 dose syringe	Pfizer
	Future Adult COVID-19 Vaccines (Updates to the CDC Price List - See Attachment D for more information, i.e. Nuvaxovid™ and mNEXSPIKE®)	Various	Various	Various	Various	N/A

File details come from the government source that posted it. Updated Aug 11, 2026.