Copy of Domestic_Equivalent_Products_Questionnaire_ 1.xlsx

This is a Domestic Equivalent Products Questionnaire template designed to collect information about domestically manufactured alternative products for a Veterans Health Administration pharmacy procurement. The questionnaire requests vendors to provide details on domestic equivalents for three line items: a PROVOX Heat & Moisture Exchanger (Model #8262), a Verio One Touch Glucose Test Strip (Model 53885-0272-10), and a Catheter Set for intermittent use (14FR, Model H96144).

Vendors are required to complete the questionnaire by providing information for each requested product, including the proposed equivalent product name, manufacturer/OEM, part number, country of origin, and detailed product equivalence specifications covering compatibility, packaging, and performance. Additional required responses include confirmation of product availability, estimated lead time, OEM authorization status for distribution, and business size/classification. All proposed alternatives are subject to pharmacy team review and approval. This questionnaire is part of a Sources Sought pre-solicitation (Solicitation Number 36C77027Q0001) issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 for the Consolidated Mail Outpatient Pharmacy Division located in Chelmsford, supporting the procurement of medical-surgical supplies.