Copy of S02_Pricing Schedule_36C77026Q0104.xlsx

XLSX spreadsheet 14 KB Posted

Attached to
6505--766-26-2-400-0420 -Charleston CMOP B0302 BRIMONIDINE TARTRATE -(VA-26-00039036)
Solicitation number
36C77026Q0104
Issued by

About this file

This is a pricing schedule spreadsheet for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 for pharmaceutical supplies to support the VA CMOP Charleston (Ladson) facility. The solicitation number is 36C77026Q0104, with a posting date of March 13, 2026, and a closing date of March 17, 2026, at 10:00 AM Eastern Time. Vendors must submit completed SF1449 solicitation cover pages, quote spreadsheets with pricing, valid state wholesale distributor licenses, and Buy American Act certificates to Claudine.challinor@va.gov and Kelley.Cunningham@va.gov.

The requirement covers three line items for Brimonidine Tartrate 0.2% ophthalmic solution in varying package sizes: 5ml (NDC 61314-0143-05, quantity 720 units), 10ml (NDC 61314-0143-10, quantity 7,200 units), and 15ml (NDC 24208-0411-15, quantity 4,320 units). All pharmaceuticals must have expiration dates no less than one year from the date of delivery. First delivery is required within 10 days after receipt of order. Vendors may propose alternate NDCs with adjusted quantities, which must be noted in vendor comments. The spreadsheet requires vendors to complete all fields marked in orange, including unit pricing and total pricing calculations.

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Quote Spreadsheet

VA CMOP Charleston (Ladson)
RFQ: 36C77026Q0104First delivery 10 days after receipt of order (ARO)Required documents:
Solicitation - Quote SpreadsheetPosted Date:3/13/261. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:3/17/262. Quote - excel spreadsheet
Vendor Name:Closing Time:10:00 AM Eastern Time (ET)3. State Wholesale distributor license valid and not expired.
ueiSAM:4. Buy Amercian Act (BAA) Certificate
POC Name:
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: Claudine.challinor@va.gov : Kelley.Cunningham@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 ItemCMOP FacilityDescriptionNDCProposed Alternate NDCsMfrPlace of ManufactureUnitQTYUnit PriceTotal PriceVendor Comments
0001VA CMOP Charleston (Ladson)BRIMONIDINE TARTRATE 0.2% OPH SOLN 5Ml61314-0143-05BT720$ - 0$0.00
002VA CMOP Charleston (Ladson)BRIMONIDINE TARTRATE 0.2% OPH SOLN 10ml61314-0143-10BT7200
003VA CMOP Charleston (Ladson)BRIMONIDINE TARTRATE 0.2% OPH SOLN 15ml24208-0411-15BT4320
$0.00

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