Pricing Schedule_Q0317.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- 15 Line Item Pharmaceutical- Leavenworth Federal contract opportunity
- Solicitation number
- 36C77023Q0317
About this file
This document contains a quote spreadsheet for a 15 line item pharmaceutical solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. The solicitation requests pricing for 15 pharmaceutical products to be delivered to the Veterans Affairs Medical Center in Leavenworth, Kansas on or before August 3, 2023. Vendors are to complete the Excel quote spreadsheet including item descriptions, National Drug Codes, manufacturers, countries of origin, packaging, quantities, unit pricing, and total pricing for each line item. Required documents to be submitted include a signed SF1449 solicitation cover page, the completed quote spreadsheet, and a copy of the vendor's state wholesale distributor license. Quotes are due by July 20, 2023 at 5:00PM Central Standard Time and are to be emailed to the point of contact.
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| File | Type | Posted |
|---|---|---|
| S03. 36C77023Q0317.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Leavenworth | ||||||
| RFQ: 36C77023Q0317 | Delivery on or before: 8/03/2023 | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 7/13/23 | 1. SF1449 - Soliciation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 7/20/23 | 2. Quote - excel spreadsheet | |||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | 3. State Wholesale Distributor License | |||
| ueiSAM: | ||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | Email quotes to: kayla.powers@va.gov | ||||
| 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" | |||||
| * Per the Statement of Requirements, expiration dates of all pharmacueticals 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 | File | |||||
| Number | Description | NDC# | Alternate | |||
| NDCs | Mfr | Country of | ||||
| Origin | Packaging | |||||
| Multiple | Unit | QTY | Unit | |||
| Price | Total | |||||
| Price | Vendor |
Comments
| 0001 | 13377 | AMLODIPINE 2.5/BENAZEPRIL 10MG CAP, 100CT (A0604) | 65862-0582-01 | 100 | BT | 552 | $ - 0 | $0.00 |
| 0002 | 14369 | AMLODIPINE 5/BENAZEPRIL 20MG CAP 500CT, A0606 | 65862-0584-05 | 500 | BT | 564 | $ - 0 | $0.00 |
| 0003 | 14938 | ABACAVIR SO4 600MG/LAMIVUDINE 300MG TAB 30CT (A1223) | 42385-0962-30 | 30 | BT | 384 | $ - 0 | $0.00 |
| 0004 | 13385 | AMLODIPINE 10MG/OLMESARTAN 40MG TAB 90CT, A1421 | 27241-0086-09 | 90 | BT | 144 | $ - 0 | $0.00 |
| 0005 | 12923 | ALMOTRIPTAN MALATE 12.5MG UD TAB 12CT (A1642) | 27241-0042-21 | 12 | BT | 144 | $ - 0 | $0.00 |
| 0006 | 2566 | CIMETIDINE 800MG TAB 100CT, C0215 | 00378-0541-01 | 100 | BT | 48 | $ - 0 | $0.00 |
| 0007 | 3834 | CIMETIDINE 300MG TAB 500CT (C0254) | 00093-8192-05 | 500 | BT | 24 | $ - 0 | $0.00 |
| 0008 | 2829 | COLCHICINE 0.5/PROBENECID 500MG TAB, C0310 | 64980-0149-01 | 100 | BT | 96 | $ - 0 | $0.00 |
| 0009 | 17687 | DEMECLOCYCLINE HCL 150MG TAB | 65162-0554-10 | 100 | BT | 72 | $ - 0 | $0.00 |
| 0010 | 2661 | DICLOXACILLIN NA 500MG CAP 100CT--D0065 | 00093-3125-01 | 100 | BT | 48 | $ - 0 | $0.00 |
| 0011 | 5958 | DICLOFENAC 50MG/MISOPROSTOL 200MCG TAB, 60CT | 42571-0133-60 | 60 | BT | 432 | $ - 0 | $0.00 |
| 0012 | 5957 | DICLOFENAC 75MG/MISOPROSTOL 200MCG TAB 60CT--D0438 | 42571-0134-60 | 60 | BT | 516 | $ - 0 | $0.00 |
| 0013 | 17966 | EPINASTINE HCL 0.05% OPH SOLN | 51991-0836-75 | 5 | BT | 96 | $ - 0 | $0.00 |
| 0014 | 13085 | FLUOXETINE HCL 90MG EC CAP 4CT, F0264 | 55111-0284-48 | 4 | EA | 120 | $ - 0 | $0.00 |
| 0015 | 16559 | HYDROCORTISONE ACETATE 30MG RTL SUPP 12CT, H0391 | 65649-0511-12 | 12 | BX | 120 | $ - 0 | $0.00 |
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