Pricing Schedule_Q0366.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77023Q0366
About this file
This document contains a quote spreadsheet for a solicitation requesting pricing for various pharmaceutical products. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 for Leavenworth CMOP. Interested vendors are required to submit pricing for 15 line items of pharmaceuticals by August 4th, 2023 at 5:00PM Central Standard Time to kayla.powers@va.gov. Products requested include albuterol sulfate inhalers, amlodipine/valsartan combination tablets, atenolol/chlorthalidone combination tablets, bacitracin/neomycin/polymyxin B ophthalmic ointment, cyproheptadine HCl syrup, diclofenac sodium tablets, darifenacin extended release tablets, and emtricitabine/tenofovir disoproxil fumarate combination tablets. All pharmaceuticals must have an expiration date of at least one year from the date of delivery. Vendors are instructed to note any alternate NDC codes, expiration dates shorter than one year, or other relevant comments in the quote spreadsheet.
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| File | Type | Posted |
|---|---|---|
| 36C77023Q0366.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Leavenworth | ||||||
| RFQ: 36C77023Q0366 | Delivery on or before: 8/21/2023 | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 7/19/23 | 1. SF1449 - Soliciation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 8/4/23 | 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 | 11353 | ALUMINUM CL HEXAHYDRATE 20% TOP SOLN 35ML, A0157 | 00096-0707-35 | 35 | EA | 2016 | $ - 0 | $0.00 |
| 0002 | 19707 | AMITRIPTYLINE HCL 75MG TAB(A0234) | 29300-0422-01 | 100 | BT | 360 | $ - 0 | $0.00 |
| 0003 | 5392 | ATENOLOL 50/CHLORTHALIDONE 25MG TAB 100CT, A0450 | 70954-0390-10 | 100 | BT | 528 | $ - 0 | $0.00 |
| 0004 | 19856 | ALBUTEROL SO4 0.042% 3ML INHL 25CT (A1270) | 76204-0011-55 | 25 | BX | 2772 | $ - 0 | $0.00 |
| 0005 | 19339 | ALBUTEROL SO4 0.021% 3ML INHL 25CT (A1366) | 76204-0010-55 | 25 | BX | 1836 | $ - 0 | $0.00 |
| 0006 | 15571 | AMLODIPINE 5MG/VALSARTAN 160MG TAB 90CT, A1372 | 62332-0205-90 | 90 | BT | 192 | $ - 0 | $0.00 |
| 0007 | 16408 | AMLODIPINE 5MG/VALSARTAN 320MG TAB 90CT, A1376 | 62332-0207-90 | 90 | BT | 96 | $ - 0 | $0.00 |
| 0008 | 13095 | AMLODIPINE 5MG/OLMESARTAN 20MG TAB, 90CT A1422 | 27241-0083-09 | 90 | BT | 72 | $ - 0 | $0.00 |
| 0009 | 13097 | AMLODIPINE 5MG/OLMESARTAN 40MG TAB 90CT, A1424 | 27241-0084-09 | 90 | BT | 120 | $ - 0 | $0.00 |
| 0010 | 19317 | BACITRACIN/HC 1%/NEO/POLYMYX OPH OINT (B0259) | 24208-0785-55 | 1 | TU | 72 | $ - 0 | $0.00 |
| 0011 | 5355 | CYPROHEPTADINE HCL 2MG/5ML SYRUP 480ML, C0539 | 00527-1949-47 | 480 | BT | 48 | $ - 0 | $0.00 |
| 0012 | 14903 | CITRIC 334/NA CIT 500/K CIT 550/5ML(SF) 480ML, C1362 | 00121-0677-16 | 480 | BT | 216 | $ - 0 | $0.00 |
| 0013 | 2310 | DICLOFENAC NA 25MG EC TAB, 100CT | 16571-0203-10 | 100 | BT | 96 | $ - 0 | $0.00 |
| 0014 | 18168 | DARIFENACIN 15MG SA TAB 30CT, D0656 | 33342-0277-07 | 30 | BT | 600 | $ - 0 | $0.00 |
| 0015 | 19552 | EMTRICITABINE 200MG/TENOFOVIR 300MG TAB(E0385) | 42385-0953-30 | 30 | BT | 552 | $ - 0 | $0.00 |
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