S02 Attch- Price Sheet 36C77023Q0430.xlsx
XLSX spreadsheet 18 KB Posted
- Attached to
- 6505--760-23-4-050-1495 -Leavenworth CMOP TF OM OTC -(VA-23-00102264) 12 Lines: (9 Med and 3 Med/Surge)
- Solicitation number
- 36C77023Q0430
About this file
This document is a price sheet for a federal solicitation requesting quotes for pharmaceutical products. The solicitation requests quotes for 12 line items of medical and medical/surgical products to be delivered to the Leavenworth, Kansas CMOP facility by or on the 15th day after receipt of order. Quotes are due by September 18th, 2023 and must include the signed SF1449 form, license for drug items, authorization letter from source, and POC email. The Buy America Act applies with a 20% add-on for foreign end products for evaluation purposes. Quotes should note any alternate NDC quantities and delivery days in the comments.
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| File | Type | Posted |
|---|---|---|
| 36C77023Q0430_1.docx | DOCX document |
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Your Business Name Here
| CMOP Nationwide | ||||||||||||
| PR# 760-23-3-050-1495, Solicitation# 36C77023Q0430 | Delivery Before or On: 15 Days After Receipt of Order (ARO) | |||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 9/12/23 | ||||||||||
| Vendor Complete | Closing Date: | 9/18/23 | ||||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Standard Time (CDT) | ||||||||||
| Unique Entity ID: | E-mail quotes to Gerald.Bingham@va.gov | |||||||||||
| POC Name: | Requireed: Signed SF1449 Form, Copy of State-Issued License (for Drug Items), Authorization Letter from Source, and | |||||||||||
| POC E-Mail: | Vendors shall submit no more than (1) one quote per vendor | |||||||||||
| Phone: | Buy America Act (BAA) applies; a 20% add-on on foreign end products is applicable for evaluation purposes. | |||||||||||
| Type of Small Business | If vendors are proposing NDC with Qty or Package Count other than CMOP listed NDC, convert to closest amount in RFQ. | |||||||||||
| **Mandatory Fill-in: Country of Origin means Country of Manufacture Location (attached photos of product(s) packaging labels welcomed by not mandatory, helps verify location) | ||||||||||||
| QTY shall be adjusted for that count and this should be noted in "Vendor Comments" and/or ARO notes | ||||||||||||
| Vendor Complete | ||||||||||||
| Line Item | VA VISTA Item Number | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | QTY | Unit | Unit Price | Total Price | Vendor Comments (i.e., DAYS ARO, Delivery Days) |
| 1 | B0595 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
BACITRACIN 500/POLYMYXIN 10000/GM OINT 30GM (B0595)
30 PER TUBE (TU)
| STOCK# 49348-0274-72 | 108 | TU | $ - 0 | $0.00 | |||
| 2 | C0384 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
CHLORHEXIDINE GLUCONATE TOP JELLY 120GM, C0384
120 PER TUBE (TU)
| STOCK# 70030-0147-65 | 288 | TU | $ - 0 | $0.00 | |||
| 3 | C0498 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
CHLORHEXIDINE GLUCONATE TOP JELLY 120GM (C0498)
180 PER BOTTLE (BT)
| STOCK#: 11086-0005-01 | 360 | BT | $ - 0 | $0.00 | |||
| 4 | C0736 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
BRAND NAME CETAPHIL LOTION, 480ML, C0736
480 PER BOTTLE (BT)
| STOCK# 00299-0241-33 | 360 | BT | $ - 0 | $0.00 | |||
| 5 | H0056 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
HYDROCORTISONE 1% LOTION 120ML (H0056)
120 PER BOTTLE (BT)
NATIONAL STOCK# 6505-CD-9M1-1234
| STOCK# 63736-0339-42 | 144 | BT | $ - 0 | $0.00 | |||
| 6 | H0433 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
HYPROMELLOSE 0.5% OPH SOLN 15ML (H0433)
15 PER EACH (EA)
| STOCK# 00998-0408-15 | 576 | EA | $ - 0 | $0.00 | |||
| 7 | N0231 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
NEPHRO-VITE RX TAB 100CT, (N0231)
100 PER BOTTLE (BT)
| STOCK# 00023-5879-012 | 288 | BT | $ - 0 | $0.00 | |||
| 8 | P0093 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
OINTMENT,POVIDONE IODINE 10% 30GM (P0093)
30 PER BOTTLE (BT)
| STOCK# 00536-1271-80 | 252 | BT | $ - 0 | $0.00 | |||
| 9 | XJ663 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
BRAND NAME LANCET,ONE TOUCH DELICA PLUS 33G 100CT (XJ663)
100 PER BOX (BX)
| STOCK# 53885-0008-10 | 3360 | BX | $ - 0 | $0.00 | |||
| 10 | XU443 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
BRAND NAME CONTOUR, (GLUCOSE) TEST STRIP 100CT, (XU443)
100 PER BOX (BX)
| STOCK# 00193-7090-21 | 540 | BX | $ - 0 | $0.00 | |||
| 11 | XZ087 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
BRAND NAME LANCET, ONE TOUCH ULTRA SOFT 100CT (XZ087)
100 PER BOX (BX)
| STOCK# 53885-0393-10 | 360 | BX | $ - 0 | $0.00 | |||
| 12 | Z0005 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
ZINC OXIDE 20% OINTMENT 60GM (Z0005)
60 PER TUBE (TU)
NDC: 00713-0293-32
STOCK# 69396-0021-02 00713-0293-32 540 TU $ - 0 $0.00
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