S02 Attch- Price Sheet 36C77024Q0093.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
6505--760-24-1-050-0255 OM PHARM E0622 (VA-24-00030084)
Solicitation number
36C77024Q0093
Issued by

About this file

This document is a price sheet attachment for a federal solicitation requesting quotes for pharmaceutical products. The solicitation is requesting quotes for Estradiol Gel 0.06% 50gm bottles with a quantity of 120 units to be delivered to the Leavenworth, Kansas CMOP facility within 15 days after receipt of order. Quotes are due by December 21, 2023 at 3:00PM Central time and are to be emailed to the listed point of contact. Vendors are instructed to provide pricing on the attached spreadsheet including unit price and total price, with any alternative NDCs or delivery details noted in comments. The solicitation number is 36C77024Q0093 being issued by the Department of Veterans Affairs for their VISN 15 network. The Buy America Act applies and foreign end products will be evaluated with a 20% price adder.

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Your Business Name Here

CMOP Nationwide
PR# 36C77024Q0093, Solicitation# 36C77024Q0093Delivery Before or On: 15 Days After Receipt of Order (ARO)
Solicitation Attachment 1 - Quote SpreadsheetPosted Date:12/15/23
Vendor CompleteClosing Date:12/21/23
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 BusinessIf 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 ItemVA VISTA Item NumberCMOP FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginQTYUnitUnit PriceTotal PriceVendor Comments (i.e., DAYS ARO, Delivery Days)
13125/
E0622LEAVENWORTH CMOP, 5000 S. 13TH ST.,

LEAVENWORTH, KS 66048-5580

BRAND NAME SPECIFIC GEL-

ESTRADIOL- (ESTROGEL) 0.06% TRANSDERM GEL 50GM 17139-0617-40 120 TU $ - 0 $0.00

File details come from the government source that posted it. Updated .