S02 Attch- Price Sheet 36C77024Q0200.xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- 6505--760-24-2-050-0674 -Leavenworth CMOP CLOMIPHENE CITRATE -(VA-24-00055962) 36C77024Q0200 One Med Line
- Solicitation number
- 36C77024Q0200
About this file
This document is a price sheet for a federal solicitation requesting quotes for pharmaceutical products. The solicitation is for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 and requests quotes for Clomid (Clomiphene Citrate) 50mg tablets to be delivered to the Leavenworth, Kansas CMOP facility. Quotes are due by March 18th, 2024 and must include a signed SF1449 form, state-issued license for drug items, authorization letter from the source, and contact email. The Buy America Act applies and includes a 20% add-on for foreign end products. Quotes must specify the country of origin and quantity, and any alternative NDC codes or delivery dates must be noted in the comments. Only one quote per vendor will be accepted.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0200_1.docx | DOCX document |
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Your Business Name Here
| CMOP Nationwide | ||||||||||||
| PR# 760-24-2-050-0674, Solicitation# 36C77024Q0200 | Delivery Before or On: 15 Days After Receipt of Order (ARO) | |||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 3/12/24 | ||||||||||
| Vendor Complete | Closing Date: | 3/18/24 | ||||||||||
| 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 | 11492 / C0482 | LEAVENWORTH CMOP, 5000 S. 13TH ST., |
LEAVENWORTH, KS 66048-5580
BRAND NAME OR NDC SPECIFIC:
CLOMIPHENE CITRATE
50MG TAB 30CT, C0482
PKG: 30 per BT 00713-0885-30 600 BT $ - 0 $0.00
File details come from the government source that posted it. Updated .