S02 Attch- Price Sheet 36C77024Q0221.xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- Two Med Lines- OTC EYE DROPS 36C77024Q0221
- Solicitation number
- 36C77024Q0221
About this file
This document is a price sheet attachment for Solicitation Number 36C77024Q0221, titled "Two Med Lines- OTC EYE DROPS 36C77024Q0221". The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15.
The price sheet lists two medical products required: Brimonidine Tartrate 0.025% Ophthalmic Solution and Carboxymethylcellulose Na 0.25% Ophthalmic Solution. The solicitation requires vendors to submit quotes by 3:00 PM Central Standard Time on May 7, 2024. Delivery is required within 15 days after receipt of order. The Buy America Act applies, with a 20% price adjustment for foreign end products. Vendors must submit a signed SF1449 form, copy of state-issued license for drug items, authorization letter from source, and contact information. Vendors can submit only one quote per vendor.
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Other files
| File | Type | Posted |
|---|---|---|
| S02 RFQ 36C77024Q0221_1.pdf |
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Text version
Your Business Name Here
| CMOP Nationwide | ||||||||||||
| PR# 766-24-2-400-0519, Solicitation# 36C77024Q0221 | Delivery Before or On: 15 Days After Receipt of Order (ARO) | |||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 4/30/24 | ||||||||||
| Vendor Complete | Closing Date: | 5/7/24 | ||||||||||
| 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 | 15663 | VA CMOP Charleston , 766 |
4136 Carolina Commerce Parkway Ladson, SC 29456
BRIMONIDINE
TARTRATE 0.025% OPH SOLN 2.5ML
| PKG: 1 per BT | 24208-0537-088 | 1728 | BT | $ - 0 | $0.00 | ||
| 2 | 13707 | VA CMOP Charleston , 766 |
4136 Carolina Commerce Parkway Ladson, SC 29456 CARBOXYMETHYLCELLULOSE NA 0.25% OPH SOLN 15ML PKG: 15 per BT 58790-0001-155 6360 BT $ - 0 $0.00
File details come from the government source that posted it. Updated .