S02.Pricing Schedule_.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
Leavenworth CMOP Multi Line PHARMACEUTICALS Federal contract opportunity
Solicitation number
36C77025Q0176
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

This is a Pricing Schedule Excel spreadsheet for a Department of Veterans Affairs pharmaceutical procurement at the Leavenworth CMOP (Consolidated Mail Outpatient Pharmacy). The solicitation (RFQ 36C77025Q0176) requires vendors to submit quotes for multiple pharmaceutical line items by May 14, 2025, at 5:00 PM CST. The spreadsheet lists 8 line items including medications such as Carvedilol, Glipizide, Fenofibrate, and Famotidine, with specific packaging requirements and quantities ranging from 192 to 1,200 units. Vendors must provide a signed SF1449 cover page, complete the quote spreadsheet, submit a valid state wholesale distributor license, and ensure pharmaceutical expiration dates are at least one year from delivery date. Quotes should be emailed to kayla.powers@va.gov, with vendors limited to one quote submission and required to note any variations in NDC (National Drug Code) counts in the "Vendor Comments" section.

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S02. 36C77025Q0176.pdf PDF

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Text version

Quote Spreadsheet

CMOP - Leavenworth
RFQ: 36C77025Q0176Delivery on or before: TBDRequired documents:
Solicitation - Quote SpreadsheetPosted Date:5/1/251. SF1449 - Soliciation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:5/14/252. Quote - excel spreadsheet
Vendor Name:Closing Time:17:00 AM Central Standard Time (CST)3. State Wholesale Distributor License UNEXPIRED
ueiSAM:
POC Name:* Vendors shall submit no more than (1) one quote per vendorEmail 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
ItemFile
NumberLocationDescriptionNDC#Alternate
NDCsMfrCountry of
ManufacturerPackaging
MultipleUnitQTYUnit
PriceTotal
PriceDelivery Date
000111353ALUMINUM CL HEXAHYDRATE 20% TOP SOLN 35ML, A015700096-0707-3535EA4320$ - 0$0.00
000520166CANDESARTAN CILEXETIL 4MG TAB 90CT (C0860)49884-0658-0990BT1200$ - 0$0.00
000613632CARVEDILOL PO4 10MG SA CAP 30CT, C197757664-0663-8330BT288$ - 0$0.00
000713630CARVEDILOL PO4 20MG SA CAP 30CT, C198257664-0664-8330BT432$ - 0$0.00
000813631CARVEDILOL P04 80MG SA CAP 30CT, C198457664-0666-8330BT216$ - 0$0.00
00105120FENOFIBRATE 134MG CAP, 100'S, F023867877-0626-90100BT288$ - 0$0.00
001218629FAMOTIDINE 26.6MG/IBUPROFEN 800MG TAB 90CT (F0499)67877-0626-9090BT192$ - 0$0.00
001320679GLIPIZIDE 10MG SA TAB 500CT (G0111)59651-0782-05500BT384$ - 0$0.00
001418652GLIMEPIRIDE 4MG TAB 500CT (G0134)61442-0117-05500BT984$ - 0$0.00

Sheet1

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