S02.Pricing Schedule_.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77026Q0015
About this file
This document is a pricing schedule (quote spreadsheet) for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration, solicitation number 36C77026Q0015, seeking Hydrocortisone Acetate 25mg rectal suppositories. The RFQ covers 12-count and 24-count packaging across 10 different VA medical locations, including Leavenworth, Chelmsford, Tucson, Dallas, Murfreesboro, Hines, and Charleston, with total quantities ranging from 600 to 4,800 units per line item.
Key submission details include a closing date of 10/7/25 at 17:00 Central Standard Time, with quotes to be emailed to kayla.powers@va.gov. Vendors must submit one quote, provide a state wholesale distributor license, and ensure pharmaceutical expiration dates are no less than one year from delivery. The solicitation requires vendors to complete areas in orange on the spreadsheet, note any alternate NDC (National Drug Code) variations in the "Vendor Comments" section, and specify packaging details. A three-month staggered delivery schedule is planned for the line items.
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| File | Type | Posted |
|---|---|---|
| S02.36C77026Q0015.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Lancaster | |||||||||||
| RFQ: 36C77026Q0015 | Delivery on or before: TBD | Required documents: | |||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 10/2/25 | 1. SF1449 - Soliciation cover page (signed) | ||||||||
| Vendor shall complete all areas in orange | Closing Date: | 10/7/25 | 2. Quote - excel spreadsheet | ||||||||
| Vendor Name: | Closing Time: | 17:00 Central Standard Time (CST) | 3. State Wholesale Distributor License UNEXPIRED | ||||||||
| ueiSAM: | |||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | Email 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 | |||||||||||
| Item | File | ||||||||||
| Number | Location | Description | NDC# | Alternate | |||||||
| NDCs | Mfr | Country of | |||||||||
| Manufacturer | Packaging | ||||||||||
| Multiple | Unit | Total QTY | Unit | ||||||||
| Price | Total | ||||||||||
| Price | Delivery Date | ||||||||||
| 0001 | Leavenworth | HYDROCORTISONE ACETATE 25MG RTL SUPP 12CT (H0066) | 69367-0243-12 | 12 | PG | 1080 | $ - 0 | $0.00 | |||
| 0002 | Leavenworth | HYDROCORTISONE ACETATE 25MG RTL SUPP 24CT (H0066) | 69367-0243-24 | 24 | PG | 864 | $ - 0 | $0.00 | |||
| 0003 | Chelmsford | HYDROCORTISONE ACETATE 25MG RTL SUPP 12CT (H0066) | 69367-0243-12 | 12 | PG | 1200 | $ - 0 | $0.00 | |||
| 0004 | Chelmsford | HYDROCORTISONE ACETATE 25MG RTL SUPP 24CT (H0066) | 69367-0243-24 | 24 | PG | 600 | $ - 0 | $0.00 | |||
| 0005 | Tucson | HYDROCORTISONE ACETATE 25MG RTL SUPP 12CT (H0066) | 69367-0243-12 | 12 | PG | 1200 | $ - 0 | $0.00 | |||
| 0006 | Tucson | HYDROCORTISONE ACETATE 25MG RTL SUPP 24CT (H0066) | 69367-0243-24 | 24 | PG | 960 | $ - 0 | $0.00 | |||
| 0007 | Dallas | HYDROCORTISONE ACETATE 25MG RTL SUPP 12CT (H0066) | 69367-0243-12 | 12 | PG | 3000 | $ - 0 | $0.00 | |||
| 0008 | Murfreesboro SJ | HYDROCORTISONE ACETATE 25MG RTL SUPP 12CT (H0066) | 69367-0243-12 | 12 | PG | 2400 | $ - 0 | $0.00 | |||
| 0009 | Hines | HYDROCORTISONE ACETATE 25MG RTL SUPP 12CT (H0066) | 69367-0243-12 | 12 | PG | 3600 | $ - 0 | $0.00 | |||
| 0010 | Hines | HYDROCORTISONE ACETATE 25MG RTL SUPP 24CT (H0066) | 69367-0243-24 | 24 | PG | 1200 | $ - 0 | $0.00 | |||
| 0011 | Charleston | HYDROCORTISONE ACETATE 25MG RTL SUPP 12CT (H0066) | 69367-0243-12 | 12 | PG | 4800 | $ - 0 | $0.00 | |||
| 0012 | Charleston | HYDROCORTISONE ACETATE 25MG RTL SUPP 24CT (H0066) | 69367-0243-24 | 24 | PG | 1200 | $ - 0 | $0.00 | |||
| *3 month staggered delivery for each line |
Sheet1
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