S02.Pricing Schedule_.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- Multi Pharm-Multi Station CMOP Federal contract opportunity
- Solicitation number
- 36C77026Q0077
About this file
This is a pricing schedule template for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 for pharmaceutical and medical surgical supplies across multiple locations. RFQ number 36C77026Q0077 has a closing date of January 30, 2026, at 5:00 PM Central Standard Time, with quotes to be submitted via email to kayla.powers@va.gov. Vendors must submit the completed SF1449 solicitation cover page (signed), the pricing spreadsheet, and an unexpired state wholesale distributor license.
The quote spreadsheet requires pricing for five line items: Lansoprazole 30mg disintegrating tablets (100-count boxes) for Tucson and Charleston locations; Lansoprazole 15mg disintegrating tablets (100-count boxes) for Charleston; Urea 40% cream for Tucson; and Alfuzosin HCL 10mg tablets for Tucson. Quantities range from 288 to 7,920 units per line item, with delivery to be completed on a three-month staggered schedule. All pharmaceutical and medical surgical supplies must have expiration dates no less than one year from the date of delivery. Vendors may propose alternate NDCs with adjusted quantities, which should be noted in vendor comments. The solicitation encourages domestic products and indicates that multiple quotes may be accepted.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| S02.36C77026Q0077_1.pdf |
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Text version
Quote Spreadsheet
| CMOP - Multiple Locations | |||||||||||
| RFQ: 36C77026Q0077 | Delivery on or before: TBD | Required documents: | |||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 1/23/26 | 1. SF1449 - Soliciation cover page (signed) | ||||||||
| Vendor shall complete all areas in orange | Closing Date: | 1/30/26 | 2. Quote - excel spreadsheet | ||||||||
| Vendor Name: | Closing Time: | 17:00 Central Standard Time (CST) | 3. State Wholesale Distributor License UNEXPIRED | ||||||||
| ueiSAM: | |||||||||||
| POC Name: | * If vendor is proposing NDC with count other than CMOP listed NDC, | Email quotes to: kayla.powers@va.gov | |||||||||
| POC E-Mail: | QTY shall be adjusted for that count and this should be noted in "Vendor Comments" | ||||||||||
| Phone: | |||||||||||
| * 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 | Location | Description | NDC# | Alternate | |||||||
| NDCs | Mfr | Country of | |||||||||
| Manufacturer | Packaging | ||||||||||
| Multiple | Unit | Total QTY | Unit | ||||||||
| Price | Total | ||||||||||
| Price | Delivery Date | ||||||||||
| 0001 | Tucson | LANSOPRAZOLE 30MG SA DISINTEGRATING TAB 100CT (L0330) | 64764-0544-11 | 100 | BX | 480 | $ - 0 | $0.00 | |||
| 0002 | Charleston | LANSOPRAZOLE 15MG SA DISINTEGRATING TAB 100CT (L0329) | 64764-0543-11 | 100 | BX | 288 | $ - 0 | $0.00 | |||
| 0003 | Charleston | LANSOPRAZOLE 30MG SA DISINTEGRATING TAB 100CT (L0330) | 64764-0544-11 | 100 | BX | 480 | $ - 0 | $0.00 | |||
| 0004 | Tucson | UREA 40% CREAM (U0004) | 44523-0617-03 | - | EA | 2688 | $ - 0 | $0.00 | |||
| 0005 | Tucson | ALFUZOSIN HCL 10MG SA TAB | 76282-0302-90 | 90 | BT | 7920 | $ - 0 | $0.00 | |||
| *3 month staggered delivery for each line |
MULTIPLE QUOTES MAY BE ACCEPTED
DOMESTIC PRODUCTS ARE ENCOURAGED
Sheet1
File details come from the government source that posted it. Updated .