S02.Pricing Schedule_Q0078.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77024Q0078
About this file
This document contains a quote spreadsheet for a federal solicitation requesting pharmaceutical products. The spreadsheet lists seven line items for various prescription drugs, including the National Drug Code, manufacturer, country of origin, packaging details, and pricing. Vendors are instructed to complete the spreadsheet with their unit pricing and total pricing for each line item. The solicitation number is 36C77024Q0078 from the Department of Veterans Affairs for their Leavenworth CMOP facility. Quotes are due by December 4, 2023 and should be emailed to the point of contact. The solicitation also requires the SF1449 cover page and state wholesale distributor license to be submitted with the response. Delivery of all items is required by December 15, 2023.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0078_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Leavenworth | ||||||
| RFQ: 36C77024Q0078 | Delivery on or before: 12/15/2023 | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 11/29/23 | 1. SF1449 - Soliciation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 12/4/23 | 2. Quote - excel spreadsheet | |||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | 3. State Wholesale Distributor License | |||
| 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 | Description | NDC# | Alternate | |||
| NDCs | Mfr | Country of | ||||
| Origin | Packaging | |||||
| Multiple | Unit | QTY | Unit | |||
| Price | Total | |||||
| Price | Vendor |
Comments
| 0001 | 10382 | MICROGESTIN 1/20 TAB, 21 M0678, 6CT | 51862-0007-06 | 6 | CT | 156 | $ - 0 | $0.00 |
| 0002 | 20288 | NAPROXEN NA 500MG/SUMATRIPTAN 85MG TAB 9CT, N0575 | 44183-0850-09 | 9 | BT | 240 | $ - 0 | $0.00 |
| 0003 | 18389 | NEBIVOLOL 20MG TAB 90CT, N0601 | 59651-0140-90 | 90 | BT | 528 | $ - 0 | $0.00 |
| 0004 | 5860 | PILOCARPINE HCL 2% OPH SOLN 15ML (P0062) | 69238-1746-08 | 15 | EA | 54 | $ - 0 | $0.00 |
| 0005 | 2400 | POTASSIUM ACID PHOSPHATE 500MG TAB--P0656 | 00486-1111-01 | 100 | BT | 168 | $ - 0 | $0.00 |
| 0006 | 16270 | FEBUXOSTAT 40MG TAB 30CT, F0434 | 62332-0190-30 | 30 | BT | 2016 | $ - 0 | $0.00 |
| 0007 | 16271 | FEBUXOSTAT 80MG TAB 30CT, F0435 | 72578-0137-06 | 30 | BT | 1200 | $ - 0 | $0.00 |
File details come from the government source that posted it. Updated .