S02.Pricing Schedule_Q0289.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- 6505--Multi Line Pharm Leavenworth CMOP Federal contract opportunity
- Solicitation number
- 36C77024Q0289
About this file
This document is a pricing schedule for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 for a multi-line pharmaceutical contract for the Leavenworth Community-Based Outpatient Pharmacy (CMOP). The RFQ solicits quotes for 19 different pharmaceutical products, including tablets, capsules, and nasal sprays, with required delivery within 10 days of the order. Vendors must submit quotes by June 26, 2024 at 5:00 PM Central Time and include a completed SF1449 Solicitation cover page, the provided quote spreadsheet, a valid state wholesale distributor license, and a Buy American Act certificate if quoting non-domestic products. The RFQ includes details on the required NDC, packaging, and quantities for each line item. Vendors are limited to submitting one quote per RFQ.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C77024Q0289_1.docx | DOCX document | |
| 52.212-3 Buy American Certificate.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Leavenworth | ||||||
| RFQ: 36C77024Q0289 | Delivery on or before: 10 Days ARO | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 6/20/24 | 1. SF1449 - Solicitation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 6/26/24 | 2. Quote - excel spreadsheet | |||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | 3. State Wholesale Distributor License (valid and unexpired) | |||
| ueiSAM: | 4. Buy American Act (BAA ) Certificate, if quoting non-domestic product | |||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | |||||
| 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 | Email quotes to kayla.powers@va.gov | |||||
| 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 | 20239 | MERCAPTOPURINE 50MG TAB 250CT (M0031) | 00054-4581-27 | 250 | BT | 50 | $ - 0 | $0.00 |
| 0002 | 5120 | FENOFIBRATE 134MG CAP, 100'S, F0238 | 27241-0119-04 | 100 | BT | 288 | $ - 0 | $0.00 |
| 0003 | 5148 | MOEXIPRIL HCL 15MG TAB 100CT M0266 | 68462-0208-01 | 100 | BT | 96 | $ - 0 | $0.00 |
| 0004 | 10997 | FLUNISOLIDE 0.025% 200D NASAL INH SPRAY 25ML (F0404) | 24208-0344-25 | 1 | BT | 360 | $ - 0 | $0.00 |
| 0005 | 3939 | NAPROXEN 500MG EC TAB 100CT N0250 | 42494-0454-10 | 100 | BT | 96 | $ - 0 | $0.00 |
| 0006 | 19394 | FESOTERODINE FUMARATE 4MG SA TAB 30 COUNT (F0423) | 43598-0247-30 | 30 | BT | 864 | $ - 0 | $0.00 |
| 0007 | 13144 | NARATRIPTAN HCL 2.5MG TABLETS UNIT DOSE 9CT, N0328 | 69452-0341-72 | 9 | BT | 576 | $ - 0 | $0.00 |
| 0008 | 19277 | FESOTERODINE FUMARATE 8MG SA TAB 30CT (F0425) | 43598-0248-30 | 30 | BT | 1200 | $ - 0 | $0.00 |
| 0009 | 18385 | NEBIVOLOL 5MG TAB 90CT, N0567 | 31722-0586-90 | 90 | BT | 1200 | $ - 0 | $0.00 |
| 0010 | 4196 | GLIPIZIDE 2.5MG SA TAB, 30CT | 16714-0894-01 | 30 | BT | 2640 | $ - 0 | $0.00 |
| 0011 | 20288 | NAPROXEN NA 500MG/SUMATRIPTAN 85MG TAB 9CT, N0575 | 44183-0850-09 | 9 | BT | 216 | $ - 0 | $0.00 |
| 0012 | 2952 | GALANTAMINE HYDROBROMIDE 8MG SA CAP 30CT, G0257 | 65862-0744-30 | 30 | BT | 336 | $ - 0 | $0.00 |
| 0013 | 13679 | ONDANSETRON 4MG ORAL DISINTEGRATING TAB, 30CT | 16714-0200-30 | 30 | BT | 14480 | $ - 0 | $0.00 |
| 0014 | 2950 | GALANTAMINE HYDRO 16MG SA CAP 30S | 65862-0745-30 | 30 | BT | 624 | $ - 0 | $0.00 |
| 0015 | 14340 | PREDNISONE 1MG TAB (P0110) 1000CT | 59746-0171-10 | 1000 | BT | 192 | $ - 0 | $0.00 |
| 0016 | 2185 | HYDROXYZINE PAMOATE 25MG CAP 500CT (H0087) | 00185-0674-05 | 500 | BT | 432 | $ - 0 | $0.00 |
| 0017 | 2958 | PHENAZOPYRIDINE HCL 100MG TAB 100'S (P0039) | 65162-0681-10 | 100 | BT | 96 | $ - 0 | $0.00 |
| 0018 | 16403 | PIOGLITAZONE HCL 15MG TAB, 90CT (P0535) | 65862-0512-90 | 90 | BT | 1248 | $ - 0 | $0.00 |
| 0019 | 16682 | PIOGLITAZONE HCL 30MG TAB 90CT, P0536 | 33342-0055-10 | 90 | BT | 2688 | $ - 0 | $0.00 |
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