S02.Pricing Schedule_Q0393.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77024Q0393
About this file
This document is a pricing schedule spreadsheet for Request for Quote (RFQ) 36C77024Q0393, which is a solicitation for multiple line pharmaceutical items for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. The solicitation is seeking quotes for various pharmaceutical products, including HCTZ12.5/Valsartan, Hydrocortisone Acetate, Imiquimod, and others, with delivery required within 10 days of award. Vendors must submit quotes by 5:00 PM CST on 9/18/24 and include a signed SF1449 solicitation cover page, a completed quote spreadsheet, a valid state wholesale distributor license, and a Buy American Act certificate if proposing non-domestic products. Vendors are limited to submitting one quote per solicitation. Product details, quantities, and unit pricing are provided in the spreadsheet.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0393_1.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Leavenworth | ||||||
| RFQ: 36C77024Q0393 | Delivery on or before: 10 Days ARO | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 9/12/24 | 1. SF1449 - Solicitation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 9/18/24 | 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, | yo | ||||
| 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 | CMOP | File | ||||
| Number | Description | NDC | Alternate | |||
| NDCs | Mfr | Country of | ||||
| Origin | Packaging | |||||
| Multiple | Unit | QTY | Unit | |||
| Price | Total | |||||
| Price | Vendor |
Comments
| 0001 | Leavenworth | 14341 | HCTZ12.5/VALSARTAN 160MG TAB 90CT (H0337) | 43547-0312-09 | 90 | BT | 480 | $ - 0 | $0.00 |
| 0002 | Leavenworth | 16559 | HYDROCORTISONE ACETATE 30MG RTL SUPP 12CT, H0391 | 39328-0129-12 | 12 | BX | 168 | $ - 0 | $0.00 |
| 0003 | Leavenworth | 14877 | IMIQUIMOD 5% TOP CREAM PKT 0.25GM 24CT (I0237) | 51672-4145-06 | 24 | PG | 384 | $ - 0 | $0.00 |
| 0004 | Leavenworth | 102285 | MULTIVITAMINS W/MIN,PRENATAL CHEW TAB 100CT, M0541 | 13925-0117-01 | 100 | BT | 480 | $ - 0 | $0.00 |
| 0005 | Leavenworth | 14505 | NYSTATIN 100000 UNT/ML SUSP, 480ML (N0095) | 69315-0504-47 | 480 | BT | 252 | $ - 0 | $0.00 |
| 0006 | Leavenworth | 18389 | NEBIVOLOL 20MG TAB 90CT, N0601 | 43547-0527-09 | 90 | BT | 528 | $ - 0 | $0.00 |
| 0007 | Leavenworth | 3801 | OXAPROZIN 600MG TAB 100CT, O0045 | 55111-0170-01 | 100 | BT | 168 | $ - 0 | $0.00 |
| 0008 | Leavenworth | 5861 | PILOCARPINE HCL 1% OPH SOLN 15ML, P0060 | 70069-0181-01 | 15 | EA | 96 | $ - 0 | $0.00 |
| 0009 | Leavenworth | 17199 | PYRIDOSTIGMINE BROMIDE 180MG SA TAB, 30CT (P0174) | 64980-0220-03 | 30 | BT | 288 | $ - 0 | $0.00 |
| 0010 | Leavenworth | 2400 | POTASSIUM ACID PHOSPHATE 500MG TAB--P0656 | 00486-1111-01 | 100 | BT | 144 | $ - 0 | $0.00 |
| 0011 | Tucson | - | (C0273) CLINDAMYCIN PHOSPHATE 1% TOP SOLN- 60ML | 21922-0002-01 | 60 | EA | 5720 | $ - 0 | $0.00 |
| 0012 | Hines | 4712 | METFORMIN HCL 500MG 24HR SA TAB 500CT, M1013 | 70010-0491-05 | 500 | BT | 2304 | $ - 0 | $0.00 |
File details come from the government source that posted it. Updated .