S02.Pricing Schedule_Q0400.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77023Q0400
About this file
This document is a quote spreadsheet for a solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. The solicitation requests quotes for seven over-the-counter medical supply line items, including bariatric multivitamins, cetirizine tablets, ferrous sulfate tablets, artificial tears, throat lozenges, breathe right nasal strips, and moisturizing lotion. Vendors are required to complete the spreadsheet with pricing and other details for each line item. Quotes must be submitted by email no later than August 28, 2023. The quote spreadsheet specifies packaging and estimated quantities for each line item, and requires vendors to provide their name, SAM registration, license, expiration dates if short-dated, and any other relevant comments on the items quoted.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77023Q0400.docx | DOCX document | |
| S02. JnA Q0400.pdf |
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Text version
Quote Spreadsheet
| CMOP - Leavenworth | ||||||
| RFQ: 36C77023Q0400 | Delivery on or before: 9/11/2023 | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 8/21/23 | 1. SF1449 - Soliciation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 8/28/23 | 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 | 11353 | BARIATRIC MULTIVITAMIN W/IRON CHEW TAB 30CT (B0937) | 75817-6226-26 | 30 | BT | 2400 | $ - 0 | $0.00 |
| 0002 | 19707 | CETIRIZINE HCL 5MG TAB, 100CT (C0637) | 00378-3635-01 | 100 | BT | 288 | $ - 0 | $0.00 |
| 0003 | 5392 | FERROUS SULFATE 324MG EC TAB 100CT (F0608) | 00574-0608-01 | 100 | BT | 5760 | $ - 0 | $0.00 |
| 0004 | 19856 | ARTIFICIAL TEARS POLYVINYL ALCOHOL 15ML (P0077) | 17478-0060-12 | 15 | BT | 1920 | $ - 0 | $0.00 |
| 0005 | 19339 | THROAT LOZENGE W/BENZOCAINE,MENTHOL 18CT (T0647) | 78112-0011-06 | 18 | EA | 432 | $ - 0 | $0.00 |
| 0006 | 15571 | BREATHE RIGHT NASAL STRIPS SM/MED 30CT (XU158) NAME BRAND ONLY | 10071-0800-04 | 30 | BX | 480 | $ - 0 | $0.00 |
| 0007 | 16408 | MOISTURIZING LOTION 240ML (M0140) | 00096-0722-08 | 240 | BT | 108 | $ - 0 | $0.00 |
File details come from the government source that posted it. Updated .