S02.Pricing Schedule_Q0403.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77024Q0403
About this file
This document is a pricing schedule for a Request for Quote (RFQ) related to a federal contract opportunity. The RFQ is for the delivery of pharmaceutical products to the Leavenworth Community-Based Outpatient Pharmacy (CMOP) under Solicitation Number 36C77024Q0403.
The required products include Saxagliptin HCL 5mg tablets, Sumatriptan 6mg/0.5ml injection kits, Sulfacetamide NA 10%/Sulfur 5% topical foam, and Sodium Chloride 7% inhalation solution. Vendors must submit their quotes using the provided Excel spreadsheet by the closing date of 9/4/24 at 5:00 PM Central Standard Time. Quotes must include a signed SF1449 cover page, state wholesale distributor license, and Buy American Act certification if quoting non-domestic products. Expiration dates of all products must be at least one year from the date of delivery.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0403.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Leavenworth | ||||||
| RFQ: 36C77024Q0403 | Delivery on or before: 10 Days ARO | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 8/28/24 | 1. SF1449 - Solicitation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 9/4/24 | 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 | 20608 | SAXAGLIPTIN HCL 5MG TAB (S0634) | 00310-6105-90 | 30 | BT | 1280 | $ - 0 | $0.00 |
| 0002 | 13943 | SUMATRIPTAN 6MG/0.5ML INJ KIT (S0176) | 66993-0084-98 | 1 | BT | 576 | $ - 0 | $0.00 |
| 0003 | 9147 | SULFACETAMIDE NA 10%/SULFUR 5% TOP FOAM 60GM, S0530 | 42192-0143-60 | 60 | BT | 120 | $ - 0 | $0.00 |
| 0004 | 19830 | SODIUM CHLORIDE 7% INHL 4ML 60CT (S0711) | 00487-9007-60 | 60 | BT | 840 | $ - 0 | $0.00 |
File details come from the government source that posted it. Updated .