S02.Pricing Schedule_Q0407.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77023Q0407
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 eight pharmaceutical line items to be delivered to the CMOP in Leavenworth on or before September 14, 2023. Vendors are required to submit the solicitation cover page signed, the quote spreadsheet completing all orange fields, and evidence of a state wholesale distributor license. Quotes are due by August 30th at 5:00PM Central Time and should be emailed to the point of contact. The spreadsheet lists the national drug codes, manufacturers, packaging, and quantities for each line item and requires vendors to provide unit pricing, total pricing, and any comments such as alternate NDC proposals or expiration dates less than one year from delivery.
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| File | Type | Posted |
|---|---|---|
| 36C77023Q0407.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Leavenworth | ||||||
| RFQ: 36C77023Q0407 | Delivery on or before: 9/14/2023 | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 8/24/23 | 1. SF1449 - Soliciation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 8/30/23 | 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 | 13781 | RISPERIDONE 4MG TAB 500CT, R0025 | 43547-0344-50 | 500 | BT | 72 | $ - 0 | $0.00 |
| 0002 | 8067 | RILUZOLE 50MG TAB 60CT, R0036 | 62756-0538-86 | 60 | BT | 400 | $ - 0 | $0.00 |
| 0003 | 13870 | RISPERIDONE 0.25MG TAB 500CT (R0111) | 27241-0002-50 | 500 | BT | 72 | $ - 0 | $0.00 |
| 0004 | 12965 | ROPINIROLE HCL 4MG SA TAB 90CT, R0247 | 13811-0640-90 | 90 | BT | 144 | $ - 0 | $0.00 |
| 0005 | 14440 | RIZATRIPTAN 10MG DISINTEGRATE TAB 9CT (R0312) | 65862-0626-90 | 9 | BT | 440 | $ - 0 | $0.00 |
| 0006 | 5234 | SULFAMETHOXAZO 200/TRIMETH 40MG/5ML SUSP 480ML, S0115 | 00527-5180-70 | 480 | BT | 96 | $ - 0 | $0.00 |
| 0007 | 19830 | SODIUM CHLORIDE 7% INHL 4ML 60CT (S0711) | 83490-0307-60 | 60 | BT | 540 | $ - 0 | $0.00 |
| 0008 | 16525 | TEMOZOLOMIDE 100MG CAP 14CT, T0475 | 16729-0050-54 | 14 | BT | 28 | $ - 0 | $0.00 |
File details come from the government source that posted it. Updated .