S02.Pricing Schedule_Q0411.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77023Q0411
About this file
This document contains a quote spreadsheet for a five-line pharmaceutical solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. Vendors are requested to provide pricing for five pharmaceutical products by September 15th, including Clomiphene Citrate 50mg tablets, Diltiazem HCl 90mg and 120mg extended release capsules, Sulfacetamide sodium and sulfur 10%/5% ointment, and Thyroid 60-65mg tablets. The spreadsheet lists national drug codes, manufacturers, packaging, and quantities for each line item. Vendors should complete all highlighted areas with their name, SAM number, license information, contact details, pricing, and any comments related to expiration dates or alternative national drug codes being proposed. Delivery is required on or before September 30th, 2023.
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| File | Type | Posted |
|---|---|---|
| 36C77023Q0411.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Chelmsford | ||||||
| RFQ: 36C77023Q0411 | Delivery on or before: 9/30/2023 | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 9/8/23 | 1. SF1449 - Soliciation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 9/15/23 | 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 | 11492 | CLOMIPHENE CITRATE 50MG TAB 30CT, C0482 | 00713-0885-30 | 30 | BX | 1008 | $ - 0 | $0.00 |
| 0002 | 2567 | DILTIAZEM HCL 90MG 12HR SA CAP 100CT (D1033) | 68462-0851-01 | 100 | BT | 192 | $ - 0 | $0.00 |
| 0003 | 12865 | DILTIAZEM HCL 120MG 12HR SA CAP (D1034) | 68462-0562-01 | 100 | BT | 192 | $ - 0 | $0.00 |
| 0004 | 2922 | SULFACETAMIDE NA 10/SULFUR 5% | 44523-0602-01 | 25 | EA | 3600 | $ - 0 | $0.00 |
| 0005 | 6204 | THYROID 60-65MG (1 GRAIN) TAB 100CT (T0749) | 42192-0330-01 | 100 | BT | 240 | $ - 0 | $0.00 |
File details come from the government source that posted it. Updated .