S02.Pricing Schedule_Q0416.xlsx

XLSX spreadsheet 15 KB Posted Sep 13, 2023

Attached to: 6505--760-23-4-050-1508 -Leavenworth CMOP 15 LINE PHARMACEUTICALS -(VA-23-00102297)
Solicitation number: 36C77023Q0416
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

Written by GovTribe AI · Dec 20, 2023

This document is a pricing spreadsheet for a solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. The solicitation requests quotes for 15 pharmaceutical line items to be delivered to the CMOP in Leavenworth on or before October 10, 2023. Vendors must submit a signed SF1449 cover page, completed pricing spreadsheet, and state wholesale distributor license by September 20 at 5:00PM Central Time to kayla.powers@va.gov. Pricing is requested for National Drug Codes listed along with any proposed alternative NDC, noting the count and adjusting the quantity as needed. Expiration dates for all items must be at least one year from delivery and noted in comments if short-dated.

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36C77023Q0416_1.docx	DOCX document	Sep 13, 2023

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Quote Spreadsheet

	CMOP - Leavenworth
	RFQ: 36C77023Q0416			Delivery on or before: 10/10/2023		Required documents:
	Solicitation - Quote Spreadsheet			Posted Date:	9/13/23	1. SF1449 - Soliciation cover page (signed)
	Vendor shall complete all areas in orange			Closing Date:	9/20/23	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	17544	AMOXICILLIN 500/CLAV K 125MG TAB 20CT A0281	42571-0161-42	20	BT	576	$ - 0	$0.00
0002	17752	AMOXICILLIN 875/CLAV K 125MG TAB 20 (A0712)	42571-0162-42	20	BT	288	$ - 0	$0.00
0003	12096	AZITHROMYCIN 500MG TAB PKT 3 A1143	69452-0172-74	3	PG	120	$ - 0	$0.00
0004	17344	AMLODIPINE 10MG/VALSARTAN 160MG TAB 90CT, A1378	62332-0206-90	90	BT	96	$ - 0	$0.00
0005	13644	CIPROFLOXACIN HCL 500MG TAB 500CT, C0260	65862-0077-05	500	BT	24	$ - 0	$0.00
0006	14876	CITRIC ACID 334/NA CITRATE 500/5ML 480ML SOLN	00121-0595-16	480	BT	264	$ - 0	$0.00
0007	5567	DESOXIMETASONE 0.05% CREAM 60GM, D0027	51672-1271-03	60	TU	72	$ - 0	$0.00
0008	18089	ENTACAPONE 200MG TAB 100CT (E0294)	27241-0049-10	100	BT	864	$ - 0	$0.00
0009	13500	ELETRIPTAN 20MG TAB 6 PKG E0362	59762-2321-01	6	BT	288	$ - 0	$0.00
0010	17142	EE 0.03MG/LEVONORG 0.15MG TAB,28, 3CT, E0695	00378-6550-53	3	BX	144	$ - 0	$0.00
0011	19796	FENOFIBRATE 145MG (F0355)	63304-0449-90	90	BT	3456	$ - 0	$0.00
0012	15814	(G0209)GALANTAMINE HYDROBROMIDE 4MG TAB 60	57237-0049-60	60	BT	576	$ - 0	$0.00
0013	16168	HCTZ 25MG/VALSARTAN 160MG TAB 90CT, H0416	00378-6323-77	90	BT	384	$ - 0	$0.00
0014	13108	HCTZ 12.5/OLMESARTAN 20MG TAB 90CT, H0426	70756-0812-90	90	BT	288	$ - 0	$0.00
0015	13109	HCTZ 25/OLMESARTAN 40MG TAB 90CT, H0427	13668-0253-90	90	BT	432	$ - 0	$0.00

File details come from the government source that posted it. Updated Sep 13, 2023.