S02 - Pric. Schedule Q0112 - EPS CIPRO - EXT.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
Extending Close Date - Ciprofloxacin 400 MG/200ML-D5W - Base + 4 Option years - 765
Solicitation number
36C77026Q0112
Issued by

About this file

This is a pricing schedule spreadsheet for a VA pharmaceutical supply contract. The solicitation (RFQ 36C77026Q0112) is for Ciprofloxacin 400 MG/200ML-D5W to be supplied to the VA CMOP Hines facility. The closing date was extended to May 8, 2026, at 3:00 PM Central Time, with a base contract delivery date of June 1, 2026. The requirement is for 3,062 units per line item, with packaging in cartons containing 24 bags each. The approved NDC is 25021-0114-87, and all pharmaceuticals must have a minimum expiration date of one year from delivery, with the vendor noting 16-18 month expiration dating available. EPS approval of all alternate products is mandatory.

Vendors must submit an SF1449 signed solicitation cover page, complete the pricing spreadsheet with unit and total pricing, provide a valid state wholesale distributor license, and furnish a Trade Agreement Act (TAA) certificate. The contract includes a base year plus four option years (Option 1 delivery 6/3/2027, Option 2 delivery 6/1/2028, Option 3 delivery 6/1/2029, and Option 4 delivery 6/1/2030), with all quantities remaining constant at 3,062 units across each option period. Quotes should be emailed to Jennifer.Coleman4@va.gov, and vendors must indicate place of manufacture and any relevant comments regarding proposed NDC variations or expiration dating.

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File Type Posted
S02 - RFQ - 36C77026Q0112 - EXT.pdf PDF
S02 - RFQ - Q0112 0001 - SOL MOD.pdf PDF

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Text version

Quote Spreadsheet

CMOP - Hines EPS
RFQ: 36C77026Q0112Delivery: TBDRequired documents:
Solicitation - Quote SpreadsheetPosted Date:4.14.20261. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:5.8.2026 - EXTENDED2. Quote - excel spreadsheet - including Place of Manufacture
Vendor Name:Closing Time:3:00PM Central Time (CT)3. State Wholesale Distributor License, valid and unexpired
ueiSAM:4. Trade Agreement Act (TAA) Certificate
POC Name:
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"Email quotes to: Jennifer.Coleman4@va.gov
* Per the Statement of Requirements, expiration dates of all pharmaceuticals 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
Base Contract Delivery 6.1.2026 Estimated
Line
ItemFile
NumberCMOP
FacilityDescriptionApproved
NDCsProposed
NDCManufactuerPlace of ManufacturePackaging
MultipleUnitQTYUnit
PriceTotal
PriceDelivery and/or

Vendor Comments

0001VA CMOP HINES EPS 765CIPROFLOXACIN 400 MG/200ML-D5W25021-0114-8724BX3,062$ - 0$0.00
Trade Agreement Act
(TAA) Certificate$0.00
NOTE: 24 BAGS PER CARTON/BOX ONLY / 16-18 MONTH EXPIRATION DATING
EPS APPROVAL OF ALL ALTERNATES IS MANDATORY
Option: 1, if exercised (6.3.2027 DATES MAY CHANGE AT TIME OF AWARD)
Line
ItemFile
NumberCMOP
FacilityDescriptionExample
NDCsProposed
NDCManufactuerPlace of ManufacturePackaging
MultipleUnitQTYUnit
PriceTotal
PriceDelivery and/or

Vendor Comments

1001VA CMOP HINES EPS 765CIPROFLOXACIN 400 MG/200ML-D5W25021-0114-8724BX3,062$ - 0$0.00
Trade Agreement Act
(TAA) Certificate$0.00
NOTE: 24 BAGS PER CARTON/BOX ONLY / 16-18 MONTH EXPIRATION DATING
EPS APPROVAL OF ALL ALTERNATES IS MANDATORY
Option: 2, if exercised (6.1.2028 DATES MAY CHANGE AT TIME OF AWARD)
Line
ItemFile
NumberCMOP
FacilityDescriptionApproved
NDCsProposed
NDCManufactuerPlace of ManufacturePackaging
MultipleUnitQTYUnit
PriceTotal
PriceDelivery and/or

Vendor Comments

2001VA CMOP HINES EPS 765CIPROFLOXACIN 400 MG/200ML-D5W25021-0114-8724BX3,062$ - 0$0.00
Trade Agreement Act
(TAA) Certificate$0.00
NOTE: 24 BAGS PER CARTON/BOX ONLY / 16-18 MONTH EXPIRATION DATING
EPS APPROVAL OF ALL ALTERNATES IS MANDATORY
Option: 3, if exercised (6.1.2029 DATES MAY CHANGE AT TIME OF AWARD)
Line
ItemFile
NumberCMOP
FacilityDescriptionApproved
NDCsProposed
NDCManufactuerPlace of ManufacturePackaging
MultipleUnitQTYUnit
PriceTotal
PriceDelivery and/or

Vendor Comments

2002VA CMOP HINES EPS 765CIPROFLOXACIN 400 MG/200ML-D5W25021-0114-8724BX3,062$ - 0$0.00
Trade Agreement Act
(TAA) Certificate$0.00
NOTE: 24 BAGS PER CARTON/BOX ONLY / 16-18 MONTH EXPIRATION DATING
EPS APPROVAL OF ALL ALTERNATES IS MANDATORY
Option: 4, if exercised (6.1.2030 DATES MAY CHANGE AT TIME OF AWARD)
Line
ItemFile
NumberCMOP
FacilityDescriptionApproved
NDCsProposed
NDCManufactuerPlace of ManufacturePackaging
MultipleUnitQTYUnit
PriceTotal
PriceDelivery and/or

Vendor Comments

2004VA CMOP HINES EPS 765CIPROFLOXACIN 400 MG/200ML-D5W25021-0114-8724BX3,062$ - 0$0.00
Trade Agreement Act
(TAA) Certificate$0.00
NOTE: 24 BAGS PER CARTON/BOX ONLY / 16-18 MONTH EXPIRATION DATING
EPS APPROVAL OF ALL ALTERNATES IS MANDATORY
NOTE: 24 BAGS PER CARTON ONLY / 16-18 MONTH EXPIRATION DATING

EPS APPROVAL OF ALL ALTERNATES IS MANDATORY

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