S02 - Pric. Schedule Q0112 - EPS CIPRO - EXT.xlsx
XLSX spreadsheet 17 KB Posted
- Solicitation number
- 36C77026Q0112
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.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| S02 - RFQ - 36C77026Q0112 - EXT.pdf | ||
| S02 - RFQ - Q0112 0001 - SOL MOD.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Quote Spreadsheet
| CMOP - Hines EPS | ||||||
| RFQ: 36C77026Q0112 | Delivery: TBD | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 4.14.2026 | 1. SF1449 - Solicitation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 5.8.2026 - EXTENDED | 2. 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 | ||||||
| Item | File | |||||
| Number | CMOP | |||||
| Facility | Description | Approved | ||||
| NDCs | Proposed | |||||
| NDC | Manufactuer | Place of Manufacture | Packaging | |||
| Multiple | Unit | QTY | Unit | |||
| Price | Total | |||||
| Price | Delivery and/or |
Vendor Comments
| 0001 | VA CMOP HINES EPS 765 | CIPROFLOXACIN 400 MG/200ML-D5W | 25021-0114-87 | 24 | BX | 3,062 | $ - 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 | |||
| Item | File | ||
| Number | CMOP | ||
| Facility | Description | Example | |
| NDCs | Proposed | ||
| NDC | Manufactuer | Place of Manufacture | Packaging |
| Multiple | Unit | QTY | Unit |
| Price | Total | ||
| Price | Delivery and/or |
Vendor Comments
| 1001 | VA CMOP HINES EPS 765 | CIPROFLOXACIN 400 MG/200ML-D5W | 25021-0114-87 | 24 | BX | 3,062 | $ - 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 | ||||||||||
| Item | File | |||||||||
| Number | CMOP | |||||||||
| Facility | Description | Approved | ||||||||
| NDCs | Proposed | |||||||||
| NDC | Manufactuer | Place of Manufacture | Packaging | |||||||
| Multiple | Unit | QTY | Unit | |||||||
| Price | Total | |||||||||
| Price | Delivery and/or |
Vendor Comments
| 2001 | VA CMOP HINES EPS 765 | CIPROFLOXACIN 400 MG/200ML-D5W | 25021-0114-87 | 24 | BX | 3,062 | $ - 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 | ||||||||||
| Item | File | |||||||||
| Number | CMOP | |||||||||
| Facility | Description | Approved | ||||||||
| NDCs | Proposed | |||||||||
| NDC | Manufactuer | Place of Manufacture | Packaging | |||||||
| Multiple | Unit | QTY | Unit | |||||||
| Price | Total | |||||||||
| Price | Delivery and/or |
Vendor Comments
| 2002 | VA CMOP HINES EPS 765 | CIPROFLOXACIN 400 MG/200ML-D5W | 25021-0114-87 | 24 | BX | 3,062 | $ - 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 | ||||||||||
| Item | File | |||||||||
| Number | CMOP | |||||||||
| Facility | Description | Approved | ||||||||
| NDCs | Proposed | |||||||||
| NDC | Manufactuer | Place of Manufacture | Packaging | |||||||
| Multiple | Unit | QTY | Unit | |||||||
| Price | Total | |||||||||
| Price | Delivery and/or |
Vendor Comments
| 2004 | VA CMOP HINES EPS 765 | CIPROFLOXACIN 400 MG/200ML-D5W | 25021-0114-87 | 24 | BX | 3,062 | $ - 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
File details come from the government source that posted it. Updated .