S02 - Pricing Sche - COL and DES - Q0058.xlsx

This is a pricing schedule template for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 (VISN 15) for pharmaceutical supplies at the Tucson facility. The solicitation number is 36C77026Q0058 with a closing date of January 30, 2026, at 3:00 PM Central Time. Vendors must submit quotes via email to Jennifer.Coleman4@va.gov and are limited to one quote per vendor. Required delivery is 10 days after receipt of order (ARO).

The RFQ requires two line items: (1) Colestipol HCL 1GM Tablets, 120 count bottles (NDC 70710-1467-07) with a quantity of 1,704 units, and (2) Desonide 0.05% Cream 15G (NDC 72578-0086-01) with a quantity of 5,904 units. Vendors must provide pricing in the spreadsheet's unit price and total price columns. Required submission documents include the SF1449 solicitation cover page (signed), the completed quote spreadsheet, a valid and unexpired state wholesale distributor license, and a Buy American Act Certificate. Vendors may propose alternate NDCs with adjusted quantities, which must be noted in vendor comments. All pharmaceuticals must have expiration dates no less than one year from the date of delivery, with short-dated items requiring notation in vendor comments. The solicitation was posted on January 23, 2026.