S02 - Pricing Sche - EYELID - Q0168 - 770.xlsx

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NATIONAL CMOP - Q0168 - EYELID CLEANSER WIPES
Solicitation number
36C77026Q0168
Issued by

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This is a pricing schedule spreadsheet for a national Veterans Affairs contract opportunity soliciting eyelid cleanser wipes (eye scrub pads) for seven CMOP (Consolidated Mail Outpatient Pharmacy) facilities. The solicitation number is 36C77026Q0168, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15, with a posted date of August 18, 2026, and a closing date and time of August 25, 2026, at 3:00 PM Central Time.

The requirement covers seven line items for EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301) distributed across the following facilities: Leavenworth (4,800 units), Chelmsford (14,400 units), Tucson (9,336 units), Lancaster (8,400 units), Murfreesboro (12,000 units), Hines (15,216 units), and Ladson (24,000 units), for a total of 87,952 units. Each shipment requires three separate deliveries with a 10-day delivery window after receipt of order. Acceptable NDCs are 15718-0103-30 and 54799-0301-90, packaged in 30-box units. Vendors must submit required documentation including SF1449, a completed pricing spreadsheet, state wholesale distributor license, OEM authorized dealer or distributor documentation, and a Trade Agreement Act certificate. All pharmaceuticals must have expiration dates no less than one year from the date of delivery. Only one quote per vendor is permitted, and quotes should be emailed to Jennifer.Coleman4@va.gov.

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Quote Spreadsheet

CMOP - National
RFQ: 36C77026Q0168Delivery: 10 days After Receipt of Order (ARO)Required documents:
Solicitation - Quote SpreadsheetPosted Date:8.18.20261. SF1449 - Solicitation Cover Page (Signed)
Vendor Shall Complete All Areas In OrangeClosing Date:8.25.20262. Quote - Excel Spreadsheet (Yellow Fields)
Vendor Name:Closing Time:3:00PM Central Time (CT)3. State Wholesale Distributor License: Valid and Unexpired
ueiSAM:4. OEM Authorized Dealer or Distributor Documentation for OTC Products
Designation:5. Trade Agreement Act (TAA) Certificate (Completed)
POC Name:* Vendors shall submit no more than (1) one quote per vendor
POC E-Mail:* If vendor is proposing NDC with count other than CMOP listed NDC,Email Quotes To: Jennifer.Coleman4@va.gov
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 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
Line ItemCMOP FacilityDescriptionAcceptable NDC'sProposed Alternate NDC'sManufacturerPlace of ManufacturePackaging MultipleUnitQTYUnit PriceTotal PriceVendor Comments (ARO, Details, Etc)
0001LEAVENWORTH 760EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301)
3 (three) shipments of 1,600 units for a total of 4,80015718-0103-30
54799-0301-9030BX4,800$0.00
0002CHELMSFORD 761EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301)
3 (three) shipments of 4,800 units for a total of 14,40015718-0103-30
54799-0301-9030BX14,400$0.00
0003TUCSON 762EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301)
3 (three) shipments of 3,112 units for a total of 9,33615718-0103-30
54799-0301-9030BX9,336$0.00
0004LANCASTER 763EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301)
3 (three) shipments of 2,800 units for a total of 8,40015718-0103-30
54799-0301-9030BX8,400$0.00
0005MURFREESBORO 764EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301)
3 (three) shipments of 4,000 units for a total of 12,00015718-0103-30
54799-0301-9030BX12,000$0.00
0006HINES 765EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301)
3 (three) shipments of 5,072 units for a total of 15,21615718-0103-30
54799-0301-9030BX15,216$0.00
0007LADSON 766EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301)
3 (three) shipments of 8,000 units for a total of 24,00015718-0103-30
54799-0301-9030BX24,000$0.00
Grand Total Price$0.00

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