S02 - Pricing Sche - Q0006.xlsx
XLSX spreadsheet 16 KB Posted
- Solicitation number
- 36C77026Q0006
About this file
This document is a pricing schedule spreadsheet (Quote Spreadsheet) for a VA National Request for Quote (RFQ) numbered 36C77026Q0006. The solicitation is for pharmaceutical products, specifically APAP 325MG/BUTALBITAL 50MG/CAFN 40MG TAB (A1612) 500CT, to be distributed across six VA Consolidated Mail Outpatient Pharmacies (CMOPs) located in Leavenworth, Chelmsford, Tucson, Lancaster, Hines, and Ladson (Charleston). The quote requires vendors to provide 3 shipments to each facility, with total quantities ranging from 96 to 480 bottles per location, totaling 1,920 bottles.
Key submission details include a closing date of 9/26/25 at 3:00 PM Central Time, with required documentation including a signed SF1449, completed quote spreadsheet, state wholesale distributor license, OEM authorized dealer documentation, and a Buy American Act Certificate if proposing non-domestic products. Specific NDC requirements are outlined, with certain NDCs marked as unacceptable. Vendors must ensure pharmaceutical expiration dates are no less than one year from delivery date. Quotes are to be emailed to Jennifer.Coleman4@va.gov, with the opportunity managed by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15.
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| File | Type | Posted |
|---|---|---|
| 36C77026Q0006.docx | DOCX document |
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Quote Spreadsheet
| CMOP - National | |||||||||||||||
| RFQ: 36C77026Q0006 | 10 DAYS ARO | Required documents: | |||||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 9/19/25 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 9/26/25 | 2. Quote - excel spreadsheet | ||||||||||||
| 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 | ||||||||||||||
| POC Name: | 5. BAA Buy American Act Certificate if quoting a non domestic product. | ||||||||||||||
| 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 | |||||||||||||||
| Line Item | File Number | CMOP Facility | Description | NDC | Proposed Alternate NDCs | Unacceptable NDCs | Mfr | Place of Manufacture | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments | |
| 0001 | VA CMOP Leavenworth | APAP 325MG/BUTALBITAL 50MG/CAFN 40MG TAB (A1612) 500CT | |||||||||||||
| 3 (three) shipments of 32 (thirty-two) bottles for a total of 96 | 00527-1695-05 |
00591-3369-05 10702-0253-50 46672-0053-50 69367-0203-05 71205-0981-55
| 500 | BT | 96 | $ - 0 | $0.00 | ||
| 0002 | VA CMOP Chelmsford | APAP 325MG/BUTALBITAL 50MG/CAFN 40MG TAB (A1612) 500CT | ||||
| 3 (three) shipments of 48 (forty-eight) bottles for a total of 144 | 00527-1695-06 |
00591-3369-05 10702-0253-50 46672-0053-50 69367-0203-05 71205-0981-55
| 500 | BT | 144 | $ - 0 | $0.00 | ||
| 0003 | VA CMOP Tucson | APAP 325MG/BUTALBITAL 50MG/CAFN 40MG TAB (A1612) 500CT | ||||
| 3 (three) shipments of 40 (forty) bottles for a total of 120 | 00527-1695-07 |
00591-3369-05 10702-0253-50 46672-0053-50 69367-0203-05 71205-0981-55
| 500 | BT | 120 | $ - 0 | $0.00 | ||
| 0004 | VA CMOP Lancaster | APAP 325MG/BUTALBITAL 50MG/CAFN 40MG TAB (A1612) 500CT | ||||
| 3 (three) shipments of 80 (eighty) bottles for a total of 240 | 00527-1695-08 |
00591-3369-05 10702-0253-50 46672-0053-50 69367-0203-05 71205-0981-55
| 500 | BT | 240 | $ - 0 | $0.00 | ||
| 0005 | VA CMOP Hines | APAP 325MG/BUTALBITAL 50MG/CAFN 40MG TAB (A1612) 500CT | ||||
| 3 (three) shipments of 160 (one hundred sixty) bottles for a total of 480 | 00527-1695-09 |
00591-3369-05 10702-0253-50 46672-0053-50 69367-0203-05 71205-0981-55
| 500 | BT | 480 | $ - 0 | $0.00 | ||
| 0006 | VA CMOP Ladson (Charleston) | APAP 325MG/BUTALBITAL 50MG/CAFN 40MG TAB (A1612) 500CT | ||||
| 3 (three) shipments of 160 (one hundred sixty) bottles for a total of 480 | 00527-1695-10 |
00591-3369-05 10702-0253-50 46672-0053-50 69367-0203-05 71205-0981-55
| 500 | BT | 480 | $ - 0 | $0.00 | |
| $0.00 | |||||
| NOTE: The NDC's 69367-0203-05 and 71205-0981-55 are unacceptable. | NOTE: The NDC's 51407-0556-05 and 70752-0142-14 are acceptable BUT are mislabeled as a Controlled Substance |
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