S02 - Pricing Sche - Q0241.xlsx

XLSX spreadsheet 16 KB Posted

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6505--770-25-3-801-0373 -National CMOP A1612 BUTALBITAL TAB -(VA-25-00063769)
Solicitation number
36C77025Q0241
Issued by

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This is a Pricing Schedule spreadsheet for a VA National RFQ (Request for Quote) solicitation numbered 36C77025Q0241 for pharmaceutical tablets. The solicitation requests quotes for APAP 325MG/BUTALBITAL 50MG/CAFN 40MG tablets (A1612) to be distributed across six VA Consolidated Mail Outpatient Pharmacies (CMOPs) located in Leavenworth, Tucson, Lancaster, Murfreesboro, Hines, and Ladson. The total quantity ranges from 36 to 360 bottles per location, with each order specified as a 500-count bottle. Vendors must submit quotes by June 10, 2025, at 3:00 PM Central Time, and are required to provide additional documentation including a signed SF1449, state wholesale distributor license, OEM authorized dealer documentation, and a Buy American Act certificate if proposing non-domestic products. Key requirements include pharmaceutical expiration dates of at least one year from delivery, and specific NDC (National Drug Code) restrictions are noted, with certain NDCs explicitly deemed unacceptable.

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Quote Spreadsheet

CMOP - National
RFQ: 36C77025Q02411 DAYS ARORequired documents:
Solicitation - Quote SpreadsheetPosted Date:6/3/251. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:6/10/252. 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 ItemFile NumberCMOP FacilityDescriptionNDCProposed Alternate NDCsMfrPlace of ManufacturePackaging MultipleUnitQTYUnit PriceTotal PriceVendor Comments
0001VA CMOP LeavenworthAPAP 325MG/BUTALBITAL 50MG/CAFN 40MG TAB (A1612) 500CT00527-1695-05

00591-3369-05 10702-0253-50

70752-0142-14500BT144$ - 0$0.00
0002VA CMOP TucsonAPAP 325MG/BUTALBITAL 50MG/CAFN 40MG TAB (A1612) 500CT00527-1695-05

00591-3369-05 10702-0253-50

70752-0142-14500BT120$ - 0$0.00
0003VA CMOP LancasterAPAP 325MG/BUTALBITAL 50MG/CAFN 40MG TAB (A1612) 500CT00527-1695-05

00591-3369-05 10702-0253-50

70752-0142-14500BT120$ - 0$0.00
0004VA CMOP Murfreesboro EFAPAP 325MG/BUTALBITAL 50MG/CAFN 40MG TAB (A1612) 500CT00527-1695-05

00591-3369-05 10702-0253-50

70752-0142-14500BT36$ - 0$0.00
0005VA CMOP HinesAPAP 325MG/BUTALBITAL 50MG/CAFN 40MG TAB (A1612) 500CT00527-1695-05

00591-3369-05 10702-0253-50

70752-0142-14500BT144$ - 0$0.00
0006VA CMOP Ladson (Charleston)APAP 325MG/BUTALBITAL 50MG/CAFN 40MG TAB (A1612) 500CT00527-1695-05

00591-3369-05 10702-0253-50

70752-0142-14500BT360$ - 0$0.00
$0.00
NOTE: NDC'S 69367-0203-05 & 71205-0981-55 ARE NOT ACCEPTABLE

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