S02_Pricing Schedule_Q0003.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77024Q0003
About this file
This document contains a quote spreadsheet and solicitation for pharmaceutical products for the Leavenworth CMOP. The spreadsheet lists nine line items for various pharmaceutical products including trandolapril, temozolomide, verapamil HCL, risperidone, rizatriptan, and sulfacetamide sodium/sulfur topical wash. Vendors are to provide pricing for the approved NDCs listed or note any alternative NDCs offered in the comments. Quotes are due by November 6, 2023 at 5:00 PM CST and must include the signed SF1449 cover page and required state and licensing documents. The solicitation is a small business set-aside issued by the Department of Veterans Affairs Veterans Health Administration VISN 15 for the Leavenworth CMOP under solicitation number 36C77024Q0003. Delivery is required on or before November 20, 2023.
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| File | Type | Posted |
|---|---|---|
| S02_RFQ_36C77024Q0003.pdf |
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Quote Spreadsheet
| CMOP - National CMOP | ||||||
| RFQ: 36C77024Q0003 | Delivery on or before: 11/20/2023 | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 10/25/23 | 1. SF1449 - Solicitation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 11/6/23 | 2. Quote - excel spreadsheet | |||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | 3. State Wholesale Distributor License | |||
| ueiSAM: | 4. BAA Certificate - for non-domestic quotes | |||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | Email quotes to: Jennifer.Knight@va.gov | ||||
| 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" | |||||
| * 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 | Approved NDCs | Quoted | |||
| NDC | Mfr | Country of | ||||
| Origin | Packaging | |||||
| Multiple | Unit | QTY | Unit | |||
| Price | Total | |||||
| Price | Vendor |
Comments
| 0001 | 5155 | VA CMOP Leavenworth - 760 | TRANDOLAPRIL 4MG TAB 100CT, T0347 | 57237-0091-01 | 100 | BT | 36 | $ - 0 | $0.00 | ||||
| 0002 | 16555 | VA CMOP Leavenworth - 760 | TEMOZOLOMIDE 250MG CAP 5CT (T0476) | 16729-0051-53 | 5 | BT | 36 | $ - 0 | $0.00 | ||||
| 0003 | 15604 | VA CMOP Leavenworth - 760 | VERAPAMIL HCL 240MG SA TAB 500CT (V0010) | 75834-0159-05 | 500 | BT | 72 | $ - 0 | $0.00 | ||||
| 0004 | 13914 | VA CMOP Leavenworth - 760 | RISPERIDONE 1MG TAB 500CT (R0022) | 27241-0001-50 | 500 | BT | 144 | $ - 0 | $0.00 | ||||
| 0005 | 13529 | VA CMOP Leavenworth - 760 | RISPERIDONE 2MG TAB 500CT, R0023 | ||||||||||
| Must be a round tablet | 27241-0004-50 | 500 | BT | 144 | $ - 0 | $0.00 | |||||||
| 0006 | 14109 | VA CMOP Leavenworth - 760 | RIZATRIPTAN 10MG DISINTEGRATE TAB 18CT, R0312 | 51991-0363-78 | 18 | BT | 288 | $ - 0 | $0.00 | ||||
| 0007 | 14844 | VA CMOP Leavenworth - 760 | VERAPAMIL HCL 180MG SA TAB 500CT (V0008) | 68462-0293-05 | 500 | BT | 144 | $ - 0 | $0.00 | ||||
| 0008 | 14837 | VA CMOP Leavenworth - 760 | RISPERIDONE 3MG TAB 500CT (R0024) | 43547-0343-50 | 500 | BT | 96 | $ - 0 | $0.00 | ||||
| 0009 | 5501 | VA CMOP Leavenworth - 760 | SULFACETAMIDE NA 10%/SULFUR 5% TOP WASH 180ML--S0531 | 42192-0136-06 | 180 | BT | 1600 | $ - 0 | $0.00 | ||||
| Total Small Business Set-aside | $0.00 | ||||||||||||
| Buy American Act Applies (BAA) |
File details come from the government source that posted it. Updated .