S02_Pricing Schedule_Q0011.xlsx

XLSX spreadsheet 21 KB Posted

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6505--770-24-1-801-0014 -National CMOP A2112 ARTIFICIAL SALIVA ORAL SPRAY -(VA-24-00010705)
Solicitation number
36C77024Q0011
Issued by

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This document contains a pricing schedule spreadsheet for a national request for quote from the Department of Veterans Affairs for artificial saliva oral spray. The spreadsheet lists individual line items for the product across seven different VA medical centers, specifying the national contract management and ordering program stock number, manufacturer, country of origin, packaging, and quantities required for each facility. Vendors are instructed to complete the spreadsheet with unit pricing and total pricing for each line item and provide additional documentation including a SF1449 cover page, state wholesale distributor license or original equipment manufacturer authorization, and Buy American Act certificate. Quotes must be submitted electronically by October 10, 2023. The pricing schedule specifies that product expiration dates must be at least one year from the date of delivery.

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Quote Spreadsheet

CMOP - National
RFQ: 36C77024Q0011Delivery on or before: 10/23/2023Required documents:
Solicitation - Quote SpreadsheetPosted Date:10/2/231. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:10/10/232. Quote - excel spreadsheet
Vendor Name:Closing Time:5:00PM Central Standard Time (CST)3. State Wholesale Distributor License -and/or-
ueiSAM:4. OEM authorized dealer or distributor documentation for OTC product
POC Name:* Vendors shall submit no more than (1) one quote per vendor5. Buy American Act (BAA) Certificate
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: Kelley.Cunningham@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 FacilityDescriptionLocal Stock #Alternate NDCsMfrCountry of OriginPackaging MultipleUnitQTYUnit PriceTotal PriceVendor Comments
00012955LeavenworthARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112)50930-0098-08240BT504$ - 0$0.00
00022955ChelmsfordARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112)50930-0098-08240BT576$ - 0$0.00
00032955TucsonARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112)50930-0098-08240BT600$ - 0$0.00
00042955Lancaster (Dallas)ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112)50930-0098-08240BT350$ - 0$0.00
00052955Murfreesboro EFARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112)50930-0098-08240BT600$ - 0$0.00
00062955HinesARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112)50930-0098-08240BT1200$ - 0$0.00
00072955Ladson (Charleston)ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112)50930-0098-08240BT2400$ - 0$0.00
$0.00

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