S02_Pricing Schedule_Q0016.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- 6505--770-26-1-801-0018 -National CMOP S0174 SUMATRIPTAN 6MG_0. 5ML INJ SYRINGE 0. 5ML (VA-26-00012451)
- Solicitation number
- 36C77026Q0016
About this file
This document is a pricing schedule spreadsheet for a National Request for Quote (RFQ) from the Department of Veterans Affairs, solicitation number 36C77026Q0016. The RFQ is for Sumatriptan 6MG/0.5ML injection syringes (2-count package) to be delivered to five VA Consolidated Mail Outpatient Pharmacies (CMOPs) located in Leavenworth, Tucson, Lancaster (Dallas), Murfreesboro, and Ladson (Charleston). The total quantity across all facilities is 14,296 packages, with deliveries to be staggered evenly over a 3-month period. The quote is due by 10/17/25 at 3:00 PM Central Time, with the first delivery required 10 days after receipt of order. Vendors must submit a completed quote spreadsheet, signed SF1449 solicitation cover page, state wholesale distributor license, and Trade Agreement Act (TAA) certificate, with pharmaceutical expiration dates required to be at least one year from delivery date.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77026Q0016_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - National | ||||||||||||||
| RFQ: 36C77026Q0016 | Delivery staggered evenly over a 3 month period. First delivery 10 days after receipt of order (ARO) | Required documents: | ||||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 10/9/25 | 1. SF1449 - Solicitation cover page (signed) | |||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 10/17/25 | 2. Quote - excel spreadsheet | |||||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Time (CT) | 3. State Wholesale Distributor License, valid and unexpired | |||||||||||
| ueiSAM: | 4. Trade Agreement Act (TAA) Certificate | |||||||||||||
| POC Name: | ||||||||||||||
| 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 Item | File Number | CMOP Facility | Description | Example NDC | Proposed Alternate NDCs | Mfr | Place of Manufacture | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments | |
| 0001 | 9143 | VA CMOP Leavenworth | SUMATRIPTAN 6MG/0.5ML INJ SYRINGE 0.5ML 2CT, S0174 | |||||||||||
| Delivery staggered evenly over 3 month period | 55111-0693-12 | 2 | PG | 1728 | $ - 0 | $0.00 | ||||||||
| 0002 | 9143 | VA CMOP Tucson | SUMATRIPTAN 6MG/0.5ML INJ SYRINGE 0.5ML 2CT, S0174 | |||||||||||
| Delivery staggered evenly over 3 month period | 55111-0693-12 | 2 | PG | 2500 | $ - 0 | $0.00 | ||||||||
| 0003 | 9143 | VA CMOP Lancaster (Dallas) | SUMATRIPTAN 6MG/0.5ML INJ SYRINGE 0.5ML 2CT, S0174 | |||||||||||
| Delivery staggered evenly over 3 month period | 55111-0693-12 | 2 | PG | 3600 | $ - 0 | $0.00 | ||||||||
| 0004 | 9143 | VA CMOP Murfreesboro EF | SUMATRIPTAN 6MG/0.5ML INJ SYRINGE 0.5ML 2CT, S0174 | |||||||||||
| Delivery staggered evenly over 3 month period | 55111-0693-12 | 2 | PG | 1008 | $ - 0 | $0.00 | ||||||||
| 0005 | 9143 | VA CMOP Ladson (Charleston) | SUMATRIPTAN 6MG/0.5ML INJ SYRINGE 0.5ML 2CT, S0174 | |||||||||||
| Delivery staggered evenly over 3 month period | 55111-0693-12 | 2 | PG | 5460 | $ - 0 | $0.00 | ||||||||
| $0.00 |
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