S02_Pricing Schedule_Q0021.xlsx
XLSX spreadsheet 22 KB Posted
- Solicitation number
- 36C77024Q0021
About this file
This document contains a pricing spreadsheet for a federal solicitation requesting pharmaceutical products from wholesale distributors. The spreadsheet lists fifteen line items for various prescription medications to be delivered to the Veterans Affairs Medical Center in Leavenworth, Kansas on or before November 20, 2023. Bidders are instructed to provide pricing for the National Drug Codes listed as well as any applicable alternate codes and note any short-dated expiration dates. The solicitation number is 36C77024Q0021 for the Leavenworth CMOP under VISN 15 of the Department of Veterans Affairs. Responses are due by November 6th at 5:00 PM Central Time and should include signed forms SF1449, the completed pricing spreadsheet, proof of state licensing, and a Buy American Act certificate.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0021_1.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Leavenworth | ||||||||||||||
| RFQ: 36C77024Q0021 | Delivery on or before: 11/20/2023 | Required documents: | ||||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 10/23/23 | 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 Daylight Time (CDT) | 3. State Wholesale Distributor License | |||||||||||
| ueiSAM: | 4. Buy American Act (BAA) Certificate | |||||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | |||||||||||||
| POC E-Mail: | * If vendor is proposing NDC with count other than CMOP listed NDC, | Email quotes to: Kelley.Cunningham@va.gov | ||||||||||||
| 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 | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments | |
| 0001 | 13377 | Leavenworth | AMLODIPINE 2.5/BENAZEPRIL 10MG CAP, 100CT (A0604) | 65862-0582-01 | 100 | BT | 552 | $ - 0 | $0.00 | |||||
| 0002 | 14369 | Leavenworth | AMLODIPINE 5/BENAZEPRIL 20MG CAP 500CT, (A0606) | 55111-0340-05 | 500 | BT | 600 | $ - 0 | $0.00 | |||||
| 0003 | 13367 | Leavenworth | AMLODIPINE 10/BENAZEPRIL 40MG CAP 100CT (A1325) | 65862-0587-01 | 100 | BT | 2100 | $ - 0 | $0.00 | |||||
| 0004 | 13093 | Leavenworth | AMLODIPINE 10MG/OLMESARTAN 40MG TAB 30CT, (A1421) | 65862-0857-30 | 30 | BT | 432 | $ - 0 | $0.00 | |||||
| 0005 | 13644 | Leavenworth | CIPROFLOXACIN HCL 500MG TAB 500CT, (C0260) | 65862-0077-05 | 500 | BT | 24 | $ - 0 | $0.00 | |||||
| 0006 | 20166 | Leavenworth | CANDESARTAN CILEXETIL 4MG TAB 90CT (C0860) | 62332-0341-90 | 90 | BT | 528 | $ - 0 | $0.00 | |||||
| 0007 | 2661 | Leavenworth | DICLOXACILLIN NA 500MG CAP 100CT--(D0065) | 59651-0566-01 | 100 | BT | 96 | $ - 0 | $0.00 | |||||
| 0008 | 5957 | Leavenworth | DICLOFENAC 75MG/MISOPROSTOL 200MCG TAB 60CT--(D0438) | |||||||||||
| Dispense in original container, BTL must be 2.5inches tall | 42571-0134-60 | 60 | BT | 540 | $ - 0 | $0.00 | ||||||||
| 0009 | 13176 | Leavenworth | ESOMEPRAZOLE MAGNESIUM 40MG EC CAP 90CT (E0444) | |||||||||||
| BTL must be 2.5inches tall | 16714-0980-02 | 90 | BT | 7944 | $ - 0 | $0.00 | ||||||||
| 0010 | 19738 | Leavenworth | FENOFIBRATE 48MG TAB, 90CT (F0354) | |||||||||||
| BTL must be 2.5inches tall | 00378-3065-77 | 90 | BT | 816 | $ - 0 | $0.00 | ||||||||
| 0011 | 10997 | Leavenworth | FLUNISOLIDE 0.025% 200D NASAL INH SPRAY 25ML (F0404) | 24208-0344-25 | 1 | BT | 360 | $ - 0 | $0.00 | |||||
| 0012 | 19277 | Leavenworth | FESOTERODINE FUMARATE 8MG SA TAB 30CT (F0425) | 43598-0248-30 | 30 | BT | 1320 | $ - 0 | $0.00 | |||||
| 0013 | 2950 | Leavenworth | GALANTAMINE HYDRO 16MG SA CAP 30CT (G0259) | 65862-0745-30 | 30 | BT | 816 | $ - 0 | $0.00 | |||||
| 0014 | 14341 | Leavenworth | HCTZ12.5/VALSARTAN 160MG TAB 90CT (H0337) | |||||||||||
| BTL must be 2.5inches tall | 43547-0312-09 | 90 | BT | 480 | $ - 0 | $0.00 | ||||||||
| 0015 | 19282 | Leavenworth | LITHIUM CARBONATE 600MG CAP 100CT (L0099) | 68462-0222-01 | 100 | BT | 312 | $ - 0 | $0.00 | |||||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .