S02_Pricing Schedule_Q0025.xlsx
XLSX spreadsheet 22 KB Posted
- Solicitation number
- 36C77025Q0025
About this file
This is a pricing schedule spreadsheet for RFQ 36C77025Q0025, seeking quotes for PHENYTOIN NA 100MG CAP (NDC 51672-4111-03) to be delivered to multiple VA CMOP (Consolidated Mail Outpatient Pharmacy) facilities. The procurement is a small business set-aside subject to the Buy American Act.
The Department of Veterans Affairs requires delivery to five CMOP locations: Chelmsford (48 bottles), Tucson (36 bottles), Lancaster (36 bottles), Hines (84 bottles), and Charleston (180 bottles), with each bottle containing 1,000 capsules. Quotes are due by December 3, 2024, at 4:00 PM CST, with delivery required within 10 days after receipt of order. Vendors must submit a signed SF1449, completed quote spreadsheet, valid state wholesale distributor license, and BAA certificate for non-domestic quotes. All pharmaceuticals must have at least one year until expiration from the delivery date.
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| File | Type | Posted |
|---|---|---|
| S02_RFQ_36C77025Q0025.pdf |
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Text version
Quote Spreadsheet
| CMOP - NATIONAL CMOP | ||||||
| RFQ: 36C77025Q0025 | Delivery on or before: 10 days ARO | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 11/26/24 | 1. SF1449 - Solicitation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 12/3/24 | 2. Quote - excel spreadsheet | |||
| Vendor Name: | Closing Time: | 4:00PM Central Standard Time (CST) | 3. Vaild State Wholesale Distributor License | |||
| ueiSAM: | 4. BAA Certificate - for non-domestic quotes | |||||
| 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: sarah.fry2@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 | Local Stock Number | Quoted | |||
| NDC | Mfr | Country of | ||||
| Origin | Packaging | |||||
| Multiple | Unit | QTY | Unit | |||
| Price | Total | |||||
| Price | Vendor |
Comments
| 0001 | 21198 | VA CMOP Chelmsford - 761 | PHENYTOIN NA 100MG CAP | 51672-4111-03 | 1000 | BT | 48 | $ - 0 | $0.00 |
| 0002 | 21198 | VA CMOP Tucson - 762 | PHENYTOIN NA 100MG CAP | 51672-4111-03 | 1000 | BT | 36 | $ - 0 | $0.00 |
| 0003 | 21198 | VA CMOP Lancaster - 763 | PHENYTOIN NA 100MG CAP | 51672-4111-03 | 1000 | BT | 36 | $ - 0 | $0.00 |
| 0004 | 21198 | VA CMOP Hines - 765 | PHENYTOIN NA 100MG CAP | 51672-4111-03 | 1000 | BT | 84 | $ - 0 | $0.00 |
| 0005 | 21198 | VA CMOP Charleston - 766 | PHENYTOIN NA 100MG CAP | 51672-4111-03 | 1000 | BT | 180 | $ - 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 .