S02_Pricing Schedule_Q0026.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77025Q0026
About this file
This document is a Pricing Schedule spreadsheet for a Request for Quote (RFQ) for the Department of Veterans Affairs (VA) Consolidated Mail Outpatient Pharmacy (CMOP) program. The RFQ is for the procurement of artificial saliva oral spray and saliva mouth spray products, with a required delivery of 10 days After Receipt of Order (ARO).
The spreadsheet contains line item details for the various CMOP facility locations, including NDC numbers, quantities, packaging, and instructions for vendors. Vendors are required to submit no more than one quote, provide their wholesale distributor license, OEM authorized dealer/distributor documentation, and a Buy American Act (BAA) certificate if quoting non-domestic products. Quotes must be emailed to the designated POC by the closing date and time of October 16, 2024 at 3:00 PM Central Time.
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| File | Type | Posted |
|---|---|---|
| 36C77025Q0026_2.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - National | |||||||||||||
| RFQ: 36C77025Q0026 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 10/11/24 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 10/16/24 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Time (CT) | 3. State Wholesale Distributor License -and/or- | ||||||||||
| ueiSAM: | 4. OEM authorized dealer or distributor documentation for OTC products | ||||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | 5. Buy American Act (BAA) Certificate, if quoting non-domestic product | |||||||||||
| 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 | 2955 | VA CMOP Leavenworth | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 480 | $ - 0 | $0.00 | ||||
| 0002 | 2955 | VA CMOP Chelmsford | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 576 | $ - 0 | $0.00 | ||||
| 0003 | 2955 | VA CMOP Tucson | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 840 | $ - 0 | $0.00 | ||||
| 0004 | 2955 | VA CMOP Lancaster (Dallas) | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 1800 | $ - 0 | $0.00 | ||||
| 0005 | 2955 | VA CMOP Murfreesboro EF | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 360 | $ - 0 | $0.00 | ||||
| 0006 | 2955 | VA CMOP Hines (Great Lakes) | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 960 | $ - 0 | $0.00 | ||||
| 0007 | 2955 | VA CMOP Ladson (Charleston) | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 1200 | $ - 0 | $0.00 | ||||
| 0008 | 4729 | VA CMOP Tucson | MOUTHWASH,ORAL MOISTURIZER,1.5OZ,MINT,BIOTENE,DRY MOUTH | 48582-0001-55 | 45 | BT | 960 | $ - 0 | $0.00 | ||||
| 0009 | 4729 | VA CMOP Lancaster (Dallas) | MOUTHWASH,ORAL MOISTURIZER,1.5OZ,MINT,BIOTENE,DRY MOUTH | 48582-0001-55 | 45 | BT | 360 | $ - 0 | $0.00 | ||||
| 0010 | 4729 | VA CMOP Murfreesboro EF | MOUTHWASH,ORAL MOISTURIZER,1.5OZ,MINT,BIOTENE,DRY MOUTH | 48582-0001-55 | 45 | BT | 96 | $ - 0 | $0.00 | ||||
| 0011 | 4729 | VA CMOP Hines (Great Lakes) | MOUTHWASH,ORAL MOISTURIZER,1.5OZ,MINT,BIOTENE,DRY MOUTH | 48582-0001-55 | 45 | BT | 1200 | $ - 0 | $0.00 | ||||
| 0012 | 4729 | VA CMOP Ladson (Charleston) | MOUTHWASH,ORAL MOISTURIZER,1.5OZ,MINT,BIOTENE,DRY MOUTH | 48582-0001-55 | 45 | BT | 480 | $ - 0 | $0.00 | ||||
| $0.00 |
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