S02_Pricing_Schedule_Q0036_final.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77025Q0036
About this file
This document is a pricing schedule for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 for a national contract for NALTREXONE 50mg tablets. The RFQ number is 36C77025Q0036.
The pricing schedule includes line items for 7 different CMOP (Consolidated Mail Outpatient Pharmacy) facilities, with required quantities for each location. Vendors are instructed to provide pricing and details on proposed alternate NDCs, manufacturer country of origin, packaging, and any vendor comments. Required documents include a signed SF1449 solicitation cover page, the completed quote spreadsheet, a valid state wholesale distributor license, a Trade Agreement Act (TAA) certificate, and a subcontracting plan if applicable. The closing date for responses is October 28, 2024 at 4:00PM Central Time.
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Other files
| File | Type | Posted |
|---|---|---|
| S02_RFQ_36C77025Q0036_Final.pdf |
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Text version
Quote Spreadsheet
| CMOP - National | |||||||||||||
| RFQ: 36C77025Q0036 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 10/21/24 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 10/28/24 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 4:00PM Central Time (CT) | 3. State Wholesale Distributor License, valid and unexpired | ||||||||||
| ueiSAM: | 4. Trade Agreement Act (TAA) Certificate | ||||||||||||
| POC Name: | 5. Sub-Contracting Plan if it applies. | ||||||||||||
| 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: Jennifer.Knight@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 | NDC | Proposed Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 12282 | VA CMOP Leavenworth - 760 | NALTREXONE (EQV-REVIA) 50MG TAB 100CT (N0716) | 00406-1170-01 | 100 | BT | 500 | $ - 0 | $0.00 | ||||
| 0002 | 12282 | VA CMOP Chelmsford - 761 | NALTREXONE (EQV-REVIA) 50MG TAB 100CT (N0716) | 00406-1170-01 | 100 | BT | 720 | $ - 0 | $0.00 | ||||
| 0003 | 12282 | VA CMOP Tucson - 762 | NALTREXONE (EQV-REVIA) 50MG TAB 100CT (N0716) | 00406-1170-01 | 100 | BT | 4400 | $ - 0 | $0.00 | ||||
| 0004 | 12282 | VA CMOP Lancaster - 763 | NALTREXONE (EQV-REVIA) 50MG TAB 100CT (N0716) | 00406-1170-01 | 100 | BT | 4400 | $ - 0 | $0.00 | ||||
| 0005 | 12282 | VA CMOP Murfreesboro - 764 | NALTREXONE (EQV-REVIA) 50MG TAB 100CT (N0716) | 00406-1170-01 | 100 | BT | 480 | $ - 0 | $0.00 | ||||
| 0006 | 12282 | VA CMOP Hines -765 | NALTREXONE (EQV-REVIA) 50MG TAB 100CT (N0716) | 00406-1170-01 | 100 | BT | 4200 | $ - 0 | $0.00 | ||||
| 0007 | 12282 | VA CMOP Charleston - 766A | NALTREXONE (EQV-REVIA) 50MG TAB 100CT (N0716) | 00406-1170-01 | 100 | BT | 1200 | $ - 0 | $0.00 | ||||
| $0.00 |
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