S02_Pricing Schedule_Q0039 - ESTRADIOL - LEAVENWORTH - final.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77025Q0039
About this file
This document is a pricing schedule spreadsheet for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration (VA VHA) for the procurement of the pharmaceutical ESTRADIOL for the Leavenworth Community-Based Outpatient Pharmacy (CMOP).
The RFQ, identified as Solicitation Number 36C77025Q0039, requires vendors to submit quotes for a 50g bottle of ESTRADIOL (ESTROGEL) 0.06% Transderm Gel with a delivery timeline of 10 days After Receipt of Order (ARO). Vendors must provide pricing details, alternate National Drug Codes (NDCs), country of origin, and other pertinent information in the provided quote spreadsheet. The closing date for submissions is November 20, 2024, at 3:00 PM Central Time. Award criteria include compliance with the Buy American Act and providing product expiration dates of at least one year from the date of delivery.
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Other files
| File | Type | Posted |
|---|---|---|
| S02 - J and A - ESTRADIOL - FINAL 2S - REDACTED.pdf | ||
| S02 - RFQ - 36C77025Q0039 - ESTRADIOL - FINAL.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Leavenworth | ||||||||||||
| RFQ: 36C77025Q0039 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | ||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 11/14/24 | 1. SF1449 - Solicitation cover page (signed) | |||||||||
| Vendor shall complete all areas in orange | Closing Date: | 11/20/24 | 2. Quote - excel spreadsheet | |||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Time (CT) | 3. State Wholesale Distributor License, valid and unexpired | |||||||||
| 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: Jennifer.Coleman4@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 | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | Leavenworth | ESTRADIOL (ESTROGEL) 0.06% TRANSDERM GEL 50GM, (E0622) | 17139-0617-40 | BRAND NAME ONLY | 50 | TU | 200 | $ - 0 | $0.00 | |||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .