S02_Pricing Schedule_Q0047.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77025Q0047
About this file
This document is a Pricing Schedule related to a Request for Quote (RFQ) for the Department of Veterans Affairs (VA) National Consolidated Mail Outpatient Pharmacy (CMOP) program. The RFQ solicitation number is 36C77025Q0047 and it is for the procurement of DORZOLAMIDE/TIMOLOL ophthalmic solution.
The pricing schedule lists 7 line items for various CMOP facilities, with quantities ranging from 2,880 to 9,600 units of the 10 mL bottle size. Vendors are required to provide unit pricing, and any proposed alternate NDCs and country of origin information. Delivery is required within 10 days of order receipt. The solicitation closing date is November 12, 2024 at 3:00 PM Central Time. Vendors must submit a signed SF1449 cover page, the completed pricing spreadsheet, a valid state wholesale distributor license, and a Trade Agreement Act (TAA) certificate. Pharmaceutical expiration dates must be no less than 1 year from delivery.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77025Q0047_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - National | |||||||||||||
| RFQ: 36C77025Q0047 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 11/4/24 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 11/12/24 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Time (CT) | 3. State Wholesale Distributor License, valid and unexpired | ||||||||||
| ueiSAM: | 4. Trade Agreement Act (TAA) Certificate | ||||||||||||
| POC Name: | * TAA compliant quotes only* | ||||||||||||
| 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: Kelley.Cunningham@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 | 13680 | VA CMOP Leavenworth | DORZOLAMIDE 22.3/TIMOLOL6.8MG/ML OPH SOL 10ML (D0828) | 24208-0486-10 | 10 | BT | 2880 | $ - 0 | $0.00 | ||||
| 0002 | 13680 | VA CMOP Chelmsford | DORZOLAMIDE 22.3/TIMOLOL6.8MG/ML OPH SOL 10ML (D0828) | 24208-0486-10 | 10 | BT | 3600 | $ - 0 | $0.00 | ||||
| 0003 | 13680 | VA CMOP Tucson | DORZOLAMIDE 22.3/TIMOLOL6.8MG/ML OPH SOL 10ML (D0828) | 24208-0486-10 | 10 | BT | 3600 | $ - 0 | $0.00 | ||||
| 0004 | 13680 | VA CMOP Lancaster (Dallas) | DORZOLAMIDE 22.3/TIMOLOL6.8MG/ML OPH SOL 10ML (D0828) | 24208-0486-10 | 10 | BT | 6000 | $ - 0 | $0.00 | ||||
| 0005 | 13680 | VA CMOP Murfreesboro SJ | DORZOLAMIDE 22.3/TIMOLOL6.8MG/ML OPH SOL 10ML (D0828) | 24208-0486-10 | 10 | BT | 7200 | $ - 0 | $0.00 | ||||
| 0006 | 13680 | VA CMOP Hines (Great Lakes) | DORZOLAMIDE 22.3/TIMOLOL6.8MG/ML OPH SOL 10ML (D0828) | 24208-0486-10 | 10 | BT | 9600 | $ - 0 | $0.00 | ||||
| 0007 | 13680 | VA CMOP Ladson (Charleston) | DORZOLAMIDE 22.3/TIMOLOL6.8MG/ML OPH SOL 10ML (D0828) | 24208-0486-10 | 10 | BT | 9600 | $ - 0 | $0.00 | ||||
| $0.00 |
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