S02_Pricing Schedule_Q0054.xlsx
XLSX spreadsheet 20 KB Posted
- Solicitation number
- 36C77024Q0054
About this file
This document contains a pricing schedule spreadsheet for a request for quote from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. The RFQ seeks pricing for four pharmaceutical products to be delivered to the Charleston CMOP facility in Ladson, South Carolina by January 15, 2023. Vendors are to complete the provided spreadsheet including unit pricing and total pricing for each line item, with expiration dates noted if any products have less than one year of shelf life from delivery date. The solicitation number is 36C77024Q0054 and quotes are due by December 15, 2023 at 5:00PM Central Time. Required documents for submission include a signed SF1449 cover page, the completed pricing spreadsheet, a state wholesale distributor license, and a Buy American Act certificate if quoting non-domestic products.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0054_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Ladson (Charleston) | ||||||||||||
| RFQ: 36C77024Q0054 | Delivery on or before: 1/15/2023 | Required documents: | ||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 12/8/23 | 1. SF1449 - Solicitation cover page (signed) | |||||||||
| Vendor shall complete all areas in orange | Closing Date: | 12/15/23 | 2. Quote - excel spreadsheet | |||||||||
| Vendor Name: | Closing Time: | 5:00PM Central Daylight Time (CDT) | 3. State Wholesale Distributor License | |||||||||
| ueiSAM: | 4. Buy American Act (BAA) Certificate, if quoting non-domestic product | |||||||||||
| 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: 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 | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | Ladson (Charleston) | RIZATRIPTAN BENZOATE 10MG TAB 12CT (R0095) | 33342-0088-45 | 12 | PG | 5184 | $ - 0 | $0.00 | ||||
| 0002 | Ladson (Charleston) | SALICYLIC ACID 6% SHAMPOO, 160ML (S0516) | 11086-0043-06 | 160 | BT | 360 | $ - 0 | $0.00 | ||||
| 0003 | Ladson (Charleston) | RIZATRIPTAN 10MG DISINTEGRATE TAB, 18CT (R0312) | 33342-0094-41 | 18 | PG | 5184 | $ - 0 | $0.00 | ||||
| 0004 | Ladson (Charleston) | SULFACETAMIDE 10/SULFUR 5% EMOLL TOP CRM, 30GM (S0710) | 42192-0139-01 | 30 | TU | 916 | $ - 0 | $0.00 | ||||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .