S02_Pricing Schedule_Q0056.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- 766-24-1-400-0089 -Charleston CMOP CLOMIPHENE CITRATE 50MG TAB 30CT (C0482) (VA-24- 00018812)
- Solicitation number
- 36C77024Q0056
About this file
This document is a quote spreadsheet for a solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. Vendors are requested to provide pricing for CLOMIPHENE CITRATE 50MG tablets, NDC 00713-0885-30, in quantities of 1,152 units by November 15th, 2023. The required documents include a signed SF1449 cover page, this quote spreadsheet, a state wholesale distributor license, and a trade agreement certificate. Pricing should be provided per unit and total price. Additional details such as expiration dates or alternate NDCs should be noted in the vendor comments section if applicable.
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Other files
| File | Type | Posted |
|---|---|---|
| S02_RFQ_36C77024Q0056_.pdf |
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Text version
Quote Spreadsheet
| CMOP - Ladson CMOP | |||||||||||
| RFQ: 36C77023Q0056 | Delivery on or before: 11/27/2023 | Required documents: | |||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 11/2/23 | 1. SF1449 - Solicitation cover page (signed) | ||||||||
| Vendor shall complete all areas in orange | Closing Date: | 11/15/23 | 2. Quote - excel spreadsheet | ||||||||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | 3. State Wholesale Distributor License | ||||||||
| ueiSAM: | 4. Trade Agreement Certificate | ||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | Email quotes to: Jennifer.Knight@va.gov | |||||||||
| 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" | ||||||||||
| Trade Agreement ACT | * 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 | Deliver Location | |||||||||
| CMOP/ Operations Facility | Description | NDC# | Alternate NDCs | Mfr | Country of | ||||||
| Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments | |||||
| 0001 | 11492 | VA CMOP Charleston - 766A | CLOMIPHENE CITRATE 50MG TAB 30CT, C0482 | 00713-0885-30 | 30 | BX | 1152 | $0.00 | |||
| Trade Agreement ACT Applies: See FAR Part 52.225-5 & Far Part 52.225-6 | $0.00 |
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