S02_Pricing Schedule_Q0057.xlsx
XLSX spreadsheet 23 KB Posted
- Solicitation number
- 36C77026Q0057
About this file
This file is a Pricing Schedule Quote Spreadsheet for a VA Medical Center Contract (RFQ 36C77026Q0057) issued by the Department of Veterans Affairs Veterans Health Administration. The solicitation is for two specific medical products for the Tucson CMOP (Consolidated Mail Outpatient Pharmacy): Coal Tar 2% Shampoo (240 BT, 780 units) and Moisturizing Lotion (240 BT, 1,464 units). The quote is due by 12/29/25 at 4:00 PM CST, with delivery required within 10 days after receipt of order (ARO).
Key submission requirements include a completed SF1449 solicitation cover page, quote spreadsheet, valid state wholesale distributor license, BAA Certificate, and OEM authorization documentation. The solicitation is designated as a Small Business Set-aside and subject to the Buy American Act. Vendors must ensure pharmaceutical expiration dates are no less than one year from delivery date, with specific documentation required in the "Vendor Comments" section. Quotes should be emailed to sarah.fry2@va.gov, with pricing to be completed in the orange-highlighted areas of the spreadsheet.
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Other files
| File | Type | Posted |
|---|---|---|
| S02_AMENDMENT_0001_Q0057_CO.pdf | ||
| S02_RFQ_36C77026Q0057.pdf |
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Text version
Quote Spreadsheet
| CMOP - TUCSON CMOP | |||
| RFQ: 36C77026Q0057 | Delivery on or before: 10 days ARO | Required documents: | |
| Solicitation - Quote Spreadsheet | Posted Date: | 12/18/25 | 1. SF1449 - Solicitation cover page (signed) |
| Vendor shall complete all areas in orange | Closing Date: | 12/29/25 | 2. Quote - excel spreadsheet |
| Vendor Name: | Closing Time: | 4:00PM Central Standard Time (CST) | 3. Vaild State Wholesale Distributor License |
| ueiSAM: | 4. BAA Certificate - for non-domestic quotes | ||
| POC Name: | 5. OEM Authorzation documentation for all OTC (Over the Counter) |
| POC E-Mail: | * If vendor is proposing NDC with count other than CMOP listed NDC, | products. | |||
| Phone: | QTY shall be adjusted for that count and this should be noted in "Vendor Comments" | Email quotes to: sarah.fry2@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 | Local Stock Number | Quoted | ||
| NDC | Mfr | Place of Manufacture | Packaging | ||
| Multiple | Unit | QTY | Unit | ||
| Price | Total | ||||
| Price | Vendor |
Comments
| 0001 | 14455 | VA CMOP Tucson - 762 | COAL TAR 2% SHAMPOO(C0731) | 11086-0011-02 | 240 | BT | 780 | $ - 0 | $0.00 |
| 0002 | 21003 | VA CMOP Tucson - 762 | MOISTURIZING LOTION (M0140) | 00096-0722-08 | 240 | BT | 1464 | $ - 0 | $0.00 |
| Total Small Business Set-aside | $0.00 | ||||||||
| Buy American Act Applies (BAA) |
File details come from the government source that posted it. Updated .