S02 - Pricing Schedule Q0058 - ADAPALENE - AP0075.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77025Q0058
About this file
This is a pricing schedule spreadsheet for RFQ 36C77025Q0058, seeking quotes for Adapalene 0.1% topical gel (45g) for the Department of Veterans Affairs' Charleston CMOP (Consolidated Mail Outpatient Pharmacy) facility. The solicitation requires 1,296 tubes with delivery within 10 days after receipt of order (ARO).
Quotes are due December 19, 2024, by 3:00 PM Central Time and must be submitted to Jennifer.Coleman4@va.gov. Required documents include a signed SF1449, completed quote spreadsheet, valid state wholesale distributor license, and Buy American Act certificate. Vendors may submit only one quote and must ensure pharmaceuticals have at least one year until expiration upon delivery. Multiple NDC options are acceptable (00299-4920-45, 72657-102-17, 0536-1412-26, 51672-2150-1, 0299-4910-45) but quantity adjustments must be noted if proposing alternative package counts.
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| File | Type | Posted |
|---|---|---|
| 36C77025Q0058.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Charleston | ||||||||||||
| RFQ: 36C77025Q0058 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | ||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 12/12/24 | 1. SF1449 - Solicitation cover page (signed) | |||||||||
| Vendor shall complete all areas in orange | Closing Date: | 12/19/24 | 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 | CHARLESTON | ADAPALENE 0.1% TOP GEL 45GM (A0726) | 00299-4920-45 | 72657-102-17 |
0536-1412-26 51672-2150-1
| 0299-4910-45 | 45 | TU | 1296 | ||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .