S02 - Pricing Schedule - Q0063 - Leavenworth.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77025Q0063
About this file
This is a pricing schedule spreadsheet template for RFQ 36C77025Q0063 issued by the VA Veterans Integrated Service Network 15 for the Leavenworth CMOP (Consolidated Mail Outpatient Pharmacy). The solicitation specifically requests quotes for Clomiphene Citrate 50mg tablets in 30-count bottles (NDC 00713-0885-30), with a required quantity of 984 bottles.
Quotes are due December 24, 2024 by 3:00 PM Central Time, with delivery required within 10 days after receipt of order. Required submission documents include a signed SF1449, completed quote spreadsheet, valid state wholesale distributor license, and Buy American Act certificate. All pharmaceuticals must have at least one year until expiration from delivery date. Vendors may submit only one quote and must send submissions to Jennifer.Coleman4@va.gov. Alternative NDCs may be proposed with appropriate quantity adjustments noted in the vendor comments section.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C77025Q0063.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Quote Spreadsheet
| CMOP - Leavenworth | ||||||||||||
| RFQ: 3677025Q0063 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | ||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 12/18/24 | 1. SF1449 - Solicitation cover page (signed) | |||||||||
| Vendor shall complete all areas in orange | Closing Date: | 12/24/24 | 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 | Leavenworth CMOP | CLOMIPHENE CITRATE 50MG TAB 30CT, (C0482) | 00713-0885-30 | 30 | BT | 984 | $0.00 | |||||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .