S02 - PRICING SCHEDULE - Q0065.xlsx

XLSX spreadsheet 29 KB Posted Nov 24, 2021

Attached to: 6515--4LI MED/SURGE Federal contract opportunity
Solicitation number: 36C77022Q0065
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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File	Type	Posted
P03 Single Source FAR 13 MPT-SAT - 0062.docx	DOCX document	Nov 24, 2021
36C77022Q0065_2.docx	DOCX document	Nov 24, 2021

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Pharmacy List

Pharm		Issued
VA CMOP -	TUCSON	11/23/21

				Solicitation # 36C77022Q0065	Due Date
		1) Full Delivery required within 3-5 days ARO, no partials accepted without prior approval			11/25/21 @ 8AM CST
		2) All NDCs submitted for bid will need to pass RPH evaluation and approval
		Vendor Name:
		Vendor Point of Contact:
		Point of Contact Email & Phone #:
		Vendor Duns #:
	LINE ITEM	NDC #/UPC	CMOP
Item #	DESCRIPTION	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)
	1	08360-0112-03	XI299	BARRIER,OSTOMY,NEW IMAGE H#11203		5/BX	985	BX
	2	99901-0092-07	XT265	CATH,EXTERNAL EXTENDED WEAR MED H#9207		30/BX	400	BX
	3	10001-0114-03	XI523	BARRIER,OSTOMY,NEW IMAGE H#11403		5/BX	750	BX
	4	97620-0200-16	XJ387	CATH, INTERM COUDE 16FR COLOPLAST #20016		30/BX	870	BX
								`

Abstract of Offerors

Pharm		Issued
VA CMOP -	TUCSON	11/23/21

	Solicitation # 36C77022Q0065	Due Date
1) Full Delivery required within 3-5 days ARO, no partials accepted without prior approval		11/25/21 @ 8AM CST
2) All NDCs submitted for bid will need to pass RPH evaluation and approval

	LINE ITEM	NDC #/UPC	CMOP
Item #	DESCRIPTION	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	PKG	QTY	UNIT OF
MEASURE	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)
	1	08360-0112-03	XI299	BARRIER,OSTOMY,NEW IMAGE H#11203	5/BX	985	BX
	2	99901-0092-07	XT265	CATH,EXTERNAL EXTENDED WEAR MED H#9207	30/BX	400	BX
	3	10001-0114-03	XI523	BARRIER,OSTOMY,NEW IMAGE H#11403	5/BX	750	BX
	4	97620-0200-16	XJ387	CATH, INTERM COUDE 16FR COLOPLAST #20016	30/BX	870	BX

Description: DUNS # SAM expiration Date Socio economic size Past Performance Rating PPIRS INDEPENDENT GOVERNMENT COST ESTIMATE (IGCE) FOR OFFICIAL GOVERNMENT USE ONLY

	Products (including software, licenses)
Item #	Description/Part Number*	Qty	Price	Extended Amount

Awards

Pharmaceuticals	Posted
VA CMOP -

Solicitation # Due Date

					Delivery to be 10 Days ARO
	LINE ITEM	NDC #/UPC	IMF#	CMOP
Item #	DESCRIPTION	BT SZ	UNIT	QTY	IGCE	Vendor Alt NDC	MFR.	COUNTRY OF
ORIGIN	UNIT PRICE	TOTAL PRICE
						Socio-economic Size	eCMS PO #
					Awd PO # Awd 2237
	-- DUNS								$0.00
									$0.00
			-- DUNS		Awd PO # Awd 2237		eCMS PO#
									$0.00
									$0.00
			-- DUNS		Awd PO # Awd 2237		eCMS PO#
									$0.00
									$0.00
									$0.00
			-- DUNS		Awd PO # Awd 2237		eCMS PO#
									$0.00
									$0.00
									$0.00
									$0.00
					Awd PO # Awd 2237		eCMS PO#
	-- DUNS								$0.00
									$0.00
									$0.00

File details come from the government source that posted it. Updated Nov 24, 2021.