S02_Pricing Schedule_Q0078.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- 6505--770-25-1-801-0072 - National CMOP A2112 ARTIFICIAL SALIVA ORAL SPRAY (VA-25-00021403)
- Solicitation number
- 36C77025Q0078
About this file
This is a pricing schedule template spreadsheet for RFQ 36C77025Q0078 seeking quotes for Artificial Saliva Oral Spray (NDC 50930-0098-08) to be delivered to six VA CMOP (Consolidated Mail Outpatient Pharmacy) facilities. The quantities requested range from 360 to 1,200 bottles across locations including Chelmsford, Tucson, Lancaster (Dallas), Murfreesboro, Hines (Great Lakes), and Ladson (Charleston), totaling 4,536 bottles.
Quotes are due by December 6, 2024 at 3:00 PM Central Time and must include a signed SF1449, completed pricing spreadsheet, state wholesale distributor license, OEM authorized dealer documentation, and Buy American Act certificate if quoting non-domestic products. Delivery is required within 10 days after receipt of order (ARO), and all pharmaceuticals must have at least one year until expiration from the delivery date. Vendors are limited to one quote submission and should submit via email to Kelley.Cunningham@va.gov.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77025Q0078_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - National | |||||||||||||
| RFQ: 36C77025Q0078 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 12/2/24 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 12/6/24 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Time (CT) | 3. State Wholesale Distributor License -and/or- | ||||||||||
| ueiSAM: | 4. OEM authorized dealer or distributor documentation for OTC products | ||||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | 5. Buy American Act (BAA) Certificate, if quoting non-domestic product | |||||||||||
| POC E-Mail: | * If vendor is proposing NDC with count other than CMOP listed NDC, | Email quotes to: Kelley.Cunningham@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 | File Number | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 2955 | VA CMOP Chelmsford | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 576 | $ - 0 | $0.00 | ||||
| 0002 | 2955 | VA CMOP Tucson | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 480 | $ - 0 | $0.00 | ||||
| 0003 | 2955 | VA CMOP Lancaster (Dallas) | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 960 | $ - 0 | $0.00 | ||||
| 0004 | 2955 | VA CMOP Murfreesboro EF | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 360 | $ - 0 | $0.00 | ||||
| 0005 | 2955 | VA CMOP Hines (Great Lakes) | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 960 | $ - 0 | $0.00 | ||||
| 0006 | 2955 | VA CMOP Ladson (Charleston) | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 1200 | $ - 0 | $0.00 | ||||
| $0.00 |
File details come from the government source that posted it. Updated .