S02_Pricing Schedule_Q0090.xlsx
XLSX spreadsheet 23 KB Posted
- Attached to
- 770-25-1-801-0134 -National CMOP ZINC OXIDE OINT
- Solicitation number
- 36C77025Q0090
About this file
This is a pricing schedule spreadsheet for RFQ 36C77025Q0090 requesting quotes for Zinc Oxide 20% ointment in two sizes (60g and 454g tubes/jars) to be delivered to seven VA Consolidated Mail Outpatient Pharmacy (CMOP) facilities. The solicitation closes on December 30, 2024 at 4:00 PM CST, with delivery required within 10 days after receipt of order.
The procurement is a small business set-aside subject to the Buy American Act. Vendors must submit five required documents: signed SF1449, completed quote spreadsheet, valid state wholesale distributor license, BAA certificate for non-domestic quotes, and OEM authorization documentation for all OTC products. The total requirement spans 14 line items across the CMOP locations (Leavenworth, Chelmsford, Tucson, Lancaster, Murfreesboro, Hines, and Charleston), with quantities ranging from 192 to 1,200 units for the 60g size and 60 to 360 units for the 454g size. All pharmaceuticals must have at least one year of shelf life remaining at delivery.
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| File | Type | Posted |
|---|---|---|
| S02_RFQ_Q0090.pdf |
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Quote Spreadsheet
| CMOP - NATIONAL CMOP | |||
| RFQ: 36C77025Q0090 | Delivery on or before: 10 days ARO | Required documents: | |
| Solicitation - Quote Spreadsheet | Posted Date: | 12/20/24 | 1. SF1449 - Solicitation cover page (signed) |
| Vendor shall complete all areas in orange | Closing Date: | 12/30/24 | 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 | Country of | |||
| Origin | Packaging | ||||
| Multiple | Unit | QTY | Unit | ||
| Price | Total | ||||
| Price | Vendor |
Comments
| 0001 | 4633 | VA CMOP Leavenworth-760 | ZINC OXIDE 20% OINTMENT, 60GM (Z0005) | 71399-0245-02 | 60 | TU | 216 | $ - 0 | $0.00 |
| 0002 | 10822 | VA CMOP Leavenworth-760 | ZINC OXIDE 20% OINT 454GM (Z0005) | 71399-0245-06 | 454 | JR | 60 | $ - 0 | $0.00 |
| 0003 | 4633 | VA CMOP Chelmsford - 761 | ZINC OXIDE 20% OINTMENT, 60GM (Z0005) | 71399-0245-02 | 60 | TU | 192 | $ - 0 | $0.00 |
| 0004 | 10822 | VA CMOP Chelmsford - 761 | ZINC OXIDE 20% OINT 454GM (Z0005) | 71399-0245-06 | 454 | JR | 288 | $ - 0 | $0.00 |
| 0005 | 4633 | VA CMOP Tucson - 762 | ZINC OXIDE 20% OINTMENT, 60GM (Z0005) | 71399-0245-02 | 60 | TU | 480 | $ - 0 | $0.00 |
| 0006 | 10822 | VA CMOP Tucson - 762 | ZINC OXIDE 20% OINT 454GM (Z0005) | 71399-0245-06 | 454 | JR | 240 | $ - 0 | $0.00 |
| 0007 | 4633 | VA CMOP Lancaster - 763 | ZINC OXIDE 20% OINTMENT, 60GM (Z0005) | 71399-0245-02 | 60 | TU | 192 | $ - 0 | $0.00 |
| 0008 | 10822 | VA CMOP Lancaster - 763 | ZINC OXIDE 20% OINT 454GM (Z0005) | 71399-0245-06 | 454 | JR | 360 | $ - 0 | $0.00 |
| 0009 | 4633 | VA CMOP Murfreesboro-764 | ZINC OXIDE 20% OINTMENT, 60GM (Z0005) | 71399-0245-02 | 60 | TU | 204 | $ - 0 | $0.00 |
| 0010 | 10822 | VA CMOP Murfreesboro-764 | ZINC OXIDE 20% OINT 454GM (Z0005) | 71399-0245-06 | 454 | JR | 336 | $ - 0 | $0.00 |
| 0011 | 4633 | VA CMOP Hines-765 | ZINC OXIDE 20% OINTMENT, 60GM (Z0005) | 71399-0245-02 | 60 | TU | 600 | $ - 0 | $0.00 |
| 0012 | 10822 | VA CMOP Hines-765 | ZINC OXIDE 20% OINT 454GM (Z0005) | 71399-0245-06 | 454 | JR | 360 | $ - 0 | $0.00 |
| 0013 | 4633 | VA CMOP Charleston - 766 | ZINC OXIDE 20% OINTMENT, 60GM (Z0005) | 71399-0245-02 | 60 | TU | 1200 | $ - 0 | $0.00 |
| 0014 | 10822 | VA CMOP Charleston - 766 | ZINC OXIDE 20% OINT 454GM (Z0005) | 71399-0245-06 | 454 | JR | 360 | $ - 0 | $0.00 |
| Total Small Business Set-aside | $0.00 | ||||||||
| Buy American Act Applies (BAA) |
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