S02_Pricing Schedule_Q0092.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
ACAMPROSATE CA 333MG TAB NATIONAL CMOP
Solicitation number
36C77026Q0092
Issued by

About this file

This is a pricing schedule spreadsheet for RFQ 36C77026Q0092 issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. The solicitation requires vendors to supply Acamprosate Calcium 333mg enteric-coated tablets in 180-count bottles (NDC 68462-0435-18) to six VA CMOP (Consolidated Mail Outpatient Pharmacy) locations across the country. Total quantities requested are 5,496 bottles distributed as follows: Chelmsford (384 bottles), Tucson (1,200 bottles), Lancaster (1,200 bottles), Murfreesboro (432 bottles), Hines (1,080 bottles), and Charleston (1,200 bottles). Delivery of partial quantities monthly over three months is required, with the first delivery due within 10 days after receipt of order.

The solicitation closing date is March 4, 2026 at 4:00 PM Central Standard Time. Vendors must submit one quote per vendor via email to sarah.fry2@va.gov and include the completed SF1449 solicitation cover page, excel spreadsheet quote, valid state wholesale distributor license, and Trade Agreement Certificate. All pharmaceutical products must have expiration dates no less than one year from delivery date. Trade Agreement Act requirements apply per FAR Parts 52.225-5 and 52.225-6. Vendors should note any deviations from the specified NDC or short-dated products in the vendor comments section of the pricing schedule.

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File Type Posted
S02_RFQ_36C77026Q0092.pdf PDF
S02_RFQ_36C77026Q0092.pdf PDF
52.225-6 TRADE AGREEMENTS CERTIFICATE.docx DOCX document

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Text version

Quote Spreadsheet

CMOP - National CMOP
RFQ: 36C77026Q0092Delivery on or before: EACH SITE WOULD LIKE PARTIAL QUANTITIES DELIVERED
EACH MONTH FOR 3 MONTHS First delivery 10 Days ARORequired documents:
Solicitation - Quote SpreadsheetPosted Date:2/25/261. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:3/4/262. Quote - excel spreadsheet
Vendor Name:Closing Time:4:00PM Central Standard Time (CST)3. Vaild State Wholesale Distributor License
ueiSAM:4. Trade Agreement Certificate
POC Name:* Vendors shall submit no more than (1) one quote per vendorEmail quotes to: sarah.fry2@va.gov
POC E-Mail:* If vendor is proposing NDC with count other than CMOP listed NDC,
Phone:QTY shall be adjusted for that count and this should be noted in "Vendor Comments"
Trade Agreement ACT* 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
ItemFile NumberDeliver Location
CMOP/ Operations FacilityDescriptionNDC#Alternate NDCsMfrCountry of
ManufacturePackaging MultipleUnitQTYUnit PriceTotal PriceVendor Comments
000110834VA CMOP Chelmsford - 761ACAMPROSATE CA 333MG EC TAB 180CT (A1222)68462-0435-18180BT384$0.00
000210834VA CMOP Tucson - 762ACAMPROSATE CA 333MG EC TAB 180CT (A1222)68462-0435-18180BT1200$0.00
000310834VA CMOP Lancaster -763ACAMPROSATE CA 333MG EC TAB 180CT (A1222)68462-0435-18180BT1200$0.00
000410834VA CMOP Murfreesboro - 764ACAMPROSATE CA 333MG EC TAB 180CT (A1222)68462-0435-18180BT432$0.00
000510834VA CMOP Hines -765ACAMPROSATE CA 333MG EC TAB 180CT (A1222)68462-0435-18180BT1080$0.00
000610834VA CMOP Charleston - 766ACAMPROSATE CA 333MG EC TAB 180CT (A1222)68462-0435-18180BT1200$0.00
Trade Agreement ACT Applies: See FAR Part 52.225-5 & Far Part 52.225-60

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