S02_Pricing_Schedule_Q0097 1.xlsx

This is a pricing schedule and quote spreadsheet for RFQ 36C77026Q0097, a pharmaceutical supply solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 for the Charleston CMOP (Centralized Mail-Out Pharmacy) Ladson facility. The solicitation closing date is March 26, 2026, at 5:00 PM Pacific Standard Time, with quotes to be submitted to Jennifer.Knight@va.gov and Charelen.Nye@va.gov.

The quote spreadsheet requires vendors to provide pricing for five pharmaceutical line items: Galantamine Hydrobromide 8mg SA capsules (30-count bottles, NDC 65862-0744-30, quantity 864), Galantamine Hydrobromide 16mg SA capsules (30-count bottles, NDC 47335-0836-83, quantity 960), Glimepiride 2mg tablets (100-count bottles, NDC 60429-0919-01, quantity 432), Glimepiride 4mg tablets (500-count bottles, NDC 71921-0216-50, quantity 720), and Risperidone 4mg tablets (500-count bottles, NDC 43547034450, quantity 192). Vendors must complete the SF1449 form, submit the completed excel pricing spreadsheet with place of manufacture information, provide a valid State Wholesale Distributor License, and include a BAA Certificate. All pharmaceuticals must have expiration dates no less than one year from the date of delivery, with vendors required to note actual expiration dates in vendor comments. Vendors may propose alternate NDCs with adjusted quantities, which must be noted in vendor comments.