S02_Pricing Schedule_Q0097.xlsx
XLSX spreadsheet 22 KB Posted
- Solicitation number
- 36C77024Q0097
About this file
This is a solicitation for 14 pharmaceutical products to be delivered to the Leavenworth, Kansas CMOP facility of the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. Vendors are to provide pricing on the line items in the attached Excel spreadsheet by January 2, 2024 at 5:00 PM CDT. Required documentation includes a signed SF1449 cover page, the completed pricing spreadsheet, a state wholesale distributor license, and a Buy American Act certificate. Products include medications such as lactulose, minocycline, memantine, nitroglycerin, naproxen, naratriptan, nebivolol, ondansetron, penicillin VK, phenazopyridine, promethazine, pioglitazone, sumatriptan, and sodium chloride inhalation solution. Delivery of all items is required by January 19, 2024, and pharmaceutical expiration dates must be at least one year from delivery.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C77024Q0097_1.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Quote Spreadsheet
| CMOP - Leavenworth | |||||||||||||
| RFQ: 36C77024Q0097 | Delivery on or before: 1/19/2024 | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 12/18/23 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 1/2/24 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 5:00PM Central Daylight Time (CDT) | 3. State Wholesale Distributor License | ||||||||||
| ueiSAM: | 4. Buy American Act (BAA) Certificate | ||||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | ||||||||||||
| 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 | 3103 | Leavenworth | LACTULOSE 20GM/PK PWDR--(L0243) | 66220-0729-30 | 30 | BX | 132 | $ - 0 | $0.00 | ||||
| 0002 | 4524 | Leavenworth | MINOCYCLINE HCL 100MG CAP 500CT, (M0102) | 13668-0484-05 | 500 | BT | 96 | $ - 0 | $0.00 | ||||
| 0003 | 18927 | Leavenworth | MEMANTINE HCL 28MG SA CAP 90CT (M0999) (Bottle size needs to be approximately 3in tall) | 70436-0057-06 | 90 | BT | 336 | $ - 0 | $0.00 | ||||
| 0004 | 2551 | Leavenworth | NITROGLYCERIN 2% OINT 60GM, (N0066) | 00281-0326-60 | 60 | TU | 360 | $ - 0 | $0.00 | ||||
| 0005 | 3939 | Leavenworth | NAPROXEN 500MG EC TAB 100CT (N0250) | 69543-0426-10 | 100 | BT | 96 | $ - 0 | $0.00 | ||||
| 0006 | 13144 | Leavenworth | NARATRIPTAN HCL 2.5MG TABLETS UNIT DOSE 9CT, (N0328) | 69452-0341-72 | 9 | BT | 576 | $ - 0 | $0.00 | ||||
| 0007 | 18385 | Leavenworth | NEBIVOLOL 5MG TAB 90CT, (N0567) (Bottle size needs to be approximately 3in tall) | 31722-0586-90 | 90 | BT | 1056 | $ - 0 | $0.00 | ||||
| 0008 | 13679 | Leavenworth | ONDANSETRON 4MG ORAL DISINTEGRATING TAB, 30CT (O0098) (Child proof packaging required for blister packs) and/or (Bottle size needs to be approximately 3in tall if providing bottle packaging on alternate NDC) | 16714-0200-30 | 30 | BT | 12320 | $ - 0 | $0.00 | ||||
| 0009 | 3078 | Leavenworth | PENICILLIN VK 500MG 500CT (P0022) | 65862-0176-05 | 500 | BT | 24 | $ - 0 | $0.00 | ||||
| 0010 | 2958 | Leavenworth | PHENAZOPYRIDINE HCL 100MG TAB 100'S (P0039) | 69367-0191-01 | 100 | BT | 96 | $ - 0 | $0.00 | ||||
| 0011 | 644 | Leavenworth | PROMETHAZINE HCL 25MG (P0143) (Must be 1000ct bottle) | 10702-0003-10 | 1000 | BT | 96 | $ - 0 | $0.00 | ||||
| 0012 | 16602 | Leavenworth | PIOGLITAZONE HCL 45MG TAB 500CT (P0537) (Bottle size needs to be approximately 3in tall if providing bottle packaging on alternate NDC) | 65862-0514-05 | 500 | BT | 288 | $ - 0 | $0.00 | ||||
| 0013 | 9143 | Leavenworth | SUMATRIPTAN 6MG/0.5ML INJ SYRINGE 0.5ML 2CT, (S0174) | 72603-0141-02 | 2 | BX | 1728 | $ - 0 | $0.00 | ||||
| 0014 | 19830 | Leavenworth | SODIUM CHLORIDE 7% INHL 4ML 60CT (S0711) | 83490-0307-60 | 60 | BT | 696 | $ - 0 | $0.00 | ||||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .