S02_Pricing Schedule_Q0108_.xlsx

XLSX spreadsheet 14 KB Posted

Attached to
6505--766-26-2-400-0450 - CMOP VERAPAMIL -(VA-26-00041341)
Solicitation number
36C77026Q0108
Issued by

About this file

This is a Pricing Schedule template for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 for pharmaceutical supplies. The RFQ 36C77026Q0108 is for CMOP (Consolidated Mail Outpatient Pharmacy) Verapamil products at the Ladson Charleston facility, with a closing date of March 20, 2026, at 4:00 PM Central Time. Quotes must be submitted via email to Jennifer.Knight@va.gov in Excel spreadsheet format.

The solicitation requires vendors to supply three line items of Verapamil hydrochloride tablets in varying strengths and quantities: 576 units of 240mg sustained-action tablets (500-count bottles), 1,200 units of 120mg sustained-action tablets (100-count bottles), and 720 units of 180mg sustained-action tablets (500-count bottles). Vendors must provide specific National Drug Codes (NDCs), country of manufacture, unit pricing, and total pricing for each line item. Required submittals include a signed SF1449 form, the completed quote spreadsheet with country of manufacturer information, a valid state wholesale distributor license, and a Buy American Act Certificate. All pharmaceuticals must have expiration dates no less than one year from the date of delivery. Vendors proposing alternative NDCs or short-dated products must document these variations in the vendor comments section.

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Text version

Q0108

CMOP - Ladson
RFQ: 36C77026Q0108Delivery: TBDRequired documents:
Solicitation - Quote SpreadsheetPosted Date:3/13/261. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:3/20/262. Quote - excel spreadsheet - including Country of Manufacturer
Vendor Name:Closing Time:4:00PM Central Time (CT)3. State Wholesale Distributor License, valid and unexpired
ueiSAM:4. Buy American Act (BAA) Certificate
POC Name:
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"Email quotes to: Jennifer.Knight@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
ItemFile
NumberCMOP FacilityDescriptionApproved
NDCsProposed NDCMfr.Country of
ManufacturePackaging MultipleUnitQTYUnit
PriceTotal
PriceVendor

Comments

000115604VA CMOP Ladson Charleston - 766AVERAPAMIL HCL 240MG SA TAB 500CT (V0010)75834-0159-05500BT576$ - 0$0.00
000214770VA CMOP Ladson Charleston - 766AVERAPAMIL HCL 120MG SA TAB 100CT (V0054)68462-0292-01100BT1200$ - 0$0.00
000314844VA CMOP Ladson Charleston - 766AVERAPAMIL HCL 180MG SA TAB 500CT (V0008)68462-0293-05500BT720$ - 0$0.00
Buy American Act
(BAA) Certificate$0.00

File details come from the government source that posted it. Updated .