S02_Pricing Schedule_Q0108_.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77026Q0108
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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Other files
| File | Type | Posted |
|---|---|---|
| 36C77026Q0108_1.docx | DOCX document |
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Text version
Q0108
| CMOP - Ladson | |||||||
| RFQ: 36C77026Q0108 | Delivery: TBD | Required documents: | |||||
| Solicitation - Quote Spreadsheet | Posted Date: | 3/13/26 | 1. SF1449 - Solicitation cover page (signed) | ||||
| Vendor shall complete all areas in orange | Closing Date: | 3/20/26 | 2. 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 | |||||||
| Item | File | ||||||
| Number | CMOP Facility | Description | Approved | ||||
| NDCs | Proposed NDC | Mfr. | Country of | ||||
| Manufacture | Packaging Multiple | Unit | QTY | Unit | |||
| Price | Total | ||||||
| Price | Vendor |
Comments
| 0001 | 15604 | VA CMOP Ladson Charleston - 766A | VERAPAMIL HCL 240MG SA TAB 500CT (V0010) | 75834-0159-05 | 500 | BT | 576 | $ - 0 | $0.00 | |
| 0002 | 14770 | VA CMOP Ladson Charleston - 766A | VERAPAMIL HCL 120MG SA TAB 100CT (V0054) | 68462-0292-01 | 100 | BT | 1200 | $ - 0 | $0.00 | |
| 0003 | 14844 | VA CMOP Ladson Charleston - 766A | VERAPAMIL HCL 180MG SA TAB 500CT (V0008) | 68462-0293-05 | 500 | BT | 720 | $ - 0 | $0.00 | |
| Buy American Act | ||||||||||
| (BAA) Certificate | $0.00 |
File details come from the government source that posted it. Updated .