S02_Pricing Schedule_Q0119.xlsx

This is a pricing schedule template for Request for Quote (RFQ) 36C77026Q0119 issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 for pharmaceutical supplies at the Shawnee CMOP facility. Vendors must submit completed quotes via the Excel spreadsheet format by the closing date of April 20, 2026 at 4:00 PM Central Standard Time to sarah.fry2@va.gov. The RFQ requires partial monthly deliveries over four months with the first delivery within 10 days after receipt of order, and all pharmaceutical and medical surgical supplies must have expiration dates no less than one year from the date of delivery.

The pricing schedule covers six line items totaling 10,040 units across various medications including Aluminum Chloride Hexahydrate solution, Atenolol/Chlorthalidone tablets, and Amlodipine/Benazepril combinations in multiple strengths and package counts. Vendors must submit required documentation including a signed SF1449 solicitation cover page, valid state wholesale distributor license, and a BAA (Buy American Act) Certificate for non-domestic quotes. The solicitation is designated as a Small Business Set-aside and is subject to the Buy American Act. Required vendor information includes company name, UEI/SAM registration, and point of contact details with phone and email.