S02_Pricing Schedule_Q0121.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 36C77024Q0121
About this file
This document is a pricing spreadsheet for a national solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. The solicitation seeks pricing for Acamprosate calcium 333mg tablets to supply six VA medical centers. Vendors must submit pricing for line items 0001 through 0006 by January 19, 2024 at 5:00PM Central Standard Time. Pricing is required for the National Drug Code and manufacturer listed, though vendors may propose alternate NDC numbers and must note any different packaging details or expiration dates within one year of delivery. Required documents for submission include the solicitation cover page, this pricing spreadsheet, a valid state wholesale distributor license, and a Buy American Act certificate.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77024Q0121_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - National | |||||||||||||
| RFQ: 36C77024Q0121 | Delivery on or before: 2/1/2024 | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 1/16/24 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 1/19/24 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | 3. State Wholesale Distributor License (valid and unexpired) | ||||||||||
| 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, | ||||||||||||
| Phone: | QTY shall be adjusted for that count and this should be noted in "Vendor Comments" | Email quotes to: Kelley.Cunningham@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 | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 10834 | Leavenworth | ACAMPROSATE CA 333MG EC TAB 180CT (A1222) | 68462-0435-18 | 180 | BT | 192 | $ - 0 | $0.00 | ||||
| 0002 | 10834 | Chelmsford | ACAMPROSATE CA 333MG EC TAB 180CT (A1222) | 68462-0435-18 | 180 | BT | 192 | $ - 0 | $0.00 | ||||
| 0003 | 10834 | Lancaster (Dallas) | ACAMPROSATE CA 333MG EC TAB 180CT (A1222) | 68462-0435-18 | 180 | BT | 300 | $ - 0 | $0.00 | ||||
| 0004 | 10834 | Murfreesboro EF | ACAMPROSATE CA 333MG EC TAB 180CT (A1222) | 68462-0435-18 | 180 | BT | 216 | $ - 0 | $0.00 | ||||
| 0005 | 10834 | Hines | ACAMPROSATE CA 333MG EC TAB 180CT (A1222) | 68462-0435-18 | 180 | BT | 600 | $ - 0 | $0.00 | ||||
| 0006 | 10834 | Ladson (Charleston) | ACAMPROSATE CA 333MG EC TAB 180CT (A1222) | 68462-0435-18 | 180 | BT | 600 | $ - 0 | $0.00 | ||||
| $0.00 |
File details come from the government source that posted it. Updated .