S02_Pricing Schedule_Q0137.xlsx

This is a pricing schedule template for a VA request for quote (RFQ) for pharmaceutical supplies. The Department of Veterans Affairs, Network Contracting Office 15, CMOP Division, is soliciting quotes for one over-the-counter pharmaceutical product: Camphor/Menthol/Methyl Salicylate Patch (NDC 46581-0110-60), with a required quantity of 13,032 units in 60-count boxes for delivery to the VA CMOP Tucson facility located at 3675 Britannia Drive, Tucson, Arizona 85706-5041. The solicitation number is 36C77026Q0137, with a posting date of May 11, 2026, a closing date of May 18, 2026, and a closing time of 1:00 PM Central Standard Time. Delivery is required within 10 days after receipt of order (ARO).

Vendors must submit the completed pricing spreadsheet along with required documentation including a signed SF1449 form, a valid state wholesale distributor license, a BAA Certificate for non-domestic quotes, and OEM authorization documentation for all over-the-counter products. All pharmaceutical products must have an expiration date no less than one year from the date of delivery. The solicitation is designated as a Small Business Set-aside with Buy American Act applicability. Completed quotes should be emailed to mona.nimmo@va.gov, and vendors must note any deviations from specified NDC numbers and provide expiration date information in vendor comments.