S02 Pricing Schedule Q0147.xlsx

XLSX spreadsheet 43 KB Posted

Attached to
6505--762-26-3-040-2307 -Tucson CMOP PROPRANOLOL -(VA-26-00068676)
Solicitation number
36C77026Q0147
Issued by

About this file

This is a pricing schedule template for a pharmaceutical supply solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. The solicitation (36C77026Q0147) seeks pricing for Propranolol supplies to support the Tucson Consolidated Mail Outpatient Pharmacy (CMOP) operation, identified as VA-26-00068676.

The pricing schedule template (S02 Pricing Schedule Q0147.xlsx) is designed to capture vendor cost proposals for the pharmaceutical product and associated services. As a template document, it establishes the format and structure that vendors must follow when submitting their pricing information in response to this VA solicitation. Vendors responding to this opportunity would need to complete this schedule with their proposed pricing, quantities, and any applicable terms and conditions related to the supply and delivery of Propranolol to the specified VA facility.

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36C77026Q0147_1.docx DOCX document

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Text version

Sheet1

CMOP & 766 Ladson (Charleston)
RFQ: 36C77026Q0147Delivery: See item Description for location specific, delivery information.Required Documents:
Solicitation - Quote SpreadsheetPosted Date:6/11/261. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:6/18/262. Quote - excel spreadsheet (Place of Manufacture)
Vendor Name:Closing Time:5:00 PM Pacific Standard Time3. Vaild State Wholesale Distributor License
UEI #:4. BAA Certificate - for non-domestic quote
P0C Name:
POC E-Mail:
Phone:Email quotes to: Charlene.Nye@va.gov 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
ItemStationFile
NumberDescriptionRequested NDCAlternative NDCPlace of ManufacturePackaging MultipleUnitQTYUnit PriceTotal PriceDelivery - Best Turn Around - Full Order
0001762 Tuson13783P0158 PROPRANOLOL HCL 80MG SA CAP 100CT00527-4117-37100BT2690
0002766 Ladson Charleston16590ZOLPIDEM TARTRATE 6.25MG SA TAB, 100CT (Z0065)68180-0779-01100BT1200
0003766 Ladson Charleston15074ZOLPIDEM TARTRATE 12.5MG SA TAB, 100CT (Z0067)68180-0780-01100BT3600
Grand Total Price

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