S02_Pricing Schedule_Q0159.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77026Q0159
About this file
This is a pricing schedule spreadsheet template for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 for pharmaceutical supply to the Tucson Consolidated Mail Outpatient Pharmacy (CMOP). The solicitation, numbered 36C77026Q0159, seeks quotes for Mirtazapine 7.5mg tablets (NDC 66993-0606-30) with a required quantity of 16,176 bottles. Vendors must deliver the product within 10 days after receipt of order and ensure all pharmaceutical expiration dates are no less than one year from the date of delivery.
Vendors must submit responses by July 20, 2026 at 3:00 PM Eastern Time with required documentation including a completed SF1449 cover page, the quote spreadsheet, a valid state wholesale distributor license, and a Buy American Act certificate. Vendors should direct submissions to Claudine.challinor@va.gov and Kelley.cunningham@va.gov. The template allows vendors to propose alternate NDCs with adjusted quantities if different from the specified CMOP count, with any variations noted in vendor comments. Unit pricing and total price information must be completed in the orange-highlighted fields on the spreadsheet.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77026Q0159.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Brittania (Tuscon) | |||||||||||
| RFQ: 36C77026Q0159 | Delivery 10 days after receipt of order (ARO) | Required documents: | |||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 7/15/26 | 1. SF1449 - Solicitation cover page (signed) | ||||||||
| Vendor shall complete all areas in orange | Closing Date: | 7/20/26 | 2. Quote - excel spreadsheet | ||||||||
| Vendor Name: | Closing Time: | 3:00 PM Eastern Time (ET) | 3. State Wholesale Distributor License, valid and unexpired. | ||||||||
| ueiSAM: | 4. Buy Amercian 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: Claudine.challinor@va.gov : 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 | CMOP Facility | Description | NDC | Proposed Alternate NDCs | Mfr | Place of Manufacture | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | VA CMOP TUCSON | MIRTAZAPINE 7.5MG TAB | 66993-0606-30 | BT | 16176 | $ - 0 | $0.00 | ||||
| $0.00 |
File details come from the government source that posted it. Updated .