S02_Pricing_Schedule_Q0159_final.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77025Q0159
About this file
This document is a Pricing Schedule for a Veterans Affairs (VA) Request for Quote (RFQ) for Sumatriptan injection syringes at the VA CMOP (Consolidated Mail Outpatient Pharmacy) in Charleston. The solicitation (36C77025Q0159) requires vendors to submit a quote by July 1, 2025, at 4:00 PM Central Time, with submission via email to Jennifer.Knight@va.gov. Required submission documents include a signed SF1449 cover page, a completed quote spreadsheet with country of origin, a state wholesale distributor license, and a Trade Agreement Act (TAA) certificate.
The solicitation specifically seeks Sumatriptan 6MG/0.5ML injection syringes, with multiple National Drug Codes (NDCs) listed. Vendors must ensure pharmaceutical expiration dates are at least one year from delivery date and are instructed to note any variations in NDC counts or expiration dates in the "Vendor Comments" section. The procurement is being conducted by the Department of Veterans Affairs Veterans Health Administration, Veterans Integrated Service Network 15, with the quote covering a line item for 6,072 units of the specified medication.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| S02_RFQ__36C77025Q0159.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Quote Spreadsheet
| CMOP - Ladson | |||||||
| RFQ: 36C77025Q0159 | Delivery: TBD | Required documents: | |||||
| Solicitation - Quote Spreadsheet | Posted Date: | 6/24/25 | 1. SF1449 - Solicitation cover page (signed) | ||||
| Vendor shall complete all areas in orange | Closing Date: | 7/1/25 | 2. Quote - excel spreadsheet - including Country of Origin | ||||
| Vendor Name: | Closing Time: | 4:00PM Central Time (CT) | 3. State Wholesale Distributor License, valid and unexpired | ||||
| ueiSAM: | 4. Trade Agreement Act (TAA) 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: 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 | |||||||
| Item | File | ||||||
| Number | CMOP Facility | Description | Approved | ||||
| NDCs | Proposed NDC | Mfr. | Country of | ||||
| Origin | Packaging Multiple | Unit | QTY | Unit | |||
| Price | Total | ||||||
| Price | Vendor |
Comments 0001 9143 VA CMOP Charleston - 766A SUMATRIPTAN 6MG/0.5ML INJ SYRINGE 0.5ML 2CT, S0174 55111-0693-12 43598-0768-23 16714-0040-02 72603-0141-02
| 47335-0276-41 | 2 | Each | 6072 | $ - 0 | $0.00 | |
| Trade Agreement Act | ||||||
| (TAA) Certificate | $0.00 |
File details come from the government source that posted it. Updated .