S02_Pricing Schedule_Q0163.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77025Q0163
About this file
This is a pricing schedule spreadsheet for RFQ 36C77025Q0163, requesting quotes for DORZOLAMIDE 22.3/TIMOLOL 6.8MG/ML ophthalmic solution in 10ML bottles (NDC 24208-0486-10) for seven VA CMOP facilities. The solicitation requires delivery within 10 days after receipt of order and closes on March 5, 2025, at 3:00 PM Central Time.
The total quantity requested is 37,480 bottles distributed across CMOP locations in Leavenworth (2,880), Chelmsford (3,600), Tucson (3,600), Lancaster/Dallas (4,200), Murfreesboro (4,000), Hines/Great Lakes (9,600), and Ladson/Charleston (9,600). Required submission documents include a signed SF1449, completed quote spreadsheet, valid state wholesale distributor license, and Trade Agreement Act certificate. All pharmaceuticals must have at least one year until expiration at delivery. Vendors must submit quotes via email to Kelley.Cunningham@va.gov and must be TAA compliant.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77025Q0163_1.docx | DOCX document |
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Quote Spreadsheet
| CMOP - National | |||||||||||||
| RFQ: 36C77025Q0163 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 2/28/25 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 3/5/25 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Time (CT) | 3. State Wholesale Distributor License, valid and unexpired | ||||||||||
| ueiSAM: | 4. Trade Agreement Act (TAA) Certificate | ||||||||||||
| POC Name: | * TAA compliant quotes only* | ||||||||||||
| 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 | Proposed Alternate NDCs | Mfr | Place of Manufacture | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 13680 | VA CMOP Leavenworth | DORZOLAMIDE 22.3/TIMOLOL6.8MG/ML OPH SOL 10ML (D0828) | 24208-0486-10 | 10 | BT | 2880 | $ - 0 | $0.00 | ||||
| 0002 | 13680 | VA CMOP Chelmsford | DORZOLAMIDE 22.3/TIMOLOL6.8MG/ML OPH SOL 10ML (D0828) | 24208-0486-10 | 10 | BT | 3600 | $ - 0 | $0.00 | ||||
| 0003 | 13680 | VA CMOP Tucson | DORZOLAMIDE 22.3/TIMOLOL6.8MG/ML OPH SOL 10ML (D0828) | 24208-0486-10 | 10 | BT | 3600 | $ - 0 | $0.00 | ||||
| 0004 | 13680 | VA CMOP Lancaster (Dallas) | DORZOLAMIDE 22.3/TIMOLOL6.8MG/ML OPH SOL 10ML (D0828) | 24208-0486-10 | 10 | BT | 4200 | $ - 0 | $0.00 | ||||
| 0005 | 13680 | VA CMOP Murfreesboro SJ | DORZOLAMIDE 22.3/TIMOLOL6.8MG/ML OPH SOL 10ML (D0828) | 24208-0486-10 | 10 | BT | 4000 | $ - 0 | $0.00 | ||||
| 0006 | 13680 | VA CMOP Hines (Great Lakes) | DORZOLAMIDE 22.3/TIMOLOL6.8MG/ML OPH SOL 10ML (D0828) | 24208-0486-10 | 10 | BT | 9600 | $ - 0 | $0.00 | ||||
| 0007 | 13680 | VA CMOP Ladson (Charleston) | DORZOLAMIDE 22.3/TIMOLOL6.8MG/ML OPH SOL 10ML (D0828) | 24208-0486-10 | 10 | BT | 9600 | $ - 0 | $0.00 | ||||
| $0.00 |
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