S02_Pricing Schedule_Q0166.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
36C77026Q0166
Solicitation number
36C77026Q0166
Issued by

About this file

This is a pricing schedule spreadsheet for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 for pharmaceutical supplies to support the Charleston (Ladson) Centralized Mail-Out Pharmacy (CMOP) facility. The solicitation number is 36C77026Q0166, with a closing date of August 18, 2026 at 3:00 PM Eastern Time and a required delivery timeframe of 10 days after receipt of order.

The quote spreadsheet requires vendors to provide pricing for two line items: Bariatric Multivitamins with Iron capsules (90 count, NDC 50415094608) in a quantity of 1,200 units, and Bariatric Multivitamins with Iron chewable tablets (30 count, NDC 75817622626) in a quantity of 4,800 units. Vendors must submit required documentation including a signed SF1449 cover page, completed quote spreadsheet, valid state wholesale distributor license, OEM authorized dealer or distributor documentation for OTC products, and a Buy American Act Certificate. All pharmaceutical products must have expiration dates no less than one year from the date of delivery. Quotes should be submitted via email to Claudine.challinor@va.gov and Kelley.Cunningham@va.gov.

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Quote Spreadsheet

CMOP - Charleston (Ladson)
RFQ: 36C77026Q0166Delivery 10 days after receipt of order (ARO)Required documents:
Solicitation - Quote SpreadsheetPosted Date:8/13/261. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:8/18/262. Quote - excel spreadsheet
Vendor Name:Closing Time:3:00 PM Eastern Time (ET)3. State Wholesale Distributor License, valid and unexpired.
ueiSAM:4. OEM Authorized Dealer or Distributor Documentation for OTC Products
POC Name:5. Buy American Act (BAA) Certificate
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"
* Per the Statement of Requirements, expiration dates of all pharmaceuticals and/or medical surgical suppliesEmail quotes to: Claudine.challinor@va.gov : Kelley.Cunningham@va.gov
shall be no less than one (1) year of date of delivery. Please provide expiration in "Vendor Comments" if short-dated
Line ItemCMOP FacilityDescriptionNDCProposed Alternate NDCsMfrPlace of ManufactureUnitQTYUnit Price
0001VA CMOP Charleston (Ladson)BARIATRIC MULTIVITAMINS W/IRON CAP 90CT50415094608BT1200$ - 0Total PriceVendor Comments
0002VA CMOP Charleston (Ladson)BARIATRIC MULTIVITAMINS W/IRON TAB, CHEW 30CT75817622626BT4800$ - 0$0.00
$0.00
$0.00

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