S02_Pricing Schedule_Q0169.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 36C77024Q0169
About this file
This document is a pricing schedule spreadsheet for a national pharmaceutical solicitation issued by the Department of Veterans Affairs Veterans Health Administration. The solicitation requests pricing for calcipotriene 0.005% topical cream in packaging of 60 grams, with required quantities ranging from 480 to 960 units across seven VA medical facilities. Responses are due by February 26, 2024 at 5:00 PM Central Time and must include a signed SF1449 cover page, completed pricing spreadsheet, valid state wholesale distributor license, and Buy American Act certificate. Pricing is to be provided on a per unit basis in US dollars for the listed national drug code of 16714-0763-01, with alternate NDC proposals to adjust quantities to match different packaging. Comments are requested for any products with expiration dates less than one year from delivery.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0169_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - National | |||||||||||||
| RFQ: 36C77024Q0169 | Delivery on or before: 3/7/2024 | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 2/22/24 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 2/26/24 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 5:00PM Central Time (CT) | 3. State Wholesale Distributor License (valid and unexpired) | ||||||||||
| ueiSAM: | 4. Buy American Act (BAA) Certificate | ||||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | ||||||||||||
| 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# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 15704 | Leavenworth | CALCIPOTRIENE 0.005% TOP CREAM, 60GM (C0717) | 16714-0763-01 | 60 | TU | 600 | $ - 0 | $0.00 | ||||
| 0002 | 15704 | Chelmsford | CALCIPOTRIENE 0.005% TOP CREAM, 60GM (C0717) | 16714-0763-01 | 60 | TU | 480 | $ - 0 | $0.00 | ||||
| 0003 | 15704 | Tucson | CALCIPOTRIENE 0.005% TOP CREAM, 60GM (C0717) | 16714-0763-01 | 60 | TU | 480 | $ - 0 | $0.00 | ||||
| 0004 | 15704 | Lancaster (Dallas) | CALCIPOTRIENE 0.005% TOP CREAM, 60GM (C0717) | 16714-0763-01 | 60 | TU | 800 | $ - 0 | $0.00 | ||||
| 0005 | 15704 | Murfreesboro SJ | CALCIPOTRIENE 0.005% TOP CREAM, 60GM (C0717) | 16714-0763-01 | 60 | TU | 576 | $ - 0 | $0.00 | ||||
| 0006 | 15704 | Hines | CALCIPOTRIENE 0.005% TOP CREAM, 60GM (C0717) | 16714-0763-01 | 60 | TU | 840 | $ - 0 | $0.00 | ||||
| 0007 | 15704 | Ladson (Charleston) | CALCIPOTRIENE 0.005% TOP CREAM, 60GM (C0717) | 16714-0763-01 | 60 | TU | 960 | $ - 0 | $0.00 | ||||
| $0.00 |
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