S02_Pricing Schedule_Q0171.xlsx

XLSX spreadsheet 21 KB Posted

Attached to
6505--770-24-2-801-0312 -National CMOP GUAIFENESIN -(VA-24-00050093)
Solicitation number
36C77024Q0171
Issued by

About this file

This spreadsheet is a pricing schedule for a national solicitation by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. It seeks pricing for guaifenesin 100mg/5ml liquid to be delivered to multiple VA medical centers on or before March 8, 2024. Vendors must include the SF1449 cover page, complete the pricing spreadsheet, and provide documentation of state licensing, OEM authorization for OTC products, and BAA certification if non-domestic product is quoted. Quotes are due by February 26, 2024 at 5:00PM Central Time and should be emailed to the point of contact. Expiration dates for all pharmaceuticals must be at least one year from delivery and noted in comments if short-dated.

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Quote Spreadsheet

CMOP - National
RFQ: 36C77024Q0171Delivery on or before: 3/8/2024Required documents:
Solicitation - Quote SpreadsheetPosted Date:2/22/241. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:2/26/242. Quote - excel spreadsheet
Vendor Name:Closing Time:5:00PM Central Time (CT)3. State Wholesale Distributor License -and/or-
ueiSAM:4. OEM authorized dealer or distributor documentation for OTC products
POC Name:* Vendors shall submit no more than (1) one quote per vendor5. Buy American Act (BAA) Certificate, if quoting non-domestic product
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 ItemFile NumberCMOP FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginPackaging MultipleUnitQTYUnit PriceTotal PriceVendor Comments
0001850LeavenworthGUAIFENESIN 100MG/5ML (ALC-F/SF) LIQUID 120ML, (G0130)54859-0507-04120BT744$ - 0$0.00
0002850ChelmsfordGUAIFENESIN 100MG/5ML (ALC-F/SF) LIQUID 120ML, (G0130)54859-0507-04120BT4800$ - 0$0.00
0003850TucsonGUAIFENESIN 100MG/5ML (ALC-F/SF) LIQUID 120ML, (G0130)54859-0507-04120BT960$ - 0$0.00
0004850Lancaster (Dallas)GUAIFENESIN 100MG/5ML (ALC-F/SF) LIQUID 120ML, (G0130)54859-0507-04120BT2000$ - 0$0.00
0005850Murfreesboro SJGUAIFENESIN 100MG/5ML (ALC-F/SF) LIQUID 120ML, (G0130)54859-0507-04120BT600$ - 0$0.00
0006850HinesGUAIFENESIN 100MG/5ML (ALC-F/SF) LIQUID 120ML, (G0130)54859-0507-04120BT7200$ - 0$0.00
0007850Ladson (Charleston)GUAIFENESIN 100MG/5ML (ALC-F/SF) LIQUID 120ML, (G0130)54859-0507-04120BT4800$ - 0$0.00
$0.00

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