S02_Pricing Schedule_Q0173.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
Pharmaceuticals for Leavenworth CMOP Federal contract opportunity
Solicitation number
36C77025Q0173
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

This is a Pricing Schedule for a Request for Quote (RFQ) issued by the Department of Veterans Affairs for pharmaceuticals for the Leavenworth CMOP (Consolidated Mail Outpatient Pharmacy). The solicitation (RFQ #36C77025Q0173) seeks quotes for nine specific pharmaceutical products, including medications such as Nitroglycerin ointment, Nebivolol tablets, Ondansetron oral disintegrating tablets, Prednisone tablets, Pyridostigmine Bromide tablets, and Pioglitazone HCL tablets in various strengths and package sizes.

Key procurement details include a quote submission deadline of 3/25/25 at 3:00 PM Central Time, with a required delivery of 10 days after receipt of order. Vendors must submit only one quote, provide full case quantities, and ensure pharmaceutical expiration dates are at least one year from delivery. Required submission documents include the SF1449 solicitation cover page, quote spreadsheet, state wholesale distributor license, and Buy American Act certificate. The solicitation specifies detailed packaging requirements, such as bottle height and child-resistant packaging for certain medications.

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RFQ_36C77025Q0173.docx DOCX document

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Text version

Quote Spreadsheet

CMOP - Leavenworth
RFQ: 36C77025Q0173Delivery 10 days After Receipt of Order (ARO)Required documents:
Solicitation - Quote SpreadsheetPosted Date:3/14/251. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:3/25/252. Quote - excel spreadsheet
Vendor Name:Closing Time:3:00PM 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,Email quotes to: Kelley.Cunningham@va.gov
Phone:QTY shall be adjusted for that count and this should be noted in "Vendor Comments"Customer is requesting full case quantities for products below; please adjust quantity to change total for a full case and make note within vendor comments.
* 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 ItemCMOP FacilityDescriptionNDC#Alternate NDCsMfrPlace of ManufacturePackaging MultipleUnitQTYUnit PriceTotal PriceVendor Comments
0001LeavenworthNITROGLYCERIN 2% OINT 60GM, (N0066)
(Must be 60GM)00281-0326-6060TU468$ - 0$0.00
0002LeavenworthNEBIVOLOL 5MG TAB 90CT, (N0567) (Must be 90ct btl and 3+ inches tall)43547-0525-0913668-0354-90

67877-0392-90

Unacceptable90BT1488$ - 0$0.00
0003LeavenworthONDANSETRON 4MG ORAL DISINTEGRATING TAB, 30CT
(Must be 30ct blt and 3+ inches tall or unit dose box 3+ inches wide)(Must be child resistant packaging)16714-0200-3062757-0240-64

68462-0157-13

Unacceptable30BT17600$ - 0$0.00
0004LeavenworthONDANSETRON 8MG ORAL DISINTEGRATING TAB 30CT (O0099)
(Must be 30ct btl and 3+ inches tall or unit dose box 3+ inches wide) (Must be child resistant packaging)57237-0078-1030BX2400$ - 0$0.00
0005LeavenworthPREDNISONE 1MG TAB 1000CT (P0110)59651-0484-991000BT192$ - 0$0.00
0006LeavenworthPYRIDOSTIGMINE BROMIDE 60MG TAB, (P0175) (Dispenses in original container, 100ct btl and must be 3+ inches tall)00115-3511-01100BT1440$ - 0$0.00
0007LeavenworthPIOGLITAZONE HCL 15MG TAB, 90CT (P0535) (Must be 90ct btl and 3+ inches tall)00093-7271-9890BT1440$ - 0$0.00
0008LeavenworthPIOGLITAZONE HCL 30MG TAB 90CT, (P0536) (Must be 90ct btl and 3+ inches tall)33342-0055-1090BT3072$ - 0$0.00
0009LeavenworthPIOGLITAZONE HCL 45MG TAB 500CT (P0537)16714-0647-03500BT288$ - 0$0.00
Grand Total Price$0.00

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