S02 - Pricing Schedule_Q0178.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- 6505--770-25-3-801-0333 - National CMOP E0301 EYELID CLEANSER, EYE SCRUB PAD (VA-25-00055162)
- Solicitation number
- 36C77025Q0178
About this file
This is a pricing schedule spreadsheet (RFQ) for a national pharmaceutical procurement by the Department of Veterans Affairs Veterans Health Administration. The solicitation (36C77025Q0178) is for Eyelid Cleanser Eye Scrub Pads (30-count), to be delivered to seven VA CMOP (Consolidated Mail Outpatient Pharmacy) facilities across the United States, including locations in Leavenworth, Chelmsford, Tucson, Lancaster, Murfreesboro, Hines, and Ladson. The total requested quantity is 42,064 bottles, with delivery required 10 days after receipt of order.
Vendors must submit quotes by 4/1/25 at 3:00 PM Central Time, with required documentation including a signed SF1449, completed quote spreadsheet, state wholesale distributor license, OEM authorized dealer documentation, and a BAA (Buy American Act) Certificate if proposing non-domestic products. Specific requirements include pharmaceutical expiration dates of at least one year from delivery, and quotes must be emailed to Jennifer.Coleman4@va.gov. The solicitation uses two primary NDC (National Drug Code) numbers: 15718-0104-30 and 54799-0301-90, with vendors allowed to propose alternate NDCs with proportional quantity adjustments.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| S02 - RFQ - 36C77025Q0178.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Quote Spreadsheet
| CMOP - National | ||||||||||||||
| RFQ: 36C77025Q0178 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | ||||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 3/25/25 | 1. SF1449 - Solicitation cover page (signed) | |||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 4/1/25 | 2. Quote - excel spreadsheet | |||||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Time (CT) | 3. State Wholesale Distributor License, valid and unexpired | |||||||||||
| ueiSAM: | 4. OEM Authorized Dealer or Distributor Documentation for OTC Products | |||||||||||||
| POC Name: | * BAA compliant quotes only* | 5. BAA Buy American Act Certificate if quoting a 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: Jennifer.Coleman4@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 | VA CMOP Leavenworth | EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301) | 15718-0104-30 | |||||||||||
| 54799-0301-90 | 30 | BT | 2064 | $ - 0 | $0.00 | |||||||||
| 0002 | VA CMOP Chelmsford | EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301) | 15718-0104-30 | |||||||||||
| 54799-0301-90 | 30 | BT | 9600 | $ - 0 | $0.00 | |||||||||
| 0003 | VA CMOP Tucson | EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301) | 15718-0104-30 | |||||||||||
| 54799-0301-90 | 30 | BT | 2400 | $ - 0 | $0.00 | |||||||||
| 0004 | VA CMOP Lancaster (Dallas) | EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301) | 15718-0104-30 | |||||||||||
| 54799-0301-90 | 30 | BT | 1200 | $ - 0 | $0.00 | |||||||||
| 0005 | VA CMOP Murfreesboro EF | EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301) | 15718-0104-30 | |||||||||||
| 54799-0301-90 | 30 | BT | 3000 | $ - 0 | $0.00 | |||||||||
| 0006 | VA CMOP Hines (Great Lakes) | EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301) | 15718-0104-30 | |||||||||||
| 54799-0301-90 | 30 | BT | 14,000 | $ - 0 | $0.00 | |||||||||
| 0007 | VA CMOP Ladson (Charleston) | EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301) | 15718-0104-30 | |||||||||||
| 54799-0301-90 | 30 | BT | 9600 | $ - 0 | $0.00 | |||||||||
| $0.00 |
File details come from the government source that posted it. Updated .