S02 Pricing Schedule - Q0185.xlsx

XLSX spreadsheet 24 KB Posted

Attached to
6515--EPS MEDSURGE SUPPLY Federal contract opportunity
Solicitation number
36C77023Q0185
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

This document is a pricing schedule for a solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 for emergency pharmacy services at Hines CMOP. The solicitation seeks pricing for five medical and surgical supply line items, including hand sanitizer, burn sheets, safety combs, syringes, and medical tape. Offerors must provide pricing for name brand items or approved equivalents, including manufacturer, country of origin, and expiration dates of June 2025 or later. Responses are due by the date specified in solicitation number 36C77023Q0185. Pricing will be evaluated for award of a contract for delivery within 10 days of receipt of order through June 2025.

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S02 RFQ 36C77023Q0185.pdf PDF

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Text version

Pharmacy List

Med/Surg - CMOP Hines (Emergency Pharmacy Services)
Solicitation #36C77023Q0185
1) Full Delivery required within 7 days ARO, no partials accepted without prior approval.
2) Please provide Letter of Authorization/Supply with quote to satisfy Gray Market Language.
3) Please provide delivery schedule in Vendor Comments field.
4) Manufacturer and country of origin must be provided in order to be considered technically acceptable.
5) EPS requires an expiration date of 06/30/25 or later for all items.
Vendor Name:
Vendor Point of Contact:
Point of Contact Email:
LINE ITEMPRODUCT No.DESCRIPTIONVENDOR PROPOSED ALTERNATE (Please provide name & product#)MFR.COUNTRY OF ORIGINPKGQTYUNIT OF
MEASUREUNIT PRICETOTAL PRICEVENDOR COMMENTS
19605-24Purell Instant Hand Sanitizer 2oz (24 bottles/case)**No case dimension requirements for this product**241,458CASE
23520Dynarex Sterile Burn Sheet (60”x 90”) (12 sheets/case)**Case dimensions of alternate item must not exceed: (13"L x 9"W x 14"H)**12778CASE
38881833215Magellan 3mL Safety Comb (22”x 1 ½”) (50 each/box, 8 box/case)**Case dimensions of alternate item must not exceed: (12"L x 8.5"W x 4"H)**8400CASE
4305907BD Syringe 5mL LL W/NDL 22X1 RB (50 each/box, 8 box/case)**Case dimensions of alternate item must not exceed: (20.237"L x 13.151"W x 15.985"H)**8924CASE
51538S-1Durapore 1 inch Tape (100 rolls/box, 5 box/case)**Case dimensions of alternate item must not exceed: (22"L x 7"W x 7"H)**5243CASE
** All items must have an expiration date of 06/30/25 or later**
Vendor shall be an OEM, authorized dealer, authorized distributor or authorized reseller for the proposed item, verified by an authorization letter or other documents from the OEM.
**This is a brand name or equal requirement.**

Abstract of Offerors

LINE ITEMNDC #/UPCCMOP
Item #DESCRIPTIONPKGQTYUNITNDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICE

Vendor DUNS # Sam Expiration Date Socio economic size Past Performance Rating PPIRS

Awards

PharmaceuticalsPosted
VA CMOP -

Solicitation # Due Date

Delivery to be 10 Days ARO
LINE ITEMNDC #/UPCIMF#CMOP
Item #DESCRIPTIONBT SZUNITQTYIGCEVendor Alt NDCMFR.COUNTRY OF
ORIGINUNIT PRICETOTAL PRICE
Socio-economic SizeeCMS PO #
Awd PO # Awd 2237
-- DUNS$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
$0.00
$0.00
Awd PO # Awd 2237eCMS PO#
-- DUNS$0.00
$0.00
$0.00

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