S02_Pricing Schedule_Q0196.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 36C77024Q0196
About this file
This document contains a pricing spreadsheet for a solicitation requesting pharmaceutical products for the Leavenworth Consolidated Mail Outpatient Pharmacy. The solicitation seeks quotes for 11 line items of various pharmaceutical products to be delivered by March 29, 2024. Vendors must include pricing for full case quantities and note any short-dated expiration dates. Quotes are due by March 18, 2024. The related federal contract opportunity is for the Leavenworth CMOP and seeks 11 line items of pharmaceuticals. The soliciting agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0196_1.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Leavenworth | ||||||||||||
| RFQ: 36C77024Q0196 | Delivery on or before: 3/29/2024 | Required documents: | ||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 3/8/24 | 1. SF1449 - Solicitation cover page (signed) | |||||||||
| Vendor shall complete all areas in orange | Closing Date: | 3/18/24 | 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, | 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 Item | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | Leavenworth | EE 0.03MG/LEVONORG 0.15MG TAB,28, 3CT, (E0695) | 00378-6550-53 | 3 | BX | 216 | $ - 0 | $0.00 | ||||
| 0002 | Leavenworth | ESOMEPRAZOLE 20MG (BASE) EC CAP (E0811) BTL MUST BE AT LEAST 3 INCHES TALL FOR PHARMACY LABEL | 70377-0055-12 | 90 | BT | 1792 | $ - 0 | $0.00 | ||||
| 0003 | Leavenworth | FENOFIBRATE 48MG TAB (F0354) BTL MUST BE AT LEAST 3 INCHES TALL FOR PHARMACY LABEL | 65862-0768-90 | 90 | BT | 1200 | $ - 0 | $0.00 | ||||
| 0004 | Leavenworth | FENOFIBRATE 145MG (F0355) BTL MUST BE AT LEAST 3 INCHES TALL FOR PHARMACY LABEL | 31722-0596-90 | 90 | BT | 3600 | $ - 0 | $0.00 | ||||
| 0005 | Leavenworth | HCTZ 25MG/VALSARTAN 160MG TAB 90CT, (H0416) BTL MUST BE AT LEAST 3 INCHES TALL FOR PHARMACY LABEL | 00378-6323-77 | 90 | BT | 312 | $ - 0 | $0.00 | ||||
| 0006 | Leavenworth | HCTZ 12.5/OLMESARTAN 40MG TAB 90CT, (H0428) | 43547-0392-09 | 90 | BT | 288 | $ - 0 | $0.00 | ||||
| 0007 | Leavenworth | LIDOCAINE 2.5/PRILOCAINE 2.5% CREAM 30GM TUBE (L0091) MUST BE 30 GM TUBE WITH SAFETY CAP | 00574-2042-30 | 30 | TU | 1248 | $ - 0 | $0.00 | ||||
| 0008 | Leavenworth | LITHIUM CARBONATE 600MG CAP 100CT (L0099) | 68462-0222-01 | 100 | BT | 312 | $ - 0 | $0.00 | ||||
| 0009 | Leavenworth | MOEXIPRIL HCL 15MG TAB 100CT (M0266) | 68462-0208-01 | 100 | BT | 96 | $ - 0 | $0.00 | ||||
| 0010 | Leavenworth | PYRIDOSTIGMINE BROMIDE 60MG TAB, (P0175) DISPENSES IN ORIGINAL CONTRAINER; BTL MUST BE AT LEAST 3 INCHES TALL FOR PHARMACY LABEL | 00115-3511-01 | 100 | BT | 1200 | $ - 0 | $0.00 | ||||
| 0011 | Leavenworth | PRAMIPEXOLE DI-HCL 1.5MG 24HR SA TAB 30CT, (P0951) DISPENSES IN ORIGINAL CONTRAINER; BTL MUST BE AT LEAST 3 INCHES TALL FOR PHARMACY LABEL | 50742-0333-30 | 30 | BT | 216 | $ - 0 | $0.00 | ||||
| Grand Total Price | $0.00 |
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