S02_Pricing Schedule_Q0197.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77024Q0197
About this file
This document contains a quote spreadsheet for a request for quote from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. Vendors are requested to provide pricing for Divalproex 250mg 24hr extended release tablets NDC 65162-0755-50 with a pack size of 500 bottles and quantity of 1320. Required response documents include a signed SF1449 cover page, this quote spreadsheet indicating country of origin and packaging details, a state wholesale distributor license, and a BAA certificate for non-domestic quotes. Responses are due by March 14, 2024 with an anticipated delivery date of March 25, 2024. The opportunity is set aside for small businesses and subject to the Buy American Act.
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| File | Type | Posted |
|---|---|---|
| S02_RFQ_36C77024Q0197_.pdf |
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Quote Spreadsheet
| CMOP - Charleston/Ladson CMOP | ||||||
| RFQ: 36C77024Q0197 | Delivery on or before: 03/25/2024 | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 3/7/24 | 1. SF1449 - Solicitation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 3/14/24 | 2. Quote - excel spreadsheet - Country of Origin | |||
| Vendor Name: | Closing Time: | 4:00PM Central Standard Time (CST) | 3. State Wholesale Distributor License | |||
| ueiSAM: | 4. BAA Certificate - for non-domestic quotes | |||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | Email quotes to: Jennifer.Knight@va.gov | ||||
| 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" | |||||
| * 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 | Approved NDCs | Quoted | |||
| NDC | Mfr | Country of | ||||
| Origin | Packaging | |||||
| Multiple | Unit | QTY | Unit | |||
| Price | Total | |||||
| Price | Vendor |
Comments
| 0001 | 7864 | VA CMOP Charleston/ | |||||||
| Ladson - 766 | DIVALPROEX 250MG 24HR (ER) | ||||||||
| SA TAB 500CT (D0665) | 65162-0755-50 | 500 | BT | 1320 | $ - 0 | $0.00 | |||
| Total Small Business Set-aside | $0.00 | ||||||||
| Buy American Act Applies (BAA) |
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