S02_Pricing Schedule_Q0209.xlsx
XLSX spreadsheet 16 KB Posted
- Solicitation number
- 36C77025Q0209
About this file
This is a Pricing Schedule (Quote Spreadsheet) for a National Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration for pharmaceutical products. The solicitation (36C77025Q0209) seeks quotes for two medical products: Artificial Saliva Oral Spray (240ML) and Biotene Oral Moisturizer Mouthwash, to be distributed across six VA Consolidated Mail Outpatient Pharmacies (CMOPs) in locations including Chelmsford, Tucson, Lancaster, Murfreesboro, Hines, and Ladson. The solicitation requires vendors to submit quotes by 4/23/25 at 3:00 PM Central Time, with specific submission requirements including a signed SF1449, completed quote spreadsheet, wholesale distributor license, OEM documentation, and a Buy American Act certificate if quoting non-domestic products. Each product has specific quantity requirements, with total quantities ranging from 288 to 1,200 units across different CMOP locations, and all pharmaceuticals must have at least one year of expiration from the delivery date.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77025Q0209_2.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - National | |||||||||||||
| RFQ: 36C77025Q0209 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 4/18/25 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 4/23/25 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Time (CT) | 3. State Wholesale Distributor License -and/or- | ||||||||||
| ueiSAM: | 4. OEM authorized dealer or distributor documentation for OTC products | ||||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | 5. Buy American Act (BAA) Certificate, if quoting non-domestic product | |||||||||||
| 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" | ||||||||||||
| * 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# | Alternate NDCs | Manufacturer | Place of Manufacture | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 2955 | VA CMOP Chelmsford | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 576 | $ - 0 | $0.00 | ||||
| 0002 | 2955 | VA CMOP Tucson | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 600 | $ - 0 | $0.00 | ||||
| 0003 | 2955 | VA CMOP Lancaster (Dallas) | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 432 | $ - 0 | $0.00 | ||||
| 0004 | 2955 | VA CMOP Murfreesboro EF | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 288 | $ - 0 | $0.00 | ||||
| 0005 | 2955 | VA CMOP Hines (Great Lakes) | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 840 | $ - 0 | $0.00 | ||||
| 0006 | 2955 | VA CMOP Ladson (Charleston) | ARTIFICIAL SALIVA ORAL SPRAY 240ML (A2112) | 50930-0098-08 | 240 | BT | 1200 | $ - 0 | $0.00 | ||||
| 0007 | 4729 | VA CMOP Tucson | MOUTHWASH,ORAL MOISTURIZER,1.5OZ,MINT,BIOTENE,DRY MOUTH | 48582-0001-55 | 45 | BT | 968 | $ - 0 | $0.00 | ||||
| 0008 | 4729 | VA CMOP Murfreesboro EF | MOUTHWASH,ORAL MOISTURIZER,1.5OZ,MINT,BIOTENE,DRY MOUTH | 48582-0001-55 | 45 | BT | 120 | $ - 0 | $0.00 | ||||
| 0009 | 4729 | VA CMOP Hines (Great Lakes) | MOUTHWASH,ORAL MOISTURIZER,1.5OZ,MINT,BIOTENE,DRY MOUTH | 48582-0001-55 | 45 | BT | 480 | $ - 0 | $0.00 | ||||
| $0.00 |
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