S02_Pricing Schedule_Q0214.xlsx
XLSX spreadsheet 20 KB Posted
- Solicitation number
- 36C77024Q0214
About this file
This document is a Quote Spreadsheet for RFQ 36C77024Q0214 for the Leavenworth CMOP (Consolidated Mail Outpatient Pharmacy). The solicitation is for 4 line item pharmaceutical products, with a delivery date of 4/19/2024. The Quote Spreadsheet requires vendors to provide pricing and other information such as alternate NDCs, manufacturer country of origin, packaging, and expiration dates. Key requirements include submitting a signed SF1449 Solicitation cover page, a completed Quote Spreadsheet, a valid State Wholesale Distributor License, and a Buy American Act Certificate. The solicitation has a closing date of 4/8/2024 at 5:00 PM Central Time. The awarding agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77024Q0214_1.docx | DOCX document | |
| S02_JnA_Q0214.pdf |
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Quote Spreadsheet
| CMOP - Leavenworth | ||||||||||||
| RFQ: 36C77024Q0214 | Delivery on or before: 4/19/2024 | Required documents: | ||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 4/3/24 | 1. SF1449 - Solicitation cover page (signed) | |||||||||
| Vendor shall complete all areas in orange | Closing Date: | 4/8/24 | 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" | |||||||||||
| * 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 | ERRIN 0.35MG TAB,28 (E0586) | 51862-0886-03 | Brand Name Only | 3 | BX | 240 | $ - 0 | $0.00 | |||
| 0002 | Leavenworth | ESTRADIOL (ESTROGEL) 0.06% TRANSDERM GEL 50GM, (E0622) | 17139-0617-40 | Brand Name Only | 50 | TU | 160 | $ - 0 | $0.00 | |||
| 0003 | Leavenworth | LOW-OGESTREL TAB 28CT (L0366) | 51862-0564-06 | Brand Name Only | 6 | PG | 96 | $ - 0 | $0.00 | |||
| 0004 | Leavenworth | NITROGLYCERIN 2% OINT 60GM, (N0066) | 00281-0326-60 | Brand Name Only | 60 | TU | 396 | $ - 0 | $0.00 | |||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .