S02_Pricing Schedule_Q0226.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
760-24-2-050-0675 – 9-Line Pharmaceutical Requirement - Leavenworth CMOP
Solicitation number
36C77024Q0226
Issued by

About this file

This document is a pricing schedule for a Request for Quote (RFQ) solicitation numbered 36C77024Q0226. The solicitation is for a 9-line pharmaceutical requirement for the Department of Veterans Affairs (VA) CMOP facility in Leavenworth. It lists the NDCs, descriptions, quantities, and pricing for the requested pharmaceutical products. Responses are due by 4:00 PM Central Standard Time on August 2, 2024. The solicitation is a small business set-aside, and the Buy American Act applies. Vendors must provide a signed SF1449 cover page, quote spreadsheet, state wholesale distributor license, OEM authorization, and a BAA certificate for non-domestic quotes. Vendors should note any alternative NDCs, packaging quantities, expiration dates, and provide comments as necessary. The contracting activity is the VA Veterans Integrated Service Network 15.

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S02_Pricing Schedule_Q0226_UPDATED.xlsx XLSX spreadsheet
S02_RFQ_36C77024Q0226.pdf PDF

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Quote Spreadsheet

CMOP - Leavenworth -760
RFQ: 36C77024Q0226Delivery on or before: 10 Days ARORequired documents:
Solicitation - Quote SpreadsheetPosted Date:7/26/241. SF1449 - Solicitation cover page (signed).
Vendor shall complete all areas in orangeClosing Date:8/2/242. Quote - excel spreadsheet - Country of Origin.
Vendor Name:Closing Time:4:00PM Central Standard Time (CST)3. State Wholesale Distributor License.
ueiSAM:4. OEM authorized dealer, distributor or re-seller documentation from the OEM.
POC Name:5. BAA Certificate - for non-domestic quotes.
POC E-Mail:* If vendor is proposing NDC with count other than CMOP listed NDC,Email quotes to: Jennifer.Knight@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
ItemFile
NumberCMOP
FacilityDescriptionNDCsAlternative
NDCsMfrCountry of
OriginPackaging
MultipleUnitQTYUnit
PriceTotal
PriceVendor

Comments

00012925VA CMOP Leavenworth - 760BACITRACIN 500/POLYMYXIN 10000/GM OINT 30GM (B0595)00168-0021-3130TU96$ - 0$0.00
000219410VA CMOP Leavenworth - 760BARIATRIC MULTIVITAMIN W/IRON CHEW TAB 30CT (B0937)75817-6226-2630BT3800$ - 0$0.00
00033846VA CMOP Leavenworth - 760COAL TAR 7.5% TOP EMULSION 180GM11086-0105-01180BT384$ - 0$0.00
000414122VA CMOP Leavenworth - 760CETIRIZINE HCL 5MG TAB, 100CT (C0637)00378-3635-01100BT288$ - 0$0.00
00058410VA CMOP Leavenworth - 760LUBRICATING (PF) OPH OINT 3.5 (L0117)17478-0062-351TU5600$ - 0$0.00
000614455VA CMOP Leavenworth - 760MOISTURIZING LOTION 240ML (M0140)00096-0722-08240BT120$ - 0$0.00
000717562VA CMOP Leavenworth - 760MULTIVITAMINS W/MINERALS CAP/TAB54629-0082-01130BT2400$ - 0$0.00
00086435VA CMOP Leavenworth - 760ZINC OXIDE 16% TOP PASTE 60GM (Z0054)62103-0333-0260TU240$ - 0$0.00
00096336VA CMOP Leavenworth - 760ZINC OXIDE 40% TOP PASTE (Z0109)74300-0000-71120TU2400$ - 0$0.00
Total Small Business Set-aside$0.00
Buy American Act Applies (BAA)

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