S02_Pricing Schedule_Q0250.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
770-24-3-801-0410 -National CMOP Eye LUBRICATING OINT -(VA-24-00060925)
Solicitation number
36C77024Q0250
Issued by

About this file

This document is a Pricing Schedule spreadsheet for a Request for Quote (RFQ) under Solicitation Number 36C77024Q0250 for the National CMOP Eye LUBRICATING OINT requirement. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15.

The Pricing Schedule spreadsheet includes line items for LUBRICATING (PF) OPH OINT 3.5g with the National Drug Code (NDC) 00904-6488-38. The required quantities for various CMOP facilities, including Leavenworth, Chelmsford, Tucson, Lancaster (Dallas), Murfreesboro SJ, Hines, and Ladson (Charleston), are provided. Vendors are required to complete the pricing information and submit the signed SF1449 Solicitation cover page, the completed Quote spreadsheet, a valid and unexpired State Wholesale Distributor License, and a Trade Agreement Act (TAA) Certificate. Quotes are due by 5:00 PM Central Standard Time on 4/26/24.

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Quote Spreadsheet

CMOP - National
RFQ: 36C77024Q0250Delivery: is 10 days ARORequired documents:
Solicitation - Quote SpreadsheetPosted Date:4/19/241. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:4/26/242. Quote - excel spreadsheet
Vendor Name:Closing Time:5:00PM Central Standard Time (CST)3. State Wholesale Distributor License (valid and unexpired)
ueiSAM:4. Trade Agreement Act (TAA) 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,
Phone:QTY shall be adjusted for that count and this should be noted in "Vendor Comments"Email quotes to: Jennifer.Knight@va.gov
* 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 FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginPackaging MultipleUnitQTYUnit PriceTotal PriceVendor Comments
00018410LeavenworthLUBRICATING (PF) OPH OINT 3.5g
(L0117)00904-6488-381Tube1488$ - 0$0.00
00028410ChelmsfordLUBRICATING (PF) OPH OINT 3.5g
(L0117)00904-6488-381Tube3600$ - 0$0.00
00038410TucsonLUBRICATING (PF) OPH OINT 3.5g
(L0117)00904-6488-381Tube3100$ - 0$0.00
00048410Lancaster (Dallas)LUBRICATING (PF) OPH OINT 3.5g
(L0117)00904-6488-381Tube4000$ - 0$0.00
00058410Murfreesboro SJLUBRICATING (PF) OPH OINT 3.5g
(L0117)00904-6488-381Tube7200$ - 0$0.00
00068410HinesLUBRICATING (PF) OPH OINT 3.5g
(L0117)00904-6488-381Tube9600$ - 0$0.00
00078410Ladson (Charleston)LUBRICATING (PF) OPH OINT 3.5g
(L0117)00904-6488-381Tube7200$ - 0$0.00
$0.00

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