S02_Pricing Schedule_Q0256.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 36C77024Q0256
About this file
This document is a pricing schedule related to a Request for Quote (RFQ) for the National Consolidated Mail Outpatient Pharmacy (CMOP) program of the Department of Veterans Affairs. The RFQ is for the pharmaceutical product Alfuzosin HCL 10MG in tablet form, with quantities required at 90-count and 500-count package sizes across multiple CMOP facilities.
The RFQ has a closing date of April 25, 2024 at 3:00 PM Central Time. Vendors are required to submit a signed SF1449 solicitation cover page, a completed quote spreadsheet, a valid state wholesale distributor license, and a Buy American Act certificate. Pricing is requested for the NDC product with a required 10-day delivery after receipt of order. Vendors are limited to submitting one quote per vendor. The Statement of Requirements specifies that all pharmaceuticals must have an expiration date of at least one year from the date of delivery.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0256_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - National | |||||||||||||
| RFQ: 36C77024Q0256 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 4/22/24 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 4/25/24 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 3:00PM 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, | ||||||||||||
| Phone: | QTY shall be adjusted for that count and this should be noted in "Vendor Comments" | Email quotes to: Kelley.Cunningham@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 Item | File Number | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 14654 | Leavenworth | ALFUZOSIN HCL 10MG SA TAB 90CT (A1212) | 76282-0302-90 | 90 | BT | 660 | $ - 0 | $0.00 | ||||
| 0002 | 16868 | Chelmsford | ALFUZOSIN HCL 10MG SA TAB 500CT (A1212) | 76282-0302-05 | 500 | BT | 72 | $ - 0 | $0.00 | ||||
| 0003 | 14654 | Lancaster (Dallas) | ALFUZOSIN HCL 10MG SA TAB 90CT (A1212) | 76282-0302-90 | 90 | BT | 400 | $ - 0 | $0.00 | ||||
| 0004 | 16868 | Lancaster (Dallas) | ALFUZOSIN HCL 10MG SA TAB 500CT (A1212) | 76282-0302-05 | 500 | BT | 120 | $ - 0 | $0.00 | ||||
| 0005 | 16868 | Murfreesboro EF | ALFUZOSIN HCL 10MG SA TAB 500CT (A1212) | 76282-0302-05 | 500 | BT | 12 | $ - 0 | $0.00 | ||||
| 0006 | 14654 | Murfreesboro SJ | ALFUZOSIN HCL 10MG SA TAB 90CT (A1212) | 76282-0302-90 | 90 | BT | 800 | $ - 0 | $0.00 | ||||
| 0007 | 14654 | Hines | ALFUZOSIN HCL 10MG SA TAB 90CT (A1212) | 76282-0302-90 | 90 | BT | 480 | $ - 0 | $0.00 | ||||
| 0008 | 16868 | Hines | ALFUZOSIN HCL 10MG SA TAB 500CT (A1212) | 76282-0302-05 | 500 | BT | 120 | $ - 0 | $0.00 | ||||
| 0009 | 16868 | Ladson (Charleston) | ALFUZOSIN HCL 10MG SA TAB 500CT (A1212) | 76282-0302-05 | 500 | BT | 288 | $ - 0 | $0.00 | ||||
| $0.00 |
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