S02_Pricing Schedule_Q0261_Drafting.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- 6505--D0828 DORZOLAMIDE /TIMOLOLML OPH SOL
- Solicitation number
- 36C77025Q0261
About this file
This is a Pricing Schedule for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration for a national pharmaceutical supply order. The solicitation (36C77025Q0261) seeks quotes for Dorzolamide 22.3/Timolol 6.8mg/ML Ophthalmic Solution across seven Central Medication Order Processing (CMOP) facilities, with total quantities ranging from 3,600 to 24,000 units per facility. The solicitation requires vendors to submit quotes by July 10, 2025, at 3:00 PM Central Time, with delivery expected 10 days after receipt of order, and mandates that pharmaceutical expiration dates be no less than one year from delivery date. Required submission documents include a signed SF1449 solicitation cover page, completed quote spreadsheet, state wholesale distributor license, and Buy American Act/Trade Agreements Act certificate.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77025Q0261_2.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - National | |||||||||||||
| RFQ: 36C77025Q0261 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 7/2/25 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 7/10/25 | 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 /Trade Agreements Act Applies | ||||||||||||
| 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: Lacie.nowak@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 CMOP | DORZOLAMIDE | |||||||||||
| 22.3/TIMOLOL6.8MG/ML OPH SOL | 24208-0486-10 | 42571-0147-26, 60429-0115-10, 61341-0030-02 | 10 | BT | 8640 | $ - 0 | $0.00 | ||||||
| 0002 | Chelmsford CMOP | DORZOLAMIDE | |||||||||||
| 22.3/TIMOLOL6.8MG/ML OPH SOL | 24208-0486-10 | 42571-0147-26, 60429-0115-10, 61341-0030-02 | 10 | BT | 3600 | $ - 0 | $0.00 | ||||||
| 0003 | TUCSON CMOP | DORZOLAMIDE | |||||||||||
| 22.3/TIMOLOL6.8MG/ML OPH SOL | 24208-0486-10 | 42571-0147-26, 60429-0115-10, 61341-0030-02 | 10 | BT | 12000 | $ - 0 | $0.00 | ||||||
| 0004 | DALLAS CMOP | DORZOLAMIDE | |||||||||||
| 22.3/TIMOLOL6.8MG/ML OPH SOL | 24208-0486-10 | 42571-0147-26, 60429-0115-10, 61341-0030-02 | 10 | BT | 18000 | $ - 0 | $0.00 | ||||||
| 0005 | MURFREESBORO S-J CMOP | DORZOLAMIDE | |||||||||||
| 22.3/TIMOLOL6.8MG/ML OPH SOL | 24208-0486-10 | 42571-0147-26, 60429-0115-10, 61341-0030-02 | 10 | BT | 8000 | $ - 0 | $0.00 | ||||||
| 0006 | HINES CMOP | DORZOLAMIDE | |||||||||||
| 22.3/TIMOLOL6.8MG/ML OPH SOL | 24208-0486-10 | 42571-0147-26, 60429-0115-10, 61341-0030-02 | 10 | BT | 24000 | $ - 0 | $0.00 | ||||||
| 0007 | Charleston CMOP | DORZOLAMIDE | |||||||||||
| 22.3/TIMOLOL6.8MG/ML OPH SOL | 24208-0486-10 | 42571-0147-26, 60429-0115-10, 61341-0030-02 | 10 | BT | 18000 | $ - 0 | $0.00 | ||||||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .