S02_Pricing Schedule_Q0285.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
6505--SEVELAMER CARBONATE 800MG TAB
Solicitation number
36C77025Q0285
Issued by

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This is a Pricing Schedule (Quote Spreadsheet) for a national Request for Quote (RFQ) by the Department of Veterans Affairs Veterans Health Administration for Sevelamer Carbonate 800mg tablets. The solicitation (36C77025Q0285) covers four CMOP (Consolidated Mail Outpatient Pharmacy) locations: Tucson, Dallas, Murfreesboro, and Charleston, with a total procurement of 5,040 tablets (1,800 + 1,200 + 600 + 1,440). The quote requires delivery within 90 days after receipt of order, with one delivery per month for three months. Vendors must submit quotes by 8/20/25 at 3:00 PM Central Time, with required supporting documentation including SF1449, a completed quote spreadsheet, state wholesale distributor license, and Trade Agreements Act Certificate. Specific requirements include providing pharmaceuticals with expiration dates no less than one year from delivery date, and vendors are limited to submitting one quote per vendor.

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36C77025Q0285_2.docx DOCX document

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Quote Spreadsheet

CMOP - National
RFQ: 36C77025Q0285Delivery 90 days After Receipt of Order (ARO) ( 1 delivery per month for 3 months)Required documents:
Solicitation - Quote SpreadsheetPosted Date:8/15/251. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:8/20/252. Quote - excel spreadsheet
Vendor Name:Closing Time:3:00PM Central Time (CT)3. State Wholesale Distributor License, valid and unexpired
ueiSAM:4. Trade Agreements Act 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: 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 ItemCMOP FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginPackaging MultipleUnitQTYUnit PriceTotal PriceVendor Comments
0001TUCSON CMOPS0578: SEVELAMER CARBONATE 800MG TAB00781-5219-3216714-0814-01, 33342-0215-58, 55111-0789-27,

58468-0133-01, 64380-0872-67, 65162-0058-27, 65862-0921-27, 69097-0967-96,

69680-0143-95, 76282-0407-27270BT1800$ - 0$0.00
0002DALLAS CMOPS0578: SEVELAMER CARBONATE 800MG TAB00781-5219-3216714-0814-01, 33342-0215-58, 55111-0789-27,

58468-0133-01, 64380-0872-67, 65162-0058-27, 65862-0921-27, 69097-0967-96,

69680-0143-95, 76282-0407-27270BT1200$ - 0$0.00
0003MURFREESBORO CMOP EFS0578: SEVELAMER CARBONATE 800MG TAB00781-5219-3216714-0814-01, 33342-0215-58, 55111-0789-27,

58468-0133-01, 64380-0872-67, 65162-0058-27, 65862-0921-27, 69097-0967-96,

69680-0143-95, 76282-0407-27270BT600$ - 0$0.00
0004CHARLESTON CMOPS0578: SEVELAMER CARBONATE 800MG TAB00781-5219-3216714-0814-01, 33342-0215-58, 55111-0789-27,

58468-0133-01, 64380-0872-67, 65162-0058-27, 65862-0921-27, 69097-0967-96,

69680-0143-95, 76282-0407-27270BT1440$ - 0$0.00
Grand Total Price$0.00

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