S02 Pricing Schedule - Q0287.xlsx
XLSX spreadsheet 23 KB Posted
- Solicitation number
- 36C77023Q0287_1
About this file
This document contains a pricing schedule and solicitation for pharmaceutical products required by the Hines CMOP (765) Emergency Pharmacy Services. The solicitation seeks pricing for one line item of AMOXICILLIN TRIHYDRATE 500MG/CLAVULANATE K 125MG tablets totaling 63,180 bottles to be delivered within 10 days of award. Offerors must provide manufacturer details and country of origin for any proposed alternative National Drug Codes, along with delivery schedules and expiration dates. Responses are due by June 8, 2023 at 5:00pm CDT. The solicitation will result in an award issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15.
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Other files
| File | Type | Posted |
|---|---|---|
| S02 RFQ 36C77023Q0287.pdf |
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Text version
Pharmacy List
| Pharmaceutical | Posted | |
| VA CMOP - | Hines (Emergency Pharmacy Services) | 6/7/2023 |
| Solicitation #36C77023Q0287 | Due Date | |||||||
| 6/8/2023 @5PM CDT | ||||||||
| 1) All pharmaceuticals require pedigree to be sent with order | ||||||||
| 2) Please provide manufacturer, country of origin, and delivery schedule in comment block to be considered technically acceptable | ||||||||
| 3) All alternate NDCs submitted will need to pass pharmacist evaluation and approval (Buy American Statute applies to this procurement) | ||||||||
| Vendor Name: | ||||||||
| Vendor Point of Contact: | ||||||||
| Point of Contact Email: | ||||||||
| LINE ITEM | ACCEPTABLE NDCs | CMOP | ||||||
| Item # | DESCRIPTION | VENDOR PROPOSED ALTERNATE | ||||||
| NDC | MFR. | COUNTRY OF | ||||||
| ORIGIN | PKG | QTY | UNIT OF | |||||
| MEASURE | UNIT PRICE | TOTAL PRICE | VENDOR COMMENTS (Please provide drug expiration date and delivery schedule here) | |||||
| 1 | 00781-1852-20 | A0281 | AMOXICILLIN TRIHYDRATE 500MG / CLAVULANATE K 125MG TAB (EXP DATE 2025 OR LATER, FEWEST LOT NUMBERS POSSIBLE) | 20 | 63180 | BT |
Abstract of Offerors
| Pharmaceuticals |
| VA CMOP - |
| Solicitation # | |
| 1) Full Delivery required within 5 days ARO, no partials accepted without prior approval | |
| 2) All NDCs submitted for bid will need to pass RPH evaluation and approval |
| LINE ITEM | NDC #/UPC | CMOP | |||||||||||||||||||||||||||||||||||||||||
| Item # | DESCRIPTION | PKG | QTY | NDC Proposed | MFR. | ORIGIN COUNTRY | UNIT PRICE | TOTAL PRICE | NDC Proposed | MFR. | ORIGIN COUNTRY | UNIT PRICE | TOTAL PRICE | NDC Proposed | MFR. | ORIGIN COUNTRY | UNIT PRICE | TOTAL PRICE | NDC Proposed | MFR. | ORIGIN COUNTRY | UNIT PRICE | TOTAL PRICE | NDC Proposed | MFR. | ORIGIN COUNTRY | UNIT PRICE | TOTAL PRICE | NDC Proposed | MFR. | ORIGIN COUNTRY | UNIT PRICE | TOTAL PRICE | NDC Proposed | MFR. | ORIGIN COUNTRY | UNIT PRICE | TOTAL PRICE | NDC Proposed | MFR. | ORIGIN COUNTRY | UNIT PRICE | TOTAL PRICE |
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| 2 | |||||||||||||||||||||||||||||||||||||||||||
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| 4 | |||||||||||||||||||||||||||||||||||||||||||
| 5 |
Vendor DUNS # Sam Expiration Date Socio economic size Past Performance Rating PPIRS
Awards
| Pharmaceuticals | Posted |
| VA CMOP - |
Solicitation # Due Date
| Delivery to be 10 Days ARO | |||||||||
| LINE ITEM | NDC #/UPC | IMF# | CMOP | ||||||
| Item # | DESCRIPTION | BT SZ | UNIT | QTY | IGCE | Vendor Alt NDC | MFR. | COUNTRY OF | |
| ORIGIN | UNIT PRICE | TOTAL PRICE | |||||||
| Socio-economic Size | eCMS PO # | ||||||||
| Awd PO # Awd 2237 | |||||||||
| -- DUNS | $0.00 | ||||||||
| $0.00 | |||||||||
| -- DUNS | Awd PO # Awd 2237 | eCMS PO# | |||||||
| $0.00 | |||||||||
| $0.00 | |||||||||
| -- DUNS | Awd PO # Awd 2237 | eCMS PO# | |||||||
| $0.00 | |||||||||
| $0.00 | |||||||||
| $0.00 | |||||||||
| -- DUNS | Awd PO # Awd 2237 | eCMS PO# | |||||||
| $0.00 | |||||||||
| $0.00 | |||||||||
| $0.00 | |||||||||
| $0.00 | |||||||||
| Awd PO # Awd 2237 | eCMS PO# | ||||||||
| -- DUNS | $0.00 | ||||||||
| $0.00 | |||||||||
| $0.00 |
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