S02_Pricing Schedule_Q0308 - ZOLPIDEM.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77024Q0308
About this file
This document is a pricing schedule spreadsheet related to a Request for Quote (RFQ) for the supply of ZOLPIDEM TARTRATE 6.25MG SA TAB, 100CT to the Charleston (Ladson) CMOP facility. The RFQ, number 36C77024Q0308, is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. The required delivery time is 10 days After Receipt of Order (ARO). Vendors must complete and submit the SF1449 solicitation cover page, quote spreadsheet, a valid state wholesale distributor license, and the Buy American Act Certificate. The closing date for quotes is June 17, 2024 at 3:00PM Central Time. Vendors may submit only one quote, and should note any differences from the listed NDC in the "Vendor Comments" section. All pharmaceuticals must have an expiration date of at least one year from the date of delivery.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0308.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Charleston ( Ladson) | ||||||||||||
| RFQ: 36C77024Q0308 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | ||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 6/13/24 | 1. SF1449 - Solicitation cover page (signed) | |||||||||
| Vendor shall complete all areas in orange | Closing Date: | 6/17/24 | 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 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: Jennifer.Coleman4@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 | Charleston (Ladson) | ZOLPIDEM TARTRATE 6.25MG SA TAB, 100CT (Z0065) | 68180-0779-01 | 100 | BT | 1800 | $0.00 | |||||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .