S02_Pricing Schedule_Q0316.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 36C77024Q0316
About this file
This document is a Pricing Schedule for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 (VISN 15) for the National CMOP (Consolidated Mail Outpatient Pharmacy) for Alfuzosin HCL 10mg SA Tablets.
The RFQ solicitation number is 36C77024Q0316, with a closing date of 6/20/24 at 3:00PM CT. The required documents include a completed and signed SF1449 Solicitation Cover Page, a Quote Spreadsheet, a valid State Wholesale Distributor License, and a Buy American Act Certificate. Vendors are limited to submitting one quote per vendor. The Pricing Schedule lists the CMOP facility location, NDC number, alternate NDCs, manufacturer, country of origin, packaging, quantity, unit price, and total price for the Alfuzosin HCL 10mg SA Tablet product. Vendors are required to provide expiration dates for all pharmaceuticals in the "Vendor Comments" section if they are less than one year from the date of delivery.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77024Q0316_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - National | |||||||||||||
| RFQ: 36C77024Q0316 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 6/17/24 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 6/20/24 | 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 CMOP | ALFUZOSIN HCL 10MG SA TAB 90CT (A1212) | 76282-0302-90 | 90 | BT | 660 | $ - 0 | $0.00 | ||||
| 0002 | 16868 | Chelmsford CMOP | ALFUZOSIN HCL 10MG SA TAB 500CT (A1212) | 76282-0302-05 | 500 | BT | 72 | $ - 0 | $0.00 | ||||
| 0003 | 14654 | Lancaster (Dallas) CMOP | ALFUZOSIN HCL 10MG SA TAB 90CT (A1212) | 76282-0302-90 | 90 | BT | 600 | $ - 0 | $0.00 | ||||
| 0004 | 16868 | Lancaster (Dallas) CMOP | ALFUZOSIN HCL 10MG SA TAB 500CT (A1212) | 76282-0302-05 | 500 | BT | 72 | $ - 0 | $0.00 | ||||
| 0005 | 16868 | Murfreesboro EF CMOP | ALFUZOSIN HCL 10MG SA TAB 500CT (A1212) | 76282-0302-05 | 500 | BT | 12 | $ - 0 | $0.00 | ||||
| 0006 | 16868 | Murfreesboro SJ CMOP | ALFUZOSIN HCL 10MG SA TAB 500CT (A1212) | 76282-0302-05 | 500 | BT | 96 | $ - 0 | $0.00 | ||||
| 0007 | 14654 | Hines CMOP | ALFUZOSIN HCL 10MG SA TAB 90CT (A1212) | 76282-0302-90 | 90 | BT | 360 | $ - 0 | $0.00 | ||||
| 0008 | 16868 | Ladson (Charleston) CMOP | ALFUZOSIN HCL 10MG SA TAB 500CT (A1212) | 76282-0302-05 | 500 | BT | 288 | $ - 0 | $0.00 | ||||
| $0.00 |
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