S02_Pricing Schedule_Q0321.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- 36C77023Q0321 - SUBJECT* 770-23-3-801-0495 - National CMOP Office SODIUM FLUORIDE (VA-23-00072627)
- Solicitation number
- 36C77023Q0321
About this file
This is a pricing schedule spreadsheet for a request for quote from the Department of Veterans Affairs Veterans Health Administration for sodium fluoride dental gel. The spreadsheet lists six VA CMOP facilities requiring between 576 and 2,596 tubes of sodium fluoride 1.1% dental gel per line item. The closing date for quotes is June 29, 2023 at 5:00PM Central Standard Time. Vendors are to complete all highlighted areas with their company information, National Drug Codes including alternates, country of origin, packaging and unit pricing. The total estimated value of this small business set-aside is $0.
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| File | Type | Posted |
|---|---|---|
| S02_RFQ_36C77023Q0321_.pdf |
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Text version
Quote Spreadsheet
| CMOP - National CMOP | ||||||
| RFQ: 36C77023Q0321 | Delivery on or before: 7/10/2023 | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 6/22/23 | 1. SF1449 - Solicitation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 6/29/23 | 2. Quote - excel spreadsheet | |||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | 3. State Wholesale Distributor License | |||
| ueiSAM: | 4. BAA Certificate if quoting a non-domestic item | |||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | Email quotes to: Jennifer.Knight@va.gov | ||||
| 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" | |||||
| * 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 5294 VA CMOP Chelmsford - 761 SODIUM FLUORIDE 1.1% (FL 0.5%) DENT GEL 35573-0435-56 50268-0733-56 64980-0307-60
| 69367-0310-56 | 60 | Tube | 1200 | $ - 0 | $0.00 | ||
| 0002 | 5294 | VA CMOP Tucson - 762 | SODIUM FLUORIDE 1.1% (FL 0.5%) DENT GEL | 35573-0435-56 | 50268-0733-56 |
64980-0307-60
| 69367-0310-56 | 60 | Tube | 2596 | $ - 0 | $0.00 | ||
| 0003 | 5294 | VA CMOP Lancaster - 763 | SODIUM FLUORIDE 1.1% (FL 0.5%) DENT GEL | 35573-0435-56 | 50268-0733-56 |
64980-0307-60
| 69367-0310-56 | 60 | Tube | 1600 | $ - 0 | $0.00 | ||
| 0004 | 5294 | VA CMOP Murfreesboro - 764 | SODIUM FLUORIDE 1.1% (FL 0.5%) DENT GEL | 35573-0435-56 | 50268-0733-56 |
64980-0307-60
| 69367-0310-56 | 60 | Tube | 576 | $ - 0 | $0.00 | ||
| 0005 | 5294 | VA CMOP Hines -765 | SODIUM FLUORIDE 1.1% (FL 0.5%) DENT GEL | 35573-0435-56 | 50268-0733-56 |
64980-0307-60
| 69367-0310-56 | 60 | Tube | 2400 | $ - 0 | $0.00 | ||
| 0006 | 5294 | VA CMOP Charleston - 766A | SODIUM FLUORIDE 1.1% (FL 0.5%) DENT GEL | 35573-0435-56 | 50268-0733-56 |
64980-0307-60
| 69367-0310-56 | 60 | Tube | 2400 | $ - 0 | $0.00 | |
| Total Small Business Set-aside | $0.00 |
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