S02_Pricing Schedule_Q0331.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 36C77024Q0331
About this file
This document is a pricing schedule spreadsheet related to a Request for Quote (RFQ) for Chlorhexidine Gluconate products for the Department of Veterans Affairs (VA) Consolidated Mail Outpatient Pharmacies (CMOPs). The RFQ has a closing date of June 21, 2024 at 3:00 PM Central Time. Vendors are required to submit a signed SF1449 solicitation cover page, a quote spreadsheet, state wholesale distributor license, OEM authorized dealer documentation, and a Buy American Act certificate if quoting a non-domestic product. The spreadsheet lists 7 line items for Chlorhexidine Gluconate 4% Top Liquid 120ML for different CMOP locations, with requested quantities ranging from 360 to 2,400 bottles per location. Vendors are to provide unit pricing, with a total price calculated. Delivery is required within 10 days after receipt of order, and all pharmaceuticals must have at least 1 year of expiration from date of delivery. POC information and instructions for submitting quotes via email are provided.
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| File | Type | Posted |
|---|---|---|
| 36C77024Q0331_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - National | |||||||||||||
| RFQ: 36C77024Q0331 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 6/18/24 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 6/21/24 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 3:00PM Central Time (CT) | 3. State Wholesale Distributor License -and/or- | ||||||||||
| ueiSAM: | 4. OEM authorized dealer or distributor documentation for OTC products | ||||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | 5. Buy American Act (BAA) Certificate, if quoting a non-domestic product | |||||||||||
| 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 | 7254 | Leavenworth CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 360 | $ - 0 | $0.00 | ||||
| 0002 | 7254 | Chelmsford CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 1440 | $ - 0 | $0.00 | ||||
| 0003 | 7254 | Tucson CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 1200 | $ - 0 | $0.00 | ||||
| 0004 | 7254 | Lancaster (Dallas) CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 1440 | $ - 0 | $0.00 | ||||
| 0005 | 7254 | Murfreesboro SJ CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 1200 | $ - 0 | $0.00 | ||||
| 0006 | 7254 | Hines CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 2400 | $ - 0 | $0.00 | ||||
| 0007 | 7254 | Ladson (Charleston) CMOP | CHLORHEXIDINE GLUCONATE 4% TOP LIQUID 120ML (C0207) | 00116-1061-04 | 120 | BT | 2400 | $ - 0 | $0.00 | ||||
| $0.00 |
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