S02_Pricing Schedule_Q0332.xlsx
XLSX spreadsheet 22 KB Posted
- Attached to
- 6505--15 PHARMACEUTICALS Leavenworth CMOP
- Solicitation number
- 36C77024Q0332
About this file
This document is a pricing schedule for a Request for Quote (RFQ) for pharmaceutical products to be delivered to the Leavenworth Community-Based Outpatient Pharmacy (CMOP) of the Department of Veterans Affairs.
The RFQ is for 15 line item pharmaceutical products, including medications such as Abacavir, Clindamycin, Erythromycin, and Glipizide. The required quantities, NDC numbers, packaging, and unit prices are specified. Vendors are instructed to submit a signed SF1449 solicitation cover page and completed pricing excel spreadsheet by the closing date of 7/22/24 at 3:00 PM Central Time. Vendors must also provide a valid state wholesale distributor license and Buy American Act certificate. The customer is requesting full case quantities, and all pharmaceuticals must have an expiration date of at least one year from the date of delivery.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFQ_36C77024Q0332.docx | DOCX document | |
| S02_JnA_Q0332.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Quote Spreadsheet
| CMOP - Leavenworth | ||||||||||||
| RFQ: 36C77024Q0332 | Delivery 10 days After Receipt of Order (ARO) | Required documents: | ||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 7/12/24 | 1. SF1449 - Solicitation cover page (signed) | |||||||||
| Vendor shall complete all areas in orange | Closing Date: | 7/22/24 | 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, | Email quotes to: Kelley.Cunningham@va.gov | ||||||||||
| Phone: | QTY shall be adjusted for that count and this should be noted in "Vendor Comments" | Customer is requesting full case quantities for products below; please adjust quantity to change total for a full case and make note within 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 | Leavenworth | ABACAVIR SO4 600MG/LAMIVUDINE 300MG TAB 30CT (A1223) Need 30ct btl, must be 3+ inches tall | 42385-0962-30 | 30 | BT | 240 | $ - 0 | $0.00 | ||||
| 0002 | Leavenworth | CLINDAMYCIN PO4 1% TOP SWAB 60CT, (C0820) | 45802-0263-37 | 60 | JR | 528 | $ - 0 | $0.00 | ||||
| 0003 | Leavenworth | ERYTHROMYCIN 0.5% OPH OINT 3.5GM (E0189) | 24208-0910-55 | 1 | EA | 1584 | $ - 0 | $0.00 | ||||
| 0004 | Leavenworth | FLUOXETINE HCL 90MG EC CAP 4CT, (F0264) | 55111-0284-48 | 4 | EA | 168 | $ - 0 | $0.00 | ||||
| 0005 | Leavenworth | GLIPIZIDE 10MG SA TAB 500CT (G0111) | 16714-0896-02 | 500 | BT | 288 | $ - 0 | $0.00 | ||||
| 0006 | Leavenworth | GLIMEPIRIDE 2MG TAB 500CT (G0133) | 61442-0116-05 | 500 | BT | 480 | $ - 0 | $0.00 | ||||
| 0007 | Leavenworth | GLIMEPIRIDE 4MG TAB 500CT (G0134) | 61442-0117-05 | 500 | BT | 768 | $ - 0 | $0.00 | ||||
| 0008 | Leavenworth | GALANTAMINE HYDROBROMIDE 4MG TAB 60CT (G0209) | 57237-0049-60 | 60 | BT | 576 | $ - 0 | $0.00 | ||||
| 0009 | Leavenworth | HYDROCORTISONE 2.5% OINT 30GM (H0062) | 00168-0146-30 | 30 | TU | 792 | $ - 0 | $0.00 | ||||
| 0010 | Leavenworth | HCTZ 12.5MG/LOSARTAN 50MG TAB 90CT, (H0491) | 43547-0423-09 | 90 | BT | 2736 | $ - 0 | $0.00 | ||||
| 0011 | Leavenworth | HCTZ 25MG/VALSARTAN 320MG TAB 90CT, (H0505) Need 90ct btl, must be 3+ inches tall | 43547-0315-09 | 90 | BT | 480 | $ - 0 | $0.00 | ||||
| 0012 | Leavenworth | HCTZ 12.5/VALSARTAN 320MG TAB 90CT (H0508) | 43547-0314-09 | 90 | BT | 288 | $ - 0 | $0.00 | ||||
| 0013 | Leavenworth | CLOMIPHENE CITRATE 50MG TAB 30CT, (C0482) | 00713-0885-30 | 30 | BT | 600 | $ - 0 | $0.00 | ||||
| 0014 | Leavenworth | MICROGESTIN 1/20 TAB, 21 - 6CT (M0678) | 51862-0868-06 | Brand Name Only | 6 | CT | 180 | $ - 0 | $0.00 | |||
| 0015 | Leavenworth | MICROGESTIN 1.5/30 TAB,21 -6CT, (M0874) | 51862-0872-06 | Brand Name Only | 6 | BX | 84 | $ - 0 | $0.00 | |||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .