S02_Pricing Schedule_Q0375.xlsx

XLSX spreadsheet 21 KB Posted

Attached to
6505--766-24-2-400-0519 -Charleston CMOP EYE DROPS -(VA-24-00053425)
Solicitation number
36C77024Q0375
Issued by

About this file

This document is a Pricing Schedule for an RFQ (Request for Quote) issued by the Department of Veterans Affairs Veterans Health Administration for two eye drop products to be delivered to the Ladson (Charleston) CMOP facility. The RFQ number is 36C77024Q0375 and the required delivery time is 10 days After Receipt of Order (ARO). The closing date for quotes is August 26, 2024 at 3:00 PM Central Time. The solicitation requires vendors to submit a signed SF1449 cover page, a completed quote spreadsheet, copies of necessary licenses and authorizations, and a Buy American Act certificate. Vendors are limited to submitting one quote per vendor. The pricing spreadsheet lists the two CMOP facility line items with NDC numbers, manufacturer country of origin, packaging, and required quantities. Vendors are to provide unit pricing and total pricing, as well as any comments on expiration dates or alternate NDCs. The total grand price is $0.00. No award date or set-asides are provided in this document.

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Quote Spreadsheet

CMOP - Ladson (Charleston)
RFQ: 36C77024Q0375Delivery 10 days After Receipt of Order (ARO)Required documents:
Solicitation - Quote SpreadsheetPosted Date:8/21/241. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:8/26/242. Quote - excel spreadsheet
Vendor Name:Closing Time:3:00PM Central Time (CT)3. State Wholesale Distributor License, valid and unexpired -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 vendor5. Buy American Act (BAA) Certificate
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 ItemCMOP FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginPackaging MultipleUnitQTYUnit PriceTotal PriceVendor Comments
0001Ladson (Charleston)BRIMONIDINE TARTRATE 0.025% OPH SOLN 2.5ML (B0875)24208-0537-081BT1728$ - 0$0.00
0002Ladson (Charleston)CARBOXYMETHYLCELLULOSE NA 0.25% OPH SOLN 15ML (C1015)58790-0001-1515BT6360$ - 0$0.00
Grand Total Price$0.00

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