S02_Pricing Schedule_Q0393.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
760-23-4-050-1279 -Leavenworth CMOP 10 PHARMACEUTICALS (VA-23-00090898)
Solicitation number
36C77023Q0393
Issued by

About this file

This document is a pricing spreadsheet for a request for quote from the Department of Veterans Affairs for pharmaceutical products to be delivered to the VA CMOP facility in Leavenworth, Kansas. The spreadsheet lists ten national stock numbers for pharmaceutical products including drugs to treat hypertension, seizures, Parkinson's disease, and pain. Quotes are due by August 30th, 2023 and should be submitted to Jennifer Knight at the VA. Pricing is requested in units of bottles, tubes, and counts of tablets to be delivered by September 15th, 2023. The related solicitation number is 36C77023Q0393 for pharmaceutical products to be supplied under the Veterans Health Administration contract 760-23-4-050-1279. The buy American act applies and quotes are requested from small businesses.

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S02_RFQ_36C77023Q0393.pdf PDF
S02_JnA_Q0393_Allsigned.pdf PDF

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Quote Spreadsheet

CMOP - National CMOP
RFQ: 36C77023Q0393Delivery on or before: 9/15/2023Required documents:
Solicitation - Quote SpreadsheetPosted Date:8/21/231. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:8/30/232. Quote - excel spreadsheet
Vendor Name:Closing Time:5:00PM Central Standard Time (CST)3. State Wholesale Distributor License
ueiSAM:4. BAA Certificate - for non-domestic quotes
POC Name:* Vendors shall submit no more than (1) one quote per vendorEmail 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
ItemFile
NumberCMOP
FacilityDescriptionApproved NDCsQuoted
NDCMfrCountry of
OriginPackaging
MultipleUnitQTYUnit
PriceTotal
PriceVendor

Comments

000117307VA CMOP Leavenworth - 760ERRIN 0.35MG TAB,28 (E0586) BRAND NAME51862-0886-03Brand Name Only3BX144$ - 0$0.00
00025119VA CMOP Leavenworth - 760FENOFIBRATE 200MG CAP, 100'S, F022727241-0120-04

42858-0200-01

69367-0269-01100BT144$ - 0$0.00
00035120VA CMOP Leavenworth - 760FENOFIBRATE 134MG CAP, 100'S, F023827241-0119-04

62332-0085-31

69367-0268-01100BT288$ - 0$0.00
000410997VA CMOP Leavenworth - 760FLUNISOLIDE 0.025% 200D NASAL INH SPRAY 25ML (F0404)24208-0344-25
60505-0824-001BT360$ - 0$0.00
000519394VA CMOP Leavenworth - 760FESOTERODINE FUMARATE 4MG SA TAB 30 COUNT (F0423)67877-0064-3030BT864$ - 0$0.00
00062952VA CMOP Leavenworth - 760GALANTAMINE HYDROBROMIDE 8MG SA CAP 30CT, G025765862-0744-30
10147-0891-0330BT384$ - 0$0.00
000713110VA CMOP Leavenworth - 760HCTZ 12.5/OLMESARTAN 40MG TAB 90CT, H042813668-0252-90
62332-0150-9090BT288$ - 0$0.00
000819585VA CMOP Leavenworth - 760ISOSORBIDE MONONITRATE 20MG ORAL TAB 100CT (I0084)00228-2620-11
62175-0107-01100BT96$ - 0$0.00
000919872VA CMOP Leavenworth - 760LITHIUM CARBONATE 300MG TAB 1000CT (L0048)00054-4527-25

00054-4527-31

62756-0430-181000BT24$ - 0$0.00
00104921VA CMOP Leavenworth - 760LIDOCAINE 2.5/PRILOCAINE 2.5% CREAM 30GM TUBE (L0091)00574-2042-30

00904-6989-31

00168-0357-3030TU1200$ - 0$0.00
Total Small Business Set-aside$0.00
Buy American Act Applies (BAA)

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