S02_Pricing Schedule_Q0406.xlsx

XLSX spreadsheet 22 KB Posted

Attached to
6505--760-23-4-050-1510 -Leavenworth CMOP 11 PHARMACEUTICALS -(VA-23-00102421)
Solicitation number
36C77023Q0406
Issued by

About this file

This document contains a quote spreadsheet for a federal solicitation requesting pricing for pharmaceutical products to be delivered to the Leavenworth CMOP facility by September 27, 2023. Vendors are to complete the pricing information in the provided excel file for 11 line items representing various prescription and over-the-counter drugs, including HCTZ/valsartan tablets, memantine capsules, nitroglycerin ointment, ondansetron orally disintegrating tablets, penicillin VK, phenazopyridine tablets, promethazine tablets, and pioglitazone tablets. Quotes are due by September 8, 2023 and should be emailed to the point of contact. The related federal contract opportunity is provided by the Department of Veterans Affairs Veterans Health Administration for pharmaceutical products for the Leavenworth CMOP facility under solicitation number 36C77023Q0406.

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Quote Spreadsheet

CMOP - Leavenworth
RFQ: 36C77023Q0406Delivery on or before: 9/27/2023Required documents:
Solicitation - Quote SpreadsheetPosted Date:8/28/231. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:9/8/232. Quote - excel spreadsheet
Vendor Name:Closing Time:5:00PM Central Daylight Time (CDT)3. State Wholesale Distributor License
ueiSAM:
POC Name:* Vendors shall submit no more than (1) one quote per vendorEmail quotes to: Kelley.Cunningham@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 FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginPackaging MultipleUnitQTYUnit PriceTotal PriceVendor Comments
000116126LeavenworthHCTZ 12.5/VALSARTAN 320MG TAB 90CT (H0508)00378-6324-7790BT216$ - 0$0.00
00025148LeavenworthMOEXIPRIL HCL 15MG TAB 100CT M026668462-0208-01100BT60$ - 0$0.00
000318927LeavenworthMEMANTINE HCL 28MG SA CAP 90CT (M0999)70436-0057-0690BT288$ - 0$0.00
00042551LeavenworthNITROGLYCERIN 2% OINT 60GM, N006600281-0326-6060TU360$ - 0$0.00
000513144LeavenworthNARATRIPTAN HCL 2.5MG TABLETS UNIT DOSE 9CT, N032869452-0341-729BT576$ - 0$0.00
000613679LeavenworthONDANSETRON 4MG ORAL DISINTEGRATING TAB, 30CT
Bottle must be 2.5 inches tall16714-0200-3030BT12400$ - 0$0.00
00073078LeavenworthPENICILLIN VK 500MG 500CT65862-0176-05500BT24$ - 0$0.00
00082958LeavenworthPHENAZOPYRIDINE HCL 100MG TAB 100'S (P0039)69367-0162-04100BT96$ - 0$0.00
0009644LeavenworthPROMETHAZINE HCL 25MG, 1000CT10702-0003-101000BT96$ - 0$0.00
001016403LeavenworthPIOGLITAZONE HCL 15MG TAB, 90CT (P0535)00093-7271-9890BT1152$ - 0$0.00
001116602LeavenworthPIOGLITAZONE HCL 45MG TAB 500CT (P0537)65862-0514-05500BT288$ - 0$0.00
Grand Total Price$0.00

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