S02_Pricing Schedule_Q0409.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 36C77023Q0409
About this file
This document is a quote spreadsheet for a solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. The solicitation requests pricing for three thyroid medication stock keeping units to be delivered to the VA CMOP facility in Leavenworth, Kansas by September 15, 2023. Vendors are to complete the provided quote spreadsheet by inputting unit pricing and total pricing for the line items, and including any relevant comments such as short expiration dates or alternate national drug codes and quantities in the vendor comments column. Quotes are due by September 1st and must include the required forms and licenses also specified in the document. The solicitation is a small business set-aside and is subject to the Buy American Act.
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Other files
| File | Type | Posted |
|---|---|---|
| S02_Brand_Name_JnA_Q0409_allsigned.pdf | ||
| S02_RFQ_36C77023Q0409.pdf |
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Text version
Quote Spreadsheet
| CMOP - National CMOP | ||||||
| RFQ: 36C77023Q0409 | Delivery on or before: 9/15/2023 | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 8/25/23 | 1. SF1449 - Solicitation cover page (signed) | |||
| Vendor shall complete all areas in orange | Closing Date: | 9/1/23 | 2. 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 vendor | Email 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 | ||||||
| Item | File | |||||
| Number | CMOP | |||||
| Facility | Description | Approved NDCs | Quoted | |||
| NDC | Mfr | Country of | ||||
| Origin | Packaging | |||||
| Multiple | Unit | QTY | Unit | |||
| Price | Total | |||||
| Price | Vendor |
Comments
| 0001 | 6201 | VA CMOP Leavenworth - 760 | THYROID 120MG TAB 100CT (T0048) | 00456-0461-01 | Brand Name Only | 100 | BX | 432 | $ - 0 | $0.00 |
| 0002 | 6205 | VA CMOP Leavenworth - 760 | THYROID 15MG (1/4 GRAIN) TAB 100CT (T0750) | 00456-0457-01 | Brand Name Only | 100 | BT | 576 | $ - 0 | $0.00 |
| 0003 | 6206 | VA CMOP Leavenworth - 760 | THYROID 30-32.5MG (1/2 GRAIN) TAB 100CT (T0751 | 00456-0458-01 | Brand Name Only | 100 | BT | 576 | $ - 0 | $0.00 |
| Total Small Business Set-aside | $0.00 | |||||||||
| Buy American Act Applies (BAA) |
File details come from the government source that posted it. Updated .