S02_Pricing Schedule_Q0429.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 36C77023Q0429
About this file
This document is a quote spreadsheet for a solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15. It requests quotes for ten pharmaceutical products to be delivered to the Leavenworth CMOP facility on or before September 29, 2023. Vendors must submit a signed SF1449 cover page, this quote spreadsheet with pricing provided in the "Total Price" column, evidence of a state wholesale distributor license, and note any non-CMOP NDC codes or expiration dates shorter than one year from delivery in the "Vendor Comments" column. Quotes are due by September 19, 2022 at 5:00PM Central Daylight Time and should be emailed to the point of contact. The solicitation number associated with this opportunity is 36C77023Q0429.
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Other files
| File | Type | Posted |
|---|---|---|
| S02_JnA_Q0429.pdf | ||
| 36C77023Q0429_1.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP - Leavenworth | |||||||||||||
| RFQ: 36C77023Q0429 | Delivery on or before: 9/29/2023 | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 9/11/23 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 9/19/23 | 2. 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 vendor | Email 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 Item | File Number | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 5566 | Leavenworth | SALSALATE 750MG TAB, 1000CT (S0004) | 10135-0493-10 | 1000 | BT | 48 | $ - 0 | $0.00 | ||||
| 0002 | 18664 | Leavenworth | SULFAMETHOXAZOLE 400/TRIMETH 80MG TAB 500CT (S0051) | 57237-0232-05 | 500 | BT | 48 | $ - 0 | $0.00 | ||||
| 0003 | 2935 | Leavenworth | TORSEMIDE 10MG TAB 100CT (T0235) | 31722-0530-01 | 100 | BT | 2880 | $ - 0 | $0.00 | ||||
| 0004 | 16575 | Leavenworth | TEMOZOLOMIDE 5MG CAP 5CT, T0473 | 16729-0048-53 | 5 | BT | 30 | $ - 0 | $0.00 | ||||
| 0005 | 16593 | Leavenworth | TEMOZOLOMIDE 20MG CAP 5CT (T0474) | 16729-0049-53 | 5 | BT | 60 | $ - 0 | $0.00 | ||||
| 0006 | 16594 | Leavenworth | TEMOZOLOMIDE 20MG CAP 14CT (T0474) | 16729-0049-54 | 14 | BT | 24 | $ - 0 | $0.00 | ||||
| 0007 | 16596 | Leavenworth | TEMOZOLOMIDE 180MG CAP 5CT, T0642 | 16729-0130-53 | 5 | BT | 90 | $ - 0 | $0.00 | ||||
| 0008 | 6205 | Leavenworth | THYROID 15MG (1/4 GRAIN) TAB 100CT (T0750) | 00456-0457-01 | Brand Name Only | 100 | BT | 1008 | $ - 0 | $0.00 | |||
| 0009 | 6206 | Leavenworth | THYROID 30-32.5MG (1/2 GRAIN) TAB 100CT (T0751 | 00456-0458-01 | Brand Name Only | 100 | BT | 1008 | $ - 0 | $0.00 | |||
| 0010 | 14770 | Leavenworth | VERAPAMIL HCL 120MG SA TAB 100CT (V0054) | 68462-0292-01 | 100 | BT | 960 | $ - 0 | $0.00 | ||||
| Grand Total Price | $0.00 |
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