S02 - Q0103 - Pricing Schedule - MIRTAZAPINE - CATH - 762 - 1181.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
6505--MED/SURGE Federal contract opportunity
Solicitation number
36C77026Q0103_2
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

This is a pricing schedule spreadsheet for RFQ 36C77026Q0103 issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 (VA CMOP - Tucson facility). The solicitation requires vendors to submit quotes for two line items: Mirtazapine Tablets 7.5mg (NDC 57664-510-83 with multiple approved alternates) in a quantity of 11,016 bottles, and External Extended Catheters brand name only (NDC 99901-0092-07) in a quantity of 900 boxes. The posting date was March 18, 2026, with a closing date and time of March 24, 2026 at 5:00 PM Central Time. Delivery is required within 3 days after receipt of order (ARO).

Vendors must submit a complete package including a signed SF1449 solicitation cover page with all required orange-highlighted fields completed, the quote spreadsheet in Excel form, a valid and unexpired State Wholesale Distributor License, and a Buy American Act Certificate if proposing non-domestic products. Vendors must propose specific NDCs, manufacturers, and place of manufacture for each line item and include delivery schedules in vendor comments. All pharmaceutical products must have expiration dates no less than one year from the date of delivery. The primary point of contact is Kelly Mann at kelly.mann@va.gov. Vendors should email quotes as a separate package to the primary POC if proposing NDC counts other than those listed.

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S02 - 36C77026Q0103_2 - MIRTAZAPIN _ CATH - 762 - 1181.pdf PDF

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Text version

Quote Spreadsheet

CMOP - Tucson
RFQ: 36C77026Q0103Delivery required 03 days after receipt of order (ARO)REQUIRED DOCUMENTS PACKAGE

(ALL DOCUMENTS MUST BE SEPARATE IN ONE EMAIL IN ORDER FOR YOUR BID TO BE FOUND COMPLIANT)

Solicitation - Quote Spreadsheet (Required with Package in Excel Form)Posted Date:3/18/261. SF1449 - Solicitation cover page (signed)
*** Vendor shall complete all areas in orange. If the required information is not completed, your bid will not be considerecd for an award .***Closing Date:3/24/262. Quote - excel spreadsheet (In Excel Form)
Vendor Name:Closing Time:5:00PM Central Time (CT)3. State Wholesale Distributor License, valid and unexpired
ueiSAM:4. Buy Amercian Act (BAA) Certificate (Section E of solicitation)

(if quoting non-domestic products)

POC Name:
POC E-Mail:* If vendor is proposing NDC with count other than CMOP listed NDC,Email Quotes to Primary POC: Kelly Mann, kelly.mann@va.gov
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 ItemCMOP FacilityDescriptionNDCStation Approved Alternate NDCsVendor's Proposed NDC (Required)Mfr (Required)Place of Manufacture (Required)UnitQTYUnit Price (Required)Total PriceVendor Comments

(Delivery Schedule Required)

0001VA CMOP TucsonMIRTAZAPINE TABLETS, 7.5MG57664-510-8357664-0510-83, 57237-0007-30, 13107-0001-30, 42291-0494-30, 66993-0606-30, 71335-2412-01, 72603-0558-01, 72162-2562-03BT11016$ - 0$0.00
0002VA CMOP TucsonCATH, EXTERNAL EXTENDED
(Brand Name Only)99901-0092-07Brand Name OnlyBX900$ - 0$0.00
$0.00

File details come from the government source that posted it. Updated .