S02 - Q0119- PRICING SCHEDULE - 4LI.xlsx

XLSX spreadsheet 30 KB Posted Nov 17, 2020

Attached to: 6515--med/surge Federal contract opportunity
Solicitation number: 36C77021Q0119_1
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

Written by GovTribe AI · Dec 28, 2023

This document contains a pricing schedule for a Department of Veterans Affairs solicitation requesting bids for pharmaceutical products. The solicitation seeks bids on four line items including glucose sensors, insulin reservoirs, and infusion sets. Bids are due by November 17th or 18th, 2020, and full delivery of products is required within three days of award with no partial deliveries accepted without prior approval. The pricing schedule template requires bidders to provide pricing and delivery details for their proposed products including National Drug Codes, manufacturers, package quantities, unit prices, and total prices. The related federal contract opportunity provides additional details on the solicitation number, name, opportunity type, agency, and general description of the products requested.

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S02 - 36C77021Q0119_2.pdf	PDF	Nov 17, 2020

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Pharmacy List

Med/Surg		Issued
VA CMOP -	MURFREESBORO	11/17/20

				Solicitation # 36C77021Q0119	Due Date
		1) Full Delivery required within 3 days ARO, no partials accepted without prior approval			11/18/2020 @ 2PM CST
		2) All NDCs submitted for bid will need to pass RPH evaluation and approval
		Vendor Name:
		Vendor Point of Contact:
		Point of Contact Email:
	LINE ITEM	NDC #/UPC	CMOP
Item #	DESCRIPTION	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)
	1	4316-90704-05	XJ430	Glucose Sensor (3) Guardian MMT-7020A		4/BX	600	BX
	2	7630-00326-10	XV094	RESERVOIR,MINIMED #MMT-326A		10/BX	60	BX
	3	7630-00273-35	XZ835	RESERVOIR,MINIMED #MMT-332A		10/BX	500	BX
	4	7630-00377-10	XZ834	SET INFUSION MINIMED #MMT-377		10/BX	50	BX

Abstract of Offerors

Med/Surg		Issued
VA CMOP -	TUCSON	11/16/20

	Solicitation # 36C77021Q0119	Due Date
1) Full Delivery required within 3 days ARO, no partials accepted without prior approval		11/17/2020 @ 5PM CST
2) All NDCs submitted for bid will need to pass RPH evaluation and approval

	LINE ITEM	NDC #/UPC	CMOP
Item #	DESCRIPTION	ACCEPTABLE ALT NDC'S	PKG	QTY	UNIT OF
MEASURE	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (INCLUDE DELIVERY SCHEDULE)
	1
	2
	3
	4
				BIDS RECEIVED:
	Description:	DUNS #	SAM expiration Date	Socio economic size	Past Performance Rating	PPIRS	INDEPENDENT GOVERNMENT COST ESTIMATE (IGCE) FOR OFFICIAL GOVERNMENT USE ONLY

	Products (including software, licenses)
Item #	Description/Part Number*	Qty	Price	Extended Amount

Awards

Pharmaceuticals	Posted
VA CMOP -

Solicitation # Due Date

					Delivery to be 10 Days ARO
	LINE ITEM	NDC #/UPC	IMF#	CMOP
Item #	DESCRIPTION	BT SZ	UNIT	QTY	IGCE	Vendor Alt NDC	MFR.	COUNTRY OF
ORIGIN	UNIT PRICE	TOTAL PRICE
						Socio-economic Size	eCMS PO #
					Awd PO # Awd 2237
	-- DUNS								$0.00
									$0.00
			-- DUNS		Awd PO # Awd 2237		eCMS PO#
									$0.00
									$0.00
			-- DUNS		Awd PO # Awd 2237		eCMS PO#
									$0.00
									$0.00
									$0.00
			-- DUNS		Awd PO # Awd 2237		eCMS PO#
									$0.00
									$0.00
									$0.00
									$0.00
					Awd PO # Awd 2237		eCMS PO#
	-- DUNS								$0.00
									$0.00
									$0.00

File details come from the government source that posted it. Updated Nov 17, 2020.