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MARKET RESEARCH QUESTIONNAIRE Company Name: _________________________ I am conducting market research for the procurement of DORZOLAMIDE HCL 22.3MG/TIMOLOL MALEATE 6.8MG/ML SOLN,OPH for the Department... MARKET RESEARCH QUESTIONNAIRE Company Name: _________________________ I am conducting market research for the procurement of DORZOLAMIDE HCL 22.3MG/TIMOLOL MALEATE 6.8MG/ML SOLN,OPH for the Department of Veterans Affairs (VA), Department of Defense (DOD), Indian Health Service (IHS), Bureau of Prisons (BOP), and Federal Health Care Center (FHCC). This procurement will result in a national mandatory requirement contract for the above agencies. Other companies with the same/similar product will be blocked out for ordering; therefore, it is our goal to award lower than FSS/Open Market prices on the resultant national contract based on purchases of a committed volume. Please provide a response to the following:  1. Is your Company able to meet the following minimum requirements: National Drug Code: Offerors shall provide a separate and distinct eleven-digit National Drug Code (NDC) number unique to the offeror (e.g., 00012-3456-78) for each product proposed. The first five numbers of the eleven-digit NDC number for each product proposed shall identify the offeror. Does your company have a unique NDC (Labeler Code)?_____________ If the offeror is not the manufacturer of the offered items, the offeror shall submit a letter of commitment from the manufacturer to the offeror which will assure the offeror a source of supply sufficient to satisfy the Government's requirements for the contract period. Name of Manufacturer:_________________ Is the Manufacturer a Large or Small business (using the SBA size standards for NAICS code 325412? ____________________ Would you be able to provide a letter of commitment from the manufacturer of the offered drug?_____________ Pharmaceutical Prime Vendor: All Ordering Activities under the Department of Veterans Affairs and Department of Defense acquire their pharmaceutical requirements through their Pharmaceutical Prime Vendor Program (PPV). The contractor shall ensure that chargeback agreements with the PPVs have been executed with sufficient time to permit the PPVs to begin timely distribution of Government orders, if an award is made. Does your company currently have a business-to-business agreement with the PPVs?_________ d. Under NAICS code 325412, is your company size (check one): Large Business ______ Small Business ______ e. If a small business, does your company manufacture (measure, weigh, mix, and compound) at least 50% of the product offered?_________ f. Is the offered end product U.S end-made or designated end made product? _________ g. Can your company meet the following product, package size and usage: ITEM DESCRIPTION PKG SIZE (ML) TOTAL EST ANNUAL USAGE (ML) 1 DORZOLAMIDE HCL 22.3MG/TIMOLOL MALEATE 6.8MG/ML SOLN,OPH 10 515,544 2 . Is your Company interested in submitting a response to a solicitation?________ 3. As this is a national standardized contract, our preference is for a base plus four option years to provide our customers continuity and consistency of product by allowing long term committed purchases of your product. If interested, please indicate Base year and how many Option periods, not to exceed 4._________________ 4. If an award were to be made based on the above requirements, would your company be able to begin supplying the product in the estimated quantities within 60 days of the contract award date? ______________________________________________________________________ 5. If your company is not interested in participating, please respond with the reason why. This aids our market research for future procurements. ______________________________________________________________________ If you could provide your responses by Wednesday, May 31st it would be greatly appreciated. Please contact me if you have any questions.