S02-Pricing Scheduleupdated.xlsx

XLSX spreadsheet 13 KB Posted

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6515--765-22-1-021-0146 -MED/SURGE ITEMS- Hines CMOP
Solicitation number
36C770022Q0071
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P03 Part813.106_Atch1_SingleSourceJustification_MPT-SAT-PR-REDACTED.pdf PDF
S02-36C77022Q0071_1.docx DOCX document
S02-Pricing Schedule.xlsx XLSX spreadsheet
P09-SOR.docx DOCX document

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Pharmacy List

Med SurgPosted
VA CMOP -12/01/2021
36C77022Q0071Due Date
1) Full Delivery required within 20 days ARO, no partials accepted without prior approval12/3/21
2) All NDCs submitted for bid will need to pass RPH evaluation and approval10 AM CDT
Vendor Name:
Vendor Point of Contact:
Point of Contact Email:
LINE ITEMNDC #/UPCDESCRIPTIONVENDOR PROPOSED ALTERNATE
NDC (PKG SZ)MFR.COUNTRY OF
ORIGINQTYUNIT OF
MEASUREUNIT PRICETOTAL PRICEVENDOR COMMENTS
199222-7254-01TRACH BASEPLATE ADHESIVE PROVOX ID#XT684 MANUFACTURER -ATOS MEDICAL250BX
A (Option 1) February 202299222-7254-01TRACH BASEPLATE ADHESIVE PROVOX ID#XT684 MANUFACTURER -ATOS MEDICAL250BX
B (Option 2) May 202299222-7254-01TRACH BASEPLATE ADHESIVE PROVOX ID#XT684 MANUFACTURER -ATOS MEDICAL250BX
C (Option 3) September 202299222-7254-01TRACH BASEPLATE ADHESIVE PROVOX ID#XT684 MANUFACTURER -ATOS MEDICAL250BX
299222-0072-65TRACH BASEPLATE ADHESIVE PROVOX ID#7265 MANUFACTURER -ATOS MEDICAL100BX
A (Option 1) Febuary 202299222-0072-65TRACH BASEPLATE ADHESIVE PROVOX ID#7265 MANUFACTURER -ATOS MEDICAL100BX
B (Option 2) May 202299222-0072-65TRACH BASEPLATE ADHESIVE PROVOX ID#7265 MANUFACTURER -ATOS MEDICAL100BX
C (Option 3) September 202299222-0072-65TRACH BASEPLATE ADHESIVE PROVOX ID#7265 MANUFACTURER -ATOS MEDICAL100BX

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