36C77018Q0128-002.xlsx

XLSX spreadsheet 18 KB Posted

Attached to
Pharmaceuticals Federal contract opportunity
Solicitation number
36C77018Q0128
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77018Q0128 S02-Pricing-Sche.0128.xlsx

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36C77018Q0128-001.docx DOCX document
36C77018Q0128-000.docx DOCX document

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Quote Spreadsheet

CMOP Nationwide
36C77018Q0128Delivery Before or On: 12-8-2017
Solicitation Attachment 1 - Quote SpreadsheetPosted Date:11/28/17
Vendor CompleteClosing Date:11/30/17
Vendor Name:Closing Time:1:00PM Central Standard Time (CST)
DUNS #:E-mail quotes to Bradley.Paxton@va.gov
POC Name:Signed SF1449 Form and Copy of State-Issued WholesaleDrug Distributor License Also Required
POC E-Mail:Vendors shall submit no more than (1) one quote per vendor
Phone:Trade Agreement Act (TAA)-Compliant National Drug Codes (NDC) Preferred
If vendors are proposing NDC with count other than CMOP listed NDC,
QTY shall be adjusted for that count and this should be noted in "Vendor Comments"
Vendor Complete
Line ItemItem NumberCMOP FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginQTYUnitUnit PriceTotal PriceVendor CommentsTotalVendor Comments
110101LeavenworthCHLORHEXIDINE GLUCONATE TOP JELLY70030-0147-65384TU$ - 0$0.00$ - 0
23846LeavenworthCOAL TAR 7.5% TOP EMULSION11086-0005-01480BT$ - 0$0.00$ - 0
35132LeavenworthCETAPHIL LOTION, 480ML PKG: 480 per BT00299-3918-16480BT$ - 0$0.00$ - 0
412145LeavenworthCALCIUM 119MG/MAGNESIUM 71.5MG EC TAB 60CT67618-0107-60240B T$ - 0$0.00
52880LeavenworthDEXTRAN 70/HYPROMELLOSE 0.3% (PF) UD 36CT00065-0416-63288BX$ - 0$0.00
611590LeavenworthESOMEPRAZOLE 20MG (22.3MG W/MAG) CAP,EC00573-2450-423600BT$ - 0$0.00
712807LeavenworthFLUTICASONE FURO 27.5MCG 120D NASAL INHL (F061900135-0615-0396EA$ - 0$0.00
82695LeavenworthHYPROMELLOSE 0.5% OPH SOLN 15ML (H0433) PKG: 15 per EA05639-4004-081680EA$ - 0$0.00
95858LeavenworthHYPROMELLOSE 0.3% OPH GEL 10ML (H0442) PKG: 10 per EA00078-0429-47432EA$ - 0$0.00
102349LeavenworthACCU-CHEK COMPACT (GLUCOSE) TEST DRUM,51 (A1748)50924-0988-50 Brand Specific2160BX$ - 0$0.00
112947LeavenworthLANCET, ACCU-CHEK MULTICLIX DRUM 102CT--L0382 PKG: 102 per BX50924-0450-01 Brand Specific960BX$ - 0$0.00
129061LeavenworthBREATHE RIGHT NASAL STRIPS SM/MED 30CT (XU158) PKG: 30 per BX57145-0001-22 Brand Specific192BX$ - 0$0.00
135574LeavenworthSTRIP, GLUCOSE TESTING, BREEZE 2, CAPILLARY BLOOD, (XU444) 50 TEST STRIPS PKG: 50 per BX00193-1468-50 Brand Specific720BX$ - 0$0.00
146326LeavenworthLANCET, ONE TOUCH ULTRA SOFT 100CT (XZ087) PKG: 100 per BX53885-0393-10 Brand Specific1680BX$ - 0$0.00
156243LeavenworthONE TOUCH ULTRA (GLUCOSE) TEST STRIP 50CT53885-0244-50 Brand Specific6120BX$ - 0$0.00
GRAND TOTAL PRICE:$0.00$0.00

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