36C77018Q0153-002.xlsx

XLSX spreadsheet 18 KB Posted Dec 7, 2017

Attached to: Various Pharmaceuticals LEAV CMOP Federal contract opportunity
Solicitation number: 36C77018Q0153
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77018Q0153 S02-Pricing-Sche.xlsx

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File	Type	Posted
36C77018Q0153-003.pdf	PDF	Dec 7, 2017
36C77018Q0153-001.docx	DOCX document	Dec 7, 2017
36C77018Q0153-000.docx	DOCX document	Dec 6, 2017

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Quote Spreadsheet

CMOP LEAVENWORTH
36C77018Q00153				Delivery Before or On: 12-29-2017
Solicitation Attachment 1 - Quote Spreadsheet				Posted Date:		12/7/17
		Vendor Complete		Closing Date:		12/11/17
Vendor Name:				Closing Time:		2:00PM Central Standard Time (CST)
DUNS #:				E-mail quotes to lori.nicholsfellows@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 Item	Item Number	Description		NDC#	Alternate NDCs	Alternate NDCs	Alternate NDCs	Alternate NDCs	PROPOSED NDC	Mfr	Country of Origin	QTY	Unit	Unit Price	Total Price	Vendor Comments
1	11413	ALUMINUM CL HEXAHYDRATE 20% TOP SOLN 37.5 ML PKG: 37 PER BT		00096-0707-37	00096-0707-35							1440	BT		$0.00
2	2566	CIMETIDINE 800MG TAB PKG: 100 PER BT		00378-0541-01	00093-8305-01							48	BT	$ - 0	$0.00
3	13109	HCTZ 25/OLMESARTAN 40MG TAB PKG: 90 PER BT		57664-0760-99	00093-7617-98	00378-1425-77	62332-0151-90	13668-0253-90				432	BT	$ - 0	$0.00
4	12613	METOCLOPRAMIDE HCL 10MG TAB PKG: 1000 PER BT		00115-1651-03	00591-2468-10	00093-2203-10						144	BT	$ - 0	$0.00
Or	4272	METOCLOPRAMIDE HCL 10MG TAB PKG: 500 PER BT		00115-1651-02	00591-2468-05	00093-2203-05	49884-0689-05					288	BT	$ - 0	$0.00
5	5256	METOCLOPRAMIDE HCL 5MG TAB PKG: 500 PER BT		00093-2204-05	00115-1652-02							192	BT	$ - 0	$0.00
6	2400	POTASSIUM ACID PHOSPHATE 500MG TAB PKG: 100 PER BT		00486-1111-01								144	BT	$ - 0	$0.00
7	13178	QUETIAPINE FUMARATE 400MG SA TAB PKG: 60 PER BT		00406-1184-60	00310-8284-60	16729-0097-12						216	BT	$ - 0	$0.00
8	13179	QUETIAPINE FUMARATE 300MG SA TAB PKG: 60 PER BT		00406-1183-60	00310-8283-60	49884-0808-02						288	BT	$ - 0	$0.00
9	13180	QUETIAPINE FUMARATE 50MG SA TAB PKG: 60 PER BT		00406-1180-60	00310-8280-60	49884-0805-02						288	BT	$ - 0	$0.00
10	13181	QUETIAPINE FUMARATE 150MG SA TAB PKG: 60 PER BT		00406-1181-60	00310-8281-60	49884-0806-02						216	BT	$ - 0	$0.00
11	4414	SPIRONOLACTONE 50MG TAB PKG: 100 PER BT		00603-5764-21	00228-2672-11	53489-0328-01	00378-0243-01	53746-0514-01 Or 59746-0217-01				1008	BT	$ - 0	$0.00
12	9147	SULFACETAMIDE NA 10%/SULFUR 5% TOP FOAM 60 MG PKG: 60 PER BT		42192-0143-60								360	BT	$ - 0	$0.00
13	6201	ARMOUR BRAND THYROID 120MG TAB PKG: 100 PER BT	MUST BE BRAND SPECIFIC	00456-0461-01								288	BT	$ - 0	$0.00
14	6202	ARMOUR BRAND THYROID 180MG TAB PKG: 100 PER BT	MUST BE BRAND SPECIFIC	00456-0462-01								48	BT	$ - 0	$0.00
15	5297	TORSEMIDE 5MG TAB PKG: 100 PER BT		31722-0529-01	65862-0125-01	50111-0915-01						384	BT	$ - 0	$0.00
GRAND TOTAL PRICE:															$0.00

Offeror shall supply their state wholesale distributor licensure with offer verifying compliance with the Drug Supply Chain Security Act (DSCSA) with their quote. Vendors that fail to submit a copy of their state license shall be deemed technically unacceptable.

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