36C77018Q0351-003.xlsx
XLSX spreadsheet 16 KB Posted
- Solicitation number
- 36C77018Q0351
About this file
36C77018Q0351 S02 36C77018Q0351 Pricing Sheet.xlsx
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| File | Type | Posted |
|---|---|---|
| 36C77018Q0351-002.docx | DOCX document | |
| 36C77018Q0351-001.docx | DOCX document |
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Text version
Quote Spreadsheet
| CMOP CHELMSFORD | |||||||||||
| 36C77018Q0351 | Delivery Before or On: 3-21-2018 | ||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 3/8/18 | |||||||||
| Vendor Complete | Closing Date: | 3/13/18 | |||||||||
| Vendor Name: | Closing Time: | 9:00AM Central Standard Time (CST) | |||||||||
| DUNS # and SAM Expiration: | 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: | or MED-Surg items require Authorized Dealer documentation | ||||||||||
| Phone: | Vendors shall submit no more than (1) one quote per vendor | ||||||||||
| 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# | PROPOSED NDC | Mfr | Country of Origin | QTY | Unit | Unit Price | Total Price | Vendor Comments/Delivery (Calendar Days) |
| 1 | B0185 | BISACODYL ENEMA, PKG: 1 PER BT | 00132070336 | 60 | BT | $ - 0 | $0.00 | ||||
| 2 | B0595 | BACITRACIN 500/POLYMYXIN 10000/GM OINT 30 GM, PKG: 30 PER TU | 49348027472 | 120 | TU | $ - 0 | $0.00 | ||||
| 3 | C0493 | COAL TAR 2% OINT, PKG: 107 PER JR | 12277050004 | 96 | JR | $ - 0 | $0.00 | ||||
| 4 | C0735 | CETAPHIL CREAM 480GM, PKG: 454 PER JR | 00299391716 | 60 | JR | $ - 0 | $0.00 | ||||
| 5 | C0736 | CETAPHIL LOTION 480ML, PKG: 480 PER BT | 00299391816 | 12 | BT | $ - 0 | $0.00 | ||||
| 6 | C1273 | CALCIUM 600MG/MINERALS/VIT D CHEW TAB, PKG: 90 PER BT | 00005556711 | 96 | BT | $ - 0 | $0.00 | ||||
| 7 | C1322 | CYANOCOBALAMIN 2,500MCG SL TAB, PKG: 75 PER BT | 74312058911 | 48 | BT | $ - 0 | $0.00 | ||||
| 8 | C1532 | CYANOCOBALAMIN 1,000MCG SL TAB, PKG: 200 PER EA | 11845009662 | 12 | EA | $ - 0 | $0.00 | ||||
| 9 | E0660 | ESOMEPRAZOLE 20MG (22.3MG W/MAG) CAP EC, PKG: 42 PER BX | 00573245042 | 540 | BX | $ - 0 | $0.00 | ||||
| 10 | G0174 | GLUCOSE 4 GM CHEW TAB, PKG: 50 PER BT | 56151161051 | 420 | BT | $ - 0 | $0.00 | ||||
| 11 | P0901 | PHOS 250/POTASS 280/NA 160MG PWDR, PKG: 100 PER BX | 60258000601 | 12 | BX | $ - 0 | $0.00 | ||||
| 12 | P0976 | PYRITHIONE ZINC 1% SHAMPOO 240ML, PKG: 240 PER BT | 55093021028 | 36 | BT | $ - 0 | $0.00 | ||||
| 13 | R0363 | REMEDY CALAZIME SKIN PROTECTANT PASTE, PKG: 120 PER TU | 53329016544 | 72 | TU | $ - 0 | $0.00 | ||||
| 14 | S0087 | SALICYLIC ACID 2% SHAMPOO, 8OZ, PKG: 250 PER BT | 66440040708 | 12 | BT | $ - 0 | $0.00 | ||||
| 15 | U0001 | UREA 10% LOTION 6 OZ, PKG: 180 PER EA | 10337065010 | 1152 | EA | $ - 0 | $0.00 | ||||
| 16 | U0001 | UREA 10% LOTION 8 OZ, PKG: 240 PER EA | 38485098018 | 288 | EA | ||||||
| 17 | V0261 | VASHE WOUND THERAPY TOP SOLN, PKG: 250 PER BT | 51383000313 | 72 | BT | $ - 0 | $0.00 | ||||
| 18 | Z0054 | ZINC OXIDE 16% TOP PASTE 60 GM, PKG: 60 PER EA | 62103033302 | 288 | EA | $ - 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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