36C77018Q0361-002.xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- Hines IL CMOP Med/Surg. 13 Line items
- Solicitation number
- 36C77018Q0361
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36C77018Q0361 Pricing spreadsheet Q-0361.xlsx
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77018Q0361-001.docx | DOCX document | |
| 36C77018Q0361-003.pdf | ||
| 36C77018Q0361-000.docx | DOCX document |
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Quote Spreadsheet
| CMOP Hines, IL | ||||||||||||
| REQUEST 36C77018Q0361 | Delivery ARO 10 Days **Alternate delivery schedule may be proposed; however, must indicate delivery schedule, quantity per delivery and total delivery time in comments | |||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 3/30/18 | ||||||||||
| Vendor Complete | Closing Date: | 4/2/18 | ||||||||||
| Vendor Name: | Closing Time: | 11:00 AM Central Standard Time (CST) - No quotes will be accepted after closing time. | ||||||||||
| DUNS #: | Preferred E-mail quotes to Karen.Griffin4@va.gov | |||||||||||
| POC Name: | Signed SF1449 Form and Copy of State-Issued WholesaleDrug Distributor License Also Required | |||||||||||
| POC Address: | **PLEASE NOTE - OTC Med. Surg. items only - include an email verification of authorized distributor for the OTC | |||||||||||
| 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, please notate, and add and highlight proposed NDC for evaluation | ||||||||||||
| QTY shall be adjusted for that count, in stock amount & expected delivery of remainder> this information should be noted in "Vendor Comments" | ||||||||||||
| Items Listed Below: | Vendor Complete | Vendor Complete | ||||||||||
| Line Item | VA Item Number | Description | NDC# | Mfr | Country of Origin | QTY | Unit | Unit Price | Total Price | Vendor Comments | Total | Vendor Comments |
| 1 | XV242 | SET,INFUSION ANIMAS #181-00 | 99010-0181-00 | 300 | BX | |||||||
| 2 | E0301 | EYELID CLEANSER,EYE SCRUB PAD | 00078-0520-30 | 1250 | BX | |||||||
| 3 | XX251 | BAG,LEG CONVEEN #5170 | 76212-3002-04 | 1200 | EA | |||||||
| 4 | XH671 | BAG,URINARY DRAINAGE L1 | 99900-0901-10 | 2400 | EA | |||||||
| 5 | XV347 | POUCH,DRAINABLE,SUR-FIT C#4113-10 | 76845-5105-71 | 100 | BX | |||||||
| 6 | K0064 | KERASAL NAIL TOP LIQUID | 57074-0001-61 | 288 | EA | |||||||
| 7 | XI431 | GLUCOSE SENSOR DEXCOM G4-G5 | 08627-0051-04 | 120 | BX | |||||||
| 8 | XZ835 | RESERVOIR,MINIMED #MMT-332A | 76300-0332-10 | 4000 | BX | |||||||
| 9 | XI279 | BARRIER,OSTOMY,NEW IMAGE H#11204 | 08380-0112-04 | 100 | BX | |||||||
| 10 | XV275 | SET,INFUSION ANIMAS #184-00 | 99010-0184-00 | 100 | BX | |||||||
| 11 | XU057 | CARTRIDGE,ANIMAS IR 2ML 1200 #100-124-01 | 65781-0012-46 | 900 | BX | |||||||
| 12 | XT587 | SET,INFUSION MINIMED #MMT-876 | 76300-0876-10 | 100 | BX | |||||||
| 13 | C1360 | CITRIC ACID 334/POTASSIUM CIT 100MG/5ML | 00121-0676-16 | 240 | EA | |||||||
| GRAND TOTAL PRICE: | ||||||||||||
| All Quotes are Confidential |
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