36C77018Q0490-002.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
Gabapentin-Acetris Federal contract opportunity
Solicitation number
36C77018Q0490
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77018Q0490 S02-Pricing-Sche. National.xlsx

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36C77018Q0490-001.docx DOCX document
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Quote Spreadsheet

CMOP Nationwide
36C77018Q0490Delivery Before or On: 5-17-2018
Solicitation Attachment 1 - Quote SpreadsheetPosted Date:5/7/18
Vendor CompleteClosing Date:5/11/18
Vendor Name:Closing Time:8:00AMCentral Standard Time (CST)
DUNS #:E-mail quotes Jessica.Hansroth@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
1G0104LeavenworthGABAPENTIN 300MG

CAP 1000CT

52343-0031-99 31722-0222-055760BT$ - 0$0.00
2G0104ChelmsfordGABAPENTIN 300MG

CAP 1000CT

52343-0031-99 31722-0222-052700BT$ - 0$0.00
3G0104DallasGABAPENTIN 300MG

CAP 1000CT

52343-0031-99 31722-0222-051170BT$ - 0$0.00$ - 0
4G0104Murfreesboro- 5171 Sam Jared DriveGABAPENTIN 300MG

CAP 1000CT

52343-0031-99 31722-0222-05700BT$ - 0$0.00$ - 0
5G0104Murfreesboro- 3289 Elam FarmsGABAPENTIN 300MG

CAP 1000CT

52343-0031-99 31722-0222-051290BT$ - 0$0.00
6G0104HinesGABAPENTIN 300MG

CAP 1000CT

52343-0031-99 31722-0222-055400BT$ - 0$0.00$ - 0
7G0104CharlestonGABAPENTIN 300MG

CAP 1000CT

52343-0031-99 31722-0222-057200BT$ - 0$0.00
8G0104Murfreesboro- CMOP C/O Aphena Pharma SolutionsGABAPENTIN 300MG

CAP 1000CT

52343-0031-99 31722-0222-05936BT$ - 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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