36C77018Q0572-002.xlsx

XLSX spreadsheet 20 KB Posted Jun 8, 2018

Attached to: Pharmaceuticals Federal contract opportunity
Solicitation number: 36C77018Q0572
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77018Q0572 Copy of S02-Pricing-Sche.Q0572.xlsx

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36C77018Q0572-001.docx	DOCX document	Jun 8, 2018
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Quote Spreadsheet

CMOP Nationwide

36C77018Q0572

Delivery 10 DAYS ARO

Solicitation Attachment 1 - Quote Spreadsheet

Posted Date:

6/7/18

Vendor Complete

Closing Date:

6/11/18

Vendor Name:

Closing Time:

3:00 PM EST

DUNS #:

E-mail quotes to Frank.Tarara@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

CMOP Facility

Description

SAMPLE NDC#

Alternate NDCs

Mfr

Country of Origin

QTY

Unit

Unit Price

Total Price

Vendor Comments

Total

Vendor Comments

R0277

Dallas CMOP

RIZATRIPTAN BENZOATE 10MG TAB PKG 18 NDC#69097086685 R0277

69097086685

4,800

$ - 0

$0.00

S0666

Dallas CMOP

ARTIFICIAL SALIVA ORAL BALANCE DENT GEL 28GRAM NDC# 04588251201 S0666

04588251201

6,000

$ - 0

$0.00

$ - 0

P0060

Dallas CMOP

PILOCARPINE HCL 1% OPH SOLN 15ML NDC# 17478022312 P0060

17478022312

288

$ - 0

$0.00

$ - 0

P0062

Dallas CMOP

PILOCARPINE HCL 2% OPH SOLN 15ML NDC# 61314020415 P0062

61314020415

168

$ - 0

$0.00

$ - 0

S0002

Dallas CMOP

ARTIFICIAL SALIVA 240ML NDC# 50930009808 S0002

50930009808

3,600

$ - 0

$0.00

E0536

Dallas CMOP

ESTRADIOL VALERATE 40MG/ML INJ (IN OIL) 5/PACK NDC# 00574087205 E0536

00574087205

180

$ - 0

$0.00

GRAND TOTAL PRICE:		15,036	$0.00	$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.

Sheet2

Line Item	VA ID	Description	EXAMPLE NDC	Location	Quantity	PKG
1	4462	LEVETIRACETAM 1000MG TAB 60CT (L0410)	1000MG -52343-0072-60 = 60CT	LEAVENWORTH CMOP 5000 S 13TH STREET,LEAVENWORTH, KS 66048	308	BT
2	13758	LEVETIRACETAM 250MG TAB 500CT (L0266)	250MG - 52343-0069-05 = 500CT	LEAVENWORTH CMOP 5000 S 13TH STREET,LEAVENWORTH, KS 66048	168	BT
3	13964	LEVETIRACETAM 500MG TAB 120CT (L0267)	500MG- 52343-0070-12 = 120CT	LEAVENWORTH CMOP 5000 S 13TH STREET,LEAVENWORTH, KS 66048	284	BT
4	13965	LEVETIRACETAM 500MG TAB 500CT (L0267)	500MG-52343-0070- 05= 500CT	LEAVENWORTH CMOP 5000 S 13TH STREET,LEAVENWORTH, KS 66048	1502	BT
5	13966	LEVETIRACETAM 750MG TAB 120CT (L0268)	750MG-52343-0071-12=120CT	LEAVENWORTH CMOP 5000 S 13TH STREET,LEAVENWORTH, KS 66048	1041	BT

6	13967	LEVETIRACETAM 750MG TAB 500CT (L0268)	750MG-52343-0071-05= 500CT	LEAVENWORTH CMOP 5000 S 13TH STREET,LEAVENWORTH, KS 66048	30	BT
7	4462	LEVETIRACETAM 1000MG TAB 60CT (L0410)		CHELMSFORD CMOP 10 INDUSTRIAL WAY,CHELMSFORD, MA 01824	150	BT
8	13758	LEVETIRACETAM 250MG TAB 500CT (L0266)		CHELMSFORD CMOP 10 INDUSTRIAL WAY, CHELMSFORD, MA 01824	146	BT
9	13964	LEVETIRACETAM 500MG TAB 120CT (L0267)		CHELMSFORD CMOP 10 INDUSTRIAL WAY, CHELMSFORD, MA 01824	1295	BT
10	13965	LEVETIRACETAM 500MG TAB 500CT (L0267)		CHELMSFORD CMOP 10 INDUSTRIAL WAY, CHELMSFORD, MA 01824	1254	BT
11	13966	LEVETIRACETAM 750MG TAB 120CT (L0268)		CHELMSFORD CMOP 10 INDUSTRIAL WAY, CHELMSFORD, MA 01824	280	BT
12	13967	LEVETIRACETAM 750MG TAB 500CT (L0268)		CHELMSFORD CMOP 10 INDUSTRIAL WAY, CHELMSFORD, MA 01824	470	BT
13	4462	LEVETIRACETAM 1000MG TAB 60CT (L0410)		TUSCON CMOP 3675 EAST BRITANIA DRIVE, TUSCON, AZ 85706	339	BT
14	13758	LEVETIRACETAM 250MG TAB 500CT (L0266)		TUSCON CMOP 3675 EAST BRITANIA DRIVE, TUSCON, AZ 85706	246	BT
15	13964	LEVETIRACETAM 500MG TAB 120CT (L0267)		TUSCON CMOP 3675 EAST BRITANIA DRIVE, TUSCON, AZ 85706	462	BT
16	13965	LEVETIRACETAM 500MG TAB 500CT (L0267)		TUSCON CMOP 3675 EAST BRITANIA DRIVE, TUSCON, AZ 85706	1170	BT
17	13966	LEVETIRACETAM 750MG TAB 120CT (L0268)		TUSCON CMOP 3675 EAST BRITANIA DRIVE, TUSCON, AZ 85706	250	BT
18	13967	LEVETIRACETAM 750MG TAB 500CT (L0268)		TUSCON CMOP 3675 EAST BRITANIA DRIVE, TUSCON, AZ 85706	508	BT
19	4462	LEVETIRACETAM 1000MG TAB 60CT (L0410)		DALLAS CMOP 2962 SOUTH LONG HORN DRIVE LANCASTER, TX 75134	699	BT
20	13758	LEVETIRACETAM 250MG TAB 500CT (L0266)		DALLAS CMOP 2962 SOUTH LONG HORN DRIVE LANCASTER, TX 75134	114	BT
21	13964	LEVETIRACETAM 500MG TAB 120CT (L0267)		DALLAS CMOP 2962 SOUTH LONG HORN DRIVE LANCASTER, TX 75134	2148	BT
22	13965	LEVETIRACETAM 500MG TAB 500CT (L0267)		DALLAS CMOP 2962 SOUTH LONG HORN DRIVE LANCASTER, TX 75134	1310	BT
23	13966	LEVETIRACETAM 750MG TAB 120CT (L0268)		DALLAS CMOP 2962 SOUTH LONG	860	BT
				HORN DRIVE LANCASTER, TX 75134
24	13967	LEVETIRACETAM 750MG TAB 500CT (L0268)		DALLAS CMOP 2962 SOUTH LONG HORN DRIVE LANCASTER, TX 75134	195	BT
25	4462	LEVETIRACETAM 1000MG TAB 60CT (L0410)		MURFREESBORO CMOP 5171 SAM JARED DRIVE, MURFREESBORO TN 37129	306	BT
26	13758	LEVETIRACETAM 250MG TAB 500CT (L0266)		MURFREESBORO CMOP 5171 SAM JARED DRIVE, MURFREESBORO TN 37129	75	BT
27	13964	LEVETIRACETAM 500MG TAB 120CT (L0267)		MURFREESBORO CMOP 5171 SAM JARED DRIVE, MURFREESBORO TN 37129	385	BT
28	13965	LEVETIRACETAM 500MG TAB 500CT (L0267)		MURFREESBORO CMOP 5171 SAM JARED DRIVE, MURFREESBORO TN 37129	878	BT
29	13966	LEVETIRACETAM 750MG TAB 120CT (L0268)		MURFREESBORO CMOP 5171 SAM JARED DRIVE, MURFREESBORO TN 37129	286	BT
30	13967	LEVETIRACETAM 750MG TAB 500CT (L0268)		MURFREESBORO CMOP 5171 SAM JARED DRIVE, MURFREESBORO TN 37129	350	BT
31	4462	LEVETIRACETAM 1000MG TAB 60CT (L0410)		HINES CMOP 5TH AVENUE AND ROOSEVELT HINES, IL 60141	250	BT
32	13758	LEVETIRACETAM 250MG TAB 500CT (L0266)		HINES CMOP 5TH AVENUE AND ROOSEVELT HINES, IL 60141	154	BT
33	13964	LEVETIRACETAM 500MG TAB 120CT (L0267)		HINES CMOP 5TH AVENUE AND ROOSEVELT HINES, IL 60141	2073	BT
34	13965	LEVETIRACETAM 500MG TAB 500CT (L0267)		HINES CMOP 5TH AVENUE AND ROOSEVELT HINES, IL 60141	1996	BT
35	13966	LEVETIRACETAM 750MG TAB 120CT (L0268)		HINES CMOP 5TH AVENUE AND ROOSEVELT HINES, IL 60141	2041	BT
36	13967	LEVETIRACETAM 750MG TAB 500CT (L0268)		HINES CMOP 5TH AVENUE AND ROOSEVELT HINES, IL 60141	416	BT
37	4462	LEVETIRACETAM 1000MG TAB 60CT (L0410)		CHARLESTON CMOP 3725 RIVER AVENUE STE 2 CHARLESTON, SC 29405	1270	BT
38	13964	LEVETIRACETAM 500MG TAB 120CT (L0267)		CHARLESTON CMOP 3725 RIVER AVENUE STE 2 CHARLESTON, SC 29405	832	BT
39	13965	LEVETIRACETAM 500MG TAB 500CT (L0267)		CHARLESTON CMOP 3725 RIVER AVENUE STE 2 CHARLESTON, SC 29405	1562	BT
40	13966	LEVETIRACETAM 750MG TAB 120CT (L0268)		CHARLESTON CMOP 3725 RIVER AVENUE STE 2 CHARLESTON, SC 29405	500	BT
41	13967	LEVETIRACETAM 750MG TAB 500CT (L0268)		CHARLESTON CMOP 3725 RIVER AVENUE STE 2 CHARLESTON, SC 29405	960	BT

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