36C77018Q0586-002.xlsx

XLSX spreadsheet 22 KB Posted

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Med/Surg Federal contract opportunity
Solicitation number
36C77018Q0586
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77018Q0586 Copy of S02-Pricing-Sche.Q0586.xlsx

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36C77018Q0586-001.docx DOCX document
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Quote Spreadsheet

CMOP Chelmsford
36C77018Q0586Delivery 10 DAYS ARO
Solicitation Attachment 1 - Quote SpreadsheetPosted Date:6/19/18
Vendor CompleteClosing Date:6/21/18
Vendor Name:Closing Time:8:00 AM 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 ItemItem NumberCMOP FacilityDescriptionSAMPLE NDC#Alternate NDCsMfrCountry of OriginQTYUnitUnit PriceTotal PriceVendor CommentsTotalVendor Comments
1O0346Chelmsford CMOPONE TOUCH VERIO (GLUCOSE) TEST STRIP538850272101080BOX$ - 0$0.00
2S0473Chelmsford CMOPSODIUM CHLORIDE 0.9% IRRG SOLN 30ML64938000901288BOX$ - 0$0.00$ - 0
3S0743Chelmsford CMOPSUNSCREEN 30-50/PHY BLOCK/PABA-F LOTION660800847681008BOTTLE$ - 0$0.00$ - 0
4XH019Chelmsford CMOPLANCET, ACCU-CHEK FASTCLIX DRUM65702028810720BOX$ - 0$0.00$ - 0
5XH709Chelmsford CMOPCATH SET, INTERMIT 12FR C#28422990507284221080BOX$ - 0$0.00
6XI079Chelmsford CMOPINSULIN SYRINGE 0.5ML 31G 6MM8290324911144BOX$ - 0$0.00
7XI326Chelmsford CMOPLANCET,TRUEDRAW DEVICE56151014201300BOX$ - 0$0.00
8XI429Chelmsford CMOPCATH,INTERMITTENT VAPRO PLUS 14F H#711449000071144600BOX$ - 0$0.00
9XR412Chelmsford CMOPRING,COLOPLAST #12030776212120307300BOX$ - 0$0.00
10XT104Chelmsford CMOPBAG,URINARY DRAINAGE MERIT #FZ62497909000624360BOX$ - 0$0.00
11XT868Chelmsford CMOPSET,INFUSION MINIMED #MMT-38770524406515480BOX$ - 0$0.00
12XV066Chelmsford CMOPCATH SET,INTERMIT 14FR H#9614412340961441080BX$ - 0$0.00
13XV077Chelmsford CMOPPLEURX DRAINAGE KIT D#50-750099950750010400BOX$ - 0$0.00
14XV391Chelmsford CMOPCATHETER, FOLEY 16FR 5CC BARD #123516A8011123516180BOX$ - 0$0.00
15XZ835Chelmsford CMOPRESERVOIR,MINIMED #MMT-332A431697865541440BOX$ - 0$0.00
GRAND TOTAL PRICE:9,460$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 ItemVA IDDescriptionEXAMPLE NDCLocationQuantityPKG
14462LEVETIRACETAM 1000MG TAB 60CT (L0410)1000MG -52343-0072-60 = 60CTLEAVENWORTH CMOP 5000 S 13TH STREET,LEAVENWORTH, KS 66048308BT
213758LEVETIRACETAM 250MG TAB 500CT (L0266)250MG - 52343-0069-05 = 500CTLEAVENWORTH CMOP 5000 S 13TH STREET,LEAVENWORTH, KS 66048168BT
313964LEVETIRACETAM 500MG TAB 120CT (L0267)500MG- 52343-0070-12 = 120CTLEAVENWORTH CMOP 5000 S 13TH STREET,LEAVENWORTH, KS 66048284BT
413965LEVETIRACETAM 500MG TAB 500CT (L0267)500MG-52343-0070- 05= 500CTLEAVENWORTH CMOP 5000 S 13TH STREET,LEAVENWORTH, KS 660481502BT
513966LEVETIRACETAM 750MG TAB 120CT (L0268)750MG-52343-0071-12=120CTLEAVENWORTH CMOP 5000 S 13TH STREET,LEAVENWORTH, KS 660481041BT
613967LEVETIRACETAM 750MG TAB 500CT (L0268)750MG-52343-0071-05= 500CTLEAVENWORTH CMOP 5000 S 13TH STREET,LEAVENWORTH, KS 6604830BT
74462LEVETIRACETAM 1000MG TAB 60CT (L0410)CHELMSFORD CMOP 10 INDUSTRIAL WAY,CHELMSFORD, MA 01824150BT
813758LEVETIRACETAM 250MG TAB 500CT (L0266)CHELMSFORD CMOP 10 INDUSTRIAL WAY, CHELMSFORD, MA 01824146BT
913964LEVETIRACETAM 500MG TAB 120CT (L0267)CHELMSFORD CMOP 10 INDUSTRIAL WAY, CHELMSFORD, MA 018241295BT
1013965LEVETIRACETAM 500MG TAB 500CT (L0267)CHELMSFORD CMOP 10 INDUSTRIAL WAY, CHELMSFORD, MA 018241254BT
1113966LEVETIRACETAM 750MG TAB 120CT (L0268)CHELMSFORD CMOP 10 INDUSTRIAL WAY, CHELMSFORD, MA 01824280BT
1213967LEVETIRACETAM 750MG TAB 500CT (L0268)CHELMSFORD CMOP 10 INDUSTRIAL WAY, CHELMSFORD, MA 01824470BT
134462LEVETIRACETAM 1000MG TAB 60CT (L0410)TUSCON CMOP 3675 EAST BRITANIA DRIVE, TUSCON, AZ 85706339BT
1413758LEVETIRACETAM 250MG TAB 500CT (L0266)TUSCON CMOP 3675 EAST BRITANIA DRIVE, TUSCON, AZ 85706246BT
1513964LEVETIRACETAM 500MG TAB 120CT (L0267)TUSCON CMOP 3675 EAST BRITANIA DRIVE, TUSCON, AZ 85706462BT
1613965LEVETIRACETAM 500MG TAB 500CT (L0267)TUSCON CMOP 3675 EAST BRITANIA DRIVE, TUSCON, AZ 857061170BT
1713966LEVETIRACETAM 750MG TAB 120CT (L0268)TUSCON CMOP 3675 EAST BRITANIA DRIVE, TUSCON, AZ 85706250BT
1813967LEVETIRACETAM 750MG TAB 500CT (L0268)TUSCON CMOP 3675 EAST BRITANIA DRIVE, TUSCON, AZ 85706508BT
194462LEVETIRACETAM 1000MG TAB 60CT (L0410)DALLAS CMOP 2962 SOUTH LONG HORN DRIVE LANCASTER, TX 75134699BT
2013758LEVETIRACETAM 250MG TAB 500CT (L0266)DALLAS CMOP 2962 SOUTH LONG HORN DRIVE LANCASTER, TX 75134114BT
2113964LEVETIRACETAM 500MG TAB 120CT (L0267)DALLAS CMOP 2962 SOUTH LONG HORN DRIVE LANCASTER, TX 751342148BT
2213965LEVETIRACETAM 500MG TAB 500CT (L0267)DALLAS CMOP 2962 SOUTH LONG HORN DRIVE LANCASTER, TX 751341310BT
2313966LEVETIRACETAM 750MG TAB 120CT (L0268)DALLAS CMOP 2962 SOUTH LONG860BT
HORN DRIVE LANCASTER, TX 75134
2413967LEVETIRACETAM 750MG TAB 500CT (L0268)DALLAS CMOP 2962 SOUTH LONG HORN DRIVE LANCASTER, TX 75134195BT
254462LEVETIRACETAM 1000MG TAB 60CT (L0410)MURFREESBORO CMOP 5171 SAM JARED DRIVE, MURFREESBORO TN 37129306BT
2613758LEVETIRACETAM 250MG TAB 500CT (L0266)MURFREESBORO CMOP 5171 SAM JARED DRIVE, MURFREESBORO TN 3712975BT
2713964LEVETIRACETAM 500MG TAB 120CT (L0267)MURFREESBORO CMOP 5171 SAM JARED DRIVE, MURFREESBORO TN 37129385BT
2813965LEVETIRACETAM 500MG TAB 500CT (L0267)MURFREESBORO CMOP 5171 SAM JARED DRIVE, MURFREESBORO TN 37129878BT
2913966LEVETIRACETAM 750MG TAB 120CT (L0268)MURFREESBORO CMOP 5171 SAM JARED DRIVE, MURFREESBORO TN 37129286BT
3013967LEVETIRACETAM 750MG TAB 500CT (L0268)MURFREESBORO CMOP 5171 SAM JARED DRIVE, MURFREESBORO TN 37129350BT
314462LEVETIRACETAM 1000MG TAB 60CT (L0410)HINES CMOP 5TH AVENUE AND ROOSEVELT HINES, IL 60141250BT
3213758LEVETIRACETAM 250MG TAB 500CT (L0266)HINES CMOP 5TH AVENUE AND ROOSEVELT HINES, IL 60141154BT
3313964LEVETIRACETAM 500MG TAB 120CT (L0267)HINES CMOP 5TH AVENUE AND ROOSEVELT HINES, IL 601412073BT
3413965LEVETIRACETAM 500MG TAB 500CT (L0267)HINES CMOP 5TH AVENUE AND ROOSEVELT HINES, IL 601411996BT
3513966LEVETIRACETAM 750MG TAB 120CT (L0268)HINES CMOP 5TH AVENUE AND ROOSEVELT HINES, IL 601412041BT
3613967LEVETIRACETAM 750MG TAB 500CT (L0268)HINES CMOP 5TH AVENUE AND ROOSEVELT HINES, IL 60141416BT
374462LEVETIRACETAM 1000MG TAB 60CT (L0410)CHARLESTON CMOP 3725 RIVER AVENUE STE 2 CHARLESTON, SC 294051270BT
3813964LEVETIRACETAM 500MG TAB 120CT (L0267)CHARLESTON CMOP 3725 RIVER AVENUE STE 2 CHARLESTON, SC 29405832BT
3913965LEVETIRACETAM 500MG TAB 500CT (L0267)CHARLESTON CMOP 3725 RIVER AVENUE STE 2 CHARLESTON, SC 294051562BT
4013966LEVETIRACETAM 750MG TAB 120CT (L0268)CHARLESTON CMOP 3725 RIVER AVENUE STE 2 CHARLESTON, SC 29405500BT
4113967LEVETIRACETAM 750MG TAB 500CT (L0268)CHARLESTON CMOP 3725 RIVER AVENUE STE 2 CHARLESTON, SC 29405960BT

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