36C77018Q0599-002.xlsx

XLSX spreadsheet 15 KB Posted Jun 28, 2018

Attached to: Pharmaceuticals CHELMSFORD CMOP Federal contract opportunity
Solicitation number: 36C77018Q0599
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77018Q0599 S02 Pricing Spreadsheet Q0599.xlsx

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File	Type	Posted
36C77018Q0599-001.docx	DOCX document	Jun 28, 2018
36C77018Q0599-000.docx	DOCX document	Jun 28, 2018

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Quote Spreadsheet

CHELMSFORD CMOP
36C77018Q0599				10 CALENDAR DAY ARO
Solicitation Attachment 1 - Quote Spreadsheet				Posted Date:		6/28/18
		Vendor Complete		Closing Date:		7/3/18
Vendor Name:				Closing Time:		12:00 PM CDT
DUNS # AND SAM expiration:				E-mail quotes to lori.nicholsfellows@va.gov
POC Name:				Signed SF1449 Form and Copy of State-Issued Wholesale Drug Distributor License Also Required
POC E-Mail:
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	REQUESTED NDC#	PROPOSED NDC	Mfr	Country of Origin	QTY	Unit	Unit Price	Total Price	Vendor Comments/Delivery (per Calendar Days)
1	14067	AMLODIPINE 5 / BENAZEPRIL 10MG CAP, PKG: 500 PER BT	55111-0339-05				164	BT	$ - 0	$0.00
2	5809	AMLODIPINE 5 / BENAZEPRIL 20MG CAP, PKG: 500 PER BT	55111-0340-05				132	BT	$ - 0	$0.00
3	14068	AMLODIPINE 5 / BENAZEPRIL 40MG CAP, PKG: 100 PER BT	65862-0585-01				576	BT	$ - 0	$0.00
4	12904	AMLODIPINE 10MG / BENAZEPRIL 20MG CAP, PKG: 500 PER BT	55111-0341-05				576	BT	$ - 0	$0.00
5	13594	CASTOR OIL / PERUVIAN BALSAM TOP OINT PKG: 60 PER TU	58980-0780-21				288	TU	$ - 0	$0.00
6	2567	DILTIAZEM HCL 90MG 12HR CAP, SA PKG: 100 PER BT	00378-6090-01				192	BT	$ - 0	$0.00
7	12865	DILTIAZEM HCL 120MG 12HR SA CAP PKG: 100 PER BT	00378-6120-01				192	BT	$ - 0	$0.00
8	11119	DOXYCYCLINE HYCLATE 50MG CAP/TAB PKG: 50 PER BX	67405-0650-55				576	EA	$ - 0	$0.00
9	13176	ESOMEPRAZOLE MAGNESIUM 40MG EC CAP PKG: 90 PER BT	13668-0155-90				576	BT	$ - 0	$0.00
10	12708	FUROSEMIDE 80MG TAB PKG: 500 PER EA	69315-0118-05				576	EA	$ - 0	$0.00
11	2267	HYDROQUINONE 4% CREAM 30GM PKG: 30 PER EA	45802-0980-64				576	EA	$ - 0	$0.00
12	102272	HYDROCORTISONE 1% / PRAMOXINE 1% TOP OINT 30GM PKG: 30 PER TU	54766-0763-04				144	TU	$ - 0	$0.00
13	2424	NITROGLYCERIN 0.8MG / HR PATCH PKG: 30 PER BX	00085-0819-30				120	BX	$ - 0	$0.00
14	5861	PILOCARPINE HCL 1% OPH SOLN 15ML PKG: 15 PER BT	61314-0203-15				96	BT	$ - 0	$0.00
15	13718	PREDNISOLON AC 0.2 / SULFACET 10% OPH OINT PKG: 1 PER EA	00023-0313-04				108	EA	$ - 0	$0.00
16	13824	SPIRONOLACTONE 100MG TAB PKG: 100 PER BT	16729-0227-01				528	BT	$ - 0	$0.00
17	4922	SACRALFATE 1GM TAB PKG: 500 PER BT	00093-2210-05				288	BT	$ - 0	$0.00
18	2922	SULFACETAMIDE NA 10 / SULFUR 5% LOT PKG: 25 PER EA	44523-0602-01				960	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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