36C77018Q0631-002.xlsx

XLSX spreadsheet 23 KB Posted Jul 6, 2018

Attached to: Pharmaceuticals Federal contract opportunity
Solicitation number: 36C77018Q0631
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77018Q0631 Pricing Worksheet.xlsx

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File	Type	Posted
36C77018Q0631-001.docx	DOCX document	Jul 6, 2018
36C77018Q0631-000.docx	DOCX document	Jul 6, 2018

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Line Items

	Multiple CMOPS		Issue Date
	Pharmaceuticals		6-Jul-18
2237	765-18-3-021-0756
		All Quotes are Confidential	Close Date
			10-Jul-18
		Spreadsheet for Quote
			Approx Award Date	6-Apr-18
	Company Name:
	DUNS:
	Point of Contact Name:
	Point of Contact e-Mail:
	CT Officer Name	Jeffrey Crysler
	CO Contact e-mail	jeffrey.crysler@va.gov

PLEASE HIGHLIGHT NDC BEING QUOTED

All Quotes are Confidential

ITEM # STOCK#

DESCRIPTION

Example NDC

Proposed ALT NDC

SIZE

QTY

Unit

Unit Price

Total Price

Manufacturer

Country of Origin

Comments

N0245

NEFAZODONE 200MG

00093-1025-06

240

l0051

LITHIUM CARBONATE 450MG

68462-0224-01

1240

A0478

AZATHIOPRINE 50MG

68462-0502-01

100CT

3000

A0082

ALOH/MGOH/SIMTH REG STRENGTH CHEW TAB

65197-0300-10

1000

P0060

PILOCARPINE HCL 1% OPH SOLN

61314-0203-15

140

F0080

FUROSEMIDE 80MG TAB

007811-4460-05

576

I0077

ISOSORBIDE DINITRATE 30MG ORAL TAB

49884-0090-10

mailto:jeffrey.crysler@va.gov Sheet1

INDEPENDENT GOVERNMENT COST ESTIMATE (IGCE)

	Products (including software, licenses)
Item #	Description/Part Number*	Qty	Price	Extended Amount
1	K PHOS 155/NA BIPHOS 852/PHOS 130MG TAB CMOP ID#K0063 NDC-00486112505 500 COUNT BOTTLE	240	$93
2	NEFAZODONE 100MG TAB CMOP ID#N0243 NDC-00093102406	576	$ 59.00
3	EYELID CLEANSER,EYE SCRUB PAD CMOP ID# E0301 NDC-00078052030	2016	$ 11.00
4	DAPSONE 25MG TAB CMOP ID#D0011 NDC-49938010230	1008	$ 70.00
5	ISOSORBIDE DINITRATE 30MG ORAL TAB CMOP ID#I0077 NDC- 49884000901	720	$ 65.00
6	ARTIFICIAL SALIVA CMOP ID#S0002 NDC-50930009802 60GM	3000	$ 5.50
7				$ - 0
				$ - 0
	SUBTOTAL (Products)			$ - 0

	Services
Brief Description of Service*		Period of Performance	Estimated Amount

	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
SUBTOTAL (Services)	$ - 0

TOTAL IGCE $ - 0

*Check block(s) below that describe the basis for the IGCE:

Past Contract Pricing

GSA Federal Supply Schedule Published Prices

Government Wide Acquisition Contract (GWAC) Published Prices

Engineering Estimates

Informal Vendor Quotes

Prior Bills of Material

Prior Monthly Vouchers

Catalog Pricing

Other (Please Explain): Quotes form two seperat vendors

Phone: 708.786.4495

10/11/16

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