36C77018Q0633-002.xlsx

XLSX spreadsheet 26 KB Posted

Attached to
Pharmaceuticals- Putting together MR, 2268, J & A Federal contract opportunity
Solicitation number
36C77018Q0633
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77018Q0633 S02-Pricing-Sche.xlsx

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Quote Spreadsheet

CMOP Leavenworth
36C77018Q0633Delivery Before or On: 08/03/2018
Solicitation Attachment 1 - Quote SpreadsheetPosted Date:7/19/18
Vendor CompleteClosing Date:7/24/18
Vendor Name:Closing Time:8:00AM Central Standard Time (CST)
DUNS #:E-mail quotes to 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 OriginTotal QTYUnitUnit PriceTotal PriceVendor CommentsTotalVendor Comments
1M0874LeavenworthMICROGESTIN 1.5/30 TAB,21 6CT51862-0279-0660BX$ - 0$0.00$ - 0
2P0768LeavenworthPREFEST TAB 6X30--P0768 BRAND SPECIFIC51285-0063-9018CT$ - 0$0.00
3Q0016LeavenworthQUINAPRIL HCL 5MG TAB 90CT65862-0617-9048BT$ - 0$0.00
4Q0022LeavenworthQUETIAPINE FUMARATE 25MG TAB 1000CT16729-0145-17240BT$ - 0$0.00
5Q0023LeavenworthQUETIAPINE FUMARATE 100MG TAB 1000CT16729-0147-17288BT$ - 0$0.00
6R0193LeavenworthRISPERIDONE 4MG ORAL DISINTEGR TAB 28CT49884-0403-9172CT$ - 0$0.00
7R0247LeavenworthROPINIROLE HCL 4MG SA TAB 30CT00228-3659-03504BT$ - 0$0.00
8R0257LeavenworthROPINIROLE HCL 12MG SA TAB 30CT13811-0643-30144BT$ - 0$0.00
9S0044LeavenworthSPIRONOLACTONE 50MG TAB 100CT00603-5764-2136BT$ - 0$0.00
10S0530LeavenworthSULFACETAMIDE NA 10%/SULFUR 5% TOP FOAM 60GM42192-0143-60360BT$ - 0$0.00
11S0756LeavenworthSOD POLYSTYRE(SORB FR)15GM/60ML SUS 60ML00574-2003-02144PG$ - 0$0.00
12T0053LeavenworthTHYROID 90MG TAB 100CT00456-0460-01576BT$0.00
13T0112LeavenworthTRIHEXYPHENIDYL HCL 2MG TAB 1000CT00591-5335-1072BT$0.00
14T0750LeavenworthTHYROID 15MG (1/4 GRAIN) TAB 100CT00456-0457-01720BT$0.00
15T0751LeavenworthTHYROID 30-32.5MG (1/2 GRAIN) TAB 100CT00456-0458-01720BT$0.00
GRAND TOTAL PRICE:$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.

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