36C77018Q0635-002.xlsx

XLSX spreadsheet 22 KB Posted Jul 17, 2018

Attached to: Pharmaceuticals Federal contract opportunity
Solicitation number: 36C77018Q0635
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77018Q0635 S02-Pricing-Sche.Q0635.xlsx

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File	Type	Posted
36C77018Q0635-003.pdf	PDF	Jul 17, 2018
36C77018Q0635-001.docx	DOCX document	Jul 17, 2018
36C77018Q0635-000.docx	DOCX document	Jul 17, 2018

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Quote Spreadsheet

	CMOP Leavenworth
	36C77018Q0635				Delivery 15 DAYS ARO
	Solicitation Attachment 1 - Quote Spreadsheet				Posted Date:		7/17/18
			Vendor Complete		Closing Date:		7/19/18
	Vendor Name:				Closing Time:		10:00 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 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
	1	11413	LEAVENWORTH CMOP	ALUMINUM CL HEXAHYDRATE 20% TOP SOLN 37.5ML, (A0157)	00096-0707-37				1,440.00	EA	$ - 0	$0.00
	2	12614	LEAVENWORTH CMOP	AZELASTINE HCL 0.05% OPH SOLN 6ML, A1061	61314-0308-02				432.00	BT	$ - 0	$0.00		$ - 0
	3	13043	LEAVENWORTH CMOP	FUROSEMIDE 40MG TAB 1000CT (F0078)	00054-4299-31				2,400.00	BT	$ - 0	$0.00		$ - 0
	4	13085	LEAVENWORTH CMOP	FLUOXETINE HCL 90MG EC CAP 4CT, F0264	55111-0284-48				288.00	EA	$ - 0	$0.00		$ - 0
	5	13878	LEAVENWORTH CMOP	HCTZ 12.5/IRBESARTAN 300MG TAB 90CT, H0370	33342-0058-10				72.00	BT	$ - 0	$0.00
	6	13109	LEAVENWORTH CMOP	HCTZ 25/OLMESARTAN 40MG TAB 90CT, H0427	57664-0760-99				1,440.00	BT	$ - 0	$0.00
	7	7292	LEAVENWORTH CMOP	N0147--NIZATIDINE 150MG CAP 60CT	00378-5150-91				360.00	BT	$ - 0	$0.00
	8	13144	LEAVENWORTH CMOP	NARATRIPTAN HCL 2.5MG TABLETS UNIT DOSE 9CT, N0328	23155-0055-19				432.00	BT	$ - 0	$0.00
	9	5860	LEAVENWORTH CMOP	PILOCARPINE HCL 2% OPH SOLN 15ML (P0062)	61314-0204-15				144.00	EA	$ - 0	$0.00
	10	4540	LEAVENWORTH CMOP	PROMETHAZINE INJ 25MG/ML, 25CT--P0144	00641-0928-25				192.00	CT	$ - 0	$0.00
	11	2972	LEAVENWORTH CMOP	PREDNISOLONE 5MG TAB 50CT--P0284	23594-0505-50				72.00	BT	$ - 0	$0.00
	12	2029	LEAVENWORTH CMOP	QUINAPRIL HCL 20MG TAB 90CT	65862-0619-90				432.00	BT	$ - 0	$0.00
	13	2028	LEAVENWORTH CMOP	QUINAPRIL HCL 40MG TAB 90CT, Q0015	69097-0843-05				576.00	BT	$ - 0	$0.00
	14	6204	LEAVENWORTH CMOP	THYROID 60-65MG (1 GRAIN) TAB 100CT (T0749)	00456-0459-01
Brand specific				1,008.00	BT	$ - 0	$0.00
	15	3935	LEAVENWORTH CMOP	NEPHRO VITE RX TAB 100'S BRAND SPECIFIC 100 per BT	52544-0977-01				432.00	BT	$ - 0	$0.00
	GRAND TOTAL PRICE:								9,720			$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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