36C77018Q0717-002.xlsx
XLSX spreadsheet 25 KB Posted
- Solicitation number
- 36C77018Q0717
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36C77018Q0717 S02-Pricing-Sche_15_08212018.xlsx
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| File | Type | Posted |
|---|---|---|
| 36C77018Q0717-001.docx | DOCX document | |
| 36C77018Q0717-000.docx | DOCX document |
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Quote Spreadsheet
| CMOP Nationwide | ||||||||||||||
| 36C77018Q0717 | Delivery Before or On: 09-10-2018 | |||||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 8/21/18 | ||||||||||||
| Vendor Complete | Closing Date: | 8/28/18 | ||||||||||||
| Vendor Name: | Closing Time: | 2:00PM Central Standard Time (CST) | ||||||||||||
| DUNS #: | E-mail quotes to Ralph.Crum@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 | NDC# | Alternate NDCs | Mfr | Country of Origin | QTY | Unit | Unit Price | Total Price | Vendor Comments | Total | Vendor Comments |
| 1 | 14153 | Leavenworth | AZATHIOPRINE 50MG |
TAB 100CT, A0478
PKG: 100 per BT
| 68382-0003-01 | 2160 | BT | $ - 0 | $0.00 | $ - 0 | |||
| 2 | 12923 | Leavenworth | ALMOTRIPTAN MALATE |
12.5MG UD TAB 12CT (A1642)
PKG: 12 per BT
| 27241-0042-21 | 96 | BT | $ - 0 | $0.00 | $ - 0 | |||
| 3 | 2364 | Leavenworth | BIAFINE TOP |
EMULSION 45GM, B0579
(NDC: 00187-5110-45) PKG: 45 per TU
| 00187-5110-45 | 36 | TU | $ - 0 | $0.00 | $ - 0 | |||
| 4 | 13650 | Leavenworth | CHOLESTYRAMINE |
4GM/5GM (LIGHT) ORAL PWD, 231GM
(C0247) PKG: 231 per CN
| 00245-0036-23 | 720 | CN | $ - 0 | $0.00 | |||
| 5 | 5019 | Leavenworth | CROMOLYN SODIUM |
10MG/ML INH SOLN, 2ML VIL 60/CT, C0570
PKG: 60 per CT
| 00172-6406-49 | 288 | CT | $ - 0 | $0.00 | |||
| 6 | 12708 | Leavenworth | FUROSEMIDE 80MG |
TAB, 500CT (F0080)
PKG: 500 per BT
| 69315-0118-05 | 840 | BT | $ - 0 | $0.00 | |||
| 7 | 2241 | Leavenworth | GLYBURIDE TAB 6MG PKG: 1000 per BT | ||||
| 67253-0462-11 | 72 | BT | $ - 0 | $0.00 | |||
| 8 | 2938 | Leavenworth | HYDROCORTISONE 2.5% |
OINT 20GM (H0062)
PKG: 20 per TU
| 45802-0014-02 | 504 | TU | $ - 0 | $0.00 | |||
| 9 | 4272 | Leavenworth | METOCLOPRAMIDE HCL |
10MG TAB 500CT (M0079)
PKG: 500 per BT
| 00228-2269-50 | 288 | BT | $ - 0 | $0.00 | |||
| 10 | 13952 | Leavenworth | METOPROLOL |
TARTRATE 100MG TAB 1000CT (M0086)
PKG: 1000 per BT
| 65862-0064-99 | 1692 | BT | $ - 0 | $0.00 | |||
| 11 | 2381 | Leavenworth | MICONAZOLE NITRATE |
2% TOP TINCTURE 30ML (M0820) PKG: 1 per BT
| 00884-0293-01 | 360 | BT | $ - 0 | $0.00 | |||
| 12 | 6209 | Leavenworth | QUETIAPINE FUMARATE 50MG TAB 1000CT (Q0039) |
PKG: 1000 per BT
| 16729-0146-17 | 216 | BT | $ - 0 | $0.00 | |||
| 13 | 14079 | Leavenworth | ZOLMITRIPTAN 5MG |
TAB PKG 3, Z0031
PKG: 3 per PG
| 65862-0915-64 | 3024 | PG | $ - 0 | $0.00 | |||
| 14 | 12994 | Leavenworth | RECLIPSEN TAB, 28 |
R0191 PKG: 6 per CT
| 00093-3304-16 | 144 | CT | |||||||
| 15 | 725 | Leavenworth | CLARITHROMYCIN | ||||||
| 65862-0226-60 | 144 | BT | $ - 0 | $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. | Unrestricted |
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