36C77019Q0132-002.xlsx
XLSX spreadsheet 17 KB Posted
- Attached to
- Pharmaceuticals (15 Line items) Federal contract opportunity
- Solicitation number
- 36C77019Q0132
About this file
36C77019Q0132 Solicitation Attachment 1 - Quote Spreadsheet Q0132.xlsx
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C77019Q0132-001.docx | DOCX document | |
| 36C77019Q0132-000.docx | DOCX document |
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Text version
Quote Spreadsheet
| LEAVENWORTH KS CMOP | **All "Yellow" highlighted fields must be completed. | |||||||||||||
| 36C77019Q0132 | Delivery ARO 10 Days | |||||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 11/26/2018 | ||||||||||||
| Closing Date & Time: | 11/28/18 | 1:00 PM Central Standard Time (CST) - no offers accepted after close time | ||||||||||||
| Vendor Name: | ||||||||||||||
| DUNS #: | ||||||||||||||
| POC Name: | Signed SF1449 Form and Copy of State-Issued Wholesale Drug Distributor License Required | |||||||||||||
| POC E-Mail: | Email spreadsheet, SF1449, State License, and any inquirie prior to closing to : Karen.Griffin4@va.gov | |||||||||||||
| Phone: | ||||||||||||||
| Tax ID Number: | PRODUCTS PROPOSED SHALL BE FDA COMPLIANT. | |||||||||||||
| Vendor Complete | Vendor Complete | Total Price | Vendor Comments/ Alternate Proposed Delivery Date | |||||||||||
| Line Item | CMOP Item Number | Description | NDC | Proposed Alternate NDCs | Alternative Bottle/PKG size | Mfr | Country of Origin | QTY | Unit | Unit Price | ||||
| Vendor Comments | Total | |||||||||||||
| 1 | A0447 | ATENOLOL 100/CHLORTHALIDONE 25MG TAB 100CT | 00378-2064-01 | 288 | BT | $ - 0 | $0.00 | |||||||
| 2 | C1396 | CANDESARTAN 32MG/HCTZ 12.5MG TAB 90CT | 33342-0132-10 | 96 | BT | $ - 0 | $0.00 | |||||||
| 3 | D0002 | DANAZOL 100MG CAP 100CT | 00527-1368-01 | 48 | BT | $ - 0 | $0.00 | |||||||
| 4 | D0004 | DANAZOL CAP 50MG 100'S | 00555-0633-02 | 24 | BT | $ - 0 | $0.00 | |||||||
| 5 | F0080 | FUROSEMIDE 80MG TAB 500CT | 69315-0118-05 | 660 | BT | $ - 0 | $0.00 | |||||||
| 6 | H0057 | HYDROCORTISONE 1% OINT 30GM | 00472-0345-56 | 180 | EA | $ - 0 | $0.00 | |||||||
| 7 | I0021 | INDOMETHACIN 50MG CAP 100CT | 68462-0302-01 | 480 | BT | $ - 0 | $0.00 | |||||||
| 8 | i0293 | IRON (POLYS) 150MG/FA 1MG/B12, 25MCG CAP | 60258-0186-01 | 36 | BT | $ - 0 | $0.00 | |||||||
| 9 | M0079 | METOCLOPRAMIDE HCL 10MG TAB 500CT | 00228-2269-50 | 288 | BT | $ - 0 | $0.00 | |||||||
| 10 | M0086 | METOPROLOL TARTRATE 100MG TAB 1000CT | 65862-0064-99 | 1692 | BT | $ - 0 | $0.00 | |||||||
| 11 | N0231 | NEPHROVITE RX TAB, 100'S BRAND SPECIFIC | 52544-0977-01 | 366 | BT | $ - 0 | $0.00 | |||||||
| 12 | O0019 | ONDANSETRON HCL 8MG TAB 30CT | 65862-0188-30 | 4000 | EA | $ - 0 | $0.00 | |||||||
| 13 | P0022 | PENICILLIN VK 500MG TAB 100CT | 00781-1655-01 | 96 | BT | $ - 0 | $0.00 | |||||||
| 14 | P0062 | PILOCARPINE HCL 2% OPH SOLN 15ML | 61314-0204-15 | 144 | EA | $ - 0 | $0.00 | |||||||
| 15 | R0247 | ROPINIROLE HCL 4MG SA TAB 30 CT | 00228-3659-03 | 96 | BT | $ - 0 | $0.00 | |||||||
| GRAND TOTAL PRICE: | $0.00 | ERROR:#REF! |
| If you are proposing NDC with count other than CMOP listed, the quantity shall be adjusted | ALL QUOTES ARE CONFIDENTIAL |
| for the count you can provide. Fill sections in spreadsheet, and noted in vendor comments. |
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