Solicitation_Attachment_1_-_Price_Quote_Spreadsheet_11_Line_items.xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- Charleston CMOP Pharmaceuticals 11 Line items
- Solicitation number
- 36C77019Q0165
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36C77019Q0165 Solicitation Attachment 1 - Price Quote Spreadsheet 11 Line items.xlsx
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| File | Type | Posted |
|---|---|---|
| 36C77019Q0165.docx | DOCX document | |
| 36C77019Q0165_1.docx | DOCX document |
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Quote Spreadsheet
| CHARLESTON SC CMOP | **All "Yellow" highlighted fields must be completed. | |||||||||||||
| 36C77019Q0165 | Delivery ARO 10 Days | |||||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 12/13/2018 | ||||||||||||
| Closing Date & Time: | 12/14/18 | 3:00 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 | A0052 | ACETAZOLAMIDE 500MG SA CAP 100CT | 50742023301 | 240 | BT | $ - 0 | $0.00 | |||||||
| 2 | A0074 | ACYCLOVIR 200MG CAP 100CT | 75834012401 | 1284 | BT | $ - 0 | $0.00 | |||||||
| 3 | A0157 | ALUMINUM CL HEXAHYDRATE 20% TOP SOLN 37.5 | 00096070737 | 1152 | BT | $ - 0 | $0.00 | |||||||
| 4 | A0478 | AZATHIOPRINE 50MG TAB 100CT | 68382000301 | 545 | PG | $ - 0 | $0.00 | |||||||
| 5 | A0556 | ACYCLOVIR 400MG TAB 100CT | 31722077701 | 3390 | BX | $ - 0 | $0.00 | |||||||
| 6 | A0609 | ALENDRONATE 40MG TAB 30CT | 00115168008 | 324 | BX | $ - 0 | $0.00 | |||||||
| 7 | A1069 | ALENDRONATE 35MG TAB 4CT | 69097022316 | 1968 | CN | $ - 0 | $0.00 | |||||||
| 8 | A1070 | ALENDRONATE 70MG TAB 4CT | 69097022416 | 9880 | BT | $ - 0 | $0.00 | |||||||
| 9 | C0247 | CHOLESTYRAMINE 4GM/5GM (LIGHT) ORAL PWD 231GM | 68382052942 | 432 | BT | $ - 0 | $0.00 | |||||||
| 10 | C0268 | CLINDAMYCIN HCL 150MG CAP 100CT | 63304069201 | 336 | BT | $ - 0 | $0.00 | |||||||
| 11 | C0591 | CLARITHROMYCIN 500MG TAB 60CT | 00781196260 | 240 | BT | $ - 0 | $0.00 | |||||||
| GRAND TOTAL PRICE: | ERROR:#REF! | 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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