S02_Pricing_Spreadsheet_Q0168.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- Pharmaceuticals - EMERGENCY request for TROSPIUM Multiple VA CMOP Locations (6 Line items) Federal contract opportunity
- Solicitation number
- 36C77019Q0168
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36C77019Q0168 S02 Pricing Spreadsheet Q0168.xlsx
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| File | Type | Posted |
|---|---|---|
| 36C77019Q0168_1.docx | DOCX document | |
| 36C77019Q0168_2.docx | DOCX document |
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Quote Spreadsheet
| National CMOP (Mulitple Locations) | |||||||||||||
| 36C77019Q0168 | Delivery Before or On: 5 DAY ARO | ||||||||||||
| EMERGENCY Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 12/10/18 | |||||||||||
| Vendor Complete | Closing Date: | 12/11/18 | |||||||||||
| Vendor Name: | Closing Time: | 1:00 PM Central Daylight Time (CDT) - no offers accepted after this time (THIS IS URGENT REQUEST) | |||||||||||
| DUNS # AND SAM expiration: | E-mail quotes to Karen.Griffin4@va.gov | ||||||||||||
| POC Name: | Wet Signed SF1449 Form and Copy of State-Issued WholesaleDrug Distributor License Also Required | ||||||||||||
| POC E-Mail: | and MED-Surg items require Authorized Dealer documentation | ||||||||||||
| Phone: | Vendors shall submit no more than (1) one quote per vendor | ||||||||||||
| 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 | Description | DELIVERY LOCATIONS | NDC# | Alternate NDCs | PROPOSED NDC | Mfr | Country of Origin | QTY | UNIT | UNIT PRICE | TOTAL PRICE | VENDOR COMMENTS/DELIVERY |
| 1 | T0583 | TROSPIUM 20MG TAB 60CT | LEAVENWORTH CMOP 5000 S 13TH ST LEAVENWORTH, KS 66048 | 76282-0336-60 | 68462-0461-60 | 60 | BT | $ - 0 | $0.00 | ||||
| 2 | T0583 | TROSPIUM 20MG TAB 60CT | CHELMSORD CMOP 10 INDUSTRIAL WAY CHELMSFORD, MA 01824 | 76282-0336-60 | 68462-0461-60 | 720 | BT | $ - 0 | $0.00 | ||||
| 3 | T0583 | TROSPIUM 20MG TAB 60CT | DALLA CMOP 2962 SOUTH LONG HORN DRIVE LANCASTER, TX 75134 | 76282-0336-60 | 68462-0461-60 | 576 | BT | $ - 0 | $0.00 | ||||
| 4 | T0583 | TROSPIUM 20MG TAB 60CT | MURFREESBORO CMOP 5171 SAM JARED DRIVE MURFREESBORO TN 37129 | 76282-0336-60 | 68462-0461-60 | 480 | BT | $ - 0 | $0.00 | ||||
| 5 | T0583 | TROSPIUM 20MG TAB 60CT | HINES CMOP 5TH AVENUE AND ROOSEVELT HINES, IL 60141 | 76282-0336-60 | 68462-0461-60 | 2800 | BT | $ - 0 | $0.00 | ||||
| 6 | T0583 | TROSPIUM 20MG TAB 60CT | CHARLESTON CMOP 3725 RIVER AVENUE SUITE 2 CHARLESTON SC 29405 | 76282-0336-60 | 68462-0461-60 | 1440 | BT | $ - 0 | $0.00 | ||||
| GRAND TOTAL PRICE: |
** Please submit your alternative for evaluation
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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