36C77019Q0366-002.xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- 760 Leavenworth - Med/Surg. 12 Line items Federal contract opportunity
- Solicitation number
- 36C77019Q0366
About this file
36C77019Q0366 Solicitation Attachment 1 - Quote Spreadsheet Q0366 02.xlsx
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C77019Q0366-001.docx | DOCX document | |
| 36C77019Q0366-003.pdf | ||
| 36C77019Q0366-000.docx | DOCX document |
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Text version
Quote Spreadsheet
| LEAVENWORTH KS CMOP | **All "Yellow" highlighted fields must be completed. |
| 36C77019Q0366 | Delivery ARO 10 Days |
| Solicitation Attachment 1 - Quote Spreadsheet |
| 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: | ***Provide Letter of Authorized Distributor Test Strips on this request. | |||||||||||||
| 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 | B0577 | BIOTENE MOUTHWASH (480) | 48582-0003-30 | 2400 | BT | $ - 0 | $0.00 | |||||||
| 2 | C1517 | CALCIUM 119MG/MAGNESIUM 71.5MG EC TAB (60CT) | 67618-0107-60 | 192 | BT | $ - 0 | $0.00 | |||||||
| 3 | D0592 | DOCUSATE NA 50MG/SENNOSIDES 8.6MG TAB (100CT) | 57896-0455-01, 49348-0013-10, 57896-0303-01 | 1440 | BT | $ - 0 | $0.00 | |||||||
| 4 | D0649 | DEXTRAN 70/HYPROMELLOSE 0.3% (PF) UD (36) | 00065-8063-01 | 360 | BX | $ - 0 | $0.00 | |||||||
| 5 | H0433 | HYPROMELLOSE 0.5% OPH SOLN (15) | 00998-0408-15 | 1680 | EA | $ - 0 | $0.00 | |||||||
| 6 | P1000 | PROPYLENE GLYCOL 0.6% OPH SOLN (10) | 00065-1433-02 | 1440 | EA | $ - 0 | $0.00 | |||||||
| 7 | S0164 | SODIUM CHLORIDE 5% OPH OINT (1) | 24208-0385-55 | 576 | TU | $ - 0 | $0.00 | |||||||
| 8 | S0338 | SODIUM CHLORIDE 0.65% NASAL GEL (15) | 00225-0525-47 | 1872 | EA | $ - 0 | $0.00 | |||||||
| 9 | XT725 | LANCET,ONE TOUCH DELICA (100CT) | 53885-0136-10 | BRAND NAME | 3264 | BT | $ - 0 | $0.00 | ||||||
| 10 | XV013 | TRUETRACK SMART (GLUCOSE) TEST STRIP (100CT) | 56151-0810-01 | BRAND NAME | 288 | BT | $ - 0 | $0.00 | ||||||
| 11 | XZ173 | ONE TOUCH ULTRA (GLUCOSE) TEST STRIP (50CT) | 53885-0244-50 | BRAND NAME | 432 | BX | $ - 0 | $0.00 | ||||||
| 12 | XZ173 | ONE TOUCH ULTRA (GLUCOSE) TEST STRIP (100CT) | 53885-0245-10 | BRAND NAME | 4320 | BX | $ - 0 | $0.00 | ||||||
| $0.00 | ||||||||||||||
| ALL QUOTES ARE CONFIDENTIAL |
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