36C77019Q0370-002.xlsx

XLSX spreadsheet 19 KB Posted

Attached to
15 pharmaceuticals Federal contract opportunity
Solicitation number
36C77019Q0370
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77019Q0370 S02-Pricing-Sche.0370.xlsx

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Quote Spreadsheet

Leavenworth
36C77019Q0370Delivery Before or On: 3-29-2019
Solicitation Attachment 1 - Quote SpreadsheetPosted Date:3/18/19
Vendor CompleteClosing Date:3/20/19
Vendor Name:Closing Time:5:00PM Central Standard Time (CST)
DUNS #:E-mail quotes to Bradley.Paxton@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 ItemItem NumberCMOP FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginQTYUnitUnit PriceTotal PriceVendor CommentsTotalVendor Comments
14252LEAVENWORTHALENDRONATE 70MG 4CT16714-0633-0136480BT$ - 0$0.00$ - 0
214939LEAVENWORTHATAZANAVIR 200MG CAP 60CT65862-0712-60240BT$ - 0$0.00$ - 0
312923LEAVENWORTHALMOTRIPTAN MALATE 12.5MG UD TAB 12CT27241-0042-21144BT$ - 0$0.00$ - 0
414903LEAVENWORTHCITRIC 334/NA CIT 500/K CIT 550/5M00121-0677-16240BT$ - 0$0.00
513868LEAVENWORTHDOXYCYCLINE HYCLATE 50MG CAP/TAB 500CT53489-0118-0596BT$ - 0$0.00
62551LEAVENWORTHNITROGLYCERIN 2% OINTMENT 60GM00281-0326-60360TU$ - 0$0.00
713144LEAVENWORTHNARATRIPTAN HCL 2.5MG TABLETS UNIT DOSE 9CT59746-0433-13456BT$ - 0$0.00
82624LEAVENWORTHRAMIPRIL 10MG CAP 100CT57237-0225-01960BT$ - 0$0.00
96201LEAVENWORTHTHYROID 120MG TAB 100CT00456-0461-01 Brand Specific288BT$ - 0$0.00
106202LEAVENWORTHTHYROID 180MG TAB 100CT00456-0462-01 Brand Specific96BT$ - 0$0.00
116203LEAVENWORTHTHYROID 90MG TAB 100CT00456-0460-01 Brand Specific432BT$ - 0$0.00
126204LEAVENWORTHTHYROID 60-65MG (1 GRAIN) TAB 100CT00456-0459-01 Brand Specific1152BT$ - 0$0.00
136205LEAVENWORTHTHYROID 15MG (1/4 GRAIN) TAB 100CT00456-0457-01 Brand Specific720BT$ - 0$0.00
146206LEAVENWORTHTHYROID 30-32.5MG (1/2 GRAIN) TAB 100C00456-0458-01 Brand Specific864BT$ - 0$0.00
1514079LEAVENWORTHZOLMITRIPTAN 5MG TAB PKG 359746-0433-133600PG$ - 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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