36C77019Q0385-003.xlsx

XLSX spreadsheet 19 KB Posted Apr 8, 2019

Attached to: 15 pharmaceuticals NATIONWIDE 760-A90109 Federal contract opportunity
Solicitation number: 36C77019Q0385
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77019Q0385 S02_Pricing-She.Q0385.xlsx

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-16583.docx	DOCX document	Apr 18, 2019
-16582.docx	DOCX document	Apr 18, 2019
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-16580.docx	DOCX document	Apr 18, 2019
36C77019Q0385-000.docx	DOCX document	Apr 8, 2019
36C77019Q0385-001.docx	DOCX document	Apr 8, 2019
36C77019Q0385-002.pdf	PDF	Apr 8, 2019

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Quote Spreadsheet

CMOP Leavenworth KS

36C77019Q0385

Delivery 10 DAYS ARO

Solicitation Attachment 1 - Quote Spreadsheet

Posted Date:

4/8/19

Vendor Complete

Closing Date:

4/12/19

Vendor Name:

Closing Time:

11:00 AM EST

DUNS #:

E-mail quotes to Frank.Tarara@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 Item

Item Number

CMOP Facility

Description

SAMPLE NDC#

Alternates

Mfr

Country of Origin

QTY

BT SZ

Unit Price

Total Price

Vendor Comments

Total

Vendor Comments

A1748

Leavenroth CMOP

ACCU-CHEK CMPT PLUS(GLUCOSE) TEST DRM,51

50924-0988-50,

50924-0272-01

BRAND SPECIFIC

2242

$ - 0

$0.00

C0099

Leavenroth CMOP

CARBAMIDE PEROXIDE 6.5% OTIC SOLN

42037010478,

00904322035,

00536300094				1728	15	$ - 0	$0.00
	3	C1678	Leavenroth CMOP	CALCIUM 500MG/VITAMIN D 100UNIT CHEW TAB	00904323852,
00536688908				252	60	$ - 0	$0.00
	4	C1713	Leavenroth CMOP	CARBOXYMETHYLCELLULOSE NA 1% OPH GEL	00023920502,
00023920502				2016	30	$ - 0	$0.00
	5	C1761	Leavenroth CMOP	CAPSAICIN 0.1% CREAM	41167-0751-42			432	45	$ - 0	$0.00
	6	D0314	Leavenroth CMOP	DEXTROSE 15GM/37.5GM SQUEEZE TUBE	00574006930			324	3	$ - 0	$0.00
	7	G0130	Leavenroth CMOP	GUAIFENESIN 100MG/5ML (ALC-F/SF) LIQUID	00121074404,
54838011740				2304	120	$ - 0	$0.00
	8	H0026	Leavenroth CMOP	HEMORRHOIDAL RTL OIN	00904635602			288	60	$ - 0	$0.00
	9	H0055	Leavenroth CMOP	HYDROCORTISONE 1% CREAM	00904-7623-31,
43749-0620-01				1440	30	$ - 0	$0.00
	10	H0056	Leavenroth CMOP	HYDROCORTISONE 1% LOTION	00536107997,
68462030201				216	4	$ - 0	$0.00
	11	M0215	Leavenroth CMOP	MICONAZOLE NITRATE 2% TOP PWDR	00067-0949-30,
11701-0038-16				1560	90	$ - 0	$0.00						$ - 0
	12	P0700	Leavenroth CMOP	PETROLATUM (WHITE) OINT	00168005321			108	30	$ - 0	$0.00
	13	XU443	Leavenroth CMOP	CONTOUR (GLUCOSE) TEST STRIP	00193-7080-50	BRAND SPECIFIC		72	50	$ - 0	$0.00
	14	XU443	Leavenroth CMOP	CONTOUR (GLUCOSE) TEST STRIP	00193-7090-21	BRAND SPECIFIC		1656	100	$ - 0	$0.00
	15	Z0054	Leavenroth CMOP	ZINC OXIDE 16% TOP PASTE	62103033302			144	60	$ - 0	$0.00
	GRAND TOTAL PRICE:							- 0			$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.

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