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Quote Spreadsheet
| VA Cosolidated Mail Outpatient Pharmacy (CMOP) | | | | |
| Pharmaceutical - HYDROXYZINE HCL | | | Issue Date | |
| Deliveries to All CMOP Facilities | | 5 DAYS ARO | 9-Apr-19 | Frank Tarara |
| 2237 | 770-19-3-801-0125 | | | | 978-244-1346 |
| | Emergency | | Close Date | frank.tarara@va.gov |
| | 36C77019Q0417 | | 10-Apr-19 | |
| | Quote Spreadsheet | | 5:00 PM EST | |
| Company Name: | | Approx Award Date |
| POC Name: | | 12-Apr-19 |
| POC e-Mail: | | |
| DUNS # : | | |
| Multiple Delivery Locations - FBO Destination - Vendor pays Shipping - Quote accordingly - see blow for details | |
| | Due to FAR Reg enforcement the Awarded Total Cost will be posted to FedBizOps | | | | | | DO NOT CHANGE THE SPREADSHEET FORMAT | | | | |
| ITEM # | DESCRIPTION | NDC # | ALT NDC # | MFG | country of orign | SIZE | QTY | Unit | Unit Price | Total Price | Comments |
| 1 | 14779 | HYDROXYZINE HCL 25MG TAB 1000CT (H0083) | 60429-0224-10 | | | | | 2256 | BT | | | |
| | SUCCINATE 25MG TAB 9CT (S0195) | | | | | | | | | | |
| | (D0828) | | | | | | | | | | |
| 1a | ALT NDC # | 10702-0011-10 |
| 1b | ALT NDC # | |
| 2 | | |
| 2a | ALT NDC # | |
| 2b | ALT NDC # | |
| 3 | | |
| 3a | ALT NDC # | |
| 3b | ALT NDC # | |
| Vendor provided ALT NDCs subject to CMOP approval | |
| Pharmaceutical | Ship to: | QTY | Delivery Schedules | CMOP POCs |
| 1 | HYDROXYZINE HCL 25MG TAB 1000CT (H0083) | CMOP Chelsmford MA | 96 | | Joseph.Sousa2@va.gov |
| 2 | HYDROXYZINE HCL 25MG TAB 1000CT (H0083) | CMOP Tucson | 600 | | Matthew.Lawrence@va.gov |
| 3 | HYDROXYZINE HCL 25MG TAB 1000CT (H0083) | CMOP Lancaster | 380 | | Kristi.Pendley@va.gov |
| 4 | HYDROXYZINE HCL 25MG TAB 1000CT (H0083) | MURFREESBORO CMOP-ELAM FARMS 3209 ELAM FARMS | 144 | | Cynthia.Basinger@va.gov |
| 5 | HYDROXYZINE HCL 25MG TAB 1000CT (H0083) | MURFREESBORO CMOP 5171 SAM JARED DRIVE | 156 | | Cynthia.Basinger@va.gov |
| 6 | HYDROXYZINE HCL 25MG TAB 1000CT (H0083) | CMOP HINES | 280 | | Carlos.Araghi@va.gov |
| 7 | HYDROXYZINE HCL 25MG TAB 1000CT (H0083) | CMOP CHARLESTON | 600 | | Christine.Smith4@va.gov |
| Total QTY |
| HYDROXYZINE HCL | 2256 |
| Drug Supply Chain Security Act Compliance As of January 1, 2015 all suppliers | |
| of prescription drug products (I.E. products which have been approved and which | |
| may be dispensed only by prescription under section 503(b) of the FD&C Act), | |
| all trading partners (manufacturers, wholesalers, and distributors) must be | |
| authorized as defined by the FD&C act. | |
| Additionally, CMOP has a preference for trading partners who can comply with | |
| the provisions of The Drug Supply Chain Security Act starting January 1, 2015. | |
| CMOP prefers documentation to comply with the act be received from the supplier | |
| with the product or prior to receipt. The documentation can be paper-based or | |
| electronic to meet the requirements of the Act. CMOP prefers this documentation | |
| be provided in an EDI, EPCIS or ASN file format. The TH (Transaction History, | |
| TI (Transaction Information), and TS (Transaction Statement) may be submitted | |
| by e-mail to the following group or individual as shown below; | |
| CMOP Leavenworth | Robin.Halstead@va.gov |
| CMOP Chelmsford | Joseph.Sousa2@va.gov |
| CMOP Tucson | Matthew.Lawrence@va.gov |
| CMOP Lancaster | Kristi.Pendley@va.gov |
| CMOP Murfreesboro | Cynthia.Basinger@va.gov |
| CMOP Hines | Carlos.Araghi@va.gov |
| CMOP Charleston | Christine.Smith4@va.gov |
mailto:Robin.Halstead@va.govmailto:Matthew.Lawrence@va.govmailto:Kristi.Pendley@va.govmailto:Carlos.Araghi@va.govmailto:Christine.Smith4@va.govmailto:Cynthia.Basinger@va.govmailto:Cynthia.Basinger@va.govmailto:Christine.Smith4@va.govmailto:Carlos.Araghi@va.govmailto:Cynthia.Basinger@va.govmailto:Kristi.Pendley@va.govmailto:Matthew.Lawrence@va.govmailto:Joseph.Sousa2@va.govmailto:frank.tarara@va.govmailto:Joseph.Sousa2@va.gov