36C77019Q0491-002.xlsx

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Testosterone Federal contract opportunity
Solicitation number
36C77019Q0491
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77019Q0491 Q-0491 Pricing Schedule.xlsx

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36C77019Q0491-001.docx DOCX document
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Pharmacy List

PharmaceuticalsPosted
VA CMOP -Murfreesboro - Elam Farms Parkway05/14/2019
Solicitation # 36C77019Q0491Due Date
1) Full Delivery required within 6 days ARO, no partials accepted without prior approval5/15/19
2) All NDCs submitted for bid will need to pass RPH evaluation and approval
Vendor Name:
Vendor Point of Contact:
Point of Contact Email:Please highlight which NDC you are quoting
LINE ITEMNDC #/UPCCMOP
Item #DESCRIPTIONSTATION APPROVED ALTERNATE NDCVENDOR PROPOSED ALTERNATE
NDC (PKG SZ)MFR.COUNTRY OF
ORIGINPKGQTYUNIT OF
MEASUREUNIT PRICETOTAL PRICEVENDOR COMMENTS
152544-0077-30T0623/14508TESTOSTERONE 4MG/24HR PATCH00023-5992-3030ct500BX
252544-0076-60T0788/14836TESTOSTERONE 2MG/24HRS PATCH00023-5990-6060ct400BX
300051-8462-30T0845/15318TESTOSTERONE 1.62%2.5GM/PKTNO ALTERNATES WILL BE ACCEPTED30ct200PK

Abstract of Offerors

Pharmaceuticals
VA CMOP -
Solicitation #
1) Full Delivery required within 5 days ARO, no partials accepted without prior approval
2) All NDCs submitted for bid will need to pass RPH evaluation and approval
LINE ITEMNDC #/UPCCMOP
Item #DESCRIPTIONPKGQTYNDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICECOMMENTSNDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICECOMMENTSNDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICECOMMENTSNDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICECOMMENTSNDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICECOMMENTSNDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICECOMMENTSNDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICECOMMENTSNDC ProposedMFR.ORIGIN COUNTRYUNIT PRICE
1
2
3
4
5

Vendor DUNS # Sam Expiration Date Socio economic size Past Performance Rating PPIRS

Awards

PharmaceuticalsPosted
VA CMOP -

Solicitation # Due Date

Delivery to be 10 Days ARO
LINE ITEMNDC #/UPCIMF#CMOP
Item #DESCRIPTIONBT SZUNITQTYIGCEVendor Alt NDCMFR.COUNTRY OF
ORIGINUNIT PRICETOTAL PRICE
Socio-economic SizeeCMS PO #
Awd PO # Awd 2237
-- DUNS$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
$0.00
$0.00
Awd PO # Awd 2237eCMS PO#
-- DUNS$0.00
$0.00
$0.00

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