36C77019Q0509-002.xlsx

XLSX spreadsheet 19 KB Posted

Attached to
15 pharmaceuticals Federal contract opportunity
Solicitation number
36C77019Q0509
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77019Q0509 S02-Pricing-Sche.0509.xlsx

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36C77019Q0509-001.docx DOCX document
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Quote Spreadsheet

Leavenworth
36C77019Q0509Delivery Before or On: 6-5-2019
Solicitation Attachment 1 - Quote SpreadsheetPosted Date:5/23/19
Vendor CompleteClosing Date:5/27/19
Vendor Name:Closing Time:12:00PM 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
115179LEAVENWORTHAMLODIPINE 5MG/VALSARTAN 320MG TAB 30CT,62332-0207-30240BT$ - 0$0.00$ - 0
22829LEAVENWORTHCOLCHICINE
0.5/PROBENECID 500MG TAB,64980-0149-01216BT$ - 0$0.00$ - 0
314542LEAVENWORTHFERROUS SULFATE
324MG EC TAB 100CT00574-0608-018400BT$ - 0$0.00$ - 0
4102285LEAVENWORTHMULTIVITAMINS
W/MIN, PRENATAL CHEW TAB 100CT,60258-0197-01228BT$ - 0$0.00
513880LEAVENWORTHMIRTAZAPINE 30MG
DISINTEGRATING TAB 30CT,65862-0022-06216BT$ - 0$0.00
613863LEAVENWORTHMETFORMIN 500MG/ PIOGLITAZONE 15MG TAB 60CT,13668-0280-6048BT$ - 0$0.00
710382LEAVENWORTHMICROGESTIN 1/20
TAB,21 6CT51862-0007-06144CT$ - 0$0.00
83939LEAVENWORTHNAPROXEN
500MG EC TAB, 100CT00093-1006-0190BT$ - 0$0.00
914200LEAVENWORTHONDANSETRON HCL
8MG TAB, 30CT65862-0188-304008EA$ - 0$0.00
102074LEAVENWORTHPRIMIDONE 250MG
TAB, 100CT00603-5372-28900BT$ - 0FALSE
112400LEAVENWORTHPOTASSIUM ACID PHOSPHATE 500MG TAB 100CT00486-1111-01108BT$ - 0$0.00
1213781LEAVENWORTHRISPERIDONE 4MG
TAB 500CT27241-0006-50132EA$ - 0$0.00
1315414LEAVENWORTHRISPERIDONE 0.25MG TAB 60CT68382-0112-14432EA$ - 0$0.00
1413121LEAVENWORTHROPINIROLE HCL
4MG SA TAB 30CT13811-0640-30144EA$ - 0$0.00
1514830LEAVENWORTHVERAPAMIL HCL 240MG SA TAB68462-0260-05288EA$ - 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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