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Pharmacy List
| PHARMACEUTICAL: | MISCELLANEOUS PHARMACEUTICALS | Posted |
| VA CMOP: | CHARLESTON | 6/7/2019 |
| | | | | Solicitation # 36C77019Q0542 | Due Date | | | |
| | 1) Full Delivery required within 10 days ARO, no partials accepted without prior approval | | | | 6/10/19 | | | |
| | 2) All NDCs submitted for bid will need to pass RPH evaluation and approval | | | | COB | | | |
| | Vendor Name: | | | | | | | |
| | Vendor Point of Contact: | | | | | | | |
| | Point of Contact Email: | | | | | | | |
| LINE ITEM | NDC #/UPC | APPROVED ALT NDC | CMOP | | | | | |
| Item # | DESCRIPTION | VENDOR PROPOSED | | | | | | | |
| NDC | PKG | MFR. | COUNTRY OF | | | | | | |
| ORIGIN | PKG | QTY | UNIT OF | | | | | | |
| MEASURE | UNIT PRICE | TOTAL PRICE | VENDOR COMMENTS | | | | | | |
| 1 | SEE BELOW | SEE BELOW | F0078 | FUROSEMIDE 40MG TAB | | 1000 | 2400 | BT |
| 3 | SEE BELOW | SEE BELOW | E0307 | EFLORNITHINE HCL 13.9% CREAM | | 45MG | 36 | TU |
| 4 | SEE BELOW | SEE BELOW | I0019 | INDOMETHACIN 25MG CAP 1000CT | | 1000 | 300 | BT |
| 2 | SEE BELOW | SEE BELOW | F0077 | FUROSEMIDE 20MG TAB | | 1000 | 2000 | BT |
| 6 | SEE BELOW | SEE BELOW | E0189 | ERYTHROMYCIN 0.5% OPH OINT | | 3.5GM | 2000 | TU |
| 5 | SEE BELOW | SEE BELOW | 10021 | INDOMETHACIN 25MG CAP 500CT | | 500 | 360 | BT |
| * FUROSEMIDE 20MG TAB (F0077) |
| * ACCEPTABLE NDC'S 00054-4297-31; 00378-0208-10; 00603-3739-32; 00781-1818-10; 69315-0116-10 |
| * FUROSEMIDE 40MG TAB (F0078) |
| * ACCEPTABLE NDC'S 00054-4299-31; 00378-0216-10; 00781-1966-10; 69315-0117-10: 64125-0117-10 |
| *EFLORNITHINE HCL 13.9% CREAM (E0307) |
| * ACCEPTABLE NDC'S: 00023-4857-45; 67402-00040-45 |
| * INDOMETHACIN 25MG CAP 1000CT (I0019) |
| * ACCEPTABLE NDC'S: 00172-4029-80; 00378-0143-10; 68462-0406-10 |
| * INDOMETHACIN 50MG CAP 500CT (I0021) |
| * ACCEPTABLE NDC'S: 00378-0147-05; 68462-0302-05 |
| * ERYTHROMYCIN 0.5% OPH OINT (E0189) |
| * ACCEPTABLE NDC'S: 00168-0070-38; 00574-4024-35; 00574-4024-39; 17478-0070-35; 24208-0910-55; 48102-0008-35 |
TAA PRODUCTS SHALL ALWAYS TAKE PREFERENCE OVER NON TAA