36C77019Q0591-0001001.xlsx

XLSX spreadsheet 14 KB Posted Jul 1, 2019

Attached to: MINIMEDS - LEAVENWORTH CMOP Federal contract opportunity
Solicitation number: 36C77019Q0591
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77019Q0591 0001 Q-0591 Pricing Schedule.xlsx

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Pharmacy List

MED-SURGE ITEM(S):	MINIMEDS	Posted
VA CMOP:	LEAVENWORTH	07/01/2019

				Solicitation # 36C77019Q0591	Due Date
		1) Full Delivery required within 10 days ARO, no partials accepted without prior approval			7/2/19
		2) All NDCs submitted for bid will need to pass RPH evaluation and approval			11:00 AM
		Vendor Name:
		Vendor Point of Contact:
		Point of Contact Email:
	LINE ITEM	NDC #/UPC	CMOP
Item #	DESCRIPTION	MFR.	COUNTRY OF
ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS
	1	SEE BELOW	XZ835	RESERVOIR,MINIMED #MMT-332A, 10 CT		10/BX	1,800	BX
	2	SEE BELOW	XZ834	SET, INFUSION, MINIMED #MMT-377, 10 CT		10/BX	200	BX
	3	SEE BELOW	XT791	SET, IV ADMIN, INF, QUICK SET, L 32", 9MM CANNULA, 10 CT		10/BX	800	BX

ACCEPTABLE NDC'S FOR XZ835 -

RESERVOIR,MINIMED #MMT-332A 10CT:

43169078654

64316978655

76300032210

76300033210

ACCEPTABLE NDC'S FOR XZ834

SET, INFUSION, MINIMED #MMT-377, 10 CT

70524400933

76300037710

ACCEPTABLE NDC'S FOR XT791

SET, IV ADMIN, INF, QUICK SET, L 32", 9MM CANNULA, 10 CT

70524400661

76300038610

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