36C77019Q0619-002.xlsb
XLSB spreadsheet 36 KB Posted
- Attached to
- 761_Pharmaceuticals_VA CMOP Chelmsford_36C77019Q0619 Federal contract opportunity
- Solicitation number
- 36C77019Q0619
About this file
36C77019Q0619 S02_Solicitation_Attachment_Pricing SpreadSheet_RFQ_36C77019Q0619.xlsb
Text of this file
Price Schd
| # | StockNo | VA ID | DESCRIPTION | MGS | PKG | QTY | UNIT | UnitCost | LineID | 0 | NDC # | ALT NDC # | MFG | Country of Orign | ALT NDC # | MFG | Country of Orign | Long Desc | |||||||||||
| VA Consolidated Mail Outpatient Pharmacy (CMOP) | |||||||||||||||||||||||||||||
| Quote Spreadsheet | |||||||||||||||||||||||||||||
| Req. Number: | Req. Number: 761-19-4-015-1851 | Delivery Date: | 08-02-2019 (10 Days ARO) | ||||||||||||||||||||||||||
| RFQ | RFQ: 36C77019Q0619 | Company Name: | |||||||||||||||||||||||||||
| Issue Date: | Issue Date: 07/12/19 | Email quotes to: | POC Name: | ||||||||||||||||||||||||||
| McAlhaney, Michael W. | Close Date: 07/15/19 @1:00 PM CST | Michael.McAlhaney@va.gov | POC e-Mail: | ||||||||||||||||||||||||||
| Approx Award Date: | Approx Award Date: 07/19/19 | POC Phone: | EXT | ||||||||||||||||||||||||||
| DUNS: | |||||||||||||||||||||||||||||
| $0.00 | 08-02-2019 (10 Days ARO) | ||||||||||||||||||||||||||||
| # | StockNo | VA ID | DESCRIPTION | MGS | PKG | QTY | UNIT | NDC/SKU# | LineID | UnitCost | Total Cost | PRICE PER PILL | Company Name: | POC Name: | POC e-Mail: | POC Phone: | DUNS | ALT NDC # | MFG | Country of Orign | ALT NDC # | MFG | Country of Orign | Vendor Comments | Stn # | CMOP Email | CMOP POC | Ship to Address | CMOP |
| 1 | 16252059944 | 4847 | 1 ITEM ID NO. 4847 ALENDRONATE 35MG TAB 4CT (A1069) (NDC: 16252-0599-44) PKG: 4 per BX | 35 | 4 | 300 | BX | 16252-0599-44 | 0.00 | 761 | VHACMOPProcurement/Logistics761@va.gov | Joseph.Sousa2@va.gov | VA CMOP Chelmsford |
10 Industrial Ave.
| Chelmsford, MA 01824-3610 | VA CMOP Chelmsford | |||||||||
| 2 | 00591578301 | 2588 | 2 ITEM ID NO. 2588 ATENOLOL 100/CHLORTHALIDONE 25MG TAB 100 CT, A0447 (NDC: 00591-5783-01) PKG: 100 per BT | 25 | 100 | 288 | BT | 00591-5783-01 | 0.00 | |
| 3 | 00591578201 | 5392 | 3 ITEM ID NO. 5392 A0450 - ATENOLOL 50/CHLORTHALIDONE 25MG TAB 100CT (NDC: 00591-5782-01) PKG: 100 per BT | 25 | 100 | 288 | BT | 00591-5782-01 | 0.00 | |
| 4 | 65862058305 | 14067 | 4 ITEM ID NO. 14067 AMLODIPINE 5/BENAZEPRIL 10MG CAP (A0605) (NDC: 65862-0583-05) PKG: 500 per BT | 10 | 500 | 492 | BT | 65862-0583-05 | 0.00 | |
| 5 | 55111034005 | 14369 | 5 ITEM ID NO. 14369 AMLODIPINE 5/BENAZEPRIL 20MG CAP 500CT, A0606 (NDC: 55111-0340-05) PKG: 500 per BT | 20 | 500 | 396 | BT | 55111-0340-05 | 0.00 | |
| 6 | 00115167601 | 13666 | 6 ITEM ID NO. 13666 ALENDRONATE 5MG TAB (A0765) (NDC: 00115-1676-01) PKG: 100 per BT | 5 | 100 | 24 | BT | 00115-1676-01 | 0.00 | |
| 7 | 16252059944 | 4847 | 7 ITEM ID NO. 4847 ALENDRONATE 35MG TAB 4CT (A1069) (NDC: 16252-0599-44) PKG: 4 per BX | 35 | 4 | 456 | BX | 16252-0599-44 | 0.00 | |
| 8 | 69097022416 | 4252 | 8 ITEM ID NO. 4252 ALENDRONATE 70MG 4CT (A1070) (NDC: 69097-0224-16) PKG: 4 per BX | 70 | 4 | 276 | BX | 69097-0224-16 | 0.00 | |
| 9 | 65862058501 | 14068 | 9 ITEM ID NO. 14068 AMLODIPINE 5/BENAZEPRIL 40MG CAP (A1324) (NDC: 65862-0585-01) PKG: 100 per BT | 40 | 100 | 456 | BT | 65862-0585-01 | 0.00 | |
| 10 | 00574010601 | 1954 | 10 ITEM ID NO. 1954 BROMOCRIPTINE MESYLATE 2.5MG TAB 100CT-B0180 (NDC: 00574-0106-01) PKG: 100 per BT | 2.5 | 100 | 288 | BT | 00574-0106-01 | 0.00 | |
| 11 | 00591252001 | 2785 | 11 ITEM ID NO. 2785 CHLORZOXAZONE 500MG TAB, C0245 (NDC: 00591-2520-01) PKG: 100 per BT | 500 | 100 | 84 | BT | 00591-2520-01 | 0.00 | |
| 12 | 63304069201 | 4184 | 12 ITEM ID NO. 4184 CLINDAMYCIN HCL 150MG CAP 100CT (C0268) (NDC: 63304-0692-01) PKG: 100 per BT | 150 | 100 | 132 | BT | 63304-0692-01 | 0.00 | |
| 13 | 63304069301 | 4188 | 13 ITEM ID NO. 4188 CLINDAMYCIN HCL 300MG CAP 100CT (NDC: 63304-0693-01) PKG: 100 per BT | 300 | 100 | 12 | BT | 63304-0693-01 | 0.00 | |
| 14 | 00143970001 | 3143 | 14 ITEM ID NO. 3143 CORTISONE ACETATE 25MG TAB, C0523 (NDC: 00143-9700-01) PKG: 100 per BT | 25 | 100 | 24 | BT | 00143-9700-01 | 0.00 | |
| 15 | 59746074360 | 725 | 15 ITEM ID NO. 725 CLARITHROMYCIN 500MG TAB 60CT (C0591) (NDC: 59746-0743-60) PKG: 60 per BT | 500 | 60 | 48 | BT | 59746-0743-60 | 0.00 | |
| 16 | 00121059516 | 00121059516 | 16 (C1151) CITRIC ACID 334/NA CITRATE 500/5ML SOLN NDC:00121-0595-16 | 480 | 528 | BT | 00121-0595-16 | 0.00 | ||
| 17 | 16571020310 | 2310 | 17 ITEM ID NO. 2310 D0061 - DICLOFENAC NA 25MG EC TAB - 100 COUNT - 16471-0203-10 (NDC: 16571-0203-10) PKG: 100 per BT | 25 | 100 | 96 | BT | 16571-0203-10 | 0.00 | |
| 18 | 00378609001 | 2567 | 18 ITEM ID NO. 2567 DILTIAZEM HCL 90MG 12HR CAP,SA 100CT (D1033) (NDC: 00378-6090-01) PKG: 100 per BT | 90 | 100 | 48 | BT | 00378-6090-01 | 0.00 | |
| 19 | 00378612001 | 12865 | 19 ITEM ID NO. 12865 DILTIAZEM HCL 120MG 12HR SA CAP (D1034) (NDC: 00378-6120-01) PKG: 100 per BT | 120 | 100 | 108 | BT | 00378-6120-01 | 0.00 | |
| 20 | 67405065055 | 11119 | 20 ITEM ID NO. 11119 DOXYCYCLINE HYCLATE 50MG CAP/TAB 50CT (D1079) (NDC: 67405-0650-55) PKG: 50 per EA | 50 | 50 | 744 | EA | 67405-0650-55 | 0.00 | |
| 21 | 00574402435 | 13301 | 21 ITEM ID NO. 13301 ERYTHROMYCIN 0.5% OPH OINT 3.5GM (E0189) PKG: 1 per EA | 1 | 1200 | EA | 00574-4024-35 | 0.00 | ||
| 22 | 89116000018 | 12697 | 22 ITEM ID NO. 12697 EYELID CLEANSER,EYE SCRUB TOP LIQUID (E0713) (NDC: 89116-0000-18) PKG: 40 per EA | 40 | 132 | EA | 89116-0000-18 | 0.00 | ||
| 23 | 00054429731 | 13117 | 23 ITEM ID NO. 13117 FUROSEMIDE 20MG TAB 1000CT (F0077) (NDC: 00054-4297-31) PKG: 1000 per BT | 20 | 1000 | 684 | BT | 00054-4297-31 | 0.00 | |
| 24 | 00054429931 | 13043 | 24 ITEM ID NO. 13043 FUROSEMIDE 40MG TAB 1000CT (F0078) (NDC: 00054-4299-31) PKG: 1000 per BT | 40 | 1000 | 576 | BT | 00054-4299-31 | 0.00 | |
| 25 | 69315011805 | 12708 | 25 ITEM ID NO. 12708 FUROSEMIDE 80MG TAB, 500CT (F0080) (NDC: 69315-0118-05) PKG: 500 per BT | 80 | 500 | 612 | BT | 69315-0118-05 | 0.00 | |
| 26 | 45802001402 | 2938 | 26 ITEM ID NO. 2938 HYDROCORTISONE 2.5% OINT 20GM (H0062) (NDC: 45802-0014-02) PKG: 20 per TU | 20 | 768 | TU | 45802-0014-02 | 0.00 | ||
| 27 | 00591086105 | 7303 | 27 ITEM ID NO. 7303 HCTZ 12.5/LISINOPRIL 20MG TAB, 500CT (H0125) PKG: 500 per BT | 20 | 500 | 2000 | BT | 00591-0861-05 | 0.00 | |
| 28 | 68180052002 | 7356 | 28 ITEM ID NO. 7356 HCTZ 25/LISINOPRIL 20MG TAB 500CT (H0129) PKG: 500 per BT | 20 | 500 | 624 | BT | 68180-0520-02 | 0.00 | |
| 29 | 68180051802 | 7302 | 29 ITEM ID NO. 7302 HCTZ 12.5/LISINOPRIL 10MG TAB, 500CT (H0218) (NDC: 68180-0518-02) PKG: 500 per BT | 10 | 500 | 1116 | BT | 68180-0518-02 | 0.00 | |
| 30 | 54766076304 | 102272 | 30 ITEM ID NO. 102272 HYDROCORTISONE 1%/PRAMOXINE 1% TOP OINT 30GM (H0469) (NDC: 54766-0763-04) PKG: 30 per TU | 30 | 120 | TU | 54766-0763-04 | 0.00 | ||
| 31 | 68462040610 | 1275 | 31 ITEM ID NO. 1275 INDOMETHACIN 25MG CAP 1000CT I0019 (NDC: 68462-0406-10) PKG: 1000 per BT | 25 | 1000 | 24 | BT | 68462-0406-10 | 0.00 | |
| 32 | 68462030205 | 1276 | 32 ITEM ID NO. 1276 INDOMETHACIN 50MG CAP 500CT (I0021) PKG: 500 per BT | 50 | 500 | 48 | BT | 68462-0302-05 | 0.00 | |
| 33 | 31722072250 | 6255 | 33 ITEM ID NO. 6255 LEVOFLOXACIN 500MG TAB, 50CT (L0181) PKG: 50 per BT | 500 | 50 | 12 | BT | 31722-0722-50 | 0.00 | |
| 34 | 00527221537 | 8486 | 34 ITEM ID NO. 8486 METOLAZONE 2.5MG TAB 100CT (M0084) PKG: 100 per BT | 2.5 | 100 | 196 | BT | 00527-2215-37 | 0.00 | |
| 35 | 00093102506 | 872 | 35 ITEM ID NO. 872 NEFAZODONE 200MG TAB 60CT (N0245) (NDC: 00093-1025-06) PKG: 60 per BT | 200 | 60 | 12 | BT | 00093-1025-06 | 0.00 | |
| 36 | 00085081930 | 2424 | 36 ITEM ID NO. 2424 NITROGLYCERIN 0.8MG/HR PATCH 30CT--N0498 (NDC: 00085-0819-30) PKG: 30 per BX | 0.8 | 30 | 196 | BX | 00085-0819-30 | 0.00 | |
| 37 | 60505327503 | 102329 | 37 ITEM ID NO. 102329 OLANZAPINE 5MG RAPID DISINTEGRATING TAB (O0180) (NDC: 60505-3275-03) PKG: 30 per BX | 5 | 30 | 288 | BX | 60505-3275-03 | 0.00 | |
| 38 | 61314020315 | 5861 | 38 ITEM ID NO. 5861 PILOCARPINE HCL 1% OPH SOLN 15ML, P0060 (NDC: 61314-0203-15) PKG: 15 per BT | 15 | 120 | BT | 61314-0203-15 | 0.00 | ||
| 39 | 61314020415 | 5860 | 39 ITEM ID NO. 5860 PILOCARPINE HCL 2% OPH SOLN 15ML (P0062) (NDC: 61314-0204-15) PKG: 15 per BT | 15 | 120 | BT | 61314-0204-15 | 0.00 | ||
| 40 | 00023031304 | 13718 | 40 ITEM ID NO. 13718 PREDNISOLON AC 0.2/SULFACET 10% OPH OINT (P0356) PKG: 1 per EA | 1 | 48 | EA | 00023-0313-04 | $0.00 | ||
| 41 | 67877060530 | 6485 | 41 ITEM ID NO. 6485 PRASUGREL HCL 10MG TAB 30CT (P0919) (NDC: 67877-0605-30) PKG: 30 per BT | 10 | 30 | 552 | BT | 67877-0605-30 | $0.00 | |
| 42 | 68180059101 | 2624 | 42 ITEM ID NO. 2624 RAMIPRIL 10MG CAP 100CT (R0002) (NSN: 6505-CD-9M1-1234) (NDC: 68180-0591-01) PKG: 100 per BT | 10 | 100 | 852 | BT | 68180-0591-01 | $0.00 | |
| 43 | 16729022701 | 13824 | 43 ITEM ID NO. 13824 SPIRONOLACTONE 100MG TAB (S0042) 100 COUNT PKG: 100 per BT | 100 | 100 | 348 | BT | 16729-0227-01 | $0.00 | |
| 44 | 59746021701 | 4414 | 44 ITEM ID NO. 4414 SPIRONOLACTONE 50MG TAB 100CT, S0044 (NDC: 59746-0217-01) PKG: 100 per BT | 50 | 100 | 108 | BT | 59746-0217-01 | $0.00 | |
| 45 | 44523060201 | 2922 | 45 ITEM ID NO. 2922 SULFACETAMIDE NA 10/SULFUR 5% LOT (NDC: 44523-0602-01) PKG: 25 per EA | 25 | 1176 | EA | 44523-0602-01 | $0.00 | ||
| 46 | 00378501001 | 2221 | 46 ITEM ID NO. 2221 THIOTHIXENE HCL 10MG CAP, 100CT (T0041) PKG: 100 per BT | 10 | 100 | 24 | BT | 00378-5010-01 | $0.00 | |
| 47 | 00378300501 | 3083 | 47 ITEM ID NO. 3083 THIOTHIXENE CAP 5MG 100CT (T0045) PKG: 100 per BT | 5 | 100 | 36 | BT | 00378-3005-01 | $0.00 | |
| 48 | 00591533501 | 14117 | 48 ITEM ID NO. 14117 TRIHEXYPHENIDYL HCL 2MG TAB, 100CT (T0112) PKG: 100 per BT | 2 | 100 | 312 | BT | 00591-5335-01 | $0.00 | |
| 49 | 65862091564 | 14079 | 49 ITEM ID NO. 14079 ZOLMITRIPTAN 5MG TAB PKG 3, Z0031 PKG: 3 per PG | 5 | 3 | 888 | PG | 65862-0915-64 | $0.00 |
Drug Supply Chain Security Act (DSCSA) 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.
Offeror shall supply their state wholesale distributor licensure with their quote verifying compliance with the Drug Supply Chain Security Act (DSCSA). Vendors that fail to submit a copy of their state license shall be deemed technically unacceptable.
***DSCSA COMPLIANCE***
CMOP has a preference for trading partners who can comply with the provisions of The Drug Supply Chain Security Act (DSCA) 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
Required documents:
1. RFQ cover page signed
2. Quote Spreadsheet
3. License 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"
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C77019Q0619-001.docx | DOCX document | |
| 36C77019Q0619-000.docx | DOCX document |
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