36C77019Q0640-003.xlsx

XLSX spreadsheet 14 KB Posted Jul 31, 2019

Attached to: 760 Leavenworth - Glucose Sensors
Solicitation number: 36C77019Q0640
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

From the source

36C77019Q0640 Quote Spreadsheet MedSurg Glucose Sensors 1.xlsx

View the file

Other files

File	Type	Posted
-17482.docx	DOCX document	Aug 6, 2019
36C77019Q0640-004.pdf	PDF	Jul 31, 2019
36C77019Q0640-001.docx	DOCX document	Jul 31, 2019
36C77019Q0640-002.docx	DOCX document	Jul 31, 2019
36C77019Q0640-000.docx	DOCX document	Jul 31, 2019

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Quote Spreadsheet

LEAVENWORTH KS CMOP	**All fields must be completed.
36C77019Q0640	Delivery ARO 10 Days
Solicitation Attachment 1 - Quote Spreadsheet

Vendor Name:

DUNS #:

POC Name:

Signed SF1449 Form and Copy of State-Issued Wholesale Drug Distributor License Required

POC E-Mail:

Email spreadsheet, SF1449, State License, and any inquirie prior to closing to : Karen.Griffin4@va.gov

Phone:

***Provide Letter of Authorized Distributor Test Strips on this request.

Tax ID Number:

PRODUCTS PROPOSED SHALL BE FDA COMPLIANT.

Vendor Complete

Total Price

Vendor Comments/ Alternate Proposed Delivery Date - PHARMACY REQUEST - LIST EXPIRATION DATE OF SENSORS

Line Item

CMOP Item Number

Description

NDC/Mfg. Part#

Proposed Alternate NDCs

Alternative Bottle/PKG size

Mfr

Country of Origin

QTY

Unit

Unit Price

Vendor Comments

Total

XI431

SENSOR, GLUCOSE, CONTINUOUS, DEXCOM G4 PLATINUM DEXC (PKG: 4 PER BX) STS-GL-041

08627-0041-02

400

$ - 0

$0.00

XJ313

SENSOR, GLUCOSE, DEXCOM G6 (PKG: 3 PER BX) STS-OR-003

08627-0053-03

400

$ - 0

$0.00

ALL QUOTES ARE CONFIDENTIAL

File details come from the government source that posted it.