36C77020Q0374-002.xlsx
XLSX spreadsheet Posted
- Attached to
- 6505--760-20-3-050-1078 - 8 Line Pharmaceuticals
- Solicitation number
- 36C77020Q0374
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36C77020Q0374 S02-Pricing-Sche.Q0374.xlsx
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| File | Type | Posted |
|---|---|---|
| 36C77020Q0374-001.docx | DOCX document |
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Quote Spreadsheet
| Leavenworth | ||||||||||||||||
| 36C77020Q0374 | Delivery Before or On: 4-13-2020 | |||||||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 4/2/20 | ||||||||||||||
| Vendor Complete | Closing Date: | 4/6/20 | ||||||||||||||
| 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 Item | Item Number | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | QTY | Unit | Unit Price | Total Price | Vendor Comments | Total | Vendor Comments | ||
| 1 | 14369 | LEAVENWORTH | AMLODIPINE 5/BENAZEPRIL 20MG CAP 500CT, | |||||||||||||
| PKG: 500 per BT | 65862-0584-05 | 432 | BT | $ - 0 | $0.00 | $ - 0 | ||||||||||
| 2 | 13367 | LEAVENWORTH | AMLODIPINE |
10/BENAZEPRIL 40MG CAP 100CT
| PKG: 100 per BT | 65862-0587-01 | 1344 | BT | $ - 0 | $0.00 | $ - 0 | |||
| 3 | 11492 | LEAVENWORTH | CLOMIPHENE CITRATE 50MG TAB 30CT, | ||||||
| PKG: 30 per BT | 49884-0701-55 | 1800 | BT | $ - 0 | $0.00 | $ - 0 | |||
| 4 | 2301 | LEAVENWORTH | DANAZOL 100MG CAP |
100CT,
| PKG: 100 per BT | 00527-1368-01 | 48 | BT | $ - 0 | $0.00 | |||
| 5 | 2297 | LEAVENWORTH | DILTIAZEM HCL 60MG 12HR SA CAP 100CT | |||||
| PKG: 100 per BT | 00378-6060-01 | 288 | BT | $ - 0 | $0.00 | |||
| 6 | 14842 | LEAVENWORTH | METHENAMINE |
HIPPURATE 1GM TAB 100CT
| PKG: 100 per BT | 65862-0782-01 | 768 | BT | $ - 0 | $0.00 | |||||
| 7 | 2722 | LEAVENWORTH | NEFAZODONE 50MG TAB, 100CT - | |||||||
| PKG: 100 per BT | 00093-7178-01 | 144 | BT | $ - 0 | $0.00 | |||||
| 8 | 3952 | LEAVENWORTH | PREDNISOLONE 5MG TAB, 100'S | |||||||
| PKG: 100 per BT | 23594-0505-01 | 12 | BT | $ - 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. Small Business
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