S02 Q0413 Pricing Schedule.xlsx

XLSX spreadsheet 27 KB Posted

Attached to
6515--1 Line Item: GLUCOSE SENSOR (3) GUARDIAN NDC 43169070405
Solicitation number
36C77021Q0413
Issued by

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File Type Posted
S02 RFQ 36C77021Q0413_1.pdf PDF
S02 Q0413 Pricing Schedule.xlsx XLSX spreadsheet

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Pharmacy List

MED/SURGPosted
VA CMOP:HINES5/5/21
LINE ITEM(S):GLUCOSE SENSOR (3) GUARDIAN
RFQ:POST ON BETA.SAMDue Date
SOLICITATION:36C77021Q04135/6/21 @ 11:00AM CST
1) Full Delivery required within 2 days ARO, no partials accepted without prior approval
2) All NDCs submitted for bid will need to pass RPH evaluation and approval
3) MFR. & COUNTRY OF ORIGIN must be provided in order to be considered responsive
Vendor Name:
DUNNS #
Vendor Point of Contact:
Point of Contact Email:
LINE ITEMNDC #/UPCCMOP
Item #DESCRIPTIONVENDOR PROPOSED ALTERNATE
NDC (PKG SZ)MFR.COUNTRY OF
ORIGINPKGQTYUNIT OF
MEASUREUNIT PRICETOTAL PRICEDELIVERY SCHEDULE & VENDOR COMMENTS
143169070405XJ430GLUCOSE SENSOR (3) GUARDIAN*N/A5600BX
*In order to satisfy the Gray Market language, it is acceptable to provide a letter of authorization from the manufacturer's authorized wholesaler/reseller vice a direct authorization from the manufacture itself.
.

Abstract of Offerors

MED/SURG
VA CMOP:HINES
LINE ITEM(S):GLUCOSE SENSOR (3) GUARDIAN
RFQ:POST ON BETA.SAM
SOLICITATION:36C77021Q0413
1) Full Delivery required within 2 day ARO, no partials accepted without prior approval
2) All NDCs submitted for bid will need to pass RPH evaluation and approval
3) MFR. & COUNTRY OF ORIGIN must be provided in order to be considered responsive to this solicitation
LINE ITEMNDC #/UPCCMOP
Item #DESCRIPTIONPKGQTYNDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICEBAA UNIT PRICE + 30%BAA TOTALNDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICE
1
2
3
4
5
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LICENSE EXP DUNS# VENDOR Sam Expiration Date Socio economic size Past Performance Rating CPARS

Awards

PharmaceuticalsPosted
VA CMOP -

Solicitation # Due Date

Delivery to be 10 Days ARO
LINE ITEMNDC #/UPCIMF#CMOP
Item #DESCRIPTIONBT SZUNITQTYIGCEVendor Alt NDCMFR.COUNTRY OF
ORIGINUNIT PRICETOTAL PRICE
Socio-economic SizeeCMS PO #
Awd PO # Awd 2237
-- DUNS$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
$0.00
$0.00
Awd PO # Awd 2237eCMS PO#
-- DUNS$0.00
$0.00
$0.00

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