S02_Solicitation Attachment 1 - Quote Spreadsheet.xlsx

XLSX spreadsheet 18 KB Posted

Attached to
6505--RIBOFLAVIN 100MG TAB Federal contract opportunity
Solicitation number
36C77024Q0193
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

This document is a quote spreadsheet for a solicitation from the Department of Veterans Affairs Veterans Health Administration for pharmaceutical products including riboflavin 100mg tablets. The solicitation number is 36C77024Q0193. Suppliers are requested to provide pricing for riboflavin tablets in bottles of 100 tablets, as well as furosemide 40mg tablets in bottles of 1000 tablets, to be delivered to multiple VA Consolidated Mail Outpatient Pharmacies located in Chelmsford, Tucson, Dallas, Hines, Charleston, Leavenworth, Lancaster, and Murfreesboro. The VA prefers that documentation is received from suppliers to comply with the Drug Supply Chain Security Act starting in January 2015, which can be provided in paper, EDI, EPCIS, or ASN file formats. Pricing should be included on the quote spreadsheet for each product, National Drug Code, size, quantity, unit price, and total price.

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Quote Spreadsheet

VA Consolidated Mail Outpatient Pharmacy (CMOP)Contracting Officer
Kevin Mahonney
(913) 684-0141
Kevin.Mahoney3@va.gov
36C77024Q0193
QUOTE Spreadsheet
Company Name:
POC Name:
POC e-Mail:PRODUCTS PROPOSED SHALL BE FDA COMPLIANT.
Phone Number:
Unique Entity ID:
DUNS Number:
Multiple Delivery Locations - FBO Destination - Vendor pays Shipping - Quote accordingly - see blow for details

FUROSEMIDE 40MG TAB 1000CT (F0078) 43547-0402-11 1000ct 4,531 BT

ITEM #DESCRIPTIONNDC #ALT NDC #MFGcountry of orignSIZEQTYUnitUNIT PRICETOTAL PRICECOMMENTS / Shipping
Riboflavin 100mg tab, 100ct bottle07610-0032-2010012,920TU
ALT NDC #
ALT NDC #
Line ItemSizeQTY
1CMOP Chelmsford720
2CMOP Tucson3200
3CMOP Dallas3000
4CMOP Hines2400
5CMOP Charleston3600
Additionally, CMOP has a preference for trading partners who can comply with
the provisions of The Drug Supply Chain Security Act 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
CMOP Chelmsford
CMOP Tucson
CMOP Lancaster
CMOP Murfreesboro
CMOP Hines
CMOP Charleston

Sheet1

File details come from the government source that posted it. Updated .