Pricing Schedule.xlsx

XLSX spreadsheet 13 KB Posted

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6515--765-21-2-021-0332 -MED/SURGE ITEMS- Hines CMOP
Solicitation number
36C77021Q0235
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S02-36C77021Q0235.docx DOCX document
P03 Part813.106_Atch1_SingleSourceJustification_MPT-SATRedacted-.pdf PDF

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Pharmacy List

MED SURGPosted
VA CMOP -Hines01/22/2021
36C77021Due Date
1) Full Delivery required within 7 days ARO, no partials accepted without prior approval1/25/20
2) All NDCs submitted for bid will need to pass RPH evaluation and approval10 AM CDT
Vendor Name:
Vendor Point of Contact:
Point of Contact Email:
LINE ITEMNDC #/UPCCMOP
Item #DESCRIPTIONVENDOR PROPOSED ALTERNATE
NDC (PKG SZ)MFR.COUNTRY OF
ORIGINQTYUNIT OF
MEASUREUNIT PRICETOTAL PRICEVENDOR COMMENTS
143169-0704-05XJ430GLUCOSE SENSOR (3) GUARDIAN MMT-7020A 5 COUNT400BX
289152-1680-05XJ330SET,INFUSION AUTOSOFT XC TANDEM800BX
399222-0072-65XT855TRACH BASEPLATE ADHESIVE PROVOX120BX

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