Q0377 - Pricing Schedule - 12 LI PHARM - 0877.xlsx

XLSX spreadsheet 30 KB Posted May 12, 2021

Attached to: 6505--Chelmsford, MA CMOP - Pharmaceuticals 12 Line items
Solicitation number: 36C77021Q0377
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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S02 - 36C77021Q0377_1.pdf	PDF	May 12, 2021

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Pharmacy List

Pharmaceuticals		Posted
VA CMOP -	CHELMSFORD	05/12/2021

	Solicitation # 36C77020Q0421	Due Date
1) Full Delivery required within 17 days ARO, no partials accepted without prior approval		05/14 @ 5 PM
2) All NDCs submitted for bid will need to pass RPH evaluation and approval

		Vendor Name:
		Vendor Point of Contact:
		Point of Contact Email:
	LINE ITEM	NDC #/UPC	CMOP
Item #	DESCRIPTION	VENDOR PROPOSED ALTERNATE
NDC (PKG SZ)	MFR.	COUNTRY OF
ORIGIN (REQUIRED)	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS (DELIVERY SCHEDULE REQUIRED)
	1	00378-609001-	D1033	DILTIAZEM HCL 90MG 12HR SA CAP	100	144	BOTTLE
	2	00378-612001-	D1034	DILTIAZEM HCL 120MG 12HR SA CAP	100	144	BOTTLE
	3	68489-000027-	E0713	EYELID CLEANSER, EYE SCRUB LIQUID,OPH	40	120	BOTTLE
	4	65862-045960-	G0210	GALANTAMINE HYDROBROMIDE 8MG TAB	60	288	BOTTLE
	5	57237-005160-	G0211	GALANTAMINE HYDROBROMIDE 12MG TAB	60	96	BOTTLE
	6	45802-001402-	H0062	HYDROCORTISONE 2.5% OINT	20	1,440	TUBE
	7	33342-007410-	H0335	HCTZ 12.5/VALSARTAN 80MG TAB	90	216	BOTTLE
	8	33342-007510-	H0337	HCTZ 12.5/VALSARTAN 160MG TAB	90	288	BOTTLE
	9	68462-040610-	I0019	INDOMETHACIN 25MG CAP	1000	72	BOTTLE
	10	68462-030205-	I0021	INDOMETHACIN 50MG CAP	500	126	BOTTLE
	11	00093-220401-	M0080	METOCLOPRAMIDE HCL 5MG TAB	100	108	BOTTLE
	12	50742-051830-	N0498	NITROGLYCERIN 0.8MG/HR PATCH	30	168	BOX

Abstract of Offerors

Pharmaceuticals	Posted
VA CMOP -

	Solicitation #	Due Date
1) Full Delivery required within 10 days ARO, no partials accepted without prior approval
2) All NDCs submitted for bid will need to pass RPH evaluation and approval

LINE ITEM

NDC #/UPC

CMOP

Item #

DESCRIPTION

ACCEPTABLE ALT NDC'S

PKG

QTY

UNIT OF

MEASURE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

Awards

Pharmaceuticals	Posted
VA CMOP -

Solicitation # Due Date

					Delivery to be 10 Days ARO
	LINE ITEM	NDC #/UPC	IMF#	CMOP
Item #	DESCRIPTION	BT SZ	UNIT	QTY	IGCE	Vendor Alt NDC	MFR.	COUNTRY OF
ORIGIN	UNIT PRICE	TOTAL PRICE
						Socio-economic Size	eCMS PO #
					Awd PO # Awd 2237
	-- DUNS								$0.00
									$0.00
			-- DUNS		Awd PO # Awd 2237		eCMS PO#
									$0.00
									$0.00
			-- DUNS		Awd PO # Awd 2237		eCMS PO#
									$0.00
									$0.00
									$0.00
			-- DUNS		Awd PO # Awd 2237		eCMS PO#
									$0.00
									$0.00
									$0.00
									$0.00
					Awd PO # Awd 2237		eCMS PO#
	-- DUNS								$0.00
									$0.00
									$0.00

File details come from the government source that posted it. Updated May 12, 2021.