S02-Pricing-36C77022Q0335.xlsx

XLSX spreadsheet 17 KB Posted May 19, 2022

Attached to: 6505--14 Pharmaceuticals - Leavenworth CMOP
Solicitation number: 36C77022Q0335
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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File	Type	Posted
36C77022Q0335.docx	DOCX document	May 19, 2022
Attachment 1 FAR 13.5 Brand Name Justification - 36C77022Q0335_Redacted.pdf	PDF	May 19, 2022

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Quote Spreadsheet

CMOP Nationwide

36C77022Q0335

Delivery Before or On: 05/27/2022

Solicitation Attachment 1 - Quote Spreadsheet

Posted Date:

5/19/22

Vendor Complete

Closing Date:

5/27/22

Vendor Name:

Closing Time:

5:00PM Central Standard Time (CST)

Unique Entity ID:

E-mail quotes to James.Hogue@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

17544

Leavenworth CMOP

AMOXICILLIN500/CLAV K 125MG TAB 20CT PKG: 20 per BT

42571-0161-42

672

$ - 0

$0.00

5392

Leavenworth CMOP

ATENOLOL

50/CHLORTHALIDONE 25MG TAB 100CT

PKG: 100 per BT	70710-1167-01				792	BT	$ - 0	$0.00
	3	14153	Leavenworth CMOP	AZATHIOPRINE 50MG

TAB 100CT, A0478

PKG: 100 per BT	67877-0493-01				2304	BT	$ - 0	$0.00
	4	17752	Leavenworth CMOP	AMOXICILLIN

875/CLAV K 125MG TAB 20

PKG: 20 per BT	42571-0162-42				288	BT	$ - 0	$0.00
	5	14938	Leavenworth CMOP	ABACAVIR SO4

600MG/LAMIVUDINE 300MG TAB 30CT

PKG: 30 per BT	65862-0335-30				600	BT	$ - 0	$0.00
	6	13367	Leavenworth CMOP	AMLODIPINE

10/BENAZEPRIL 40MG CAP 100CT

PKG: 100 per BT	65862-0587-01				2976	BT	$ - 0	$0.00
	7	2566	Leavenworth CMOP	CIMETIDINE 800MG

TAB 100CT

PKG: 100 per BT	00378-0541-01				48	BT	$ - 0	$0.00
	8	2829	Leavenworth CMOP	COLCHICINE
0.5/PROBENECID 500MG TAB PKG: 100 per BT	50742-0263-01				192	BT	$ - 0	$0.00
	9	725	Leavenworth CMOP	CLARITHROMYCIN 500MG
TAB PKG: 60 per BT	00781-1962-60				48	BT	$ - 0	$0.00
	10	5959	Leavenworth CMOP	DICLOFENAC
50MG/MISOPROSTOL 200MCG TAB PKG: 90 per BT	00591-0397-19				288	BT	$ - 0	$0.00
	11	5958	Leavenworth CMOP	DICLOFENAC
50MG/MISOPROSTOL 200MCG TAB PKG: 60 per BT	42571-0133-60				336	BT	$ - 0	$0.00
	12	2297	Leavenworth CMOP	DILTIAZEM HCL 60MG
12HR SA CAP 100CT PKG: 100 per BT	00378-6060-01				576	BT	$ - 0	$0.00
	13	13301	Leavenworth CMOP	ERYTHROMYCIN 0.5%
OPH OINT 3.5GM PKG: 1 per EA	00574-4024-35				1872	EA	$ - 0	$0.00
	14	17307	Leavenworth CMOP	ERRIN 0.35MG
TAB PKG: 3 per BX	51862-0886-03				192	BT	$ - 0	$0.00
	GRAND TOTAL PRICE:								$0.00	ERROR:#REF!
			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

File details come from the government source that posted it. Updated May 19, 2022.