S02-Pricing-Sche.0353.xlsx
XLSX spreadsheet 23 KB Posted
- Solicitation number
- 36C77020Q0654
About this file
This document includes a quote spreadsheet and details for a federal contract opportunity to procure pharmaceuticals for the Department of Veterans Affairs Northeast CMOP facility located in Chelmsford, MA. The opportunity involves 45 line items for various pharmaceutical products with quantities specified. Vendors are required to submit pricing in the provided Excel quote spreadsheet by August 26, 2020 for delivery within 10 days. Responses must include a signed SF1449 cover page, completed price quote, and a copy of the vendor's state wholesale distributor license to verify compliance with drug supply chain security requirements. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 is the issuing agency.
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| 36C77020Q0654.docx | DOCX document |
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Quote Spreadsheet
| CMOP Nationwide | CHELMSFORD | ||||||||||||||
| 36C77020Q0654 | Delivery Before or On: 08-21-2020 | ||||||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 8/21/20 | |||||||||||||
| Vendor Complete | Closing Date: | 8/26/20 | |||||||||||||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | |||||||||||||
| DUNS #: | 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 | |
| 1 | 2588 | Chelmsford | ATENOLOL100/CHLORTHALIDONE 25MG TAB 100 CT PKG: 100 per BT | 70710-1168-01 | 552 | BT | $ - 0 | $0.00 | |||||||
| 2 | 5392 | Chelmsford | ATENOLOL 50/CHLORTHALIDONE 25MG TAB 100CT PKG: 100 per BT | 70710-1167-01 | 432 | BT | $ - 0 | $0.00 | |||||||
| 3 | 14067 | Chelmsford | AMLODIPINE 5/BENAZEPRIL 10MG CAP PKG: 500 per BT | 65862-0583-05 | 192 | BT | $ - 0 | $0.00 | |||||||
| 4 | 5809 | Chelmsford | AMLODIPINE 5/BENAZEPRIL 20MG CAP 100CT PKG: 100 per BT | 68180045901 | 840 | BT | $ - 0 | $0.00 | |||||||
| 5 | 4847 | Chelmsford | ALENDRONATE 35MG TAB 4CT PKG: 4 per BX | 69097-0223-16 | 384 | BX | $ - 0 | $0.00 | |||||||
| 6 | 4252 | Chelmsford | ALENDRONATE 70MG 4CT PKG: 4 per BX | 64980-0342-14 | 6000 | BX | $ - 0 | $0.00 | |||||||
| 7 | 12904 | Chelmsford | AMLODIPINE 10MG / BENAZEPRIL 20MG CAP 500CT PKG: 500 per BT | 55111034105 | 120 | BT | $ - 0 | $0.00 | |||||||
| 8 | 14068 | Chelmsford | AMLODIPINE 5/BENAZEPRIL 40MG CAP PKG: 100 per BT | 65862-0585-01 | 1008 | BT | $ - 0 | $0.00 | |||||||
| 9 | 2785 | Chelmsford | CHLORZOXAZONE 500MG TAB PKG: 500 per BT | 00591-2520-05 | 120 | BT | $ - 0 | $0.00 | |||||||
| 10 | 4184 | Chelmsford | CLINDAMYCIN HCL 150MG CAP 100CT PKG: 100 per BT | 00591-5708-01 | 48 | BT | $ - 0 | $0.00 | |||||||
| 11 | 11492 | Chelmsford | CLOMIPHENE CITRATE 50MG TAB 30CT PKG: 30 per BT | 49884070155 | 360 | BT | $ - 0 | $0.00 | |||||||
| 12 | 725 | Chelmsford | CLARITHROMYCIN 500MG TAB 60CT PKG: 60 per BT | 00527-1932-06 | 36 | BT | $ - 0 | $0.00 | |||||||
| 13 | 14876 | Chelmsford | CITRIC ACID 334/NA CITRATE 500/5ML SOLN 480ML PKG: 480 per EA | 58657-0310-16 | 384 | EA | $ - 0 | $0.00 | |||||||
| 14 | 2310 | Chelmsford | DICLOFENAC NA 25MG EC TAB, 100 COUNT PKG: 100 per BT | 16571-0203-10 | 120 | BT | $ - 0 | $0.00 | |||||||
| 15 | 2567 | Chelmsford | DILTIAZEM HCL 90MG 12HR CAP,SA 100CT PKG: 100 per BT | 00378-6090-01 | 144 | BT | $ - 0 | $0.00 | |||||||
| 16 | 12865 | Chelmsford | DILTIAZEM HCL 120MG 12HR SA CAP PKG: 100 per BT | 00378-6120-01 | 144 | BT | $ - 0 | $0.00 | |||||||
| 17 | 12697 | Chelmsford | EYELID CLEANSER,EYE SCRUB TOP LIQUID PKG: 40 per EA | 68489-0000-27 | 84 | EA | $ - 0 | $0.00 | |||||||
| 18 | 16421 | Chelmsford | GLYBURIDE 1.25MG/METFORMIN HCL 250MG TAB PKG: 100 per BT | 00228275111 | 12 | BT | $ - 0 | $0.00 | |||||||
| 19 | 16083 | Chelmsford | GALANTAMINE HYDROBROMIDE 8MG TAB 60CT PKG: 60 per BT | 57237005060 | 384 | BT | $ - 0 | $0.00 | |||||||
| 20 | 15502 | Chelmsford | GALANTAMINE HYDROBROMIDE 12MG TAB 60CT PKG: 60 per BT | 57237005160 | 144 | BT | $ - 0 | $0.00 | |||||||
| 21 | 2938 | Chelmsford | HYDROCORTISONE 2.5% OINT 20GM PKG: 20 per TU | 45802-0014-02 | 720 | TU | $ - 0 | $0.00 | |||||||
| 22 | 13537 | Chelmsford | HCTZ 12.5/VALSARTAN 80MG TAB PKG: 90 per BT | 33342007410 62332007990 | 240 | BT | $ - 0 | $0.00 | |||||||
| 23 | 14341 | Chelmsford | HCTZ 12.5/VALSARTAN 160MG TAB 90CT PKG: 90 per BT | 33342007510 62332008090 | 384 | BT | $ - 0 | $0.00 | |||||||
| 24 | 102272 | Chelmsford | HYDROCORTISONE 1%/PRAMOXINE 1% TOP OINT 30GM PKG: 30 per TU | 54766-0763-04 | 120 | TU | $ - 0 | $0.00 | |||||||
| 25 | 10315 | Chelmsford | HCTZ 12.5MG/LOSARTAN 50MG TAB 90CT PKG: 90 per BT | 52343011690 59746033730 65862046890 68180021509 | 432 | BT | $ - 0 | $0.00 | |||||||
| 26 | 14801 | Chelmsford | IBUPROFEN 600MG TAB 500CT PKG: 500 per BT | 49483060350 | 1788 | BT | $ - 0 | $0.00 | |||||||
| 27 | 1275 | Chelmsford | INDOMETHACIN 25MG CAP 1000CT PKG: 1000 per BT | 68462-0406-10 | 60 | BT | $ - 0 | $0.00 | |||||||
| 28 | 1276 | Chelmsford | INDOMETHACIN 50MG CAP 500CT PKG: 500 per BT | 68462030205 | 60 | BT | $ - 0 | $0.00 | |||||||
| 29 | 5928 | Chelmsford | METOCLOPRAMIDE HCL 5MG TAB 100CT PKG: 100 per BT | 00093-2204-01 | 120 | BT | $ - 0 | $0.00 | |||||||
| 30 | 8367 | Chelmsford | NEVIRAPINE 200MG TAB 60CT PKG: 60 per BT | 00378-4050-91 | 312 | BT | $ - 0 | $0.00 | |||||||
| 31 | 2424 | Chelmsford | NITROGLYCERIN 0.8MG/HR PATCH 30CT PKG: 30 per BX | 50742-0518-30 | 96 | BX | $ - 0 | $0.00 | |||||||
| 32 | 14135 | Chelmsford | ONDANSETRON HCL 4MG TAB 30CT PKG: 30 per BT | 57237-0075-30 | 1920 | BT | $ - 0 | $0.00 | |||||||
| 33 | 15642 | Chelmsford | POTASSIUM CHLORIDE 8MEQ SA TAB 500CT PKG: 500 per BT | 64380086007 | 96 | BT | $ - 0 | $0.00 | |||||||
| 34 | 13914 | Chelmsford | RISPERIDONE 1MG TAB 500CT PKG: 500 per BT | 27241-0001-50 | 144 | BT | $ - 0 | $0.00 | |||||||
| 35 | 13529 | Chelmsford | RISPERIDONE 2MG | ||||||||||||
| TAB 500CT PKG: 500 per BT | 27241-0004-50 | 168 | BT | $ - 0 | $0.00 | ||||||||||
| 36 | 14837 | Chelmsford | RISPERIDONE 3MG TAB 500CT PKG: 500 per BT | 27241000550 | 48 | BT | $ - 0 | $0.00 | |||||||
| 37 | 15080 | Chelmsford | RISPERIDONE 4MG TAB 500CT PKG: 500 per BT | 27241000650 | 96 | BT | $ - 0 | $0.00 | |||||||
| 38 | 13870 | Chelmsford | RISPERIDONE 0.25MG TAB 500CT PKG: 500 per BT | 27241-0002-50 | 24 | BT | $ - 0 | $0.00 | |||||||
| 39 | 13913 | Chelmsford | RISPERIDONE 0.5MG TAB 500CT PKG: 500 per BT | 27241000350 | 72 | BT | $ - 0 | $0.00 | |||||||
| 40 | 14440 | Chelmsford | RIZATRIPTAN 10MG DISINTEGRATE TAB 9CT PKG: 9 per BX | 65862062690 | 192 | BX | $ - 0 | $0.00 | |||||||
| 41 | 2922 | Chelmsford | SULFACETAMIDE NA 10/SULFUR 5% LOT PKG: 25 per EA | 44523-0602-01 | 840 | EA | $ - 0 | $0.00 | |||||||
| 42 | 16574 | Chelmsford | TAZAROTENE 0.05% TOP CREAM 30GM PKG: 30 per TU | 16110091530 | 144 | TU | $ - 0 | $0.00 | |||||||
| 43 | 13830 | Chelmsford | VALSARTAN 320MG TAB 90CT PKG: 90 per BT | 33342006510 | 1056 | BT | $ - 0 | $0.00 | |||||||
| 44 | 13595 | Chelmsford | VALSARTAN 160MG TAB 90CT PKG: 90 per BT | 33342006410 | 760 | BT | $ - 0 | $0.00 | |||||||
| 45 | 15127 | Chelmsford | VALSARTAN 80MG TAB 90CT PKG: 90 per BT | 33342006310 | 1080 | 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 |
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