S02-Pricing-Sche_Q0630.xlsx
XLSX spreadsheet 17 KB Posted
- Attached to
- 6505--13 PHARMACEUTICALS Federal contract opportunity
- Solicitation number
- 36C77020Q0630
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| File | Type | Posted |
|---|---|---|
| 36C77020Q0630_1.docx | DOCX document |
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Quote Spreadsheet
| CMOP - LEAVENWORTH | ||
| 36C77020Q0630 | Delivery on or before: 08-31-2020 | |
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 8/14/20 |
| Vendor completes all areas in yellow | Closing Date: | 8/18/20 |
| Vendor Name: | Closing Time: | 4:00PM Central Standard Time (CST) |
| DUNS #: | E-mail quotes to: Kelley.Cunningham@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" |
| 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 | 13108 | LEAVENWORTH | HCTZ 12.5/OLMESARTAN 20MG TAB 90CT, H0426 | 57664-0758-99 | 00093-7615-98, 62332-0149-90 | 408 | BT | $ - 0 | $0.00 | |||||
| 2 | 13109 | LEAVENWORTH | HCTZ 25/OLMESARTAN 40MG TAB 90CT, H0427 | 57664-0760-99 | 62332-0151-90, 65862-0781-90 | 576 | BT | $ - 0 | $0.00 | |||||
| 3 | 12467 | LEAVENWORTH | MICROGESTIN 1.5/30 TAB,21 -6CT, M0874 | 51862-0279-06 | 48 | BX | $ - 0 | $0.00 | ||||||
| 4 | 2551 | LEAVENWORTH | NITROGLYCERIN 2% OINT 60GM, N0066 | 00281-0326-60 | 288 | TU | $ - 0 | $0.00 | ||||||
| 5 | 3939 | LEAVENWORTH | NAPROXEN 500MG EC TAB 100CT N0250 | 00093-1006-01 | 69543-0426-10, 69784-0500-01 | 144 | BT | $ - 0 | $0.00 | |||||
| 6 | 2722 | LEAVENWORTH | NEFAZODONE 50MG TAB 100CT, N0372 | 00093-7178-01 | 42291-0631-01 | 144 | BT | $ - 0 | $0.00 | |||||
| 7 | 2074 | LEAVENWORTH | PRIMIDONE 250MG TAB 100CT, P0116 | 00603-5372-21 | 00591-5321-01, 00527-1231-01 | 936 | BT | $ - 0 | $0.00 | |||||
| 8 | 3952 | LEAVENWORTH | PREDNISOLONE 5MG TAB 100CT, P0284 | 23594-0505-01 | 24 | BT | $ - 0 | $0.00 | ||||||
| 9 | 2400 | LEAVENWORTH | POTASSIUM ACID PHOSPHATE 500MG TAB--P0656 | 00486-1111-01 | 132 | BT | $ - 0 | $0.00 | ||||||
| 10 | 13881 | LEAVENWORTH | RIFAMPIN 300MG CAP 100CT, R0012 | 00527-1315-01 | 00527-1315-01, 00185-0799-01 | 144 | BT | $ - 0 | $0.00 | |||||
| 11 | 13529 | LEAVENWORTH | RISPERIDONE 2MG TAB 500CT, R0023 | 27241-0004-50 | 00378-3512-05 | 504 | BT | $ - 0 | $0.00 | |||||
| 12 | 12965 | LEAVENWORTH | ROPINIROLE HCL 4MG SA TAB 90CT, R0247 | 13811-0640-90 | 55111-0661-90 | 168 | BT | $ - 0 | $0.00 | |||||
| 13 | 102412 | LEAVENWORTH | SALSALATE 750MG TAB 500CT S0004 | 51293-0804-05 | 10135-0493-05 | 144 | BT | $ - 0 | $0.00 | |||||
| 14 | 9147 | LEAVENWORTH | SULFACETAMIDE NA 10%/SULFUR 5% TOP FOAM 60GM, S0530 | 42192-0143-60 | 108 | BT | $ - 0 | $0.00 | ||||||
| 15 | 5501 | LEAVENWORTH | SULFACETAMIDE NA 10%/SULFUR 5% TOP WASH 180ML--S0531 | 42192-0136-06 | 42808-0113-06 | 768 | BT | $ - 0 | $0.00 | |||||
| Grand Total Price | $0.00 | ERROR:#REF! |
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