S02 Pricing Schedule - Q0021.xlsx

XLSX spreadsheet 23 KB Posted

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6505--Pharmaceutical for Tucson CMOP - Metformin HCl 500mg 24hr SA tab (Deliver to Aphena)
Solicitation number
36C77022Q0021
Issued by

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36C77022Q0021_2.docx DOCX document

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Pharmacy List

PharmaceuticalPosted
VA CMOP -Tucson (Deliver to Aphena for repackaging)11/18/2021
Solicitation #36C77022Q0021Due Date
1) Full Delivery required within 3 days ARO, no partials accepted without prior approval11/19/2021 @3PM CST
2) All pharmaceuticals require pedigree to be sent with order
3) Please provide manufacturer, country of origin, and delivery schedule in comment block to be considered technically acceptable
4) All NDCs submitted for bid will need to pass RPH evaluation and approval
Vendor Name:
Vendor Point of Contact:
Point of Contact Email:
LINE ITEMNDC/PART #CMOP
Item #DESCRIPTIONVENDOR PROPOSED ALTERNATE
NDC (PKG SZ)MFR.COUNTRY OF
ORIGINPKGQTYUNIT OF
MEASUREUNIT PRICETOTAL PRICEVENDOR COMMENTS
167877-0413-05M1013METFORMIN HCL 500MG 24HR SA TAB50016,500BT
**Order must be delivered to Aphena in one shipment for repackaging to occur**

Abstract of Offerors

Pharmaceuticals
VA CMOP -
Solicitation #
1) Full Delivery required within 5 days ARO, no partials accepted without prior approval
2) All NDCs submitted for bid will need to pass RPH evaluation and approval
LINE ITEMNDC #/UPCCMOP
Item #DESCRIPTIONPKGQTYNDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICE
1
2
3
4
5

Vendor DUNS # Sam Expiration Date Socio economic size Past Performance Rating PPIRS

Awards

PharmaceuticalsPosted
VA CMOP -

Solicitation # Due Date

Delivery to be 10 Days ARO
LINE ITEMNDC #/UPCIMF#CMOP
Item #DESCRIPTIONBT SZUNITQTYIGCEVendor Alt NDCMFR.COUNTRY OF
ORIGINUNIT PRICETOTAL PRICE
Socio-economic SizeeCMS PO #
Awd PO # Awd 2237
-- DUNS$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
$0.00
$0.00
Awd PO # Awd 2237eCMS PO#
-- DUNS$0.00
$0.00
$0.00

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