S02_Pricing Schedule_Q0036.xlsx
XLSX spreadsheet 17 KB Posted
- Attached to
- 6505--14 line item pharmaceutical
- Solicitation number
- 36C77021Q0036
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| File | Type | Posted |
|---|---|---|
| 36C77021Q0036_1.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Leavenworth | ||||||||||||
| RFQ: 36C77021Q0036 | Delivery on or before: 11/09/2020 | Required documents: | ||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 10/19/20 | 1. SF1449 - Soliciation cover page (signed) | |||||||||
| Vendor shall complete all areas in orange | Closing Date: | 10/22/20 | 2. Quote - excel spreadsheet | |||||||||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | 3. State Wholesale Distributor License | |||||||||
| DUNS #: | ||||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | Email quotes to: Kelley.Cunningham@va.gov | ||||||||||
| POC E-Mail: | * If vendor is proposing NDC with count other than CMOP listed NDC, | |||||||||||
| Phone: | QTY shall be adjusted for that count and this should be noted in "Vendor Comments" | |||||||||||
| * Per the Statement of Requirements, expiration dates of all pharmacueticals and/or medical surgical supplies | ||||||||||||
| shall be no less than one (1) year of date of delivery. Please provide expiration in "Vendor Comments" if short-dated | ||||||||||||
| Line Item | Item Number | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | QTY | Unit | Unit Price | Total Price | Vendor Comments |
| 0001 | 4252 | Leavenworth | ALENDRONATE 70MG 4CT (A1070) | 16714-0633-01 | 22944 | BT | $ - 0 | $0.00 | ||||
| 0002 | 13688 | Leavenworth | DICLOFENAC POTASSIUM 50MG TAB 100CT (D0262) | 00378-2474-01 | 384 | BT | $ - 0 | $0.00 | ||||
| 0003 | 17136 | Leavenworth | EFAVIRENZ 600MG TAB 30CT (E0336) | 31722-0504-30 | 192 | BT | $ - 0 | $0.00 | ||||
| 0004 | 14341 | Leavenworth | HCTZ12.5/VALSARTAN 160MG TAB 90CT (H0337) | 65862-0548-90 | 480 | BT | $ - 0 | $0.00 | ||||
| 0005 | 16559 | Leavenworth | HYDROCORTISONE ACETATE 30MG RTL SUPP 12CT, H0391 | 65649-0511-12 | 216 | BX | $ - 0 | $0.00 | ||||
| 0006 | 16168 | Leavenworth | HCTZ 25MG/VALSARTAN 160MG TAB 90CT, H0416 | 65862-0549-90 | 288 | BT | $ - 0 | $0.00 | ||||
| 0007 | 5751 | Leavenworth | HCTZ 12.5MG/LOSARTAN 100MG TAB 90CT, H0481 | 00093-7369-98 | 1344 | BT | $ - 0 | $0.00 | ||||
| 0008 | 6697 | Leavenworth | HCTZ 25MG/LOSARTAN 100MG TAB 90CT (H0494) | 00093-7368-98 | 2736 | BT | $ - 0 | $0.00 | ||||
| 0009 | 14342 | Leavenworth | HCTZ 25MG/VALSARTAN 320MG TAB 90CT, H0505 | 62332-0083-90 | 480 | BT | $ - 0 | $0.00 | ||||
| 0010 | 16126 | Leavenworth | HCTZ 12.5/VALSARTAN 320MG TAB 90CT (H0508) | 33342-0077-10 | 216 | BT | $ - 0 | $0.00 | ||||
| 0011 | 1275 | Leavenworth | INDOMETHACIN 25MG CAP 1000CT I0019 | 68462-0406-10 | 96 | BT | $ - 0 | $0.00 | ||||
| 0012 | 102285 | Leavenworth | MULTIVITAMINS W/MIN,PRENATAL CHEW TAB 100CT, M0541 | 13925-0117-01 | 528 | BT | $ - 0 | $0.00 | ||||
| 0013 | 13679 | Leavenworth | ONDANSETRON 4MG ORAL DISINTEGRATING TAB, 30CT | 00378-7732-93 | 2640 | BT | $ - 0 | $0.00 | ||||
| 0014 | 2074 | Leavenworth | PRIMIDONE 250MG TAB 100CT, P0116 | 00603-5372-21 | 864 | BT | $ - 0 | $0.00 | ||||
| Grand Total Price | $0.00 |
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