S02_Pricing Schedule_Q0059.xlsx

XLSX spreadsheet 20 KB Posted

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6505--760-23-1-050-0161 -Leavenworth CMOP 3 THYROID PHARMACEUTICALS
Solicitation number
36C77023Q0059
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Quote Spreadsheet

CMOP - Leavenworth
RFQ: 36C77023Q0059Delivery on or before: 12/09/2022Required documents:
Solicitation - Quote SpreadsheetPosted Date:11/16/221. SF1449 - Solicitation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:11/23/222. Quote - excel spreadsheet
Vendor Name:Closing Time:5:00PM Central Standard Time (CST)3. State Wholesale Distributor License
ueiSAM:
POC Name:* Vendors shall submit no more than (1) one quote per vendorEmail 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 pharmaceuticals 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 ItemFile NumberCMOP FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginPackaging MultipleUnitQTYUnit PriceTotal PriceVendor Comments
00016201LeavenworthTHYROID 120MG TAB 100CT (T0048)00456-0461-01Name brand only100BT432$ - 0$0.00
00026202LeavenworthTHYROID 180MG TAB 100CT (T0050)00456-0462-01Name brand only100BT84$ - 0$0.00
00036203LeavenworthTHYROID 90MG TAB 100CT (T0053)00456-0460-01Name brand only100BT720$ - 0$0.00
Grand Total Price$0.00

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