S02_Pricing Schedule_Q0066.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
6505--10 Line Item Pharmaceuticals Federal contract opportunity
Solicitation number
36C77021Q0066
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77021Q0066_1.docx DOCX document

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Quote Spreadsheet

CMOP - LANCASTER
RFQ: 36C77021Q0066Delivery on or before: 10 DAYS ARORequired documents:
Solicitation - Quote SpreadsheetPosted Date:11/4/201. SF1449 - Soliciation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:11/9/202. Quote - excel spreadsheet
Vendor Name:Closing Time:4:00PM Central Standard Time (CST)3. State Wholesale Distributor License
DUNS #:
POC Name:* Vendors shall submit no more than (1) one quote per vendorEmail quotes to: George.Johnson9@va.gov; Ralph.Crum@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 ItemItem NumberCMOP FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginQTYUnitUnit PriceTotal PriceVendor Comments
000110834LANCASTERACAMPROSATE CA 333MG EC TAB 180CT (A1222) PKG: 18068462-0435-18480BT$ - 0$0.00
000215702LANCASTERKETOCONAZOLE 2% SHAMPOO 120ML (K0016) PKG: 12045802-0465-6410800BT$ - 0$0.00
000314237LANCASTERABACAVIR SULFATE 300MG TAB 60CT(A1009) PKG: 6069097-0514-03480BT$ - 0$0.00
00044791LANCASTERLITHIUM CARBONATE 450MG SA TAB 100CT (L0051) PKG: 10000378-1450-01720BT$ - 0$0.00
00058410LANCASTERLUBRICATING (PF) OPH OINT 3.5 (L0117) PKG: 110119-0022-394800TU$ - 0$0.00
000613849LANCASTERSPIRONOLACTONE 100MG TAB 500CT (S0042) PKG: 50016729-0227-16240BT$ - 0$0.00
00078043LANCASTER(E0307) EFLORNITHINE HCL 13.9% CREAM 45GM PKG: 4500023-4857-45144EA$ - 0$0.00
000810219LANCASTER(C1282) CERAVE TOP CREAM PKG: 100187-1373-161800JR$ - 0$0.00
000913083LANCASTERCAPSAICIN 0.1% CREAM 45GM (C1761) PKG: 6041167-0751-423000TU$ - 0$0.00
00102567LANCASTERDILTIAZEM HCL 90MG 12HR CAP,SA 100CT (D1033) PKG: 10000378-6090-01144BT$ - 0$0.00

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