S02 PRICING SCHEDULE- Q0100.xlsx

XLSX spreadsheet 25 KB Posted Dec 17, 2021

Attached to: 6505--17 MISCELLANEOUS PHARMACEUTICALS - CHELMSFORD CMOP
Solicitation number: 36C77022Q0100
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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File	Type	Posted
S02 RFQ 36C77022Q0100.pdf	PDF	Dec 17, 2021

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Pharmacy List

		Miscellaneous Pharmaceuticals - CMOP Chelmsford
		Solicitation #36C77022Q0100
		1) Full Delivery required within 6 days ARO, no partials accepted without prior approval
		2) Pedigree required to be sent to CMOP by awarded vendor
		3) Vendor required to provide manufacturer and country of origin
		4) Please provide delivery schedule in Vendor Comments field
		5) All alternate NDCs provided must be pharmacist approved
		Vendor Name:
		Vendor Point of Contact:
		Point of Contact Email:
	LINE ITEM	NDC	CMOP
Item #	DESCRIPTION	VENDOR PROPOSED ALTERNATE NDC	MFR.	COUNTRY OF ORIGIN	PKG	QTY	UNIT OF
MEASURE	UNIT PRICE	TOTAL PRICE	VENDOR COMMENTS
	1	70710-1168-01	A0447	ATENOLOL 100/CHLORTHALIDONE 25MG TAB				100	288	BOTTLE
	2	70710-1167-01	A0450	ATENOLOL 50/CHLORTHALIDONE 25MG TAB				100	432	BOTTLE
	3	65862-0583-05	A0605	AMLODIPINE 5/BENAZEPRIL 10MG CAP				500	288	BOTTLE
	4	55111-0340-05	A0606	AMLODIPINE 5/BENAZEPRIL 20MG CAP				500	360	BOTTLE
	5	55111-0341-05	A1115	AMLODIPINE 10MG/BENAZEPRIL 20MG CAP				500	240	BOTTLE
	6	65862-0585-05	A1324	AMLODIPINE 5/BENAZEPRIL 40MG CAP				500	192	BOTTLE
	7	49884-0701-55	C0482	CLOMIPHENE CITRATE 50MG TAB				30	240	BOTTLE
	8	00527-1932-06	C0591	CLARITHROMYCIN 500MG TAB				60	72	BOTTLE
	9	58657-0310-16	C1151	CITRIC ACID 334/NA CITRATE 500/5ML SOLN				480	252	BOTTLE
	10	16571-0203-10	D0061	DICLOFENAC NA 25MG EC TAB				100	48	BOTTLE
	11	00378-6090-01	D1033	DILTIAZEM HCL 90MG 12HR SA CAP				100	192	BOTTLE
	12	00378-6120-01	D1034	DILTIAZEM HCL 120MG 12HR SA CAP				100	192	BOTTLE
	13	68489-0000-27	E0713	EYELID CLEANSER, EYE SCRUB LIQUID,OPH				40	144	BOTTLE
	14	72205-0028-30	F0434	FEBUXOSTAT 40MG TAB				30	840	BOTTLE
	15	27808-0207-01	F0435	FEBUXOSTAT 80MG TAB				30	384	BOTTLE
	16	57237-0050-60	G0210	GALANTAMINE HYDROBROMIDE 8MG TAB				60	288	BOTTLE
	17	57237-0051-60	G0211	GALANTAMINE HYDROBROMIDE 12MG TAB				60	108	BOTTLE

Abstract of Offerors

Med/Surg
VA CMOP -	Chelmsford

1) Full Delivery required within 3 days ARO, no partials accepted without prior approval

2) All NDCs submitted for bid will need to pass RPH evaluation and approval

LINE ITEM

NDC #/UPC

CMOP

Item #

DESCRIPTION

PKG

QTY

UNIT

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

NDC Proposed

MFR.

ORIGIN COUNTRY

UNIT PRICE

TOTAL PRICE

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

Awards

Pharmaceuticals	Posted
VA CMOP -

Solicitation # Due Date

					Delivery to be 10 Days ARO
	LINE ITEM	NDC #/UPC	IMF#	CMOP
Item #	DESCRIPTION	BT SZ	UNIT	QTY	IGCE	Vendor Alt NDC	MFR.	COUNTRY OF
ORIGIN	UNIT PRICE	TOTAL PRICE
						Socio-economic Size	eCMS PO #
					Awd PO # Awd 2237
	-- DUNS								$0.00
									$0.00
			-- DUNS		Awd PO # Awd 2237		eCMS PO#
									$0.00
									$0.00
			-- DUNS		Awd PO # Awd 2237		eCMS PO#
									$0.00
									$0.00
									$0.00
			-- DUNS		Awd PO # Awd 2237		eCMS PO#
									$0.00
									$0.00
									$0.00
									$0.00
					Awd PO # Awd 2237		eCMS PO#
	-- DUNS								$0.00
									$0.00
									$0.00

File details come from the government source that posted it. Updated Dec 17, 2021.