S02_Pricing Schedule_Q0106.xlsx

XLSX spreadsheet 21 KB Posted

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6505--770-23-2-801-0097 -National CMOP ACAMPROSATE CA 333MG TAB
Solicitation number
36C77023Q0106
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36C77023Q0106_1.docx DOCX document

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Quote Spreadsheet

CMOP - National
RFQ: 36C77023Q0106Delivery on or before: 1/18/2023Required documents:
Solicitation - Quote SpreadsheetPosted Date:12/21/221. SF1449 - Soliciation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:12/30/222. 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 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 ItemFile NumberCMOP FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginPackaging MultipleUnitQTYUnit PriceTotal PriceVendor Comments
000110834LeavenworthACAMPROSATE CA 333MG EC TAB 180CT (A1222)68462-0435-18180BT192$ - 0$0.00
000210834ChelmsfordACAMPROSATE CA 333MG EC TAB 180CT (A1222)68462-0435-18180BT192$ - 0$0.00
000310834LancasterACAMPROSATE CA 333MG EC TAB 180CT (A1222)68462-0435-18180BT250$ - 0$0.00
000410834Murfreesboro EFACAMPROSATE CA 333MG EC TAB 180CT (A1222)68462-0435-18180BT48$ - 0$0.00
000510834HinesACAMPROSATE CA 333MG EC TAB 180CT (A1222)68462-0435-18180BT600$ - 0$0.00
000610834CharlestonACAMPROSATE CA 333MG EC TAB 180CT (A1222)68462-0435-18180BT480$ - 0$0.00
000710834Ladson (Charleston)ACAMPROSATE CA 333MG EC TAB 180CT (A1222)68462-0435-18180BT480$ - 0$0.00
$0.00

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