S02_Pricing Schedule_Q0131.xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- 6505--18 Pharmaceuticals - Chelmsford CMOP
- Solicitation number
- 36C77021Q0131
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| File | Type | Posted |
|---|---|---|
| 36C77021Q0131_1.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Chelmsford | |||||||||||||
| RFQ: 36C77021Q0131 | Delivery on or before: 12/21/2020 | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 12/2/20 | 1. SF1449 - Soliciation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 12/7/20 | 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 | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 14900 | Chelmsford | BISACODYL 10MG RTL SUPP 12CT (B0156) | 00574-7050-12 | 12 | BX | 1008 | $0.00 | |||||
| 0002 | 3116 | Chelmsford | BISACODYL 10MG ENEMA (B0185) | 00132-0703-36 | 1 | BT | 1656 | $0.00 | |||||
| 0003 | 2925 | Chelmsford | BACITRACIN 500/POLYMYXIN 10000/GM OINT 30GM (B0595) | 49348-0274-72 | 30 | TU | 216 | $0.00 | |||||
| 0004 | 5132 | Chelmsford | CETAPHIL LOTION, 480ML, C0736 | 00299-3918-16 | 480 | BT | 132 | $0.00 | |||||
| 0005 | 13707 | Chelmsford | CARBOXYMETHYLCELLULOSE NA 0.25% OPH SOLN 15ML | 58790-0001-15 | 15 | BT | 2064 | $0.00 | |||||
| 0006 | 102738 | Chelmsford | CREAM, THERAPEUTIC,PAIN RELIEVER,CAPSAICIN 0.1%,2OZ,TUBE | 61787-0443-02 | 60 | TU | 1872 | $0.00 | |||||
| 0007 | 5232 | Chelmsford | DEXTROSE 15GM/37.5GM SQUEEZE TUBE, 3CT D0314 | 00574-0069-30 | 3 | PG | 1560 | $0.00 | |||||
| 0008 | 14542 | Chelmsford | FERROUS SULFATE 324MG EC TAB 100CT (F0608) | 00574-0608-01 | 100 | BT | 1968 | $0.00 | |||||
| 0009 | 4254 | Chelmsford | HYDROCORTISONE 1% CREAM 454GM JAR (H0055) | 45802-0438-05 | 454 | JR | 144 | $0.00 | |||||
| 0010 | 6410 | Chelmsford | HYDROCORTISONE 1% LOTION 120ML (H0056) | 00096-0732-04 | 120 | BT | 132 | $0.00 | |||||
| 0011 | 8410 | Chelmsford | LUBRICATING (PF) OPH OINT 3.5 (L0117) | 00065-0509-35 | 1 | EA | 4176 | $0.00 | |||||
| 0012 | 3388 | Chelmsford | MINERAL OIL EMEMA 4.5OZ | 53329-0013-11 | 1 | EA | 432 | $0.00 | |||||
| 0013 | 14455 | Chelmsford | MOISTURIZING LOTION 240ML (M0140) | 00096-0722-08 | 240 | BT | 684 | $0.00 | |||||
| 0014 | 8451 | Chelmsford | MICONAZOLE NITRATE 2% TOP POWDER 90GM (M0215) | 53329-0169-79 | 90 | EA | 3204 | $0.00 | |||||
| 0015 | 2362 | Chelmsford | MICONAZOLE NITRATE 2% (BAZA) TOP CREAM | 11701-0045-14 | 142 | TU | 288 | $0.00 | |||||
| 0016 | 4835 | Chelmsford | BATH POWDER-OATMEAL COLLOIDIAL 100% 8CT (O0042) | 81370-0034-30 | 8 | BX | 960 | $0.00 | |||||
| 0017 | 15133 | Chelmsford | TROLAMINE SALICYLATE 10% CREAM 90GM (T0221) | 24385-0165-53 | 90 | TU | 324 | $0.00 | |||||
| 0018 | 6435 | Chelmsford | ZINC OXIDE 16% TOP PASTE 60GM (Z0054) | 62103-0333-02 | 60 | EA | 468 | $0.00 | |||||
| Grand Total Price | $0.00 |
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