S02_Pricing Schedule_Q0137.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 36C77023Q0137
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| File | Type | Posted |
|---|---|---|
| 36C77023Q0137_1.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Leavenworth | |||||||||||||
| RFQ: 36C77023Q0137 | Delivery on or before: 2/15/2022 | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 1/25/23 | 1. SF1449 - Solicitation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 2/1/23 | 2. 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 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 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 Item | File Number | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 14369 | Leavenworth | AMLODIPINE 5/BENAZEPRIL 20MG CAP 500CT, A0606 | 65862-0584-05 | 500 | BT | 600 | $ - 0 | $0.00 | ||||
| 0002 | 5958 | Leavenworth | DICLOFENAC 50MG/MISOPROSTOL 200MCG TAB, 60CT | 42571-0133-60 | 60 | BT | 432 | $ - 0 | $0.00 | ||||
| 0003 | 5957 | Leavenworth | DICLOFENAC 75MG/MISOPROSTOL 200MCG TAB 60CT--D0438 | 65162-0438-06 | 60 | BT | 624 | $ - 0 | $0.00 | ||||
| 0004 | 2297 | Leavenworth | DILTIAZEM HCL 60MG 12HR SA CAP 100CT (D1035) | 68462-0850-01 | 100 | BT | 528 | $ - 0 | $0.00 | ||||
| 0005 | 18167 | Leavenworth | PRAMIPEXOLE DI-HCL 1.5MG 24HR SA TAB 30CT, P0951 | 16714-0918-01 | 30 | BT | 180 | $ - 0 | $0.00 | ||||
| 0006 | 5501 | Leavenworth | SULFACETAMIDE NA 10%/SULFUR 5% TOP WASH 180ML--S0531 | 42192-0136-06 | 180 | BT | 960 | $ - 0 | $0.00 | ||||
| 0007 | 2865 | Leavenworth | TRIMETHOPRIM TAB 100MG, 100CT (T0118) | 51862-0486-01 | 100 | BT | 144 | $ - 0 | $0.00 | ||||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .