S02_Pricing Schedule_Q0143.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- 6505--4 line item pharm - Charleston CMOP
- Solicitation number
- 36C77021Q0143
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| File | Type | Posted |
|---|---|---|
| 36C77021Q0143_1.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Charleston | |||||||||||||
| RFQ: 36C77021Q0143 | Delivery on or before: 12/28/2020 | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 12/8/20 | 1. SF1449 - Soliciation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 12/11/20 | 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 | 3876 | Charleston | EYELID CLEANSER EYE SCRUB PAD, 30CT (E0301) | 00078-0520-30 | 30 | BX | 6000 | $0.00 | |||||
| 0002 | 3378 | Charleston | HYDROCORTISONE 0.5% CR 30GM (H0052) | 51672-2010-02 | 30 | TU | 1440 | $0.00 | |||||
| 0003 | 14542 | Charleston | FERROUS SULFATE 324MG EC TAB 100CT (F0608) | 00574-0608-01 | 100 | BT | 30000 | $0.00 | |||||
| 0004 | 6410 | Charleston | HYDROCORTISONE 1% LOTION 120ML (H0056) | 00536-5105-97 | 120 | BT | 600 | $0.00 | |||||
| Grand Total | $0.00 |
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