S02_Pricing Schedule_Q0169.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77021Q0169
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| File | Type | Posted |
|---|---|---|
| 36C77021Q0169_1.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Charleston | |||||||||||||
| RFQ: 36C77021Q0169 | Delivery on or before: 1/11/2021 | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 12/22/20 | 1. SF1449 - Soliciation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 12/29/20 | 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 | 12697 | Charleston | EYELID CLEANSER,EYE SCRUB TOP LIQUID (E0713) | 68489-0000-27 | 38 | EA | 240 | $0.00 | |||||
| 0002 | 2938 | Charleston | HYDROCORTISONE 2.5% OINT 20GM (H0062) | 45802-0014-02 | 20 | TU | 2400 | $0.00 | |||||
| 0003 | 1275 | Charleston | INDOMETHACIN 25MG CAP 1000CT I0019 | 00378-0143-10 | 1000 | BT | 360 | $0.00 | |||||
| 0004 | 1276 | Charleston | INDOMETHACIN 50MG CAP 500'S (I0021) | 68462-0302-05 | 500 | BT | 432 | $0.00 | |||||
| 0005 | 14842 | Charleston | METHENAMINE HIPPURATE 1GM TAB 100CT (M0049) | 65862-0782-01 | 100 | BT | 1440 | $0.00 | |||||
| Grand Total Price | $0.00 |
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