S02_Pricing Schedule_Q0185_010620221.xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- 6505--11 PHARMACEUTICALS Federal contract opportunity
- Solicitation number
- 36C77021Q0185
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| File | Type | Posted |
|---|---|---|
| 36C77021Q0185_2.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Leavenworth | |||||||||||||
| RFQ: 36C77021Q0083 | Delivery on or before: 10 DAYS ARO | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 1/6/21 | 1. SF1449 - Soliciation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 1/8/21 | 2. Quote - excel spreadsheet | ||||||||||
| Vendor Name: | Closing Time: | 4:00PM Central Standard Time (CST) | 3. State Wholesale Distributor License | ||||||||||
| DUNS #: | |||||||||||||
| POC Name: | * Vendors shall submit no more than (1) one quote per vendor | ||||||||||||
| POC E-Mail: | |||||||||||||
| Phone: | Email quotes to: Ralph.Crum@va.gov | ||||||||||||
| * 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 Mulitple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 14369 | Leavenworth | AMLODIPINE 5/BENAZEPRIL 20MG CAP 500CT, A0606 | 65862-0584-05 | 500 | BT | 468 | $0.00 | |||||
| 0002 | 10834 | Leavenworth | ACAMPROSATE CA 333MG EC TAB 180CT (A1222) | 10135-0636-32 | 180 | BT | 552 | $0.00 | |||||
| 0003 | 15898 | Leavenworth | BISOPROLOL FUMARATE 10/HCTZ 6.25MG TAB 500CT (B0280) | 29300-0189-05 | 500 | BT | 48 | $0.00 | |||||
| 0004 | 2297 | Leavenworth | DILTIAZEM HCL 60MG 12HR SA CAP 100CT (D1035) | 00378-6060-01 | 100 | BT | 432 | $0.00 | |||||
| 0005 | 13301 | Leavenworth | ERYTHROMYCIN 0.5% OPH OINT 3.5GM (E0189) | 00574-4024-35 | 1 | EA | 1296 | $0.00 | |||||
| 0006 | 13109 | Leavenworth | HCTZ 25/OLMESARTAN 40MG TAB 90CT, H0427 | 57664-0760-99 | 90 | BT | 432 | $0.00 | |||||
| 0007 | 102272 | Leavenworth | HYDROCORTISONE 1%/PRAMOXINE 1% TOP OINT 30GM (H0469) | 54766-0763-04 | 30 | BT | 144 | $0.00 | |||||
| 0008 | 2551 | Leavenworth | NITROGLYCERIN 2% OINT 60GM, N0066 | 00281-0326-60 | 60 | TU | 324 | $0.00 | |||||
| 0009 | 3939 | Leavenworth | NAPROXEN 500MG EC TAB 100CT N0250 | 00093-1006-01 | 100 | BT | 144 | $0.00 | |||||
| 0010 | 9147 | Leavenworth | SULFACETAMIDE NA 10%/SULFUR 5% TOP FOAM 60GM, S0530 | 42192-0143-60 | 60 | BT | 144 | $0.00 | |||||
| 0011 | 14844 | Leavenworth | VERAPAMIL HCL 180MG SA TAB 500CT (V0008) | 68462-0293-05 | 500 | BT | 240 | $0.00 | |||||
| Grand Total Price | $0.00 |
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