S02_Pricing Schedule_Q0191.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77021Q0191
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| File | Type | Posted |
|---|---|---|
| 36C77021Q0191_1.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Charleston | |||||||||||||
| RFQ: 36C77021Q0191 | Delivery on or before: 1/18/2021 | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 1/4/20 | 1. SF1449 - Soliciation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 1/7/21 | 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 | 15663 | Charleston | BRIMONIDINE TARTRATE 0.025% OPH SOLN 2.5ML (B0875) | 24208-0537-08 | 1 | BT | 360 | $0.00 | |||||
| 0002 | 13707 | Charleston | CARBOXYMETHYLCELLULOSE NA 0.25% OPH SOLN 15ML | 58790-0001-15 | 15 | BT | 6360 | $0.00 | |||||
| 0003 | 14589 | Charleston | CARBOXYMETH 0.5/GLYC 0.9% OPH SOLN 0.4ML (C1598) | 00023-3416-30 | 30 | EA | 288 | $0.00 | |||||
| 0004 | 102738 | Charleston | CREAM, THERAPEUTIC,PAIN RELIEVER,CAPSAICIN 0.1%,2OZ,TUBE | 61787-0443-02 | 60 | TU | 5304 | $0.00 | |||||
| 0005 | 12755 | Charleston | DIPHENHYDRAMINE HCL 12.5MG/5ML ALC F LIQ 120CC | 00536-0770-97 | 120 | BT | 960 | $0.00 | |||||
| Grand Total Price | $0.00 |
File details come from the government source that posted it. Updated .