S02_Pricing Schedule_Q0208.xlsx

XLSX spreadsheet 16 KB Posted

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6505--15 Pharmaceuticals- Leavenworth CMOP
Solicitation number
36C77021Q0208
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Quote Spreadsheet

CMOP - Leavenworth
RFQ: 36C77021Q0208Delivery on or before: 2/1/2021Required documents:
Solicitation - Quote SpreadsheetPosted Date:1/12/201. SF1449 - Soliciation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:1/15/212. 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 vendorEmail 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 ItemItem NumberCMOP FacilityDescriptionNDC#Alternate NDCsMfrCountry of OriginPackaging MultipleUnitQTYUnit PriceTotal PriceVendor Comments
00015392LeavenworthATENOLOL 50/CHLORTHALIDONE 25MG TAB 100CT, A045000591-5782-01100BT672$0.00
000213367LeavenworthAMLODIPINE 10/BENAZEPRIL 40MG CAP 100CT (A1325)65862-0587-01100BT1800$0.00
00032829LeavenworthCOLCHICINE 0.5/PROBENECID 500MG TAB, C031064980-0149-01100BT192$0.00
00043125LeavenworthESTRADIOL (ESTROGEL) 0.06% TRANSDERM GEL 50GM, E062217139-0617-40Name brand only50TU120$0.00
000513085LeavenworthFLUOXETINE HCL 90MG EC CAP 4CT, F026455111-0284-484EA144$0.00
000614342LeavenworthHCTZ 25MG/VALSARTAN 320MG TAB 90CT, H050562332-0083-9090BT480$0.00
00071275LeavenworthINDOMETHACIN 25MG CAP 1000CT I001968462-0406-101000BT96$0.00
000812613LeavenworthMETOCLOPRAMIDE HCL 10MG TAB M0079, 1000CT00115-1651-031000BT120$0.00
0009102285LeavenworthMULTIVITAMINS W/MIN,PRENATAL CHEW TAB 100CT, M054113925-0117-01100BT528$0.00
0010644LeavenworthPROMETHAZINE HCL 25MG10702-0003-101000BT120$0.00
00115501LeavenworthSULFACETAMIDE NA 10%/SULFUR 5% TOP WASH 180ML--S053142192-0136-06180BT696$0.00
00126201LeavenworthTHYROID 120MG TAB 100CT (T0048)00456-0461-01Name brand only100BT288$0.00
00132935LeavenworthTORSEMIDE 10MG TAB 100CT (T0235)31722-0530-01100BT2880$0.00
001416486LeavenworthTEMOZOLOMIDE 100MG CAP 5CT, T047516729-0050-535BT600$0.00
001516746LeavenworthTRIMETHOBENZAMIDE HCL 300MG CAP (T0558)43386-0660-24100BT60$0.00
Grand Total Price$0.00

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