S02_Pricing Schedule_Q0222.xlsx
XLSX spreadsheet 22 KB Posted
- Solicitation number
- 36C77023Q0222
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| File | Type | Posted |
|---|---|---|
| 36C77023Q0222_1.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Chelmsford | ||||||||||||||
| RFQ: 36C77023Q0222 | Delivery on or before: 5/10/2023 | Required documents: | ||||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 4/10/23 | 1. SF1449 - Solicitation cover page (signed) | |||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 4/21/23 | 2. Quote - excel spreadsheet | |||||||||||
| Vendor Name: | Closing Time: | 5:00PM Central Standard Time (CST) | 3. State Wholesale Distributor License | |||||||||||
| ueiSAM: | ||||||||||||||
| 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 pharmaceuticals 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 | File Number | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments | |
| 0001 | 8367 | Chelmsford | NEVIRAPINE 200MG TAB 60CT (N0293) | 00378-0450-91 | 60 | BT | 144 | $ - 0 | $0.00 | |||||
| 0002 | 14135 | Chelmsford | ONDANSETRON HCL 4MG TAB 30CT (O0018) | 57237-0075-30 | 30 | BT | 2304 | $ - 0 | $0.00 | |||||
| 0003 | 14200 | Chelmsford | ONDANSETRON HCL 8MG TAB, 30CT (O0019) | 65862-0188-30 | 30 | BT | 1824 | $ - 0 | $0.00 | |||||
| 0004 | 13679 | Chelmsford | ONDANSETRON 4MG ORAL DISINTEGRATING TAB, 30CT | |||||||||||
| (O0098) | 57237-0077-10 | 30 | BT | 960 | $ - 0 | $0.00 | ||||||||
| 0005 | 13914 | Chelmsford | RISPERIDONE 1MG TAB 500CT (R0022) | 27241-0001-50 | 500 | BT | 144 | $ - 0 | $0.00 | |||||
| 0006 | 15080 | Chelmsford | RISPERIDONE 4MG TAB 500CT, (R0025) | 27241-0006-50 | 500 | BT | 96 | $ - 0 | $0.00 | |||||
| 0007 | 8067 | Chelmsford | RILUZOLE 50MG TAB 60CT, (R0036) | 67877-0286-60 | 60 | BT | 48 | $ - 0 | $0.00 | |||||
| 0008 | 13913 | Chelmsford | RISPERIDONE 0.5MG TAB 500CT (R0112) | 27241-0003-50 | 500 | BT | 84 | $ - 0 | $0.00 | |||||
| 0009 | 13535 | Chelmsford | RIVASTIGMINE TARTRATE 3MG CAP (R0134) | 33342-0090-09 | 60 | BT | 576 | $ - 0 | $0.00 | |||||
| 0010 | 14440 | Chelmsford | RIZATRIPTAN 10MG DISINTEGRATE TAB 9CT (R0312) | 65862-0626-90 | 9 | BX | 960 | $ - 0 | $0.00 | |||||
| 0011 | 2922 | Chelmsford | SULFACETAMIDE NA 10/SULFUR 5% LOT, 25GM (S0371) | 44523-0602-01 | 25 | EA | 1200 | $ - 0 | $0.00 | |||||
| 0012 | 6204 | Chelmsford | THYROID 60-65MG (1 GRAIN) TAB 100CT (T0749) | 42192-0330-01 | 100 | BT | 120 | $ - 0 | $0.00 | |||||
| 0013 | 14844 | Chelmsford | VERAPAMIL HCL 180MG SA TAB 500CT (V0008) | 68462-0293-05 | 500 | BT | 240 | $ - 0 | $0.00 | |||||
| 0014 | 15604 | Chelmsford | VERAPAMIL HCL 240MG SA TAB 500CT (V0010) | 68462-0260-05 | 500 | BT | 156 | $ - 0 | $0.00 | |||||
| 0015 | 14770 | Chelmsford | VERAPAMIL HCL 120MG SA TAB 100CT (V0054) | 68462-0292-01 | 100 | BT | 576 | $ - 0 | $0.00 | |||||
| Grand Total Price | $0.00 |
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