S02_Pricing Schedule_Q0228.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77023Q0228
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| File | Type | Posted |
|---|---|---|
| S02_RFQ_36C77023Q0228_1.pdf |
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Quote Spreadsheet
| CMOP - National CMOP | ||||||
| RFQ: 36C77023Q0228 | Delivery on or before: 5/4/2023 | Required documents: | ||||
| Solicitation - Quote Spreadsheet | Posted Date: | 4/14/23 | 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: Jennifer.Knight@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 10834 VA CMOP Leavenworth - 760 ACAMPROSATE CA 333MG EC TAB 180CT (A1222) 68462-0435-18 00378-6333-80 68382-0569-28
| 42291-0104-18 | 180 | BT | 192 | $ - 0 | $0.00 | ||
| 0002 | 10834 | VA CMOP Chelmsford - 761 | ACAMPROSATE CA 333MG EC TAB 180CT (A1222) | 68462-0435-18 | 00378-6333-80 |
68382-0569-28
| 42291-0104-18 | 180 | BT | 192 | $ - 0 | $0.00 | ||
| 0003 | 10834 | VA CMOP Tucson - 762 | ACAMPROSATE CA 333MG EC TAB 180CT (A1222) | 68462-0435-18 | 00378-6333-80 |
68382-0569-28
| 42291-0104-18 | 180 | BT | 360 | $ - 0 | $0.00 | ||
| 0004 | 10834 | VA CMOP Lancaster - 763 | ACAMPROSATE CA 333MG EC TAB 180CT (A1222) | 68462-0435-18 | 00378-6333-80 |
68382-0569-28
| 42291-0104-18 | 180 | BT | 360 | $ - 0 | $0.00 | ||
| 0005 | 10834 | VA CMOP Murfreesboro - 764 | ACAMPROSATE CA 333MG EC TAB 180CT (A1222) | 68462-0435-18 | 00378-6333-80 |
68382-0569-28
| 42291-0104-18 | 180 | BT | 84 | $ - 0 | $0.00 | ||
| 0006 | 10834 | VA CMOP Hines -765 | ACAMPROSATE CA 333MG EC TAB 180CT (A1222) | 68462-0435-18 | 00378-6333-80 |
68382-0569-28
| 42291-0104-18 | 180 | BT | 360 | $ - 0 | $0.00 | ||
| 0007 | 10834 | CMOP Charleston (766A) | ACAMPROSATE CA 333MG EC TAB 180CT (A1222) | 68462-0435-18 | 00378-6333-80 |
68382-0569-28
| 42291-0104-18 | 180 | BT | 360 | $ - 0 | $0.00 | |
| Total Small Business Set-aside | $0.00 |
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