S02_Pricing Schedule_Q0237.xlsx

XLSX spreadsheet 14 KB Posted

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6505--766-21-2-400-0384 -ACAMPROSATE- Charleston CMOP
Solicitation number
36C77021Q0237
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36C77021Q0237_1.docx DOCX document

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Quote Spreadsheet

CMOP - Charleston
RFQ: 36C77021Q0237Delivery on or before: 2/5/2021Required documents:
Solicitation - Quote SpreadsheetPosted Date:1/26/211. SF1449 - Soliciation cover page (signed)
Vendor shall complete all areas in orangeClosing Date:1/28/212. 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
000110834CharlestonACAMPROSATE CA 333MG EC TAB 180CT (A1222)00378-6333-80180BT1680$0.00
Grand Total Price$0.00

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