S02_Pricing Schedule_Q0273.xlsx
XLSX spreadsheet 22 KB Posted
- Solicitation number
- 36C77022Q0273
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| File | Type | Posted |
|---|---|---|
| S02_JnA_Q0273.pdf | ||
| 36C77022Q0273_1.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Leavenworth | |||||||||||||
| RFQ: 36C77022Q0273 | Delivery on or before: 05/02/2022 | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 4/11/22 | 1. SF1449 - Soliciation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 4/18/22 | 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 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 | File Number | CMOP Facility | Description | NDC# | Alternate NDCs | Mfr | Country of Origin | Packaging Multiple | Unit | QTY | Unit Price | Total Price | Vendor Comments |
| 0001 | 5957 | Leavenworth | DICLOFENAC 75MG/MISOPROSTOL 200MCG TAB 60CT--D0438 | 65162-0438-06 | 60 | BT | 432 | $ - 0 | $0.00 | ||||
| 0002 | 3125 | Leavenworth | ESTRADIOL (ESTROGEL) 0.06% TRANSDERM GEL 50GM, E0622 | 17139-0617-40 | Brand Name Only | 50 | TU | 120 | $ - 0 | $0.00 | |||
| 0003 | 16083 | Leavenworth | GALANTAMINE HYDROBROMIDE 8MG TAB 60CT (G0210) | 57237-0050-60 | 60 | BT | 192 | $ - 0 | $0.00 | ||||
| 0004 | 2185 | Leavenworth | HYDROXYZINE PAMOATE 25MG CAP 500CT (H0087) | 00185-0674-05 | 500 | BT | 432 | $ - 0 | $0.00 | ||||
| 0005 | 13108 | Leavenworth | HCTZ 12.5/OLMESARTAN 20MG TAB 90CT, H0426 | 70756-0812-90 | 90 | BT | 288 | $ - 0 | $0.00 | ||||
| 0006 | 18385 | Leavenworth | NEBIVOLOL 5MG TAB 90CT, N0567 | 31722-0586-90 | 90 | BT | 1200 | $ - 0 | $0.00 | ||||
| 0007 | 18389 | Leavenworth | NEBIVOLOL 20MG TAB 90CT, N0601 | 31722-0588-90 | 90 | BT | 480 | $ - 0 | $0.00 | ||||
| 0008 | 5860 | Leavenworth | PILOCARPINE HCL 2% OPH SOLN 15ML (P0062) | 61314-0204-15 | 15 | EA | 72 | $ - 0 | $0.00 | ||||
| 0009 | 16299 | Leavenworth | TIMOLOL MALEATE 0.25% OPH SOLN 5ML (T0055) | 61314-0226-05 | 5 | EA | 576 | $ - 0 | $0.00 | ||||
| 0010 | 17441 | Leavenworth | TIMOLOL MALEATE 0.25% OPH SOLN 10ML (T0055) | 64980-0513-01 | 10 | EA | 120 | $ - 0 | $0.00 | ||||
| 0011 | 2865 | Leavenworth | TRIMETHOPRIM TAB 100MG, 100CT (T0118) | 51862-0486-01 | 100 | BT | 216 | $ - 0 | $0.00 | ||||
| 0012 | 16593 | Leavenworth | TEMOZOLOMIDE 20MG CAP 5CT (T0474) | 16729-0049-53 | 5 | BT | 60 | $ - 0 | $0.00 | ||||
| 0013 | 16555 | Leavenworth | TEMOZOLOMIDE 250MG CAP 5CT (T0476) | 16729-0051-53 | 5 | BT | 60 | $ - 0 | $0.00 | ||||
| 0014 | 16596 | Leavenworth | TEMOZOLOMIDE 180MG CAP 5CT, T0642 | 16729-0130-53 | 5 | BT | 180 | $ - 0 | $0.00 | ||||
| 0015 | 5112 | Leavenworth | ZOVIA 1/35E TAB, 28, 6'S, Z0073 | 51862-0894-06 | Brand Name Only | 6 | CT | 72 | $ - 0 | $0.00 | |||
| $0.00 |
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