S02_Pricing Schedule_Q0371.xlsx
XLSX spreadsheet 20 KB Posted
- Solicitation number
- 36C77021Q0371
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| File | Type | Posted |
|---|---|---|
| 36C77021Q0371_1.docx | DOCX document |
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Quote Spreadsheet
| CMOP - Charleston | |||||||||||||
| RFQ: 36C77021Q0371 | Delivery on or before: 4/29/2021 | Required documents: | |||||||||||
| Solicitation - Quote Spreadsheet | Posted Date: | 4/13/21 | 1. SF1449 - Soliciation cover page (signed) | ||||||||||
| Vendor shall complete all areas in orange | Closing Date: | 4/16/21 | 2. 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 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 | 17737 | Charleston | TIMOLOL MALEATE 0.25% OPH GEL 5ML (T0240) | 62332-0545-05 | 5 | BT | 864 | $ - 0 | $0.00 | ||||
| 0002 | 12782 | Charleston | SALICYLIC ACID 6% TOP GEL 100GM (S0001) | 11086-0030-10 | 100 | TU | 144 | $ - 0 | $0.00 | ||||
| Grand Total Price | $0.00 |
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