S02 Q-0514 Pricing Schedule.xlsx

XLSX spreadsheet 26 KB Posted

Attached to
6515--3 Med Surg Items Federal contract opportunity
Solicitation number
36C77021Q0514
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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File Type Posted
36C77021Q0514_1.docx DOCX document

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Pharmacy List

MED/SURGPOSTED
VA CMOP:CHELMSFORD7/16/21
SOLICITATION# :36C77021Q0514
DUE DATE
7-19-21 @ 10am CST
1) Full Delivery required within 3 days ARO, no partials accepted without prior approval
2) All NDCs submitted for bid will need to pass RPH evaluation and approval
3) MFR. & COUNTRY OF ORIGIN must be provided in order to be considered responsive
Vendor Name:
DUNNS #
Vendor Point of Contact:
Point of Contact Email:
Point of Contact Phone:
LINE ITEMNDC #/UPCCMOP
Item #DESCRIPTIONVENDOR PROPOSED ALTERNATE
NDC (PKG SZ)MFR.COUNTRY OF
ORIGINPKGQTYUNIT OF
MEASUREUNIT PRICETOTAL PRICEDELIVERY SCHEDULE & VENDOR COMMENTS
189152254105XJ286RESERVOIR, T:SLIM W/T: LOCK, 3MLNATANDEM101200BX
270524406515XT868SET, INFUSION MINIMED #MMT - 387NAMEDTRONIC10480BX
31234096144XV066CATH SET, INTERMIT 14FR H#96144NAHOLLISTER4250CS
In order to satisfy the Gray Market language, it is acceptable to provide a letter of authorization from the manufacturer's authorized wholesaler/reseller vice a direct authorization from the manufacture itself.
This is a Brand name requirement.

Abstract of Offerors

TYPE:
VA CMOP:
LINE ITEM(S):
SOLICITATION:
1) Full Delivery required within X day ARO, no partials accepted without prior approval
2) All NDCs submitted for bid will need to pass RPH evaluation and approval
3) MFR. & COUNTRY OF ORIGIN must be provided in order to be considered responsive to this solicitation
LINE ITEMNDC #/UPCCMOP
Item #DESCRIPTIONPKGQTYNDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICEBAA UNIT PRICE + 30%BAA TOTALNDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICETOTAL PRICENDC ProposedMFR.ORIGIN COUNTRYUNIT PRICE
1
2
3
4
5

DUNS# VENDOR Sam Expiration Date Socio economic size Past Performance Rating PPIRS

Awards

PharmaceuticalsPosted
VA CMOP -

Solicitation # Due Date

Delivery to be 10 Days ARO
LINE ITEMNDC #/UPCIMF#CMOP
Item #DESCRIPTIONBT SZUNITQTYIGCEVendor Alt NDCMFR.COUNTRY OF
ORIGINUNIT PRICETOTAL PRICE
Socio-economic SizeeCMS PO #
Awd PO # Awd 2237
-- DUNS$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
$0.00
-- DUNSAwd PO # Awd 2237eCMS PO#
$0.00
$0.00
$0.00
$0.00
Awd PO # Awd 2237eCMS PO#
-- DUNS$0.00
$0.00
$0.00

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