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Quote Spreadsheet
| VA Consolidated Mail Outpatient Pharmacy (CMOP) | Contracting Officer |
| Kevin Mahonney |
| (913) 684-0141 |
| Kevin.Mahoney3@va.gov |
| 36C77023Q0182 |
| QUOTE Spreadsheet |
| Company Name: | |
| POC Name: | |
| POC e-Mail: | PRODUCTS PROPOSED SHALL BE FDA COMPLIANT. |
| Phone Number: | |
| Unique Entity ID: | |
Multiple Delivery Locations - FBO Destination - Vendor pays Shipping - Quote accordingly - see blow for details
FUROSEMIDE 40MG TAB 1000CT (F0078) 43547-0402-11 1000ct 4,531 BT
| ITEM # | DESCRIPTION | NDC # | ALT NDC # | MFG | country of orign | SIZE | QTY | Unit | UNIT PRICE | TOTAL PRICE | COMMENTS / Shipping |
| NIACIN (SLO-NIACIN) 500MG TAB SA (100CT) | 71269-0500-10 | Brand Name Specific | | | 100 | 1,440 | BT | | | |
| | ALT NDC # | No other Brand | | | | | | | | |
| | ALT NDC # | wil be considered | | | | | | | | |
| ITEM # | DESCRIPTION | NDC # | ALT NDC # | MFG | country of orign | SIZE | QTY | Unit | UNIT PRICE | TOTAL PRICE | COMMENTS / Shipping |
| NIACIN (SLO-NIACIN) 500MG TAB SA (1000CT) | 71269-0500-99 | Brand Name Specific | | | 1000 | 806 | BT | | | |
| | ALT NDC # | No other Brand | | | | | | | | |
| | ALT NDC # | wil be considered | | | | | | | | |
| Line Item | Size | QTY |
| 1 | CMOP Leavenworth | 100ct | 720 |
| 2 | CMOP Chelmsford | 100ct | 720 |
| | Line Item | Size | QTY |
| 1 | CMOP Chelmsford | 1000ct | 12 |
| 2 | CMOP Tucson | 1000ct | 68 |
| 3 | CMOP Dallas | 1000ct | 30 |
| 4 | CMOP Murfreesboro | 1000ct | 24 |
| 5 | CMOP Hines | 1000ct | 240 |
| 6 | CMOP Charleston | 1000ct | 432 |
| Additionally, CMOP has a preference for trading partners who can comply with | | | | |
| the provisions of The Drug Supply Chain Security Act starting January 1, 2015. | | | | |
| CMOP prefers documentation to comply with the act be received from the supplier | | | | |
| with the product or prior to receipt. The documentation can be paper-based or | | | | |
| electronic to meet the requirements of the Act. CMOP prefers this documentation | | | | |
| be provided in an EDI, EPCIS or ASN file format. The TH (Transaction History, | | | | |
| TI (Transaction Information), and TS (Transaction Statement) may be submitted | | | | |
| by e-mail to the following group or individual as shown below; | | | | |
| CMOP Charleston | | | | |
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