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Quote Spreadsheet
| VA Consolidated Mail Outpatient Pharmacy (CMOP) | Contracting Officer |
| Kevin Mahonney |
| (913) 684-0141 |
| Kevin.Mahoney3@va.gov |
| 36C77024Q0112 |
| 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 |
| CALCIUM 119MG/MAGNESIUM 71.5MG EC TAB | 69315-0209-06 | | | | 60 | 624 | BT | | | |
| | ALT NDC # | | | | | | | | | |
| | ALT NDC # | | | | | | | | | |
| ITEM # | DESCRIPTION | NDC # | ALT NDC # | MFG | country of orign | SIZE | QTY | Unit | UNIT PRICE | TOTAL PRICE | COMMENTS / Shipping |
| MOISTURIZING LOTION 480 ML | 00096-0722-16 | | | | 480 | 48 | ML | | | |
| | ALT NDC # | | | | | | | | | |
| | ALT NDC # | | | | | | | | | |
| ITEM # | DESCRIPTION | NDC # | ALT NDC # | MFG | country of orign | SIZE | QTY | Unit | UNIT PRICE | TOTAL PRICE | COMMENTS / Shipping |
| PETROLATUM (WHITE) OINT 30 GM | 69315-0209-06 | | | | 30 | 192 | GM | | | |
| | ALT NDC # | | | | | | | | | |
| | ALT NDC # | | | | | | | | | |
| ITEM # | DESCRIPTION | NDC # | ALT NDC # | MFG | country of orign | SIZE | QTY | Unit | UNIT PRICE | TOTAL PRICE | COMMENTS / Shipping |
| BREATHE RIGHT NASAL STRIPS LARGE | 05714-5001-32 | Brand Name Specific | | | 30 | 768 | BX | | | |
| | ALT NDC # | | | | | | | | | |
| | ALT NDC # | | | | | | | | | |
| 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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