S02_Solicitation Attachment 1 - Quote Spreadsheet.xlsx

XLSX spreadsheet 22 KB Posted Feb 5, 2024

Attached to: 6505--12 PHARMACEUTICALS Federal contract opportunity
Solicitation number: 36C77024Q0136
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

About this file

Written by GovTribe AI · Feb 5, 2024

This document is a quote spreadsheet for a solicitation to provide pharmaceutical products to multiple Department of Veterans Affairs locations. The solicitation seeks pricing for over 50 generic pharmaceutical items in various dosages and quantities, to be delivered to multiple VA facilities. Products must be FDA compliant. Respondents are to provide company information including name, point of contact, phone number, and unique entity and DUNS numbers. Pricing should account for delivery to different locations, with the vendor responsible for shipping costs. The solicitation number is 36C77024Q0136 for Pharmaceuticals under opportunity 6505-12 through the VA Veterans Integrated Service Network 15.

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36C77024Q0136.pdf	PDF	Feb 5, 2024

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Quote Spreadsheet

VA Consolidated Mail Outpatient Pharmacy (CMOP)	Contracting Officer
	Kevin Mahonney
	(913) 684-0141
	Kevin.Mahoney3@va.gov

36C77024Q0136

QUOTE Spreadsheet

Company Name:
POC Name:
POC e-Mail:		PRODUCTS PROPOSED SHALL BE FDA COMPLIANT.
Phone Number:
Unique Entity ID:
DUNS Number:
	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
	ALUMINUM CL HEXAHYDRATE 20% TOP SOLN	00096-0707-35				35ML	2,448	BT
		ALT NDC #
		ALT NDC #

ITEM #	DESCRIPTION	NDC #	ALT NDC #	MFG	country of orign	SIZE	QTY	Unit	UNIT PRICE	TOTAL PRICE	COMMENTS / Shipping
	ATENOLOL 50/CHLORTHALIDONE 25MG TAB	70954-0390-10				100	480	BT
		ALT NDC #
		ALT NDC #

ITEM #	DESCRIPTION	NDC #	ALT NDC #	MFG	country of orign	SIZE	QTY	Unit	UNIT PRICE	TOTAL PRICE	COMMENTS / Shipping
	ACAMPROSATE CA 333MG EC TAB	68462-0435-18				180	552	BT
		ALT NDC #
		ALT NDC #

ITEM #	DESCRIPTION	NDC #	ALT NDC #	MFG	country of orign	SIZE	QTY	Unit	UNIT PRICE	TOTAL PRICE	COMMENTS / Shipping
	AMLODIPINE 5MG/VALSARTAN 160MG TAB	62332-0205-90				90	144	BT
		ALT NDC #
		ALT NDC #

ITEM #	DESCRIPTION	NDC #	ALT NDC #	MFG	country of orign	SIZE	QTY	Unit	UNIT PRICE	TOTAL PRICE	COMMENTS / Shipping
	AMLODIPINE 5MG/VALSARTAN 320MG TAB	62332-0207-90				90	96	BT
		ALT NDC #
		ALT NDC #

ITEM #	DESCRIPTION	NDC #	ALT NDC #	MFG	country of orign	SIZE	QTY	Unit	UNIT PRICE	TOTAL PRICE	COMMENTS / Shipping
	AMLODIPINE 5MG/OLMESARTAN 20MG TAB	27241-0083-09				90	96	BT
		ALT NDC #
		ALT NDC #

ITEM #	DESCRIPTION	NDC #	ALT NDC #	MFG	country of orign	SIZE	QTY	Unit	UNIT PRICE	TOTAL PRICE	COMMENTS / Shipping
	AMLODIPINE 5MG/OLMESARTAN 40MG TAB	27241-0084-09				90	144	BT
		ALT NDC #
		ALT NDC #

ITEM #	DESCRIPTION	NDC #	ALT NDC #	MFG	country of orign	SIZE	QTY	Unit	UNIT PRICE	TOTAL PRICE	COMMENTS / Shipping
	CYPROHEPTADINE HCL 2MG/5ML SYRUP	00527-1949-47				480ML	36	BT
		ALT NDC #
		ALT NDC #

ITEM #	DESCRIPTION	NDC #	ALT NDC #	MFG	country of orign	SIZE	QTY	Unit	UNIT PRICE	TOTAL PRICE	COMMENTS / Shipping
	CROMOLYN SODIUM 10MG/ML INH SOLN,2ML VIL	00172-6406-49				60	144	BT
		ALT NDC #
		ALT NDC #

ITEM #	DESCRIPTION	NDC #	ALT NDC #	MFG	country of orign	SIZE	QTY	Unit	UNIT PRICE	TOTAL PRICE	COMMENTS / Shipping
	CAPECITABINE 150MG TAB	16729-0072-12				60	192	BT
		ALT NDC #
		ALT NDC #

ITEM #	DESCRIPTION	NDC #	ALT NDC #	MFG	country of orign	SIZE	QTY	Unit	UNIT PRICE	TOTAL PRICE	COMMENTS / Shipping
	CITRIC 334/NA CIT 500/K CIT 550/5ML(SF)	00121-0677-16				480ML	180	BT
		ALT NDC #
		ALT NDC #

ITEM #	DESCRIPTION	NDC #	ALT NDC #	MFG	country of orign	SIZE	QTY	Unit	UNIT PRICE	TOTAL PRICE	COMMENTS / Shipping
	DEMECLOCYCLINE HCL 150MG TAB	42806-0143-01				100	96	BT
		ALT NDC #
		ALT NDC #

ITEM #	DESCRIPTION	NDC #	ALT NDC #	MFG	country of orign	SIZE	QTY	Unit	UNIT PRICE	TOTAL PRICE	COMMENTS / Shipping
	DESOXIMETASONE 0.05% CREAM	51672-1271-03				60GM	120	BT
		ALT NDC #
		ALT NDC #

ITEM #	DESCRIPTION	NDC #	ALT NDC #	MFG	country of orign	SIZE	QTY	Unit	UNIT PRICE	TOTAL PRICE	COMMENTS / Shipping
	DICLOFENAC NA 25MG EC TAB	16571-0203-10				100	96	BT
		ALT NDC #
		ALT NDC #

ITEM #	DESCRIPTION	NDC #	ALT NDC #	MFG	country of orign	SIZE	QTY	Unit	UNIT PRICE	TOTAL PRICE	COMMENTS / Shipping
	DARIFENACIN 15MG SA TAB	33342-0277-07				30	576	BT
		ALT NDC #
		ALT NDC #

Sheet1

File details come from the government source that posted it. Updated Feb 5, 2024.