supp/ﬁnd de/ivery ofdruqs...

Republic of the PhilippinesDepartment of HealthRegional Office XI

SOUTHERN PHILIPPINES MEDICAL CENTER. Davao City

PUBLIC BIDDINGBidding No: 2018-11-0849Date Prepared: 23—NOV‘18

Prepared by: L. Rebuldad

FINANCIAL PROPOSAL SHEETSupp/find De/ivery ofDruqs andMedicines

ITEMNO QTY UNIT P A R T I C U L A R S BRAND ABC UNIT PRICE TOTAL PRICE

101 352 BOT Cetirizine Smg/Sml, 30ml 25,000.00

102 80 PIECE Chlorhexidine Oral Gargle 0.12% 16,000.00

103 389,793 TAB Chlorpromazine 200 mg 904,320.00

104 120,482 TAB Cilostazol 100mg 1,518,070.00

105 109,921 TAB Cilostazol 50mg 831,000.00

106 250 SACHET Cilostazol 50mg powder 8,750.00

107 73,082 VIAL Ciprofloxacin Zing/ml, 100ml 1,800,000.00

108 332,104 TAB Ciprofloxacin 500mg 461,625.00

109 1,080 VIAL Cisplatin lmg/ml, 50ml 438,924.00

110 52,426 TAB Clarithromycin 500mg 575,118.00

This Bid Form must be submitted on or before December7Southern Philippines Medical Center.

BY:

18, 9:00 in the morning to the Bids and Awards Committee of the

LEOPOLDO 1. GA , M.D., FPCS, FPATACSI, MBA-HMedical Center Chief II

I hereby agree to the terms and conditions of the SPMC-Bids and Awards Committee attached herewith

Authorized Signature Name of Company / Supplier


SOUTHERN PHILIPPINES MEDICAL CENTERDavao City

PUBLIC BIDDINGBidding No: 2018-11-0849Date Prepared, 23-Nov-18Prepared by: L. Rebuldad

FINANCIAL PROPOSAL SHEETSupplyandDelivery ofDruqs andMedicines

ITEMNO QTY UNIT P A R TIC U L A R 5 BRAND ABC UNIT PRICE TOTAL PRICE

111 140 BOT Clarithyromycm lZSmg/Sml,19,662,50

suspensron, 50 ml

112 453,811 AMP Clindamycin lSOmg/ml, 4ml 39,989,81250

113 119,792 CAP Clindamycin 300 mg 692,400,00

Clobetasol propionate 0.05%, 5g114 871 TUBE_ 115,000.00Ointment

115 4,976 AMP Clonidine 150mcg/ml,1m| 551,915.00

116 21,853 TAB Clonidine 150 mcg 357,740.00

117 34,676 TAB Clonidine 75 mcg 305,152.50

118 159,519 TAB Clopidogrel 75mg 331,800.00

119 25 TUBE Clotrimazole 1%, 10 g 5,450.00

120 144 BOT Cloxacillin 125mg/ml,60ml 4,874.40

This Bid Form must be submitted on or before December 7, 2018 ' D in the morning to the Bids and Awards Committee of theSouthern Philippines Medical Center.

BY:

LEOPOLDOJ. VEG , .D., FPCS, FPATACSI, MBA—H

edical Center Chief II

I hereby agree to the terms anzfconditionsof the SPMC-Bids and Awards Committee attached herewith

Authorized Signature

l

/

Name of Company / Supplier

Republic of the PhilippinesDepartment of HealthRegional Office Xl

SOUTHERN PHILIPPINESMEDICAL CENTER- Davao City

PUBLIC BIDDINGBidding No: 2018-11-0849Date Prepared: 23-NOV<18



In?" QTY UNIT P A R TIC U L A R S BRAND ABC UNlT PRICE TOTAL PRICE

121 13,350 CAP Cloxacillin 500mg 82,102.50

122 192,677 TAB Clozapine 100mg 1,695,56000

123 63,250 TAB Co-Amoxiclav 1g 3,406,012.50

124 1,111 BOTCo-Amoxrclav 228t5mg/ 5 ml,

167,304.0070ml

125 976 BOT Cno—Amoxmlav457 mg/ 5 ml, 70

193,152.00

126 205,982 TAB Co—Amoxiclav625mg 1,794,100.00

127 14,903 TAB Colchicine SOOmcg 36,960.00

128 1,500 VIAL ColistimathateNa 2,000,000 lU 2,497,500,00

129 10,099 TAB Cotrimoxazole 800/160 mg 14,240.00

130 1,746 VIAL Cyclophosphamide 1g 519,543.00

This Bid Form must be submitted on or before December 7, 20Southern Philippines Medical Center.

LEOPOLDOJ. VjGrA/,M.D., FPCS, FPATACSI, MBA-HMedical CenterChief ll

:00 in the morning to the Bids and Awards Committee of the

I hereby agree to the terms and conditionsof the SPMCeBids and Awards Committee attached herewith

BY:

Authorized Signature Name of Company/ Supplier


SOUTHERN PHILIPPINESMEDICAL CENTERDavao City

PUBLIC BIDDINGBidding No: 2018-11-0849Date Prepared: 23—Nov-18



”NED“ QTY UNIT P A R T I C U L A R S BRAND ABC UNIT PRICE TOTAL PRICE

131 1,046 VlAL Cyclophosphamide 500mg 188,704.00

132 1,432 VIAL Cytarabine 100mg powder 176,440.00

133 1,622 vial Cytarabine 100mg/ml, Sml 487,975.00

134 80 VIAL Cytarabine lg 130,880.00

1.35 202 VIAL Dacarbazine 200mg 155,270.00

136 200 VIAL Dactinomycin 500 mcg 80,000.00

137 25 TAB Deferiprone 500mg 2,649.25

138 100 100 Desferoxamine as mesilate 40,500.00

139 22,256 VIAL Dexamethasone 4mg/ml, 2m] 617,610.00

140 483 TAB Diazepam 5mg 3,660.00

This Bid Form must be submitted on or before December7, 2018, .i he morning to the Bids/and Awards Committee of the

Southern Philippines Medical Center.

BY:

/lLEOPOLDO J. VEGA , ., FPCgFPATACSI, MBA-HMed' al Center Chief II

I hereby agree to the terms and c0 Itions of the SPMC-Bids and Awards Committee attached herewith


Republic of the Philippines ‘Department of HealthRegional Office XI


PUBLIC BIDDINGBidding No: 2018-11-0849Date Prepared: 23»NOV718


FINANCIAL PROPOSAL SHEETSupplyand Delivery ofDruqs andMedicines

ITEMNO QTY UNIT P A R T I C U L A R S BRAND ABC UNIT PRICE TOTAL PRICE

141 9,209 AMP Diazepam 5mg/ml, 2m| 623,070.00

142 4,648 AMP D_Ic|ofenac sodium ZSmg/ml; 3ml86,310,00

( i.m./ I.V.)

143 13,539 TAB Digoxin 250 mcg 57,000.00

144 935 AMP Digoxin 250mcg/ml, 2ml 116,754.00

145 475 BOT Digoxin SOmcg/ml, 60ml elixir 337,310.00

146 3,350 TAB Diltiazem 30mg 25,761.50

147 5,698 TAB Diltiazem 60 mg 29,800.00

148 90 VIALDimeglumine Gadopentetrate 19350000469mg/ml, 20ml

149 88,731 AMP Diphenhydramine HCI SOmg/ml,2,677,000.00lml

Divalproex Sodium 500 mg OR

150 80,000 TAB Sodium Valproate+ Valproic Acid 2,700,000.00500mg

This Bid Form must be submitted on or before December7, 2018, 9:Southern Philippines Medical Center.

BY:

tn the morning to the Bids and Awards Committee of the

LEOPOLDO J. VEGA , .D., FPCS, FPATACSI, MBA—H

M ical Center Chief II



Republic ofthe Philippines 'Department of HealthRegional Office Xl

SOUTHERN PHILIPPINESMEDICAL CENTERDavao City

PUBLIC BIDDINGBidding No: 2018-11-0849Date Prepared: 23-Nov-18Prepared by: L. Rebuldad


ITEMNO QTY UNIT P A R TIC U L A R S BRAND ABC UNIT PRICE TOTAL PRICE

151 5,156 BOT DObUtamm? 2mg/ml’250 ml4,242,050.00DSW premixed

152 117 VIAL Docetaxel 20mg/ ml, 0.5ml 192,417.05

153 926 VIAL Docetaxel 40mg/ml, 2m] 4,074,000.00

154 20,105 TAB Domperidone 10mg 30,760.00

155 1,751 BOT Domperidone 1mg/ml,60m|susp 206,037.80

D .

'.

156 7,889 BOT Opamme 1 6 mm" 250 ml 'n2,940,000.00

DSW

157 1,083 VIAL Doxorubicin 2mg, Sml 213,010.00

158 2,352 VIAL Doxorubicin 2mg, 25 ml 2,195,999.00

159 1,350 PFS Enoxaparin 100mg/ml, 02 ml 619,380.00

160 8,934 PFS Enoxaparin 100mg/ml, 0.4 ml 1,950,000.00


:00 in the morning to the Bids and Awards Committeeof thell

LEOPOLDOJ. VEGA .D., FPCS, FPATACSI, MBA-Hdical Center Chief II

I hereby agree to the terms and c/onditions of the SPMC-Bids and Awards Cominittee attached herewith

BY:



SOUTHERN PHILIPPINES MEDICAL CENTER

Davao City

PUBLIC BIDDINGBidding No: 2018-11-0849Date Prepared: 23»Nov-18Prepared by: L. Rebuldad

FINANCIAL PROPOSAL SHEETSupplyandDe//very ofDrugs andMedicines


161 671 PFS Enoxaparin 100mg/ml, 0.6 ml 215,287.50

162 3,461 TAB Eperisone hydrchloride 50 mg 63,960.00

163 8,218 AMP Ephedrine Sulfate SOmg/ml, 1 ml 549,240.00

164 253 AMP Epinephrine 1mg/ml, 1 mI/amp 8,278.75

Epoetin Alfa (recombinant165 601 PFS human erythropoietin) 10,000 846,000.00

lU/ml

Epoetin Alfa (recombinant166 32,237 PFS human erythropoietin) 4000 13,195,11143

lU/0.4ml, pre—filled syringe

Epoetin Beta (recombinant167 422 PFS human erythropoeitin) 2000 203,835.00

lU/0.3m|

Epoetin Beta (recombinant168 3,388 PFS human erythropoeitin) SOOO 3,836,940.00

|U/O.3m|

169 362 VIAL Ertapenem lgm powder 926,568.00

’ U

170 310 TUBEErythmmycm 0'5”) Eye

41,798.25Ointment, 3.5g

This Bid Form must be submitted on or before December7, 2018, 9:00 in the morning to the Bids and Awards Committee of theSouthern Philippines Medical Center.

BY:

O.

f/LEOPOLDOJ. VEGA , . ., FPCSTFPATACSI,MBAvHM ical Center Chief II

I hereby agree to the terms and caKditions of the SPMCvBids and Awards Cbmmittee attached herewith


/,


Republic oft——fihe PhilippinesDepartment of HealthRegional Office XI


PUBLIC BIDDINGBidding N0: 2018-11-0849Date Prepared: 23—Nov»18


FINANCIAL PROPOSAL SHEETSupplyandDelivery ofDruqs andMedia/hes


‘ D

171 804 TUBE Erythromycm 05/) Eye119,304.00Ointment, 5g

172 5,279 TAB Erythromycin 500mg 23,070.00

173 71,603 TAB Escitalopram 10mg 341,545.00

174 50 AMP Famotidine lOmg/ml, Zml 1062000

175 6,606 TAB Felodipine 5mg IVIR 52,320.00

176 4,738 TAB Fenofibrate 160mg 161,550.00

177 6,355 CAP Fenofibrate 200mg 76,900.00

178 14,753 AMP Fentanyl Citrate SOmcg/ml, Zml 1,036,695.00

Ferrous Sulfate + Folic acid179 168,438 CAP (60mg elemental iron + 400 mcg 134,750.00

folic acid)

180 3,183 VIAL Filgrastim 300mcg/ml 3,408,305.50

This Bid Form must be submitted on or before December7, 2018 ,UO‘in the morning to the Bids and Awards Committee of theSouthern Philippines Medical Center. 3

BY:

LEOPOLDO J. VEGA , .D., FPCS, FPATACSI, MBA-Hdical Center Chief II

I hereby agree to the terms and cohditions of the SPIVIC-Bids and Awards Committee attached herewith


Republic of the PhilippinesDepartment of HealthRegional Office Xl

Davao City

FINANCIAL PROPOSAL SHEET

SOUTHERN PHILIPPINESMEDICAL CENTER

SupplyandDelivery ofDruqs andMedicines

PUBLIC BIDDINGBidding No: 2018-11-0849Date Prepared:WPrepared by: L. Rebuldad

ITEMNO QTY UNIT P A R T I C U L A R 5 BRAND ABC UNIT PRICE TOTAL PRICE

181 91,257 TAB Finasteride 5mg 1,154,400.00

Fl ' ‘

182 36 AMP ourescein Sodium 100mg/ml,56,999.88Sml

183 2,008 VIAL Flourouracil 50mg/ml, 10ml 170,040.00

184 4,196 CAP Fluconazole 150mg 346,155.00

185 6,359 CAP Fluconazole 200mg 1,748,640.00

186 6,008 VlAL Fluconazole 2mg/ml,100ml 2,400,000.00

187 801 AMP Flupentixoi dec 20mg/ml,1ml 321,151.90

188 2,013 VIALFluphenazme decanoate

1,045,386.0025mg/ml,10ml

189 1,937 MB]Fluticasone + Salmeterol 125ng 54430500+ ZSng +120 doses

190 2,240 MDIFluticasone + Salmeterol 2330ng 961,152‘50+ 25 mcg + 120doses

This Bid Form must be submitted on or before December7, 2018, 9' 6 in the morning to the Bids and Awards Committee of theSouthern Philippines Medical Center.

BY:

LEOPOLDOJ. VEGAflDV FPCS, FPATACSI, MBA-HMe icai Center Chief ll


I hereby agree to the terms and conditions of the SPMCeBids and Awards Co’anittee attached herewith


Republic ofthe PhilippinesDepartment of HealthRegional Office XI

SOUTHERN PHILIPPINES MEDICAL CENTER

Davao City .I

PUBLIC BIDDINGBidding NO: 2018-11—0849Date Prepared: 23-Nov-18Prepared by: L. Rebuldad

FINANCIAL PROPOSAL SHEETSupplyandDelivery ofDrugs andMedicines

lLEOM QTY UNIT P A R TIC U L A R S BRAND ABC UNIT PRICE TOTAL PRICE

191 3,607 CAP Folic acid 5mg 12,300.00

192 632 PFSFondaparinux Sodium 802,145.002.5mg/O5ml solution

193 517,087 AMP Furosemide lOmg/Zml 3,692,000.00

194 17,500 TAB Furosemide40mg 28,875.00

195 250 TUBEFuSIdate Sodium / FUSIdIC acid

69,570.002%, 15g Ointment

196 9,806 CAP Gabapentin 100mg 75,504.00

197 28,613 CAP Gabapentin 300mg 255,800.00

198 150 VIAL Gadoteric aeid 0.5 mmol/ml429,000.00solution for injection, 10ml

199 35 VIAL Ganciclovir 500 mg IV 90,790.00

200 362 VIAL Gemcitabine 200mg 338,884.92


9:00 in the morning to the Bids and Awards Committee of the

LEOPOLDOJ. V/EyGX/MD” FPCS, FPATACSI,MBA-Hedical CenterChief II


BY:


supp/ﬁnd de/ivery ofdruqs...

Documents