Drugs and Medicines for the provision of oral, intravenous, and operating room medications for OMPH in-patients.

REQUEST TO SUBMIT PROPOSAL/QUOTATION (Small Value Procurement - Sec. 34.1) Date : Company / Store Name and Address Please quote your lowest price on the items listed below, subject to the Terms and Conditions and submit your quotation duly signed by your authorized representative on the deadline of submission of this quotation together with the documentary requirements in the return sealed envelope to wit: 1. All entries must be typewritten or handwritten. 7. Documentary Requirements: 2. The Approved Budget for the Contract is Php 1,500,500.00 A. Mayor's/Business Permit 3. Delivery period within seven (7) calendar days B. PhilGeps Registration Certificate upon receipt of Approved NTP C. Income/Business Tax Return for 4. Deadline of submission of quotation/proposal ABCs above 500K not later than D. Omnibus Sworn Statement 5. Price validity shall be for a period of thirty (30) calendar days. for ABCs above P50K 6. Suppliers/Bidders shall submit original brochures showing certifications of the product being offered. JOSIE ANN L. MARCA,MD,MMHoA,CHA,DipHLM BAC Chairperson for Health Item No. Qty. Unit of Issue Goods and its Specification Unit Cost Total Cost 1 600 vials Ceftriaxone 1gm for injection Vial _________ _________ 2 700 amps Furosemide 10mg/mL, 2mL Solution for Injection Ampule _________ _________ 3 100 amps Atracurium 10mg/mL, 2.5mL ampule _________ _________ 4 50 amps Bupivacaine HCL 0.5%, 4mL (Heavy) ampule _________ _________ 5 150 amps Butorphanol 2mg/mL, 1mL, Solution for Injection Ampule _________ _________ 6 500 vials Hydrocortisone 100mg Powder for Injection Vial _________ _________ 7 10 pcs Insulin Glargine 100 IU/mL, 3mL Pre-filled Pen _________ _________ 8 600 tabs Levetiracetam 500mg Film Coated Tablet _________ _________ 9 10 vials Levetiracetam 500mg/mL, 5mL vial _________ _________ 10 50 vials Meropenem 500mg vial _________ _________ 11 300 amps Metoclopramide 5mg/ml, 2mL Solution for Injection Ampule _________ _________ 12 200 tabs Moxifloxacin