Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER . Davao City PUBLIC BIDDING Bidding No: 2018-11-0849 Date Prepared: 23—NOV‘18 Prepared by: L. Rebuldad FINANCIAL PROPOSAL SHEET Supp/find De/ivery of Druqs and Medicines ITEM NO QTY UNIT P A R T I C U LA 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 December 7 Southern 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-H Medical 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
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Republic of the PhilippinesDepartment of HealthRegional Office XI
SOUTHERN PHILIPPINES MEDICAL CENTER. Davao City
PUBLIC BIDDINGBidding No: 2018-11-0849Date Prepared: 23—NOV‘18
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
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
Authorized Signature
/,
Name of Company / Supplier
Republic oft——fihe PhilippinesDepartment of HealthRegional Office XI
SOUTHERN PHILIPPINES MEDICAL CENTERDavao City
PUBLIC BIDDINGBidding N0: 2018-11-0849Date Prepared: 23—Nov»18
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
Authorized Signature Name of Company / Supplier
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
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
Authorized Signature
I hereby agree to the terms and conditions of the SPMCeBids and Awards Co’anittee attached herewith
Name of Company / Supplier
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