(f I M effervescent

29 50 TAB Aripiprazole10mgODT 11,700.00 30 50 TAB Aripiprazole15mg ODT 11,700.00 This Bid Form mustbe submitted on or before August 24 2018, 9 00 In t...

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Republic of the Philippines Department of Health 5 Regional Office Xl MEDICAL CENTER PHILIPPINES SOUTHERN Davao City

,

PUBLIC BIDDING

Bidding NO: Date Prepared

Prepared bv:

FINANCIAL PROPOSAL SHEET

Supp/Ir and De/Nirxpfflryqs em!

'LEM

TIC u

PA R

UNIT

QTY

L A R

5

BRAND

Acetazolamide 250mg

Wig ABC

2,000

TAB

2

15,000

TAB

3

100

BOT

4

4,000

TAB

Acyclovir 400mg

123,080.00

5

4,000

TAB

Acyclovir 800mg

297,280.00

6

100

Adenosine 3mg/ml, 2m|

106,976.00

7

35,000

AMP

Adrenaline 1mg/ml

1,925,000.00

8

20,000

TAB

Alfuzocin HCI 10mg. OD

1,417,800.00

I

Activated charcoal powder

180

Admixtures "3~in1" or "dual energy” solution ,1400

BOT

562,350.00

6,000.00

530ng

All—in—One 9

TOTAL PRICE

'

M t em e 600m g

effervescent

AMP/VIAL

_iSJ...—18__

50,760.00

1

A ce t y

UNIT PRICE

w 2018-07-0532

(

519,231.60

Kcal

10

1,000

Allopurinol 100mg

TAB

This Bid Form must be

6,920.00

submitted on or before August24, 2018,9100

/

Southern Philippines Medical Center,

in

the morning to the Bids and Awards Committee of tho

, M.D., FPCS, FPATACSI, MBA-H I Medical Center ChIef ll hereby agree to the terms and conditions of the SPMC—Bids and Awards ComInIttco attached hvruwnh

LEOPOLDO J,

GA

1

I

Authorized Signature

Name of Company

/ Supplier

f1

Republic of the Philippines Department of Health Regional Office Xl SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding No: Date Preparer):

Prepared by:

FINANCIAL PROPOSAL SHEET

gjgp/y and De/I'very of Dfuqs and Medicines

'13“

QTY

UNIT

P AR

TIC u

L A R

3

BRAND

ABC

11

1,000

TAB

Allopurinol 300mg

13,820.00

12

1,000

TAB

Alprazolam SOOmcg

32,920.00

13

3,000

VlAL

Amikacin 250mg/ml, 2m|

$10,620.00

14

6,000

VIAL

Amikacin 125mg/ml, 2m]

460,980.00

15

6,000

VIAL

Amikacin 50mg/ml, 2 ml

369,240.00

16

1,000

BOT

Amino Acid 6% crystalline 100 ml

521,320.00

17

100

BOT

Amino Acid 7% 500 ml

78,400.00

18

100

BOT

Amino Acid 8% 500ml

99,171.00

19

3O

BOT

Amino Acids

24,000.00

20

100

AMP

Aminophylline 25mg/ml,10ml

+

Sorbitol 500ml

This Bid Form must be submitted on or before August 24, 2018, Southern Philippines Medical Center.

LEOPOLDO J.

I

64/

EGA

UNIT PRICE

M w

w— TOTAL PRICE

4,538.00

9 00

in

the morning to the Bids and Awards Committee of the

M.D., FPCS, FPATACSI, MBA-H Medical Center Chief ll hereby agree to the terms and conditions oi the SPMC-Bids and Awards" Conirnittuo attached herewith ,

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office Xl SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding NO: Date Pie-pared Prepared by:

2018-07-0532 25 JuI718 L.

Rebuldad

FINANCIAL PROPOSAL SHEET

Supp/y and Delivery of Druqs and Medicines ITEM

P ART C U

UNIT

QTY

N0

I

L A R

BRAND

S

ABC

21

4,000

TAB

Amiodarone 200mg

120,000 00

22

3,000

AMP

Amiodarone 50mg/ml, 3mI

837,690.00

23

864

BOT

24

50

VIAL

25

500

VIAL

AmpiCiIIIn + Sulbactam 1.5g

26

500

VIAL

Ampicillin

27

20,000

VIAL

AmpiciIlin 1g

28

25

FPS

AntivRabies Vaccine 0,5 ml

30,769.25

29

50

TAB

Aripiprazole 10mg ODT

11,700.00

30

50

TAB

Aripiprazole 15mg ODT

11,700.00

A

mg/S m mow'II'm 250 60 mi ‘

TOTAL PRICE

|

81,751.68

suspenSIon

' B I N on -L’Ipld A mp h O t encm '



166,412.50

complex), 50mg

This Bid Form must be

UNIT PRICE

+

344,445.00

Sulbactam 750mg

221,345.00

769,200.00

submitted on or before August 24 2018,

Southern PhiIippines Medical Center.

((

/'

4/1/

9 00

In

the morning to the Bids and Awards Committee of the

//V

LEOPOLDEKVEGA, M. D., FPCS, FPATACSI, MBA- H //‘ 7

I

Medical Center 01in II hereby agree to the terms and conditions of the SPMC Bids and Awards Committee attached herewith

BY:

Authorized Signature

Name of Company/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding NO: Date Prepared: Prepared by:

2018-07-0532 25-Jul718 L.

Rebuldad

FINANCIAL PROPOSAL SHEET

if Drugs and Medicines

Supply and Delivery ITEM

P AR

UNIT

QTY

NO.

TIC U

LA R

8

BRAND

tab

ABC

10,000

TAB

Aspirin 80mg

32

2,500

TAB

Atenolol 50mg

20,200.00

33

2,500

TAB

Atenolol 100mg

13,700.00

34

5,000

TAB

Atorvastatin 20mg

106,200.00

35

75,000

TAB

Atorvastatin 40mg

1,449,750.00

36

15,000

AMP

37

5

BOT

38

5,000

AMP

Atropine sulfate lmg/ml

39

50,000

TAB

Azithromycin dihydrate 500mg

40

20

VIAL

Beractant ZSmg/ml, 4ml

'

be“'I a t 9 10 mg/m’

'

/

Su If ate 1% 10 mg/m

eye drops

This Bid Form must be

4,099,200.00

I

1,206.00

185,600.00

4,038,500.00

206,515.60

submitted on or before August 24, 018,

Southern Philippines Medical Center.

I

|

2.5 ml

A tropine

TOTAL PRICE

23,100.00

31

At racur'um

UNIT PRICE

9

00

in

the morning to the Bids and Awards Committee of the

L

LEOPOLDO J. VEGA , M.D., FPCS, FPATACSI, MBA-H Medical Center Chief ll and conditions of the SPMC-Bids and Awards Committee attached herewith the to hereby agree terms

BY

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Depanmenl of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding N0: Dale Prepared

Prepared by:

,fl_ 2018-07-0532 L.

Rebuldad

FINANCIAL PROPOSAL SHEET

Supply and Del/gerLofDruqs and Medicines ILEOM

P

UNIT

QTY

A R T

I

ABC

BRAND

C U L A R S

1,250

TAB

42

25

TUBE

43

15,000

TAB

Biperidin

44

1,000

TAB

Bisacodyl 5mg

45

1,000

supp

46

2,500

TAB

47

4,000

TURBUHALEF

48

2,400

49

50

Betamethasone cream 01%, 5g

HCI

5,541.75

193,800.00

2mg

B'saCO‘Iy' 10mg

15,380.00

Renal

37,690.00

supposrtory

Bisoprolol 5 mg

49,300.00

Budesonide 160mcg + Formoterol 45ng x 60doses

3,353,840.00

AMP

Bupivacaine 0.5%, 5m|,lsobaric

1,476,912.00

5,000

AMP

'l B0pivacaine0.5“6,4mIISpInd)

2,288,450.00

1,200

VIAL

'

'

'

With 8% Dextrose

B

ultorphanol

Tartrate 2mg/ ml,

1

682,092 00

m

This Bid Form must be submitted on or before August 24, 201/8, Southern Philippines Medical Center

LEOPOLDOI. I

TOTAL PRICE

19,712.50

Betahistine 8mg

41

UNIT PRICE

9: 00 in

56/

the morning to the Bids and Awards Committee of the

VEGA/M D. ,,FPCS FPATACSI,

)lledical Center CIIICI ll (Ififi/COITLIIIIOI‘IS oi the SPMC hereby agree to the terms

Bld‘,

MBA—H 4/

0an Awards L'ommittm- atttir‘lied hurowrth

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

2018-07-0532

Bidding N0: Date Prepared

ZS-Iol 18

Prepared by:

L.

Rebuldad

FINANCIAL PROPOSAL SHEET

imp/y and Delivery of 011qu and Medicines '13"

QTY

P A R

UNIT

Tic u L A R 5

BRAND

ABC

300

TAB

Capecitabine 500mg

52

30,000

TAB

Captopril 25mg. Tablet (blister pack)

115,500.00

53

100

VIAL

Carbachol lntraocular Solution, 0.01%, 1.5 ml

50,208.00

54

12,000

TAB

Carbamazepine 200mg

60,000.00

55

2,500

TAB

Carvidelol 25mg

35,475.00

56

15,000

VIAL

Cefazoiin 1g

1,882,500 00

57

3,000

VIAL

Cefepime 1g

4,460,760.00

58

2,000

CAP

Cefixime 200mg

59

6,000

VIAL

Cefotaxirne 500mg

4,444,620.00

60

6,000

VIAL

Cefoxitin 1g

4,889,220.00

I

62,460.00

submitted on or before August 24, ZO;8,/9‘X)0

Southern Philippines Medical Center.

TOTAL PRICE

25,260 00

51

This Bid Form must be

UNIT PRICE

iii

the morning to tht‘ Bids and Awards

COHHIIIHUC

of the

»4/

LEOPOLDOJ. VEGA , M.D., FPCS, FPATACSI, MBA-H ,2 ,/"’Medical Center Chief II hereby agree to the terms and conditions of the SPMCBids and AwnrfiKonimittec .ittaciivd herownh

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office Xl SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding No: Date Prepared.

Prepared by‘

2018-07-0532 ZSVJul-IS L.

Rebuldad

FINANCIAL PROPOSAL SHEET 'LEOM

UNIT

QTY

Supply and Delivery of Druqs and Medicines ABC BRAND P A R TIC U L A R 8

61

1,000

VIAL

Ceftazidime 1g

338,460.00

62

6,000

VIAL

Ceftriaxone 1g

3,461,520.00

63

864

bot

Cefuroxime ZSO/Sml, 120 ml

64

60,000

TAB

Cefuroxime 500mg

2,741,400.00

65

6,000

VIAL

Cefuroxime 750mg

1,753,860.00

66

60,000

CAP

Celecoxib 200mg

1,153,800.00

67

6,000

CAP

Celecoxib 400mg

206,760.00

68

30,000

TAB

Cetirizine 10mg

501,300.00

69

150

BOT

Cetirizine 2.5mg/m|,10m|

70

500

BOTTLE

UNIT PRICE

TOTAL PRICE

229,858.56

12,555.00

Chlorhexidine gluconate, oral gargle 0.12%, alcohol free, 380ml

225 ' 000.00

This Bid Form must be submitted on or before August 24, 2018,_9'00 Southern Philippines Medical Center. '

/

in

the morning to the

BldS

and Awards Committee of the

M’ 4’ 2/ LEOPOLDO J. VEGA/M.D., FPCS, FPATACSI, MBA-H MedicaICenterChiefll hereby agree to the terms and/conditions of the SPMC~Bids and Awardleommittee attached .

I





I

hL‘ft‘Wllh

BY.

Authorized Signature

Name of Company / Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

2018-07-0532

Bidding No: Date Prepared

25

Prepared by:

L,

AH

18

Rebuldad

FINANCIAL PROPOSAL SHEET

gypp/y and yellvery gfpruqs and Medicine; 5

BRAND

UNIT PRICE

ABC

[LEM

QTY

UNIT

P ART C

71

125,000

TAB

Chlorpromazine 200 mg

72

6,000

TAB

Cilostazol 50mg

73

250

SACHET

74

500

VIAL

Ciprofloxacin 2mg/ml, 100ml

150,000,00

75

75,000

TAB

Ciprofloxacin 500mg

923,250,00

76

10,000

TAB

Clarithromycin 500mg

77

7,500

AMP

Clindamycin 150mg/ml, 4m|

78

500

TUBE

Cpbe t aso Ointment

79

500

TUBE

80

1,000

AMP

I

U L A R

1,440,000.00

83,100.00

Cilostazol 50mg powder

|

CI-obetasol

Ointment

I

P ropionate

TOTAL PRICE

8,750.00

430,800 00

5,331,975.00

15g

64,500.00

propionate 5g

115,000.00

Clonidine lSOmcg/ml,1m|

This Bid Form must be submitted on or before August 24,2018, 97:00 Southern Philippines Medical Center.

C ,: 2/

157,690,00 in

the morning to the Bids and Awards Committee of the

LEOPOLDO J. VEGA, M.D., FPCS, FPATACSI, MBA-H ’1

I

/'MecIica|CenterChiefll hereby agree to the termé and conditions of the SPMC-Bids and Awnrdbrt’ommittoe attached ,

I

IICIL’WIIII

BY:

Authorized Signature

Name

OI

Company

/ Supplier

Republic ofthe Philippines . Department of Health XI Office Regional SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding No: Prepared. Prepared by:

2018-07-0532 ZSrJulrls

Date-

L.

Rebuldad

FINANCIAL PROPOSAL SHEET

Supply and Delivery of Druqs and Medicines QTY

ILEZM

P

UNIT

RT C

A

I

U L A R

BRAND

S

UNIT PRICE

ABC

81

3,000

TAB

Clonidine 75mg

53,070.00

82

3,000

TAB

Clonidine 150mg

69,240.00

83

60,000

TAB

Clopidogrel 75mg

1,327,200.00

84

40,000

TAB

Clozapine 100mg

1,784,800.00

CO —A

my 5m,

mom av

22 8

mm av

457 mg/ 5 m‘ 70



|

.

|

85

600

BOT

86

600

BOT

:3

87

25,000

TAB

Co-Amoxiclav 625mg

88

12,000

TAB

Colchicine SOOmcg

89

700

VIAL

Colistimathate Na 1M

90

200

BOT

Combined Amino ACids Sorbitol 500 ml

70ml

This Bid Form must be

-A

'

|

TOTAL PRICE

125,478,00

|

193,152.00

815,500.00

36,960.00

490,000.00

iu

144,612.00

submitted on or before August 24, 2018, 9/30.

Southern Philippines Medical Center.

the morning to the Bids and Awards Committee of the

in

//.V ,/

‘T

T

,

\ LEOPOLDO J. VEGA , .D., FPCS, FPATACSI, MBA-H {i dical Center Chief || , lhercby agree to the terms and conditions of the SPMCrBids and Awards Committee attached herewrth i

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding No:

2018-07-0532

Date Prepared

2S'IUI'18

Prepared by:

Rebuldad

L.

FINANCIAL PROPOSAL SHEET

Supply and Delivery of Drugs and Medicines $2M

UNIT

QTY

P ART C I

U L A R

S

BRAND

UNIT PRICE

ABC

91

3,000

AMP

Cotrimoxazole 800/160 mg

4,500,000.00

92

600

VIAL

Cyclophosphamide 500mg

141,528.00

93

600

VIAL

Cyclophosphamide 1g

346,362.00

94

50

VIAL

Cytrabine 100mg

95

300

TAB

Diazepam 5mg

96

9,000

AMP

Diazepam Smg/ml, 2mI

97

1,000

BOT

Digoxin SOmcg/ml , 60ml elixir

98

5,000

TAB

Diltiazem 30mg

77,000.00

99

5,000

TAB

Diltiazem 60 mg

59,600.00

60

VIAL

Dimeglumine Gadopentetrate 469mg/ml,lOmI

100

TOTAL PRICE

19,519.00

3,606.00

1,246,140.00

674,620.00

129'000 00 .

must be submitted on or before August 24, 2018, 9/;00‘m the morning to the Bids and Awards Southern Philippines Medical Center. TIIIh Bid Form

é/Cx/

COITIITIIIIL’O

of

the

'7 _\

LEOPOLDOJ. VEGA, M. D, FPCS, FPATACSI, MBA MpdicaI Center Chief H hereby agree to the terms aiideonditions of the SPMC Bid: and AwnrdsCommittee attached herowutli I-l

'

i

I

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI ‘SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding No: Date Prepared Prepared by:

2018-07-0532 25 Jul 18 L.

Rebuldad

FINANCIAL PROPOSAL SHEET ILEJI

UNIT

QTY

Supply and Delivery of Drugs and Medicines P A R TIC U L A R 8 BRAND ABC

101

500

VIAL

Docetaxel 20mg/ ml, 0.5ml

102

20

VIAL

Docetaxel 40mg/ml, Zml

168,000.00

103

864

BOT

Domperidone 1mg/ml, 60ml susp

176,428.80

104

500

Vial

Doxorubicin 50mg

769.230 00

105

500

VIAL

Doxorubicin 10mg

213,010.00

106

2,000

CAP

Doxycycline 100mg

35,760.00

107

1,000

PFS

Enoxaparin 100mg/ml, 0.2 ml

$16,150.00

108

6,000

TAB

Eperisone hydrchloride 50 mg

127,920.00

109

6,000

AMP

Ephedrine Sulfate, 50mg/ml, 1m|

549,240.00

VIAL

Epoetin Alta (recombinant human erythropoeitln) 4000 IU/

1,750,950.00

110

5,000

UNIT PRICE

TOTAL PRICE

1,131,865.00

ml,1 ml This Bid Form must be submitted on or before August 24, 2018, 9:00 Southern Philippines Medical Center.

54/

the morning to the Bids and Awards Committee of the

.7t

l

LEOPOLDO J. VEGA, M.D., chs, FPATACSI, MBA-Hy" / MedicalCenter Chiefll / Awart’isL Committee attached lwrewrtli hereby agree to the terms and conditions of the SPMC'BIdS and

,/

I

in

I

BY:

Authorized Signature

Name of Company / Supplier

Republic of the Philippines Department of Health Regional Office Xi SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding N0:

2018-07-0532

Dale Prepared

ZSrJul718

Prepared by:

L.

Rebuldad

FINANCIAL PROPOSAL SHEET

Supply and Del/very ofDruqs and Medicines QTY

ILEOM

600

111

TIC

P A R

UNIT

U L A R

S

BRAND

UNIT PRICE

ABC

pfs

Epoetin Alfa (recombinant human erythropoietin) 2000 |U/0.5 ml

263,076.00

4,707,720.00

112

6,000

pfs

Epoetin Alfa (recombinant human erythropoietin) 4000 |U/ML,1ml

113

60

pfs

EpoetIn Alf a [recombmant human erythropOIetIn)10,000

114

600

pfs

TOTAL PRICE

'

'

99,000’00

Epoetin Beta (recombinant human erythropoeitin) 2000 IU/

244,602.00

0.3 ml

115

1,250

116

450

Epoetin Beta (recombinant human erythropoeitin) 5000 IU/ 0.3ml

pfs

Erythromycin 0.5% Eye Ointment

TUBE

,

Eryéthromycm

TUBE

I

83,596.50

35g

.

900

117

1,598,725.00

05%; Eye OIntment D

.

238,608.00

8

118

10,000

TAB

Escitalopram 10mg

411,500.00

119

500

VIAL

Esmolol lOOmg/ml, 10 ml

396,925.00

120

50

VIAL

Etoposide 100mg

submitted on or before August 24, 2029,900 Southern Philippines Medical Center This Bid Form must be

17,709.00 in

the morning to the Blds and Awards Committee of the

I

I

LEOPOLDOJ. VEGA, M. D. ,FPCS, FPATACSI, MBA- H' V; Medical Center Chief II hereby agree to the terms and conditions of the SPMC- BIds and AwarfisCommittee attached herewith

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding

NO:

2018—07-0532

Dale Prepared:

Prepared by:

257110-18 L.

Rebuldad

FINANCIAL PROPOSAL SHEET

IL?"

UNIT

QTY

Supply and Delivery of Druqs and Medicines ABC P A R TIC U L A R S BRAND

121

75

AMP

Famotidine 10mg/ml, 2m|

122

1,000

TAB

Felodipine 10mg

1473000

123

1,250

TAB

Felodiplne 5mg

16,350.00

124

6,000

AMP

Fentanyl Citrate 0.05mg/2ml

125

25,000

CAP

Ferrous Sulfate + Folic acid (60mg elemental iron + 400 mcg folic acid)

96,250.00

126

25

VIAL

Filgrastin 300mcg/l2ml

8076925

127

10,000

TAB

Finasteride 5mg

344,800.00

128

1,000

VIAL

Flourouracil 500mg

113,360.00

129

1,500

CAP

Fluconazole 150mg

346,155.00

130

3,000

CAP

Fluconazoie 200mg

1,748,640.00

TOTAL PRICE

7,563.75

1,130,940.00

This Bid Form must be submitted on or before August 24, Southern Philippines Medical Center

20%9; 00

in

99/

LEOPOLDOJ.VEX, M D,

the morning to the Bids and Awards ConImIItee of the

FPCS, FPATACSI, MBA- H

dIcaI Center Chief ll

I

UNIT PRICE

/

’1

hereby agree to the terms and conditions of the SPMC‘BIGS and Awaid’s’CommIttee attached herewnh

BY:

Authorized Signature

Name of Company

/ Supplier

Republic ofthe Philippines Department of Heallh

Regional Office

XI

SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding No:

2018-07-0532

Date Prepared:

Prepared by:

25-Ju|~18

Rebuldad

L.

FINANCIAL PROPOSAL SHEET [LEOM

UNIT

QTY

figpg/y and Qg/I'verg of Drugs and Medicines ABC P A R TIC U L A R 8 BRAND

131

3,600

VIAL

Fluconazole 2mg/m|,100 ml

132

2,500

CAP

Fluoxetine 20 mg

133

2,500

AMP

Flupentixol dec 20mg/m|,lm|

134

400

VIAL

135

500

MDI

136

500

MDI

UNIT PRICE

TOTAL PRICE

16,250,25600

89,675.00

967,325.00

Fluphenazme decanoate

232,308.00

ZSmg/ml,10ml Fluticasone+Salbutamol 125mcg+25mcg+120 doses

181,435.00

Fluticasone+Saibutamol 250mcg+2550mcg+120

274,615.00

doses+3195

PFS

Fondapar'nux SOd',Um

1,504,290.00

100,000

AMP

Furosemide 20mg/2mI

3,692,000.00

139

25,000

TAB

Furosemide 40mg

140

500

Tube

137

1,000

138

2.5mg/0.Sml solution

57,750.00

Fusidate Sodium / Fusidic acid 2%,15 g

This Bid Form must be submitted on or before August 24, 2018, 9:00 Southern Philippines Medical Center.

in

the morning to the Bids and Awards Committee of the

D

FPCS, FPATACSI, MBA- H ,.M edIcaI Center Chief Ii hereby agree to the terms and conditions of the SPMC-Bids and Awards Committee attached herewith

LEOPOLDOJ. VEG

I

55,105.00

ointment

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding No: Date I’m-pared

Prepared by: FINANCIAL PROPOSAL SHEET

Supply and Delivery of Druqs and Med/giagg UNIT

QTY

ILEM

PA R T C I

U L A R

S

BRAND

ABC

141

500

TUBE

Fusidate Sodium / Fusidic acid 2%, 5g Cream

143,215 00

142

500

TUBE

Fusidic acid 2%, 5g

Ointment

105,625.00

143

10,000

cap

Gabapentin 100mg

228,800.00

144

10,000

cap

Gabapentin 300mg

255,800.00

145

70

VIAL

Ganciclovir 500 mg

146

3

VIAL

Gemcitabine 200mg

147

3

VIAL

Gemcitabine 1g

148

50,000

vial

Gentamycin 80mg./2m|.

149

30,000

TAB

GIiclazide 30mg MR

196,200.00

150

50,000

TAB

Gliclazide 60mg MR

1,000,000.00

This Bid Form must be

L.

Rebuidad

TOTAL PRICE

181,580.00

IV

submitted on or before August 24, 2018

UNIT PRICE

w 28 Jul-18

5,134.62

24,230.76

3,846,000.00

9 00 in

the morning to the Bids and Awards Committee of the

Southern Philippines Medical Center.

LEOPOLDO J. VEGA"; M.D., FPCS, FPATACSI, MBA-H é edicalCenter Chiefll Ihercby agree to the terms and conditions of the SPMCrBids and Award; Committee attached hercwnh BY:

Authorized Signature

Name of Company / Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding N0:

2018-07-0532

Date Prepared,

Prepared by:

ZS'JUI'IB

Rebuldad

L.

FINANCIAL PROPOSAL SHEET ITEM

NO

Supply and Be” very of Drugs and Medic/Ives UNIT

QTY

P A R TIC

U L A R

S

BRAND

ABC

151

3,000

TAB

Gliclazide 80mg.

152

600

AMP

GcheryI trinitrate 1mg/ml, 10ml,

153

25

PATCH

154

3,500

TAB

Haioperidol 20mg

55,895.00

155

250

AMP

Haloperidol 5mg

30,437.50

156

5,000

TAB

Haloperidol 5mg

119,250.00

157

7,500

VIAL

Heparin SOOOiu/ml Sml

2,250,000.00

158

60,000

VIAL

Heparin Na 1000iu/ml

8,301,000.00

159

1,200

AMP

Hydralazine 20mg/ml.

279,228.00

160

2,000

TAB

Hydrochlorothiazide 25mg

Glyceryl

TOTAL PRICE

20,760.00

240,000.00

trinitrate 5mg

1,810.50

5,900.00

/

This Bid Form must be submitted on or before August 24, 2018, 9:00 Southern Philippines Medical Center.

w

in

the morning to the Bids and Awards Committee of the

M. D. FPCS, FPATACSI, MBA- H41 Mdical Center Chief II hereby agree to the terms and conditions of the SI’IVlC-Bids and Awagds Committee attached herewith LEOPOLDOJ.

I

UNIT PRICE

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office )0 SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding No:

2018-07-0532

Date Prepared.

ZSJulIS

Prepared by:

Rebuldad

L.

FINANCIAL PROPOSAL SHEET

glgp/y ang IT

NEOM

UNIT

QTY

P ART C I

ervery of Druqs and Medicines

U L A R

8

BRAND

ABC

161

500

TUBE

Hydrocortisone 1%, 5g Cream

162

8,000

VIAL

Hydrocortisone 250mg.

1,046,160.00

163

8,000

VIAL

Hydrocortisone 500mg.

687,920.00

164

5,000

BOT

Hydroxyethyl starch 6% sol‘n, 500ml

165

12,000

TAB

Hydroxyzine 25mg.

166

12,000

TAB

Hyoscine N‘butyl Bromide 10mg.

167

30,000

AMP

Hyoscine N-butyl Bromide 20mg/ml.

168

50

VIAL

lfosfamide 1g

169

500

VIAL

lmmunoglobulin, Hepaptitis Human), O.Sm|

170

300

VIAL

UNIT PRICE

TOTAL PRICE

78,940.00

3,923,100 00

235,440.00

73,800.00

1,892,400.00

107,635.00

B (

717,835.00

Immunoglobulin, Normal, Human (IGIV) 50mg/ml, 50ml

2,096,502.00

vial This Bid Form must be submitted on or before August 24, 2018, 9:00 Southern Philippines Medical Center.

/4

in

the morning to the Bids and Awards Committee of the

\

Ml): FPCS, FPATACSI, Wical Center Chief

LEOPOLDO J. VEGA ,

II

I

MBA-H7

hereby agree to the terms and conditions of the SPMC'BIdS and Awards Committee attarhed

hOrL‘WIKh

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding N0: Date Prepared Prepared by:

2018-07—0532 25 Jul 18 L.

Rebuldad

FINANCIAL PROPOSAL SHEET

Supply and Delivery of Drugs; and Medicines ITNEOM

QTY

UNIT

TIC

P A R

U L A R

S

BRAND

UNIT PRICE

ABC

Prs

Immunog Obw'n’ Tetanus (Human) ZSOIu/ml, 1m|

150

VIAL

Insulin Regular 100|U /ml, 10 ml

110,481,00

173

250

VIAL

|nsulin,Biphasic Isophane Human 70/30, 10 ml

156,345.00

174

500

VIAL

loversol 350 mg, 50ml

713,890 00

175

50,000

NEB

lpratropium bromide+$albutamol sulfate

171

3,000

172

TOTAL PRICE

.

l

2,742,960.00

1,461,500.00

SOOng/ZLSmg nebule 176

16,000

TAB

lrbesartan 150mg. Tablet

261,280.00

177

5,000

TAB

lrbesartan 300mg. Tablet

133,250.00

178

2,500

AMP

Iron Sucrose 20 mg/ml, 5 ml

348,750.00

179

50

BOT

lsoflurane 100m|1 Bottle (+ loan of seven units of vaporizers)

143,365.50

180

1,500

tab

lsoniazid 300 mg

_

2,700 00

This Bid Form must be submitted on or before August 24, 2018, Southern Philippines Medical Center.

LEOPOLDO J. I

hereby agree to the terms

9

00

in

Q)

the morning to the Bids and Awards Committee of the

I

FPCS, FPATACSI, MBA-H/{ Chief II and conditions of the SPMC’Bldb and Awards Committee dlldCIIL‘d herewrth

VE'Sf/VLD” dical Center

l

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office Xl , SOUTHERN PHILIPPINES MEDICAL CENTER Davao City

'

PUBLIC BIDDING

Bidding No:

2018—07-0532 2510‘718

Date Prepared,

Prepared by:

L.

Rebuldad

FINANCIAL PROPOSAL SHEET

Supply and De/ivery of Drugs; and Media/he; UNIT

QTY

ILEOM

P AR

TIC

5

U L A R

BRAND

UNIT PRICE

ABC

181

1,000

AMP

Isosorbide dinitrate 1mg/ml, 10ml

182

500

TAB

Isosorbide dinitrate 5mg

4,425.00

183

500

TAB

lsosorbide mononitrate 30 mg

8,570.00

184

2,000

TAB

lsosorbide mononitrate 60mg

25,380.00

185

1,200

bot

186

600

AMP

lsoxsuprine Hydrochloride Smh/ml, 2ml

174,336.00

187

100

VIAL

Ketamine HCl 50mg/ml.

130,433.00

188

600

tube

Ketoconazole 2%, 15 g

43,260.00

189

60,000

AMP

190

1,500

BOT

I

651,140.00

f sotonie electrrolyte so ution or '

l

'

,

1V

330100000

Infu5ion

Kemm I(3C 30mg

IV

ampme

5,538,500.00

(lM,|V)

Lactulose 3.3gm/ml,120ml

This Bid Form must be

323,070.00

submitted on or before August 24, 2018, 9:00

Southern Philipplnes Medical Center.

TOTAL PRICE

in

the morning to the Bids and Awards Committee of the

CT

(

4/)V

l

LEOPOLDO J. VEGA .D., FPCS, FPATACSI, MBA-H9l dical Center Chief ll hereby agree to the terms and/conditions 0f the SPMCrBids and Awnras Committee attached herewnh 1‘

I

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City

'

PUBLIC BIDDING

Bidding No: Date Prepared:

Prepared by:

2018-07—0532 ZS'IUI 18 L.

Rebuldad

FINANCIAL PROPOSAL SHEET

fiqgg/y and Del/verLQerugg and Metfl'qfleg ILIEOM

UNIT

QTY

P AR

TIC

U L A R

S

BRAND

300mg/ Sml, 60ml

UNIT PRICE

ABC

191

600

BOT

Lagundi

192

25

VIAL

L-Asparaginase 10,000

193

2,500

TAB

Levofloxacin 750 mg

192,150.00

194

200

BOT

Lidocaine 10% 50 ml spray

530,200.00

195

300

TUBE

Lidocaine 2% jelly, 30g

150,000.00

196

25,000

CARP

0 With adrenalin Lidocaine ZA: carpule

538,500.00

197

60,000

POLVAMP

198

150,000

TAB

Lithium

199

6,000

TAB

Loratadine 10 mg

99,720.00

200

6,000

TAB

Losartan 50mg. + Hydrochlorthiazide 12.5 mg.

94,620.00

45,300.00

$1,094.00

lU

,

.

.

TOTAL PRICE

.

Lidocaine HCI 2% Sml

2,868,600.00

,

Carbonate 450 mg

This Bid Form must be submitted on or before August 24, 2018, 9:00 a Southern Philippines Medical Center,

922,500.00

in

the morning to the Bids and Awards Committee of the

vs"LEOPOLDO J. VEGA , M/D” FPCS, FPATACSI, MBA-H [I dical Center Chief II hereby agree to the terms and conditions of the SPIVIC~BIds and AwurLUS Committee attached .

I

herethh

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

2018-07-0532

Bidding No: Date Prepared'

2’1 JtiI

Prepared by:

L,

18

Rebuidad

FINANCIAL PROPOSAL SHEET

Supply and De/I'very of Drugs and Medicines UNIT

QTY

ITNEOM

P AR

TIC

U L A R

8

BRAND

UNIT PRICE

ABC

201

75,000

TAB

Losartan

K

100 mg

202

75,000

TAB

Losartan

K

50 mg

203

35,000

Vial

204

15,000

BOT

Mannitol 20%, 500 ml.

205

500

AMP

Mecobalamin 500 mg

206

2,500

TAB

Mecobalamin 500 mg

207

60,000

TAB

Mefenamic Acid 500 mg,

1,177,200.00

208

3,000

VIAL

Meropenem 1g

5,948,490.00

209

1,000

AMP

Mesna 100mg/ml, 4m]

167,460.00

210

60,000

TAB

Metformin 500mg

231,000.00

750,000.00

2,002,000.00

20 ml

2,884,650.00

157,690.00

43,050.00

submitted on or before August24, 51/187,900

Southern Philippines Medical Center.

I

1,038,750.00

Magnesium Sulfate 250 mg/ml,

This Bid Form must be

TOTAL PRICE

La

iii

the morning to the Bids and Awards

COIIIIHIUCL‘ of

the



LEOPOLDO J. VE ,M.D., FPCS, FPATACSI, MBA-H Medical Center Chief II l hereby agree to the terms and (OIIdIIIOITS of the SPIVK 'BIKI': and Awards Committee attached

hCTL‘WIHI

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding N0:

2018-07-0532

Date Prepared:

Prepared by:

25*lul718 L.

Rebuldad

FINANCIAL PROPOSAL SHEET

Supply and Delivery of Druqs angMed/c/nes ITEM

QTY

NO

UNIT

PA R T C I

U L A R

8

BRAND

UNIT PRICE

ABC

211

25

VIAL

Methotrexate 500 mg

70,000.00

212

3,000

TAB

Methyldopa 250 mg

34,620.00

213

3,000

AMP

Methylergometrine 200 mtg/ml.

214

250

VIAL

Methylprednisolone 1g

215

500

TAB

Methylprednisolone 4 mg

216

500

VIAL

Methylprednisolone 500 mg

217

10,000

TAB

IVIetoproloI 100 mg

51,500.00

218

15,000

TAB

Metoprolol 50 mg

46,200.00

219

15,000

TAB

Metronidazole 500 mg

57,750.00

220

14,000

BOT

Metronidazole 500mg.

This Bid Form must be

TOTAL PRICE

195,000.00

1,286,645.00

6,385.00

1,341,515.00

174,440.00

IV

submitted on or before August 24, 2018, 9:00

in

the morning to the Bids and Awards Committee

01

the

Southern Philippines Medical Center,

LEOPOLDO L

VEcA/mu,

EPICS, FPATACSI,

MBA-H

I

)1

dical Center Chief ll , and conditions of the SPMC-Bids and Awa Eds ,

I

hereby agree to the terms

Committee attached herewnh

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding No:

2018-07-0532

Date Prepared

25 ILII'18

Prepared by:

L.

Rebuldad

FINANCIAL PROPOSAL SHEET

Supp/y and Delivery of Dru17§find Medicines

ITEM

UNIT

QTY

NO

P

A R T

I

C U L A R S

BRAND

UNIT PRICE

ABC

221

200

TAB

Midazolam 15 mg

222

7,000

AMP

Midazolam 5mg / 3mI

223

15

VIAL

Mitomycin 2g

224

500

BOT

Modified Fluid Gelatin 500 ml

471,365.00

225

25,000

TAB

Montelukast 10 mg

653,750.00

226

1,000

TAB

Montelukast 4 mg

227

7,000

AMP

Morphine Sulfate 10 mg

635,040.00

228

6,000

TAB

Mycophenolate mofetil 500mg.

360,000.00

229

11,003

TAB

Mycophenolate Sodium 360mg

1,069,711.66

230

7,000

AMP

Nalbuphine

This Bid Form must be

HCI

TOTAL PRICE

5,846.00

1,542,660.00

12,000.00

15,620.00

10mg/ml, 1m|

submitted on or before August 24,

721,000.00

20718,

9:00

in

the morning to the Bids and Awards Committee of the

Southern Philippines Medical Center,

LEOPOLDO J.

FPCS, FPATACSI, vigfimo, edical Center Chief II

I

MBA-H

r'

I

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

BY:

Authorized Signature

Name of Company / Supplier

Republic of the Philippines Department of Health Regional Office Xl SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding No:

2018-07»0532

Date Prepared:

Prepared by:

ZSVJui—IB L.

Rebuldad

FINANCIAL PROPOSAL SHEET

Supply and Delivery of Druqs andMed/c/neg ITEM

NO

UNIT

QTY

P A R

TIC

U L A R

S

BRAND

UNIT PRICE

ABC

231

2,500

AMP

Naloxone 400mcg/ml, 1ml.

232

500

TAB

Naproxen sodium 550mg

233

2,500

AMP

Neostigmine 0.5mg/ml

234

12,000

AMP

Nicardipine 10mg/10ml.

235

1,000

TAB

Nifedipine 30mg

36,920.00

236

500

CAP

Nifedipine 5mg

2,310.00

237

100

AMP

Norepineghrine 1mg/ml, Zml

238

6,000

AMP

Norepinephrine 1mg/ml 4ml

239

500

AMP

Norepinephrine 1mg/ml, 10

240

250

BOT

Nystatin 100,000 units/ml suspenston, 30 ml

TOTAL PRICE

1,037,600.00

8,365.00

234,300.00

12,370,20000

50,000.00

5,918,820.00

807,530.00

ml

l

65,277.50

This Bid Form must be submitted on or before AugustZ4,201/81 9:00 Southern Philippines Medical Center.

in

the morning to the Bids and Awards Committee of the

,

/ (/7/

LEOPOLDOJ.

vayflvm"

FPCS, FPATACSI, MBA-H If Vi

educaICenterChicfll hereby agree to the terms and conditions of the SPMC-Bids and Awards Committee attached herewnh ,

I

.

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding N0: Date Prepared. Prepared by:

2018-07—0532 2571u|718

Rebuldad

L.

FINANCIAL PROPOSAL SHEET

Supp/Land Delivery of Druqs and Medicines ITEM

NO

UNIT

QTY

P AR

TIC

U L A R

5

BRAND

UNIT PRICE

ABC

241

400

AMP

OCtreOtide lOOng/ml,lml

321,360.00

242

500

BOT

Ofloxacin 0.3%, Sml Eye Drops

144,230.00

243

60,000

TAB

Olanzapine 10mg

5,002,800.00

244

60,000

TAB

Olanzapine 10mg ODT

2,160,000.00

245

10,000

TAB

Omeprazole 40mg

345,800.00

246

2,000

AMP

Ondansetron 2mg/ml, 2m|

904,620.00

247

2,500

AMP

Ondansetron 2mg/ml, 4m|

1,211,550.00

248

7,125

SACHET

249

2,000

TAB

Oxycodone 10 mg

250

500

AMP

Oxycodone 10 mg,

Oral Rehydration salt, 20.5g

I

63,056.25

370,320.00

1

ml

This Bid Form must be submitted on or before August 24, 2018, 9:00 Southern Philippines Medical Center.

LEOPOLDO J.

TOTAL PRICE

602,825.00 in

the morning to the Bids and Awards Committee of the

FPCS, FPATACSI, VEGMD” M icalCenter Chlefll

j

MBA-H I

,

v

hereby agree to the terms andtcfinditions of the SPMCrBids and Awards Committee attached herewith

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL ,CENTER

Davao City PUBLIC BIDDING

Bidding No: Date Prepared: Prepared by:

2018-07-0532 2571uH8 L.

Rebuldad

FINANCIAL PROPOSAL SHEET

Supply and Delivery of Drugs and Medicines ITEM

PART CULAR3

UNIT

QTY

NO

BRAND

I

Oxymet h azoline HCI, 005 u o, 15ml

UNIT PRICE

ABC

TOTAL PRICE

'

'

251

30

SPRAY

252

1,000

TUBE

253

50

VIAL

Paclitaxel 6mg/ml,5m|

254

250

SUPP

Paracetamol 125 mg suppository

6,255.00

255

2,880

BOT

Paracetamol 250 mg /5ml, 60 ml

275,673.60

256

250

SUPP

Paracetamol 250 mg suppository

6,612.50

257

1,730

BOT

258

15,000

AMP

259

1,000

vial

260

2,000

VIAL

7'500‘00

' 0 |' Oxytetracycme eye omt 05A), .

.

600,000.00

3.5g.

P aracetamol

115,481.00

100mg/m, 15m |

|

86,500.00

drops

Paracetamol 150mg/ml,

Penicillin G

This Bid Form must be

2

556,800.00

ml

MU

16,920.00

Penicillin G 5 MU

76,920.00

1

submitted on or before August 24, 2018, 9:00

in

the morning to the Bids and Awards Committee of the

Southern Philippines Medical Center. '

I

LEOPOLDO J.

VEGMD” FPCS,

dical Center Chief II hereby agree to the terms and conditions of the SPMCrBids and Awards’ Committee attached herewnth M

I

FPATACSI, MBA-H i

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding N0: Date Prepared.

Prepared by:

2018-07-0532 25*JuI-18 L.

Rebuldad

FINANCIAL PROPOSAL SHEET

Supply and Delivery of Druqs and Med/vines ITNEOM

P A R

UNIT

QTY

TIC

U L A R

S

BRAND

UNIT PRICE

ABC

76155000

261

3,000

AMP

Pethidine

262

3,000

AMP

Phenobarbital 130mg

1,947,690.00

263

2,500

TAB

Phenobarbital lgrain

50,000.00

264

1,000

BOT

265

12,000

CAP

Phenytoin 100 mg

266

1,800

AMP

Phenytoin 50mg/ml, 2m|

267

12,000

AMP

Phytomenadione 10mg

268

125

BOT

Pilocarpine 2%,1.5m|

269

10,000

VIAL

270

40,000

TAB

HCI

50mg/ml, 2ml

' HCI Phenylephrine

0 2.5%; Eye

329,580400

drops

377,520.00

1,496,772.00

600,000.00

48,125,00

P Otass'um C h| or'de 2 meq/m’| '

TOTAL PRICE

'

591,400.00

20ml

PotaSSium Chloride 750mg

892,400.00

durules

This Bid Form must be submitted on or before August 24, 2018 Southern Philippines Medical Center,

:00 in

the morning to the Bids and Awards Committee of the

\‘l

LEOPOLDO J.

VEGMDV FPCS,

I

FPATACSI,

MBA-H1

dical Center Chief || hereby agree to the terms and conditions of the SPMCeBids and Awafld§Coniiiiittee attached herewnh M

,,‘

BY:

Authorized Signature

Name of Company/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding No: Date Prepared Prepared by:

2018-07~0532 25 Jul 18 L.

Rebuldad

FINANCIAL PROPOSAL SHEET

Supply and Del/very of Drugs and Medicines '22”

UNIT

QTY

PA R

TIC

U L A R

S

BRAND

UNIT PRICE

ABC

271

4,000

TAB

Potassium Citrate 10mEq

47,680.00

272

350

BOT

Prednisolone Acetate eyedrops

85,267.00

273

1,000

TAB

Prednisone 10mg tablet

4,230.00

274

600

TAB

Prednisone 20 mg tablet

3,876.00

275

6,000

TAB

Prednisone 5mg. Tablet

12,720.00

276

600

AMP

Promethazine 25mg ampule

277

500

BOT

Proparacaine HCI 0.5% eye drops

278

3,000

AMP

Propofol 10mg/ml, 20 ml

1,550,760.00

279

1,000

PFS

Propofol 50ml, prefilled syringe

1,300,000.00

280

4,800

TAB

Propranolol 10mg

TOTAL PRICE

3,600.00

247,500.00

51,888.00

/

This Bid Form must be submitted on or before August 24, 2018, 9:00 Southern Philippines Medical Center.

in

the morning to the Bids and Awards Committee

OI

the

‘i‘

LEOPOLDOJ/VEGA, M.D., FPCS, FPATACSI, MBA-H/f

'

I

Medical Center Chief II hereby agree to the terms and conditions of the SPMCrBids and Awards Committee attat‘hed herewnh

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding N0:

2018-07-0532

Date Prepared

25 Jul 18

Prepared by:

L,

Rebuldad

FINANCIAL PROPOSAL SHEET

Supply and Delivery of Drugs and Medicines QTY

ILEOM

P

UNIT

A R

TIC

U L A R

ABC

BRAND

S

281

4,000

TAB

Propranolol 40mg

282

500

AMP

Protamine sulfate lOmg/ml, Sml

900,000.00

283

3,000

TAB

Quetiapine 100mg

184,620.00

284

500

TAB

Quetiapine 200mg

40,050.00

285

3,000

TAB

Quetiapine 300mg

219,240.00

286

35,000

AMP

Ranitidine SOmg/Zml

2,019,150.00

287

90,000

TAB

Risperidone 2mg

4,015,800.00

288

500

TAB

Risperidone 2mg ODT

289

1,000

290

900

VlAL/AMP

AMP

This Bid Form must be

27,500.00

$74,620.00

Ropivacaine HCl 10mg/ ml, 10ml

413,244.00

submitted on or before August 24, 2018, 9:00

Southern Philippines Medical Center.

in

Q/

the morning to the Bids and Awards Committee of the

FPCS, FPATACSI, VEW'IJ” ical Center Chief II

I

TOTAL PRICE

67,080.00

Rocuronium Br 10mg/m|,5 ml

LEOPOLDO i.

UNIT PRICE

hereby agree to the terms and

IC’OITdiIIOlTS of

the SPMC

BIOS

MBA—H, '/

[I

and Awards Committee attncliutt hert’WIUI

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office Xl SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding NO'

2018-07-0532

Date Prepared

257Ju| 18

Prepared by:

L.

Rebuldad

FINANCIAL PROPOSAL SHEET

filgply and Delivery of Druqs and Medicines ILEOM

UNIT

QTY

P AR T C I

U L A R

S

BRAND

ABC

291

20,000

TAB

Rosuvastatin 10mg

428,400.00

292

20,000

TAB

Rosuvastatin 20mg

584,600.00

293

1,080

BOT

Salbutamol 2 mg/Sml, 60ml

$8,158.00

294

60,000

NEB

Salbutamol 2 mg/ml, 2.5 ml

692,400.00

295

9,000

TAB

Sertraline 50mg

345,780.00

296

300

BOT

Sevoflurane 250 ml w/ loan vaporizer

3,940,386.00

297

500

JAR

Silver sulfadiazine 1%, 500g

1,157,410.00

298

20,000

Sodium bicarbonate SOmeq/ml, 50ml

2147100000

299

5,000

TAB

Sodium bicarbonate 650 mg

300

5

VIAL

Somatostatin 3 mg

VIAL/AMP

UNIT PRICE

TOTAL PRICE

3,000.00

28,193.45

This Bid Form must be submitted on or before August 24, 2018, 9:00 Southern Philippines Medical Center.

in

the morning to the Bids and Awards Committee of the

QM

I

LEOPOLDO J. VEGA , . ., FPCS, FPATACSI, MBA-H 7 Med'cal Center Chief II hereby agree to the terms and conditions of the SPMC Bids and Awarfls Committee attached herewtth

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER

Davao City PUBLIC BIDDING

Bidding No:

2018-07—0532

Date Prepared:

Prepared by:

ZSrJul-18

Rebuldad

L.

FINANCIAL PROPOSAL SHEET

Supply and Delivery of Druqs and Medicines ITEM

QTY

NO

UNIT

PA R

TIC

U L A R

S

BRAND

UNIT PRICE

ABC

301

5,000

TAB

Spironolactone 25mg tablet

49,800.00

302

500

TAB

Spironolactone 100mg tablet

12,030.00

303

5

VIAL

Streptokinase 1,500,000

37,584.60

304

120

VIAL

Sugammadex 100 mg/ml, Zml

305

6,000

TAB

Tamoxifen 20mg

306

IU

645,304.80

97,860.00

14,000 TAB/CAP Tamsulosin

HCI

200 mcg

689,220.00

Tamsulosin

HCI

400 mcg

30,000.00

307

1,500

308

1,500 AMP/VL Tetanus Toxoid 0.5ml ampule

TAB

so d''“m

120

VIAL

Th'We" t a

310

60

BOT

Timolol 0.5%, 5ml Eye Drops

1g +

69,525.00

d'l'uem

309

|

117,406.80

50ml

This Bid Form must be

TOTAL PRICE

17,922.00

submitted on or before August 24, 2018 8/:00

Southern Philippines Medical Center.

in

the morning to the Bids and Awards Committee of the

'

\ LEOPOLDO J. VEG I

,M.D.,

FPCS, FPATACSI, MBA-H

fl

edical Center Chief II I hereby agree to the terms and conditions of the SPMCBids and Awards Committee attached herewtth

BY:

Authorized Signature

Name of Company

/ Supplier

Republic of the Philippines Department of Health Regional Olfice XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding No: Date Prepared: Prepared by:

2018-07<053Z 25-Jul-18 L.

Rebuldad

FINANCIAL PROPOSAL SHEET

Supply and Delivery of Drugs and Medicines ITEM

NO

UNIT

QTY

P ART CU I

L A R

311

2,400

3.12

18 "mg/dose 1,000 INHALER T'OIrOP‘um inhalation

5

BRAND

Tinzaparin 10,000 iu

VIAL

T

313

50

BOT

314

300

BOT

315

300

TUBE

316

20,000

317

'

olbramycm

Eye

Drops 0

'

+

87,620.00

_

0 5 3A),

“(154.00

Dexamet h asone

60,345.00

Obrémyc'n + Dexame‘ h asone Eye Ointment

182,934.00

CAP

Tramadol 50mg

153,800.00

15,000

AMP

Tramadol SOmg/ml, 2ml

1,269,300.00

318

25,000

AMP

Tranexamic Acid 500mg

2,500,000.00

319

5,000

CAP

Tranexamic Acid 500mg

107,700.00

320

60

VIAL

Trastuzumab 150mg

T

TOTAL PRICE

3,395,088.00

m

Tobramycm Eye Drops

UNIT PRICE

ABC

'

2,293,320.00

This Bid Form must be submitted on or before August 24, ZOWTOO Southern Philippines Medical Center.

in

5.”

the morning to the Bids and Awards Committee of the

LEOPOLDO J. VEGA], M.D., FPCS, FPATACSI, MBA-H ‘4 Medical Center Chief II / Awarfls SPMC'BIdS and Committee attached herewutli hereby agree to the terms and conditions of the v

I

BY:

Authorized Signature

Name of Company / Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding No: Date Prepared: Prepared by:

2018-07—0532 25 Jul718

fldad—

FINANCIAL PROPOSAL SHEET

étwg/Land Delivery 9f Drquand IVE/fine; IL?“

P AR

UNIT

QTY

TIC

U L A R

8

BRAND

UNIT PRICE

ABC

321

20,000

TAB

Trimetazidine 35mg

290,000.00

322

350

BOT

Tropicamide 0.5% Eye Drops, Sml

123,130.00

323

250

VIAL

Tuberculin, Purified Protein Derivative (PPD) 2 TU/0.1 ml, 1m|

128,750.00

324

9,990 TAB/CAP Ursodeoxycholic acid 300mg

485,114.40

325

300

VIAL

Vaccme, Hepatitis

B

10ng / 0.5

326

300

VIAL

Vaccine, Hepatitis

B

20mcg,

327

60

VIAL

328

2,000

TAB

Valaciclovir 500mg

329

1,000

TAB

Valganciclovir 450 mg

330

20,000

TAB

ml

pediatric

' V acctne, P

1

10334500

ml

182,886.00

neumococcal13

49/44000

Valent Conjugate

V

alproate Disodium/ '

'

298,040.00

1,498,000.00

'

Va | prom

675,000.00

acid 500mg

This Bid Form must be submitted on or before August 24, 2018, 9.00., Southern Philippines Medical Center,

/

in

the mowing to the Bids and Awards Committee of the

Cue/T

‘\ l

LEOPOLDO J. VEGA/,M.D., FPCS, FPATACSI, MBA-H fl Wdical Center Chief II of the SPMCBids and Awards Committee attached herewnli Conditions hereby agree to the terms and g

I

TOTAL PRICE

,

BY:

Authorized Signature

Name of Company/Supplier

Republic of the Philippines Department of Health Regional Office XI SOUTHERN PHILIPPINES MEDICAL CENTER Davao City PUBLIC BIDDING

Bidding NO: Date Prepared. Prepared by:

2018—07-0532 25*Julrl8 L.

Rebuldad

FINANCIAL PROPOSAL SHEET

Supply and Delivery of Drugs and Medicines QTY

ITNEOM

P

UNIT

A

RT C

U L A R

I

3

BRAND

UNIT PRICE

ABC

331

3,000

VIAL

Vancomycin

500mg

3,779,430.00

332

1,000

AMP

Verapamil 2.5mg/ml,2ml

207,690.00

333

250

TAB

Verapamii 80 mg

11,112.50

334

100

VIAL

Vincristine 2mg VI

46,196.00

335

20,000

TAB

Vitamin Bl

57,600.00

336

5,000

TAB

Warfarin 2.5mg

337

3,000

TAB

Warfarin

mg

63,240.00

338

5,000

TAB

Warfarin 5mg

163,450.00

339

864

BOT

Zinc

55mg/m|,60m|

60,333.12

340

600

BOT

Ziric

27.5mg/m|,15m|

39,534.00

1

HCL

I36

BIZ

130,750.00

*“nothing follows*** This Bid Form must be

submitted on or before August 24, 2018, 9:

TOTAL PRICE

in

the morning to the Bids and Awards Committee of the

Southern Philippines Medical Center. LEOPOLDO J. VEGA , .6, FPCS, FPATACSI, MBA-H I? Me 'cal Center Chief II hereby agree to the terms and conditions of the SPIVIC-Bids and Awardé Committee attached herewnh ‘

I

BY:

Authorized Signature

Name of Company

/ Supplier