E-TENDER ENQUIRY FOR RATE CONTRACT No. 171 FOR SUPPLY OF DRUGS/MEDICINES

Methyldopa Tab/Cap- Each Tab/Cap to contain: Methyldopa 250mg

Dopamine Inj- Each ml to contain: Dopamine Hcl 40 mg,5ml Amp

Isoxsuprine Inj- Each ml to contain: Isoxsuprine 5mg Packing:2ml Vial/Amp

Flunarizine Tab/Cap- Each Tab/Cap to contain: Flunarizine 10mg

Diazepam Tab/Cap- Each Tab/Cap to contain: Diazepam 5mg

Imipramine Tab/Cap- Each Tab/Cap to contain: Imipramine 25mg

Phenytoin Sodium Tab/Cap- Each Tab/Cap to contain: Phenytoin Sodium 100mg

Dobutamine Inj- Each Vial/Amp to contain : Dobutamine Hcl. Eqv. To Dobutamine 250mg

Ipratropium + Salbutamol Inhaler- Each Metered Dose to contain: Ipratropium I.P.20mcg., Salbutamol I.P.100mcg Packing:Equal to or more than 120 MDI

Metoprolol Inj- Each ml to contain: Metoprolol 1mg Packing:5ml Vial/Amp

Amiodarone Inj- Each ml to contain: Amiodarone 50mg, Packing:3ml Amp

Vitamin K Inj- Each ml to contain: Phytomenadione 10mg, Packing:1ml Vial/Amp

Salmeterol Rotacap- Each Rotacap to contain : Salmeterol I.P.50mcg

Paediatric Cough Syp- Each 5 ml to contain: Promethazine Hcl 1.5 Mg, Pholcodine 1.5 Mg (As Citrate), Packing:60ml Bottle

Digoxin Tab/Cap- Each Tab/Cap to contain: Digoxin 0.25 mg

Isoxsuprine Tab/Cap- Each Tab/Cap to contain: Isoxsuprine Hcl 10 mg

Haemostatic Tab/Cap- Each Tab/Cap to contain: Citrus Bioflavonoid Compound 150 mg, Ascorbic Acid 75 mg, Menadione (Vit.K) 0.66 mg, Ferrous Gluconate 67 mg, Tribasic Calcium Phosp. 144.43 mg.

Nimodipine Tab/Cap- Each Tab/Cap to contain: Nimodipine 30 mg

Sodium Valproate Syp- Each 5ml to contain: Sodium Valproate I.P. 200 mg Packing:100ml Bottle

Sodium Valproate Tab/Cap - Each Tab/Cap to contain: Sodium Valproate 200mg.

Levodopa & Carbidopa Tab/Cap- Each Tab/Cap to contain: Levodopa 250 mg, Carbidopa 25 mg

Cough Syp- Each 5 ml to contain: Methdilazine 2.5 mg , Amm. Chloride 100 mg, Sodium Citrate 50 mg, Packing:115ml Bottle

Anti Hemophillic Inj - Each vial to contain: Anti Hemophillic Factor VIII (Non-Recombinant)/ Monoclonal Purified - 250 IU

Turbuhaler/Inhaler - Each metered dose to contain: Budesonide 160 mcg, Formoterol Fumarate Dihydrate 4.5 mcg, Lactose Monohydrate 730 mcg. (equal to or more than 60 doses)

Adenosine Inj- Each 2ml to contain: Adenosine 6mg, Packing:2ml Amp

Nicorandil Sustained Release Tab/Cap- Each Sustained Release Tab/Cap to contain: Nicorandil 20mg

Fondaparinux Sodium Inj- Each PFS to contain: Fondaparinux Sodium 2.5mg

Vitamin K Inj- Each Amp to contain: Vitamin K IP 1.0 mg, Packing:0.5ml Amp

Lorazepam Tab/Cap- Each Tab/Cap to contain: Lorazepam 1mg

Phenobarbitone Syp- Each 5ml to contain: Phenobarbitone 20mg, Packing:60ml Bottle

Triclofos Syp- Each 5ml to contain: Triclofos Sodium BP 500mg, Packing:30ml Bottle

Piracetam Syp- Each 5ml to contain: Piracetam 500mg Packing:100ml Bottle

Sumatriptan Tab/Cap- Each Tab/Cap to contain: Sumatriptan 50mg

Zolpidem Tartrate ER Tab/Cap- Each ER Tab/Cap to contain: Zolpidem Tartrate 12.5 mg

Tenecteplase 40mg Inj- Each Vial to contain: Tenecteplase 40mg

Factor Eight Bypassing Activity - Containing : Factor Eight Bypassing activity, Anti-Inhibitor-Coagulant Complex. 500 IU/U.

Recombinant Anti Hemophillic Factor-VIII - Containing : Recombinant Anti Hemophillic Factor-VIII 250 IU

Ranolazine 500mg Tab/Cap Each PLAIN/SR/CR/DR/ER/MR Tab/Cap to contain: Ranolazine 500mg

Labetalol Inj- Each ml to contain: Labetalol Hydrochloride 5mg, Packing:4ml Amp

Bupripion ER Tab/Cap - Each ER Tab/Cap to contain: Bupripion 150mg

Phenytoin Sodium Syp- Each ml to contain: Phenytoin Sodium 25mg Packing:100ml Bottle

Perindopril Erbumine 8mg, Amlodipine Besilate Equivalent To Amlodipine 5mg Excipients Q.S. Tab/Cap-Each uncoated Tab/Cap to contain: Perindopril Erbumine 8mg,Amlodipine Besilate equivalent to Amlodipine 5mg excipients q.s.

Perindopril Erbumine 8mg, Indapamide 2.5mg Excipients Q.S. scored Tab/Cap - Each uncoated scored Tab/Cap to contain: Perindopril Erbumine 8mg, Indapamide 2.5mg excipients q.s.

Budesonide + Levosalbutamol Respule: Each Amp to contain: Budesonide 0.5mg, Levosalbutamol1.25mg,2ml Amp

Sacubitril + Valsartan Tab/Cap- Each Film Coated Tab/Cap to contain: 24mg Sacubitril and 26mg Valsartan

Sacubitril + Valsartan Tab/Cap- Each Film Coated Tab/Cap to contain: 49mg Sacubitril and 51mg Valsartan

Azilsartan Tab/Cap- Each Film Coated Tab/Cap to contain:Azilsartan Kamedoxomil Equivalent to Azilsartan Medoxomil 40mg

Sacubitril + Valsartan Tab/Cap- Each Film Coated Tab/Cap to contain: 97 mg Sacubitril and 103 mg Valsartan

Human Albumin- Each Bott to contain- Human Albumin 25% 100ml In Flexible, Self Collapsible- Closed System Bags Packing:100ml Bottle

Reteplase Inj 10 IU- Each Kit to contain: Reteplase (Lyophilized Powder For Intravenous Bolus Injection) 18mg Vial + 10ml Water for inj

Spironolactone + Torsemide Tab/Cap- Each Tab/Cap to contain: Spironolactone 25mg, Torsemide 20 mg

Acetyl Salicylic Acid + Atorvastatin Tab/Cap- Each Tab/Cap to contain: Acetyl Salicylic Acid 75mg, Atorvastatin 20mg

Ethamsylate Inj- Each ml to contain: Ethamsylate 125mg,2ml Vial/Amp

Codein Lint. Syp/Susp- Each 5ml to contain: Chlorpheniramine Maleate 4mg, Codeine Phosphate 10mg Packing:100ml Bottle

Levosalbutamol Respule- Each 2.5ml to contain: Levosalbutamol 0.63 mg, Packing:2.5ml Respule

Oxcarbamazepine Syp/Susp- Each 5ml to contain: Oxcarbamazepine 300mg, Packing:60ml Bottle

Duloxetine Tab/Cap- Each Tab/Cap to contain: Duloxetine 20 mg

Phenobarbital Syp/Susp- Each ml to contain: Phenobarbital 5mg, Packing:100ml Bottle

Pentoxifylline Tab/Cap-Each Tab/Cap to contain: Pentoxifylline 400mg

Haloperidol Inj.- Each ml to contain:Haloperidol Inj. 5mg, Packing:1ml Vial/Amp

Lorazepam Inj- Each ml to contain: Lorazepam 2mg, Packing:2ml Vial/Amp

Terlipressin Inj.- Each 10ml to contain:Terlipressin 1mg, Packing:10ml Vial/Amp

Diltiazem Hydrochloride Inj.- Each ml to contain: Diltiazem Hydrochloride 5mg , Packing:5ml Vial/Amp

Nitroglycerine Inj.- Each ml to contain: Nitroglycerine 5mg,5ml Vial/Amp

Citicoline Inj.- Each ml to contain: Citicoline 250mg,2ml Vial/Amp

Ropinirole Tab/Cap- Each Tab/Cap contain: Ropinirole 0.5mg

Bosentan Tab/Cap- Each Tab/Cap contain: Bosentan 62.5mg

Esmolol Inj.- Each ml to contain: Esmolol 10mg, Packing:10ml Vial/Amp

Ambroxol Hydrochloride Drops- Each ml to contain: Ambroxol Hydrochloride 7.5mg Packing:15ml Bottle

Levosalbutamol Syp- Each 5ml to contain: Levosalbutamol 1mg,100ml Bottle

Abciximab Inj.-Each ml to contain:Abciximab 2mg, Packing:5ml Vial

Amantadine Tablet-Each Tab to contain:Amantadine 100mg

Aripiperazole Tablet-Each Tab to contain:Aripiperazole 5mg

Nifedipine Tablet-Each Tab to contain:Nifedipine 5mg

Ephedrine Inj.-Each ml to contain:Ephedrine HCl 5mg, Packing: 5ml Amp

Milrinone Inj.-Each ml to contain:Milrinone 1mg, Packing:10ml Vial/Amp

Sildenafil Tab - Each Tab to contain: Sildenafil 25mg

Ambroxol Hydrochloride Sustained Release Tab/Cap :Each Tab/cap to contain Ambroxol Hydrochloride 75mg as Sustained Release.

Ambroxol Hydrochloride Tab/Cap :Each Tab/cap to contain Ambroxol Hydrochloride 15mg.

Amisulpride Tab/Cap :Each Tab/cap to contain Amisulpride 25mg.

Anti Inhibitor Coagulation Complex (Human Plasma Protein with a Factor VIII Inhibitor Bypassing activity of 1000 IU/Vial) Inj.

Atorvastatin + Fenofibrate -Each Tab/Cap to contain:Atorvastatin 10mg+ Fenofibrate 145mg

Azelnidipine Tab/Cap :Each Tab/cap to contain Azelnidipine 16mg

Brivaracetam Tab/Cap : Each Tab/Cap to contain Brivaracetam 100mg.

Bupropion Tab/Cap: Each Tab/Cap to contain Bupropion 150 mg.

Clonidine injection: Each ml contains clonidine 150mcg, Packing:1ml vial/amp

Desvenlafaxine Tab/cap:Each Tab/Cap to contain Desvenlafaxine 50mg.

Enalaprilat injection:Each vial/amp coontain Enalaprilat 1.25 mg/ml , Packing:1ml vial/amp

Ezetimibe tab/cap: Contains Ezetimibe 10mg

Flumazenil injection to contain :Flumazenil 0.5mg/5ml, Packing:5ml vial/amp

Flupenthixol Injection:Each ml to contain Flupentixol decanoate 20mg, Packing:1ml vial/amp

Fosphenytoin Injection contain: Fosphenytoin 50mg/ml Injection, Packing:10ml vial

Hydralazine Tab/cap: Each Tab/Cap to contain Hydralazine 25mg

Lacosamide Syp:- Each ml to contain Lacosamide 15mg, Packing: Bottle of 100ml

Lemborexant Tab/cap :Each Tab/cap contains Lemborexant 5mg

L-Bupivacaine Heavy Inj- Each Amp to contain: L-Bupivacaine Hcl 0.5%

Levocloperastine SYP:-Each 5ml contain Levocloperastine 35.4mg, Packing:100 ml bottle

Levosulpiride Inj. : Each vial/amp contain Levosulpiride 25mg, Packing:2ml Vial/Amp

Lidocaine / Lignocain injection:- composition Lidocaine/ Lignocain 4%, Packing:30ml

2% Lignocaine with 1:80000 Adrenaline injection,Packing:30ml

Lurasidone tab/cap: Each Tab/Cap to contain Lurasidone 40mg

Lurasidone tab/cap: Each Tab/Cap to contain Lurasidone 80mg

Melatonin Tab/Cap:Each Tab/cap to contain Melatonin 5mg

N acetyl cysteine solution for Nebulization contain :20% N acetyl cysteine solution, Packing:30ml

Anti Hemophilic factor concentrate IX(r-DNA glycopegylated) 1000 IU vial with diluent

Nicotine patch 7mg

Anti Hemophilic factor concentrate IX(r-DNA glycopegylated) 500 IU vial with diluent

Anti Hemophilic factor concentrate IX(r-DNA glycopegylated) 2000 IU Vial with diluent

Oxcarbazepine Oral Suspension: Each 5ml contain Oxcarbazepine 300 mg, Packing:60ml bottle

Perampanel Caps/Tab :Each Tab/Cap to contain Perampanel 2mg

Ramosetron Tab/Cap:Each Tab/Cap to contain Ramosetron 5mcg

Remifentanil Injection: Each Vial/Amp contains Remifentanil 1mg

Ropivacaine 0.75% Injection:Each ml contain Ropivacaine 7.5mg , Packing:20ml Vial/Amp

Ropivacaine 0.75% Heavy Injection:Each ml contain Ropivacaine 7.5mg , Dextrose 80mg, Packing:4ml Vial/Amp

Tirofiban HCl Inj: Each 100ml contain: Tirofiban 5mg, Packing:100ml Botle

Fluticasone Furoate (100mcg) + Umeclidinium (62.5mcg) + Vilanterol (25mcg) DPI ,30 Doses

Vortioxetin Tab/Cap: Each Tab/Cap to contain Vortioxetin 10mg

NORMAL SALINE (Sodium Chloride) 3% FOR NEBULIZATION, Packing:4ML Respules

Neostigmine Inj- Each vial to contain:Neostigimine 5mg

Atorvastatin & Asprin Capsule-Each Hard Gelatin Capsule to contain:Atorvastatin calcium equivalent to Atorvastatin IP 40mg & Asprin (As Gastro-resistant tablet IP 75mg )

Buspirone Tab- Each Tab to contain:Buspirone 5mg

Cardioplegia Solution-Each 100 ml of solution contains Calcium Chloride Dihydrate 17.6 mg, Magnesium chloride hexahydrate 325.3 mg, potassium chloride 119.3 mg and Hcl/NaOH for pH adjustment in water for injection Pcking:1000ml

Chlorpromazine Tab-Each Tab to contain:Chlorpromazine 50mg

Cinnarizine +Dimenhydrinate Tablet-Each Tab to contan:Cinnarizine20mg+Dimenhydrinate 40mg

Citicoline + Piracetam Tab-Each Tab to contain: Citicoline 500mg, Piracetam 400mg

Dexmedetomide Inj- Each 0.5ml to contain:Dexmedetomide 50mcg

Ephedrine Inj-Each Ampoule of 1ml to contain:Ephedrine HCL 30mg

Formoterol +Glycopyrrolate Rotacaps-Each Rotacaps contains:Formoterol fumarate 12mcg,Glycopyrrolate USP Eqv. To Glycopyrronium 12.5mcg

Glycopegylated Recombinant Extended Half Life Factor VIII Inj -Each Inj to contain Glycopegylated Recombinant Extended Half Life Factor VIII 1500 IU

Glycopyronium+Formoteroll Rotacaps- Each Rotacaps contains:Glycopyrrolate USP Eqv. To Glycopyrronium 25mcg, Formoterol fumarate 12mcg

Isoflurane Liquid for Inhalation 250ml

Lacosamide Tab-Each Tab to contain:Lacosamide 200mg

Lorazepam Inj -Each ml to contain: Lorazepam 1mg Packing 2ml

Mephentermine Inj-Each Vial/Amp to contain:Mephentermine 15mg Packing:1ml

Methyl phenidate Tab- Each Tab to contain:Methyl phenidate 10mg

Metoprolol and Telmisartan Tab- Each ER Tab to contain: Metoprolol Succinate 25mg, Telmisartan 40mg

Midodrine Tab/Cap-Each Tab/Cap to contain:Midodrine 5mg

Nicorandil Inj-Each vial to contain Nicorandil 48mg

Olanzapine Inj- Each single dose Vial to contain: Olanzapine 10mg Packing-1 vial

Phenylephrine inj-Each ml to contain: Phenylephrine HCL 50mcg Packing-10ml vial

Phenylephrine inj Each ml to contain: Phenylephrine HCL 10mg Packing-1ml Vial/Amp

Phenylephrine inj-Each ml to contain: Phenylephrine HCL 50mcg Packing-5ml vial

Pirfenidone Tab/Cap-Each Tab/Cap contain: Pirfenidone 801mg

Pramipexole Tab/Cap- Each Tab/Cap contain: Pramipexole Dihydrochloride 0.25mg

Rasagiline tab/cap- Each Tab/Cap Rasagiline to contains Rasagiline 0.5 mg

Recombinant Glyco PEGylated Anti-Hemophilic Factor VIII Inj- Each Vial/Amp/PFS to contain:Recombinant Glyco PEGylated Anti-Hemophilic Factor VIII 1500IU

Romiplostim Inj. - Each inj to contain: Romiplostim 125mcg

Safinamide Tab - Each Tab to contain: Safinamide 50 mg

Trimetazidine ER Capsules- Each Cap to contain Trimetazidine hydrochloride I.P (As extended release pellets) 80 mg

Varenicline Tab/Cap: Each Tab/Cap to contain Varenicline 0.5 mg

Vericiguat Tab/Cap: Each Tab/Cap to contain Vericiguat 10mg

Vigabatrin Sachet -Each Sachet to contain Vigabatrin 500mg

Zolpidem Sublingual Spray 3.85%-Each spray delivers Zolpidem Tartrate 5mg

Bisoprolol + Perindopril Tab -Each Film Coated Bi-Layered scored tablet contains: Bisoprolol Fumarate I.P.- 5mg, Perindopril Arginine-5mg

Bisoprolol + Perindopril Tab-Each Film Coated Bi-Layered scored tab to contain: Bisoprolol Fumarate I.P -5mg, Perindopril Arginine-10mg

Bisoprolol Tab-Each tab to contain Bisoprolol fumarate 1.25mg

Deferiprone Tablet/Capsules: Each Tab/Cap to contain: Deferiprone 250mg

Deferiprone Tablet/Capsules: Each Tab/Cap to contain: Deferiprone 500mg

Beclomethasone Inhaler- Each Metered Dose to contain: Beclomethasone Dipropionate 100mcg. Packing: Equal to or more than 120 MDI

Terazocin Tab/Cap- Each Tab/Cap to contain:Terazocin 2 mg

Carbamazepin CR Tab/Cap- Each CR Tab/Cap to contain: Carbamazepin 200mg

Hydrochlorothiazide Tab/Cap- Each Tab/Cap to contain: Hydrochlorothiazide 25mg

Urokinase Inj - Each vial to contain: Urokinase 5 lakhs IU

Salbutamol Respule Soln- Each 2.5 Ml. to contain: Salbutamol Sulphate Eqv. to Salbutamol 2.5 mg In Normal Saline Soln., Packing:2.5ml Respule

Salbutamol Resp. Soln- Each ml to contain: Salbutamol Sulphate Eqv. to Salbutamol 5 mg. In Normal Saline Soln. Packing:15 ml Bottle

Dothiepin Tab/Cap- Each Tab/Cap to contain: Dothiepin Hcl 25mg

Doxepin Tab/Cap- Each Tab/Cap to contain: Doxepin Hcl 25mg

Doxepin Tab/Cap- Each Tab/Cap to contain: Doxepin Hcl 75mg

Clonazepam Tab/Cap- Each Tab/Cap to contain: Clonazepam 1mg

Diltiazem Tab/Cap- Each Tab/Cap to contain: Diltiazem 30mg

Diltiazem Tab/Cap- Each Tab/Cap to contain: Diltiazem 60mg

Bromocriptin Tab/Cap- Each Tab/Cap to contain: Bromocriptin (As Mesylate) 2.5mg

Dalteparin Sodium Inj- Each PFS to contain: Dalteparin Sodium 2500 IU Units Packing: 1 PFS

Dalteparin Sodium Inj- Each PFS to contain: Dalteparin Sodium 5000 IU Units Packing: 1 PFS

Enalapril Maleate Tab/Cap- Each Tab/Cap to contain: Enalapril Maleate 10mg

Streptokinase Inj- Each Vial to contain: Streptokinase I.P 7.5 Lac IU Packing:1 Vial

Name of the Particiapting Pharmaceutical Firm ___________________

Tender Enquiry No:…………

Annexure A & F

Details

Warning: Any Bidder found to have quoted rate/s for any drug/s more than NPPA Notified Ceiling Price shall be construed to be in violation of Code of Integrity as per the Tender Enquiry and shall be liable for action as per clause 2(XV).

Signature of Authorized Signatory:

Designation:

Name of the Particiapting Pharmaceutical Firm ___________________

Tender Enquiry No:…………

DETAILS OF LICENSES (to be uploaded in Excel)

· For Indigenous Items

Details of Licenses – quoted Items

Number

· For Imported Items

Details of Licenses – quoted Items

Number

Signature of Authorized Signatory:

Designation:

Annexure EMD

Name of the Particiapting Pharmaceutical Firm ___________________

Tender Enquiry No:…………

Earnest Money Deposit Criteria

Sum total of EMD submitted in Rs.

NOTE: Correct Item No. & Name of the Drugs to be mentioned.

Signature of Authorized Signatory:

Designation:

Annexure TO

Name of the Particiapting Pharmaceutical Firm ___________________

Tender Enquiry No:…………

Turnover Criteria as per clause 7 of the tender For Financial Years 2022-23, 2023-24 and 2024-25

Total number of items quoted

Sum total of Turnover for drugs quoted (in Rs.)

Total Annual Turnover of the firm from Pharmaceutical Products for Drug formulations only (excluding sale of Active Pharmaceutical Ingredients or Bulk Drugs) for the year 2022-23

Annual Turnover of the firm for the year 2022-23 from Trade/Market other than Govt. Institutions/ Sale to 3rd Party for drug formulations only (excluding sale of Active Pharmaceutical Ingredients or Bulk Drugs)

Total Annual Turnover of the firm from Pharmaceutical Products for Drug formulations only (excluding sale of Active Pharmaceutical Ingredients or Bulk Drugs) for the year 2023-24

Annual Turnover of the firm for the year 2023-24 from Trade/Market other than Govt. Institutions/ Sale to 3rd Party for drug formulations only (excluding sale of Active Pharmaceutical Ingredients or Bulk Drugs)

Total Annual Turnover of the firm from Pharmaceutical Products for Drug formulations only (excluding sale of Active Pharmaceutical Ingredients or Bulk Drugs) for the year 2024-25

Annual Turnover of the firm for the year 2024-25 from Trade/Market other than Govt. Institutions/ Sale to 3rd Party for drug formulations only (excluding sale of Active Pharmaceutical Ingredients or Bulk Drugs)

NOTE: Correct Item No. & Name of the Drugs to be mentioned.

Signature of Authorized Signatory:

Designation:

Name of the Particiapting Pharmaceutical Firm: ___________________

Tender Enquiry No:…………

Annexure L

Name of the Particiapting Pharmaceutical Firm

Name of the Authorised Signatory

Email Address of Authorised Signatory

Mobile Number of Authorised Signatory

Address of firm for correspondence:

Telephone No. (landline if any):

Working Fax No (Must be provided):

Mobile No.

E-mail address for all Correspondences including placing of Supply order :

I hereby undertake timely and efficient supply of the quoted drugs as per the tender in all the locations where ESIC / ESIS Hospitals and State ESI Directorates are located. The details are as under:

Note :Valid documentary evidence for Annexure L has to be submitted along with the bid.(Valid Manufacturing Drug Licenses or Wholesale Drug Licenses or GST Certificate only)

Signature of Authorized Signatory:

Designation: