Amendment 0001.pdf

(x)

20342320R00002 x x

1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT

THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted , such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

Parkersburg WV 26106 Attn: M. Wargowsky

FSA-MWARGOWS

200 Third Street Avery 5F Division of Procurement Bureau of the Fiscal Service

12/20/20190001

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended , by one of the following methods: (a) By completing

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

12/09/2019

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not, is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of this Amendment is to provide answers to vendor questions for the Pharmacy

Services and Related Services solicitation.

Proposal due date remains unchanged: no later than Tuesday, January 7, 2020 at 2:00 p.m. ET.

Vendor Questions/Answers for Pharmacy Services Contract -- Amendment 0001 to Solicitation

#20342320R00002:

B. 4.6 Drug Reviews/Medication Pass Reviews. The contractor shall perform periodic drug reviews and medication pass reviews at the Washington, D.C. facility. Drug reviews and medication pass reviews shall be conducted monthly at the beginning of contract

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16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

PAUL C. WHITE

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

NSN 7540-01-152-8070

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

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20342320R00002/0001 performance. Drug reviews and medication pass reviews shall be in accordance with state, federal and AFRH requirements (monthly). Reports and any additional documentation as required should be provided upon completion of reviews or as requested by AFRH.

Question 1 - Is this a new requirement, or is there an incumbent currently providing these services? If there is an incumbent currently providing these services, who is the incumbent?

Answer 1 - This is an existing contract with service provided by Millennium Pharmacy.

B. 4.6 Drug Reviews/Medication Pass Reviews. The contractor shall perform periodic drug reviews and medication pass reviews at the Washington, D.C. facility. Drug reviews and medication pass reviews shall be conducted monthly at the beginning of contract performance. Drug reviews and medication pass reviews shall be in accordance with state, federal and AFRH requirements (monthly). Reports and any additional documentation as required should be provided upon completion of reviews or as requested by AFRH.

Q2 - Will the contractor provided medication pass review be conducted in addition to the review that is standardly conducted by the facility staff?

A2 - Yes, the expectation is quarterly, and upon request usually during survey window.

C. 4.8 Formulary. The contractor shall have a current formulary targeted specifically to the geriatric resident.

Q3 - Is the requested formulary representative of a list of drugs that are available through the contractor¿s sources specifically? If so, is this list of drugs in addition to those prescribed by the patient¿s physician, as well as those which might be in stock at the facility?

A3 - No, not at this time.

D. 4.9 Equipment Needs. The contractor shall supply each facility with adequate medication carts, as necessary (estimated two (2) medication carts and one fax machine or computerized system per floor) to transmit prescription needs. The

AFRH will determine the number of carts required based on the packaging system proposed by the

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NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

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20342320R00002/0001 contractor. (A 30-day supply of medication per resident may require more carts than being supplied with a 7-day or 14-Day supply).

Q4 - Does the facility have existing medication carts?

A4 - Yes, provided by the contractor.

Q5 - Is there a specific type/brand cart necessary for this requirement?

A5 - No specific brand of cart is needed. The requirement is an internal lock for the narcotic lock box inside the cart and an external lock for the cart itself. This double lock system is mandatory for medication compliance.

Q6 - Does the facility have a dedicated and secure location in which the cart and fax will be located?

A6 - The emergency dispensing unit is located behind in the nursing station behind a locked door. There is a dedicated area for the medication cart but it is not behind a locked door. The practice is ok as long as the medication cart is locked.

Q7 - Will prescriptions be written for a 30-day supply when written? Is it the expectation of the AFRH that the prescriptions are filled and dispensed as written by a local retail pharmacy?

A7 - AFRH-W receives a seven-day supply of medications. This has been the practice to avoid receiving too much of a high cost medication that a resident may not use.

E. 4.10 Emergency Dispensing System. The contractor shall provide an emergency /back-up system (preferably an electronic dispense system). The contractor shall audit the electronic dispensing system every other month to ensure compliance.

Q8 - Is there an existing emergency dispensing system currently on the premises?

A8 - Yes, provided by the contractor.

Q9 - Would the AFRH be opposed to having prescriptions filled and dispensed by a retail pharmacy versus a machine?

A9 - Currently, AFRH-W receives packaged medications from our pharmacy. The emergency medication are taken from the electronic

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20342320R00002/0001 emergency system.

F. 4.13 Pre-Authorizations. All pre-authorization forms must be completed by the contractor and not AFRH.

Q10 - What is an example of when it would become necessary for a prior authorization?

A10 - Currently our physicians are not involved in prior authorizations. Prior authorizations are expected to be handled by contract pharmacy. The physicians are involved only when a signature is needed by a specific insurance company.

Q11 - Is it anticipated that the below listed professionals will perform services at the facility? If so, what is the anticipated frequency that each title will staff the facility?

¿ Pharmacist(s) licensed in the State of contract performance (Washington, DC)

¿ Registered Nurse licensed in the State of contract performance (Washington, DC)

¿ Minimum of an RPH or Doctorate RPH degree from a nationally recognized college or university covering such degree in Pharmacy.

¿ The Registered Nurse must have an RN/BS degree.

A current unrestricted pharmacy license to practice in the state/district of the United

States where the services are being performed.

The contractor shall be responsible for complying with all state, federal, local and AFRH requirements.

A11 - There are no contract employees working out of our facility.

G. 9. HEALTH REQUIREMENT. Contractor personnel performing services at AFRH under this contract shall be free of communicable disease. A purified protein derivative test for tuberculosis (PPD) shall be required. If the PPD is negative, a

Chest X-ray shall not be required. If the PPD is positive, a Chest X-ray shall be required. The contractor shall submit documentation of passed procedures. The contractor shall pay the expenses for all physical examination/tests required under the provisions of this contract.

Q12 - Is it the expectation of the government that the contractor will provide onsite staffing for this requirement? If so, please outline the staff and hours that are required.

A12 - AFRH-W provides the vaccine for our

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20342320R00002/0001 employees and do not need a provider to administer vaccines. However, the exception is that the contracted pharmacy staff provide documentation of the PPD as outlined above. The contracted pharmacy employee should also provide documentation of the influenza vaccine or documentation of declination. The employee decline then is then expected to wear a mask while working in the facility during the influenza season.

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)