36C10X18R0134-002.xlsx
XLSX spreadsheet 12 KB Posted
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- 36C10X18R0134
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36C10X18R0134 Attachment D.2 PRICE MODEL_May 17, 2018.xlsx
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| 36C10X18R0134-0003000.docx | DOCX document | |
| 36C10X18R0134-0003001.xlsx | XLSX spreadsheet | |
| 36C10X18R0134-00002003.docx | DOCX document | |
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| 36C10X18R0134-00002002.xlsx | XLSX spreadsheet | |
| 36C10X18R0134-00002001.xlsx | XLSX spreadsheet | |
| 36C10X18R0134-00001000.docx | DOCX document | |
| 36C10X18R0134-001.pdf | ||
| 36C10X18R0134-000.docx | DOCX document |
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PRICE MODEL
| Attachment B: Price Model | |||||
| Base Period: June 29, 2018 - December 29, 2018 | |||||
| Type | Discount % off AWP | Estimated Dollar Volume | Net Discount Rate (% Below FECA) | Total Discounted Price | |
| Brand Name Drugs | $10,228,865.96 | $ 10,228,865.96 | |||
| Generic Drugs | $8,772,349.91 | $ 8,772,349.91 | |||
| Durable Medical Equipment | |||||
| (DME), Diagnostic Services and Testing | $332,839.30 | $ 332,839.30 | |||
| BASE PERIOD TOTAL DISCOUNTED PRICE | $19,334,055.17 | $ 19,334,055.17 |
| Option Period 1: December 30, 2018 - June 28, 2019 | |||||
| Type | Discount % off AWP | Estimated Dollar Volume | Net Discount Rate (% Below FECA) | Total Discounted Price | |
| Brand Name Drugs | $10,228,865.96 | $ 10,228,865.96 | |||
| Generic Drugs | $8,772,349.91 | $ 8,772,349.91 | |||
| Durable Medical Equipment | |||||
| (DME), Diagnostic Services and Testing | $332,839.30 | $ 332,839.30 | |||
| OPTION PERIOD 1 TOTAL DISCOUNTED PRICE | $19,334,055.17 | $ 19,334,055.17 | |||
| Option Period 2: June 29, 2019 - December 29, 2019 | |||||
| Type | Discount % off AWP | Estimated Dollar Volume | Net Discount Rate (% Below FECA) | Total Discounted Price | |
| Brand Name Drugs | $10,228,865.96 | $ 10,228,865.96 | |||
| Generic Drugs | $8,772,349.91 | $ 8,772,349.91 | |||
| Durable Medical Equipment | |||||
| (DME), Diagnostic Services and Testing | $332,839.30 | $ 332,839.30 | |||
| OPTION PERIOD 2 TOTAL DISCOUNTED PRICE | $19,334,055.17 | $ 19,334,055.17 | |||
| Option Period 3: December 30, 2019 - June 28, 2020 | |||||
| Type | Discount % off AWP | Estimated Dollar Volume | Net Discount Rate (% Below FECA) | Total Discounted Price | |
| Brand Name Drugs | $10,228,865.96 | $ 10,228,865.96 | |||
| Generic Drugs | $8,772,349.91 | $ 8,772,349.91 | |||
| Durable Medical Equipment | |||||
| (DME), Diagnostic Services and Testing | $332,839.30 | $ 332,839.30 | |||
| OPTION PERIOD 3 TOTAL DISCOUNTED PRICE | $19,334,055.17 | $ 19,334,055.17 | |||
| Option Period 4: June 29, 2020 - December 29, 2020 | |||||
| Type | Discount % off AWP | Estimated Dollar Volume | Net Discount Rate (% Below FECA) | Total Discounted Price | |
| Brand Name Drugs | $10,228,865.96 | $ 10,228,865.96 | |||
| Generic Drugs | $8,772,349.91 | $ 8,772,349.91 | |||
| Durable Medical Equipment | |||||
| (DME), Diagnostic Services and Testing | $332,839.30 | $ 332,839.30 | |||
| OPTION PERIOD 4 TOTAL DISCOUNTED PRICE | $19,334,055.17 | $ 19,334,055.17 | |||
| Option Period 5: December 30, 2020 - June 28, 2021 | |||||
| Type | Discount % off AWP | Estimated Dollar Volume | Net Discount Rate (% Below FECA) | Total Discounted Price | |
| Brand Name Drugs | $10,228,865.96 | $ 10,228,865.96 | |||
| Generic Drugs | $8,772,349.91 | $ 8,772,349.91 | |||
| Durable Medical Equipment | |||||
| (DME), Diagnostic Services and Testing | $332,839.30 | $ 332,839.30 | |||
| OPTION PERIOD 5 TOTAL DISCOUNTED PRICE | $19,334,055.17 | $ 19,334,055.17 |
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