36C24719Q0348-002.pdf

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Attached to
Community Pharmacy Service Federal contract opportunity
Solicitation number
36C24719Q0348
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7

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36C24719Q0348 SCHEDULE.pdf

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36C24719Q0348-003.docx DOCX document
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PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

9,400.00 EA __________________ __________________

COMMUNITY PHARMACY SERVICES TO INCLUDE DISPENSING OF

PHARMACEUTICALS PRESCRIBED BY CLINICAL STAFF FOR ELIGIBLE

VETERAN PATIENTS SERVICED BY THE SEVEN (7) WJB Dorn VAMC COMMUNITY BASED OUTPATIENT CLINICS (CBOCs).

Contract Period: Base POP Begin: 04-01-2019 POP End: 03-31-2020

1.00 JB __________________ __________________

DISCOUNT PERCENTAGE FROM AWP* FOR BRAND (AWP - 15%) and

GENERIC (AWP - 55%).

Contract Period: Base POP Begin: 04-01-2019 POP End: 03-31-2020

PHARMACEUTICALS PRESCRIBED BY CLINICAL STAFF FOR ELIGIBLE

VETERAN PATIENTS SERVICED BY THE SEVEN (7) WJB Dorn VAMC COMMUNITY BASED OUTPATIENT CLINICS (CBOCs).

Contract Period: Option 1 POP Begin: 04-01-2020 POP End: 03-31-2021

GENERIC (AWP - 55%).

Contract Period: Option 1 POP Begin: 04-01-2020 POP End: 03-31-2021

PHARMACEUTICALS PRESCRIBED BY CLINICAL STAFF FOR ELIGIBLE

VETERAN PATIENTS SERVICED BY THE SEVEN (7) WJB Dorn VAMC COMMUNITY BASED OUTPATIENT CLINICS (CBOCs).

Contract Period: Option 2 POP Begin: 04-01-2021 POP End: 03-31-2022

GENERIC (AWP - 55%).

Contract Period: Option 2 POP Begin: 04-01-2021 POP End: 03-31-2022

PHARMACEUTICALS PRESCRIBED BY CLINICAL STAFF FOR ELIGIBLE

VETERAN PATIENTS SERVICED BY THE SEVEN (7) WJB Dorn VAMC COMMUNITY BASED OUTPATIENT CLINICS (CBOCs).

Contract Period: Option 3 POP Begin: 04-01-2022 POP End: 03-31-2023

GENERIC (AWP - 55%).

Contract Period: Option 3 POP Begin: 04-01-2022 POP End: 03-31-2023

PHARMACEUTICALS PRESCRIBED BY CLINICAL STAFF FOR ELIGIBLE

VETERAN PATIENTS SERVICED BY THE SEVEN (7) WJB Dorn VAMC COMMUNITY BASED OUTPATIENT CLINICS (CBOCs).

Contract Period: Option 4 POP Begin: 04-01-2023 POP End: 03-31-2024

GENERIC (AWP - 55%).

Contract Period: Option 4 POP Begin: 04-01-2023 POP End: 03-31-2024

GRAND TOTAL __________________

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