36C24724Q0717 Solicitation for Emergent Pharmacy Services.docx

36C24724Q0717

Description:

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, Streamlined Procedures for Evaluation and Solicitation for Commercial Items, as supplemented with additional information included in this notice. Solicitation 36C24724Q0717 is issued as a request for quotation. This announcement constitutes the only solicitation; quotations are being requested, and a written solicitation document will not be issued. The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2023-01. This solicitation is issued as a Small Business set-aside, the associated NAICS code is 524292 and small business size $45.5M.

DESCRIPTION: To obtain a contracted service to facilitate emergent prescription fills for Veterans seen at Central Alabama Veterans Health Care System (CAVHCS) Montgomery and Tuskegee, Alabama after normal Pharmacy operating hours and all Community Based Outpatient Clinics (CBOCs) aligned with CAVHCS:

TERMS: This requirement incorporates one or more clauses/provisions by reference, with the same force and effect as if they were given in full text. The full text of a clause or provision may be accessed at http:///www.acquisition.gov/far/index.html and http://www.va.gov/oal/library/vaar/. Offerors are encouraged to, and responsible for, reviewing the full solicitation (attached) for detailed requirement description, applicable terms and conditions, provisions, submittal instructions to offerors, and evaluation procedures prior to submitting their quotes. All Offerors must have an active registration in the System for Award Management (SAM), www.sam.gov, at the time of submittal.

QUESTIONS: Any questions pertaining to this requirement must be emailed to holly.bowling@va.gov no later than 10:00 AM EST, October 31, 2024, include Solicitation 36C24724Q0717 in the subject line of the email to ensure timely review and response. No questions will be accepted nor answered after this date and time. Response to questions will be posted as an amendment to the solicitation once the question period has expired. Offerors are responsible for monitoring Contracting Opportunities at www.sam.gov for any amendments to the solicitation as the government will not send notice of amendments. Representatives from potential Offerors or on behalf of potential Offerors shall not contact any VA Medical Center representative to discuss nor inquire about this solicitation.

DEADLINE: All offers/quotes must be submitted in a single email to holly.bowling@va.gov and received no later than 12:00 PM EST, November 15, 2024. Offerors are encouraged to, and responsible for, reviewing the full solicitation (attached) for detailed requirement description, applicable terms and conditions, provisions, submittal instructions to offerors, and evaluation procedures prior to submitting their quotes.

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

07-17-2024 Holly Bowling N/A 11-15-2024

12:00 PM

EDT

Department of Veterans Affairs VISN 7 Network Contracting Activity 501 Greene Street Hatcher Building - Suite 2 Augusta GA 30901

X

524292 $45.5 Million

NET 30

N/A

Department of Veterans Affairs VISN 7 Network Contracting Activity

CAVHCS

Montgomery & Tuskegee

Department of Veterans Affairs VISN 7 Network Contracting Activity 501 Greene Street Hatcher Building - Suite 2 Augusta GA 30901

Department of Veterans Affairs

FMS-VA-2 (101)

Financial Services Center P.O. Box 149971 Austin TX 78714-9971

See CONTINUATION Page Contractor shall furnish all, labor, travel, equipment and material necessary to provide emergency pharmacy and financial management services for reimbursement of pharmaceutical services for CAVHCS. Please see SOW below.

Please provide Capability Statement.

This is a base 4 Base POP: Feb 14, 2025-Feb 13,2026 Option I: Feb 14, 2026-Feb 13,2027 Option II: Feb 14, 2027-Feb 13,2028 Option III: Feb 14, 2028-Feb 13,2029 Option IV: Feb 14, 2029-Feb 13,2030

CS: Holly Bowling Email: Holly.Bowling@va.gov

Solicitation date is from 10-22-2024-11-15-2024

12:00PM EST

See CONTINUATION Page

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C247 Department of Veterans Affairs VISN 7 Network Contracting Activity 501 Greene Street Hatcher Building - Suite 2 Augusta GA 30901

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

STATEMENT OF WORK:

Urgent Pharmacy Prescription Services

OBJECTIVE

To obtain a contracted service to facilitate emergent prescription fills for Veterans seen at Central Alabama Veterans Health Care System (CAVHCS) Montgomery and Tuskegee, Alabama after normal Pharmacy operating hours and all Community Based Outpatient Clinics (CBOCs) aligned with CAVHCS:

AGENCY BACKGROUND

CAVHCS is a multi-divisional healthcare system that provides acute inpatient care, acute psychiatric inpatient care, geriatric extended care, and both primary and specialized outpatient services in the Central Alabama area and Georgia.

SCOPE and GENERAL REQUIREMENTS The contractor shall provide pharmacy benefit management services to VA beneficiaries at CAVHCS Montgomery and Tuskegee, AL, and all CBOC’s.

1. Contractor shall provide Emergent Prescription Filling:

• Only new prescriptions shall be filled with no refills authorized. A new prescription is defined as a written prescription for a drug product and strength that has not been previously dispensed to the beneficiary in the past 12 months. A repeat order for the same drug product within 12 months is not considered a new prescription. Exceptions may be made for second courses of antibiotic therapy and urgent doses of maintenance medications as deemed necessary by the provider. No refills may be authorized.

• Only original written prescriptions from a VA authorized practitioner(s) shall be filled and dispensed by the contractor’s pharmacies. Prescriptions from non-VA authorized practitioners shall not be filled under the contract. Prescriptions that are non-urgent that the provider wrote for the patient to purchase at his/her own expense shall not be filled under the contract.

• Prescriptions filled and dispensed through urgent fill contracts will be limited to medications of urgent need as determined by VA clinical staff and will follow safe and effective formulary management principles practiced within the VA. In the rare event this could include vaccinations if not available at CAVHCS. This may include adjudication of medications on a case-by-case basis as defined by local medical center procedure. CAVHCS can develop a list of emergent drugs that can be filled by the contractor without prior authorization. The Chief of Pharmacy or designee will email this “urgent drug list” to the contractor at the time of contract award and provide updates to the list as necessary.

• The prescriptions will be written in accordance with VA policies and procedures as well as applicable state and federal regulations. The successful offeror may obtain a sample of VA Form 10-2577F from the Contracting Officer Representative (COR).

• The contractor shall have a mechanism in place to provide real-time messaging and hard edits to the contractor’s pharmacies to limit dispensed medications to the specified “urgent drug list” and to prevent medications that require prior authorization from being dispensed without approval. In addition, there must be a mechanism in place to update the “emergent drug list” as needed.

• The VA is not responsible for payment of any prescription for products not on the VA National formulary even if ordered by VA authorized practitioners. If a VA authorized practitioner prescribes a product not on formulary the pharmacist shall notify the patient that the prescription is not covered and that the patient will be responsible for the cost, payable at that time.

• Any other exceptions to the prescription requirements of the contract must be pre-authorized by the Chief of Pharmacy at the Central Alabama Veterans Healthcare System. Decisions of the healthcare system (CAVHCS) are final. CAVHCS may retroactively approve exceptions but the decisions to retroactively consider, review or approve retroactive request for exceptions is solely at the discretion of CAVHCS.

2. Unless otherwise pre-authorized, limit prescription fills to a maximum of a ten (10 day) supply with no refills.

3. Prescriptions shall be filled within one hour of patient presenting to pharmacy. The mailing and delivery of prescriptions are not authorized, nor any incidental cost associated with such.

4. Prescriptions filled under this contract shall be to the extent permitted by law, the least expensive generic equivalent drug product the pharmacy has in stock.

• Generic drugs shall be dispensed whenever possible. A product is not considered a generic equivalent unless the strength, quality, and dosage are the same as the brand name. The generic name shall be displayed on all labels for all medications.

• Brand name products will be dispensed only if there is no therapeutic equivalent product listed as (AB) equivalent. Exceptions include the following drug products which must be dispensed by brand name only: See Attachment A.

5. The filling of prescriptions shall be inclusive of patient medical profile review and proper filling and labeling in accordance with proper pharmacy practices and state requirements. Procedures shall include necessary patient education and counseling consistent with the Omnibus Budget Reconciliation Act (OBRA) 1990 requirement to ensure appropriate use and optimal outcomes from drug therapy. Counseling includes the following information at a minimum:

• Name, description, and use of the medication

• Dose, dosage form and route

• Special directions and precautions

• Common side effects and action requires if they occur

• Techniques for self-monitoring drug therapy

• Action to be taken if a dose is missed

• Proper storage

• Possible side effects to the medication

• Appropriate auxiliary labels attached to the containers.

• All prescriptions MUST have Consideration must be given to a patient’s ability to open “childproof” containers.

• Generic name must be indicated on drug label for all medications.

• Beyond use dating should be present on all dispensed containers.

6. Pharmacists must collect, synthesize, and interpret patient, prescription, and disease data in monitoring for therapeutic duplication, drug-disease contraindications, drug-drug interactions (including those with OTC medications), incorrect drug dosage, inappropriate duration of treatment, drug-allergy interactions, and clinical abuse-misuse. Adverse event reporting: All medication errors, adverse drug reactions or allergy reactions related to medications dispensed under this contract shall be reported to the Contracting Officer Representative (COR) of the responsible VA healthcare system. The Contractor shall notify the VA in writing whenever a malpractice claim involving a VA patient has been filed against the contract within three (3) working days.

7. The contractor must have a minimum of one pharmacy within a 10-mile radius of the Montgomery location, Tuskegee, AL, and each CBOC location. The facility must be handicapped accessible, have handicapped parking spaces available and have seating available for patients waiting for prescriptions. The pharmacies need to be licensed in the respective state and have current controlled substance permit.

8. Additional areas may be added to this contract by mutual agreement as services are needed for new CBOC locations in service area or etc. Contract requirement and rates will be as stated in the proposal and subsequent contract.

• Pricing: If the contract is ordered from one of the GSA FSS schedules for Financial and Business Solutions, the order must include the GSA contract price list Per Claim Fee and the discount arrangement. The GSA contract price for the prescriptions and any discount should also be stated in the contract such as: Drug prices are based off a discount from the Drug Topics MediSpan Average Wholesale Price (AWP). AWP minus 55% for Generic and AWP minus 15% for Brand name (or at the rate offered by the contractor in the price/cost schedule) Refer to attachment 1- Prescription Drug Reimbursement Example.

If the contract is not ordered through GSA, the contract must contain specific details on all pricing. The total cost charges to the VA shall be the same or lower than that charged to their best customer and in no case, more than charged to the public.

• The contractor must provide a price list to the Contracting Officer showing pricing of the pharmaceuticals. As price list changes the contractor must submit the revised price list to the Contracting Officer.

9. The contractor shall invoice for reimbursement at the prices stated in the Schedule of Supplies of this contract. The Contractor shall bill (invoice) the appropriate CAVHCS Billing Contact monthly for services rendered. More frequent billing cycles are negotiable. The VA will randomly audit all billings. Pharmacies under contract shall make records available to the VA auditor in a timely manner at the location where dispensed.

10. All invoices shall reference the following information:

• Name and address of the contractor (to whom payment is to be sent)

• Invoice Date and Invoice Number

• Dates billed

• Taxpayer identification number

• Contract number and obligation number (PO Number)

• Payment terms

• Remittance address and EFT banking information

• Contract Line-Item Number (CLIN)

• Description of Supplies/Services

• Invoice Contains No Extraneous Charges (e.g., taxes) and correct calculations

• Number of people to be notified in event of questions

• Dispense Fee as a line item Invoices must have all identifiable information removed and sent via mail to the Austin payment center in Austin, Texas with a copy supplied via secure message to the Contracting Officer Representative (COR) - CAVHCS Pharmacy Service and Chief of Pharmacy Service at CAVHCS.

11. REPORTS. The contractor shall provide monthly reports. These reports shall also include any medication errors or medication related incidents. These reports shall be provided to the Contracting Officer Representative (COR) Pharmacist at the CAVHCS main campus. Cumulative monthly, quarterly, and annual reports shall also be provided to the Contracting Officer Representative (COR) CAVHCS Pharmacy Service and Chief of Pharmacy Service. A copy of the cumulative quarterly and annual reports shall be provided to the Contracting Officer. The reports will contain the following information. • Billing Pharmacy

• Prescription Number

• Date of Fill

• Drug Generic Name

• Drug Strength

• Quantity Dispensed

• NDC number of Product Dispensed

• Cost of Drug Dispensing Fee

• Prescriber Last Name

• Cost Type Code (ex. AWP)

• Days’ Supply

• Total Ingredient Cost Paid

• Total Normalized Cost

• If the prescription was an approved exception to the VA formulary drug list, the name of the CAVHCS approving official must be included on the invoice. The Contracting Officer also requires a quarterly report comparing the dollar amount of drugs dispensed under the contract price compared to Average Wholesale Price.

12. The Parties agree that the Contractor’s personnel will not be considered VA employees for any purpose and shall be considered employees of the Contractor.

13. Contractor employees are not covered by the Federal Tort Claim Act. When Contractor employee has been identified as a provider in a tort claim, the Contractor employee is responsible for notifying the Contractor’s legal counsel and/or insurance carrier. Any settlement or judgment arising from a contractor employee’s action or non-action is the responsibility of the Contractor and/or insurance carrier. The Contractor shall notify the VA of the action or non-action.

14. The standard VA pharmacy prescription claim form shall be utilized for billing purposes.

15. A comprehensive record keeping system shall be approved by the Contracting Officer/COR.

16. The contractor must be open/available during normal business hours of CAVHCS Montgomery, Tuskegee and CBOC locations Pharmacy (8:00AM to 4:30PM CST in Alabama). Pharmacy services shall be available between the hours of 8:00AM and 7:00PM CST in Alabama and 8:00AM and 7:00PM EST in Georgia, Monday through Friday, at a minimum. At least one of the participating community pharmacies should include late operating hours (i.e., 10:00PM-11:00PM, or later) for situations where late urgent prescription services are needed. Deviations from these hours should be provided and justified in the proposal. The Contractor will be required to be open on Federal holidays. A pharmacist will be available to answer any drug related questions that a patient may have after the prescription is filled. This may be in the form of written and/or verbal information

17. Separate monthly billings will be furnished for each location (Attachment 7, List of CAVHCS Facilities) electronically as per VAAR 825-232-70, Electronic Submission of payment requests by the 5th business day of each month for work done the previous month. Invoices must include:

• Name and address of Contractor

• Invoice date

• Contract number

• Terms of any prompt payment discount offered

• Name and address of official to whom payment is to be sent

• Claim Period

• P.O. Number

• Due Date

• Item billed as a line item

• Dispense Fee as a line item Each dispensing pharmacy will maintain a log of VA prescriptions filled and have the patient sign next to each prescription number of each prescription received. A copy of this log must be available for review if there is a question of eligibility or identification of the individual that picked up a particular prescription.

18. The contractor cannot store patient information on a mobile device and verbal contact is sufficient to obtain prior authorization when needed. The contractor is prohibited from transferring Personnel Health Information (PHI) by fax or email to and/or from a VA Medical facility. Invoices and reports must be sent desensitized.

19. All prescriptions must be filled in a manner that meets and or exceeds current State of Alabama/State of Georgia and federal requirements that govern the filling and dispensing of prescriptions.

20. Contractor must always place Veteran customer service as their top priority while remaining in the regulations and guidelines of VA and CAVHCS policy. For example, contractor should seek and establish relationships with retail pharmacies that are most conveniently located to CAVHCS and CBOC locations (as stated above) and establish relationships with retail pharmacies that offer the best flexible/available hours. Contractor must also not limit pharmacy resources but be able to offer the Veterans options when needed. Contractor must be willing to be creative/flexible and put forth best efforts to provide excellent, seamless care and exceptional customer service to the Veterans, which is a direct reflection of CAVHCS and the VA.

21. Contractor must have in place a Natural Disaster Program that can be activated in the event of a disaster. This program shall facilitate a Veteran in receiving medications up to a 30-day supply in the event of a disaster. The contractor shall work with the VA and community pharmacies to make the process as seamless as possible for the Veteran. Contractor must be willing to work outside of their normal business hours to accommodate the Veterans/VA needs in the event a disaster occurs.

22. Contractor must have in place a program to facilitate the emergent fill of specialty compounded medications for the Veterans in the rare event this is needed by CAVHCS. Specialty Compounded medications are defined as those that need to be manufactured and dispensed directly to the patient by a licensed compounding pharmacy. CAVHCS is responsible for the cost of ingredients, dispensing fees and any administrative fees associated with the compounding of the specialty medication. Maximum days’ supply for such medications is 90 days and refills on these medications are allowable. Specialty Compounded medications may be ordered for patients visiting our main facility or any CBOC location. In addition, Specialty Compounded medications can be ordered by non-VA providers for patients enrolled in Patient Centered Community Care or the Choice Program. Additionally, the program must include sterile IV compounding in the event CAVHCS cannot provide the required sterile IV compounding. Contractor shall facilitate an agreement for the VA to receive sterile IV compounding from another source in this instance.

Surveillance

General Contract Requirements (Service Radius)

Written notification received within 5 days of contract award or within 5 days of a change in POC.

General Contract Requirements (Pharmacies)

Written notification received within 10 days of contract award.

timely professional and courteous service with no valid complaints

Medication Compliance (Approval)

No non-approved medications issued without pre-authorization

Verification and/or documentation provided by Contractor

Medication Compliance (Refill)

Verification and/or documentation provided by Contractor

Monthly billing reviews and certification conducted by the COR observations

B.2 PRICE/COST SCHEDULE ITEM INFORMATION

CONTRACTED SERVICE TO FACILITATE EMERGENT PRESCRIPTION FILL FOR VETERANS AT CAVHCS MONTGOMERY CAMPUS EMERGENCY DEPARTMENT, CBOCS WIREGRASS, MONROEVILLE, DOTHAN MENTAL HEALTH AND PRIMARY CARE, COLUMBUS-FT BENNING, GA AND TUSKEGEE, AL IN RARE URGENT CASES BEGINNING ON 01/01/2025 EXTENDING THRU 12/31/2025 Contract Period: Base POP Begin: 02-14-2025 POP End: 02-13-2026

PRESCRIPTION DRUG REIMBURSEMENT DISCOUNT PERCENTAGE FROM AVERAGE WHOLESALE PRICE (AWP) FOR BRAND NAME AND GENERIC: Discount from Generic AWP: 72% Discount from Brand AWP: 17% Generic Estimated Annual Drug Costs: $535,000.00 X 72% Generic Discount = $385,200.00 $535,000.00 (minus-) $385,200.00 = $149,800.00 Brand Estimated Annual Drug Costs: $115,000.00 X 17% Brand Discount = $19,550.00 $115,000.00 (minus -) $19,550.00 = $95,450.00 TOTAL Discounted DRUG cost: $245,250.00 Contract Period: Base POP Begin: 02-14-2025 POP End: 02-13-2026

CONTRACTED SERVICE TO FACILITATE EMERGENT PRESCRIPTION FILL FOR VETERANS AT CAVHCS MONTGOMERY CAMPUS EMERGENCY DEPARTMENT, CBOCS WIREGRASS, MONROEVILLE, DOTHAN MENTAL HEALTH AND PRIMARY CARE, COLUMBUS-FT BENNING, GA AND TUSKEGEE, AL IN RARE URGENT CASES BEGINNING ON 01/01/2025 EXTENDING THRU 12/31/2025 Contract Period: Option 1 POP Begin: 02-14-2026 POP End: 02-13-2027

PRESCRIPTION DRUG REIMBURSEMENT DISCOUNT PERCENTAGE FROM AVERAGE WHOLESALE PRICE (AWP) FOR BRAND NAME AND GENERIC: Discount from Generic AWP: 72% Discount from Brand AWP: 17% Generic Estimated Annual Drug Costs: $535,000.00 X 72% Generic Discount = $385,200.00 $535,000.00 (minus-) $385,200.00 = $149,800.00 Brand Estimated Annual Drug Costs: $115,000.00 X 17% Brand Discount = $19,550.00 $115,000.00 (minus -) $19,550.00 = $95,450.00 TOTAL Discounted DRUG cost: $245,250.00

POP Begin: 02-14-2026 POP End: 02-13-2027

CONTRACTED SERVICE TO FACILITATE EMERGENT PRESCRIPTION FILL FOR VETERANS AT CAVHCS MONTGOMERY CAMPUS EMERGENCY DEPARTMENT, CBOCS WIREGRASS, MONROEVILLE, DOTHAN MENTAL HEALTH AND PRIMARY CARE, COLUMBUS-FT BENNING, GA AND TUSKEGEE, AL IN RARE URGENT CASES BEGINNING ON 01/01/2025 EXTENDING THRU 12/31/2025 Contract Period: Option 2 POP Begin: 02-14-2027 POP End: 02-13-2028

PRESCRIPTION DRUG REIMBURSEMENT DISCOUNT PERCENTAGE FROM AVERAGE WHOLESALE PRICE (AWP) FOR BRAND NAME AND GENERIC: Discount from Generic AWP: 72% Discount from Brand AWP: 17% Generic Estimated Annual Drug Costs: $535,000.00 X 72% Generic Discount = $385,200.00 $535,000.00 (minus-) $385,200.00 = $149,800.00 Brand Estimated Annual Drug Costs: $115,000.00 X 17% Brand Discount = $19,550.00 $115,000.00 (minus -) $19,550.00 = $95,450.00 TOTAL Discounted DRUG cost: $245,250.00

POP Begin: 02-14-2027 POP End: 02-13-2028

PRESCRIPTION DRUG REIMBURSEMENT DISCOUNT PERCENTAGE FROM AVERAGE WHOLESALE PRICE (AWP) FOR BRAND NAME AND GENERIC: Discount from Generic AWP: 72% Discount from Brand AWP: 17% Generic Estimated Annual Drug Costs: $535,000.00 X 72% Generic Discount = $385,200.00 $535,000.00 (minus-) $385,200.00 = $149,800.00 Brand Estimated Annual Drug Costs: $115,000.00 X 17% Brand Discount = $19,550.00 $115,000.00 (minus -) $19,550.00 = $95,450.00 TOTAL Discounted DRUG cost: $245,250.00 Contract Period: Option 3 POP Begin: 02-14-2028 POP End: 02-13-2029

CONTRACTED SERVICE TO FACILITATE EMERGENT PRESCRIPTION FILL FOR VETERANS AT CAVHCS MONTGOMERY CAMPUS EMERGENCY DEPARTMENT, CBOCS WIREGRASS, MONROEVILLE, DOTHAN MENTAL HEALTH AND PRIMARY CARE, COLUMBUS-FT BENNING, GA AND TUSKEGEE, AL IN RARE URGENT CASES BEGINNING ON 01/01/2025 EXTENDING THRU 12/31/2025 Contract Period: Option 3 POP Begin: 02-14-2028 POP End: 02-13-2029

PRESCRIPTION DRUG REIMBURSEMENT DISCOUNT PERCENTAGE FROM AVERAGE WHOLESALE PRICE (AWP) FOR BRAND NAME AND GENERIC: Discount from Generic AWP: 72% Discount from Brand AWP: 17% Generic Estimated Annual Drug Costs: $535,000.00 X 72% Generic Discount = $385,200.00 $535,000.00 (minus-) $385,200.00 = $149,800.00 Brand Estimated Annual Drug Costs: $115,000.00 X 17% Brand Discount = $19,550.00 $115,000.00 (minus -) $19,550.00 = $95,450.00 TOTAL Discounted DRUG cost: $245,250.00 Contract Period: Option 4 POP Begin: 02-14-2029 POP End: 02-13-2030

B.3 DELIVERY SCHEDULE

1.00

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SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at Federal Acquisition Regulation (FAR) 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on—

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in FAR 32.608-2 in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges the Contractor can demonstrate to the satisfaction of the Government using its standard record keeping system, have resulted from the termination. The Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor's records. The Contractor shall not be paid for any work performed or costs incurred which reasonably could have been avoided.

(m) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the Contractor shall be liable to the Government for any and all rights and remedies provided by law. If it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

(n) Title. Unless specified elsewhere in this contract, title to items furnished under this contract shall pass to the Government upon acceptance, regardless of when or where the Government takes physical possession.

(o) Warranty. The Contractor warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract.

(p) Limitation of liability. Except as otherwise provided by an express warranty, the Contractor will not be liable to the Government for consequential damages resulting from any defect or deficiencies in accepted items.

(q) Other compliances. The Contractor shall comply with all applicable Federal, State and local laws, executive orders, rules and regulations applicable to its performance under this contract.

(r) Compliance with laws unique to Government contracts. The Contractor agrees to comply with 31 U.S.C. 1352 relating to limitations on the use of appropriated funds to influence certain Federal contracts; 18 U.S.C. 431 relating to officials not to benefit; 40 U.S.C. chapter 37, Contract Work Hours and Safety Standards; 41 U.S.C. chapter 87, Kickbacks; 49 U.S.C. 40118, Fly American; and 41 U.S.C. chapter 21 relating to procurement integrity.

(s) Order of precedence. Any inconsistencies in this solicitation or contract shall be resolved by giving precedence in the following order:

(1) The schedule of supplies/services.

(2) The Assignments, Disputes, Payments, Invoice, Other Compliances, Compliance with Laws Unique to Government Contracts, and Unauthorized Obligations paragraphs of this clause;

(3) The clause at 52.212-5.

(4) Addenda to this solicitation or contract, including any license agreements for computer software.

(5) Solicitation provisions if this is a solicitation.

(6) Other paragraphs of this clause.

(7) The Standard Form 1449.

(8) Other documents, exhibits, and attachments

(9) The specification.

(t) [Reserved]

(u) Unauthorized Obligations.

(1) Except as stated in paragraph (u)(2) of this clause, when any supply or service acquired under this contract is subject to any End User License Agreement (EULA), Terms of Service (TOS), or similar legal instrument or agreement, that includes any clause requiring the Government to indemnify the Contractor or any person or entity for damages, costs, fees, or any other loss or liability that would create an Anti-Deficiency Act violation (31 U.S.C. 1341), the following shall govern:

(i) Any such clause is unenforceable against the Government.

(ii) Neither the Government nor any Government authorized end user shall be deemed to have agreed to such clause by virtue of it appearing in the EULA, TOS, or similar legal instrument or agreement. If the EULA, TOS, or similar legal instrument or agreement is invoked through an “I agree” click box or other comparable mechanism (e.g., “click-wrap” or “browse-wrap” agreements), execution does not bind the Government or any Government authorized end user to such clause.

(iii) Any such clause is deemed to be stricken from the EULA, TOS, or similar legal instrument or agreement.

(2) Paragraph (u)(1) of this clause does not apply to indemnification by the Government that is expressly authorized by statute and specifically authorized under applicable agency regulations and procedures.

(v) Incorporation by reference. The Contractor’s representations and certifications, including those completed electronically via the System for Award Management (SAM), are incorporated by reference into the contract.

(End of Clause) ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

C.2 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 90 days.

(End of Clause)

C.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within ; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed five (5) years.

(End of Clause)

C.4 SUPPLEMENTAL INSURANCE REQUIREMENTS

In accordance with FAR 28.307-2 and FAR 52.228-5, the following minimum coverage shall apply to this contract:

(a) Workers' compensation and employers liability: Contractors are required to comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with a Contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least $100,000 is required, except in States with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

(b) General Liability: $500,000.00 per occurrences.

(c) Automobile liability: $200,000.00 per person; $500,000.00 per occurrence and $20,000.00 property damage.

(d) The successful bidder must present to the Contracting Officer, prior to award, evidence of general liability insurance without any exclusionary clauses for asbestos that would void the general liability coverage.

(End of Clause)

C.5 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

(a…