36C25019Q0010-0001000.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION

OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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:

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

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT

THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO:

Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADM

INISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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 letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and d ate specified.

C. THIS SUPPLEMENTAL AGREEMENT IS

ENTERED INTO

PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 3

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO

MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 02-13-2019 Department of Veterans Affairs Network Contracting Office (NCO) 10 6150 Oak Tree Blvd., Suite 300 Independence OH 44131 Department of Veterans Affairs Network Contracting Office (NCO) 10 6150 Oak Tree Blvd., Suite 300 Independence OH 44131 To all Offerors/Bidders

36C25019Q0010 01-31-2019

X X

X The purpose of this amendment is to answer vendor questions AND to change the NAICS from 446110 to 524292 The Request for Quote (RFQ) is modified as set forth in this amendment. The original RFQ Documents and any previously issued amendments remain in full force and effect, except as modified by this amendmen, which is hereby made part of the RFQ. Respondent shall take this amendment into considerati onwhen preparing and submitting its Proposal.

The quote submittal deadline remains the same and is not changed by this amendment.

The following questions and answers are provided as a matter of information to clarify issues raised about the RFQ.

To the extent that changes to the RFQ are required based on the questions received, the RFQ has been modified as noted as noted above.

Andrew Craig Contracting Officer

CONTINUATION PAGE

Questions: (Answers in RED) Q1: Can you please provide the solicitation numbers and names of the incumbent for your current contracts for these requirements. The requirement as detailed in this solicitation is not currently under contract.

Q2: Will each primary facility go live on 3/15/2019 and if not, can you list the expected go-live date for each facility. The anticipated award date is 3/1/2019. The anticipated start date for full performance of this contract is 4/1/2019.

Q3: Will each primary facility have their own COR? There is one COR for the VISN. There will be a POC at each facility that can handle questions and make formulary adjustments.

Q4: On page 17 of the solicitation #4 states: “Each VA facility shall be responsible for the creation and maintenance of their formulary list.”

Do any of the facilities use the VA National Formulary as their list and if so which ones? Of the ones that do not use the VA National Formulary do any of the facilities use the same formulary as another facility? The intent of the questions is to try and determine how many formularies we’ll actually be managing. Each facility will establish their own formulary and will likely not allow all items on VA National Formulary to be filled through this contract. The vendor will need to manage 11 different formularies.

There are usually 2 options from our experience for “pre-programmed formularies”. The VA National formulary is one of those options, but is rarely exercised. Those who wish to restrict usage are usually assigned a “Closed Formulary”, which can become a “Custom Formulary”.

Q5: On page 17 of the solicitation, #7 states: “Most prescriptions shall be limited to a maximum of ten (10) days. An antibiotic may be filled for up to a fourteen (14) day supply. The VA facility may set a different day supply for a specific patient and/or medication. Prescriptions written for more than a 10-day supply, with the exception of an antibiotic, require pre-authorization by designated VA pharmacy staff.

Do all facilities generally adhere to this requirement or will there be some that generally want different day supply limits. Most prescriptions will be limited to 10 days. However, for specific patients and/or medications, this may change.

Q7: On page 18 #14 states: “Average Wholesale Price (AWP) shall be based on the current Pharmacy Fundamental Reference REDBOOK and REDBOOK updates published by the Medical Economics Data, Inc. The contractor shall provide access to the REDBOOK throughout the contract term. If a contractor offers to use any other means of pricing, they shall provide appropriate documentation similar to that of the REDBOOK AND ITS UPDATES” Medical Economics Data, Inc appears to no longer exist. Is Medi-Span by Wolters Kluwer, an acceptable substitute? If not could you please clarify the source for Redbook?

Medi-Span should be considered an acceptable substitute for Redbook. Medi-Span is widespread, and comparable for pricing analysis related to AWP.

Q8: Page 80 mentions that Price is a factor. Normally we see two different variables included in the pricing analysis: Dispensing Fee(s) and AWP Discounts (Brand/Generic).

Will you evaluate the discounts into the pricing analysis or is will the analysis only take into account the dispensing fee? And if AWP Discounts are to be provided do you want a discount for brand name items as well as a discount for generic items?

Both pricing factors are critical and will be evaluated as to billing structure. The dispensing fee type whether flat-rate, per on-formulary fill, and off-formulary fills. We will also need a separate AWP discount for both generics and brands to evaluate. These components play the largest role in the overall cost to the government.

Q9: Can you please clarify the NAICS code? We note 446110 listed on the 1449. It’s our understanding that The Federal Government Contracting can no procure under NAICS Sections 42, 44 and 45? CFR § 121.402 The NAICS will be amended to 524292 Third Party Administration of Insurance and Pension Funds.