36C25024Q0222 0001.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 ADMINISTRATIVE 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 date 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 30

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) Multiple requisition #'s 36C250 Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis

IN

46240 36C250 Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis

IN

46240 To all Offerors/Bidders

36C25024Q0222 01-11-2024

X X X

The purpose of this solicitation amendment is to provide answers to questions submitted.

Please see continuation page for questions and answers.

Questions and Answers. Answers are identified in red.

1. Item number 15 (on page 10 of 91) under section Scope of Services/Description reads "The total price charged to the VA will not exceed the price charged to the general public or the vendor’s lowest third-party reimbursement plan.". As far as total price is concerned, there are many factors. While we are certain to provide a very competitive price to the VA for this service, we don't want to be held obligated to other price references of our other business with different clients in different practice settings. In other words, we want to offer the best service for the best price but without reference to our other business. Please clarify.

We are asking the vendor to not exceed the price charged to the general public or their lowest-third party reimbursement plan. For example, if a retail pharmacy was offering specific medication with a $0 co-pay and a veteran needed one of these prescriptions through our contract, we would not want the vendor charging us more than what was offered to the general public.

1. Could you, please, elaborate Item 25 (page 21 of 91) under the same section that reads "No Cost Medications shall be reimbursed at a set administrative fee defined in the price cost schedule". We are particularly wondering what drugs will be included in this list.

This was added because during COVID, there were several emergency use authorization or EUA medications. There was no cost for the medication because the government had purchased a stockpile of them but pharmacies were charging an admin fee (higher than the usual dispensing fee) because of the EUA documentation that was required. We understood the rationale for that fee because the VA was not exempt from those documentation requirements. Facilities couldn’t add these EUA medications to their formulary because the admin fee that was going to be charged was outside the scope of the contract. We currently do not have any of these medications but did not want to run into this barrier again and not be able to offer these medications.

1. For billing and reporting, we can potentially use our overseas back-office staff. Of course information protection will be guaranteed and we are open to any security clearance requirements. Would VA be open to allowing this. Else, we can manage everything in the USA.

For PHI and PII security reasons the VA wishes all reporting and billing to originate from the United States.

The purpose of this solicitation amendment is to answer questions.