36C25625Q1538 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) 10-03-2025 Department of Veterans Affairs Gulf Coast Veterans Health Care System Network Contracting Office 16 400 Veterans Avenue Biloxi MS 39531 Department of Veterans Affairs Gulf Coast Veterans Health Care System Network Contracting Office 16 400 Veterans Avenue Biloxi MS 39531 To all Offerors/Bidders

36C25625Q1538

X X X See CONTINUATION Page The purpose of this modification is to answer all questions formed from the solicitation.

Please see the questions and answers within and remember to return a signed copy of this amendment with your response.

This solicitation is NOT extended and all responses/ quotes are due by 12 PM CT October 8, 2025.

Tina Harris Contracting Officer

CONTINUATION PAGE

Questions and answers

1. Is this a new requirement or a continuation of services already being provided by another entity? If the latter, who is the incumbent contractor?

This is a new requirement that has been performed before The incumbent is Palisades Heritage.

1. Are the prescription volumes provided for pricing based on approximates of historical utilization of first fills in the respective locations or estimates of need? If the latter, what are the estimates based on?

The estimates are based off historical data, and prescriptions filled.

1. Will the VA Gulf Coast Veterans Health Care System Formulary be available in electronic format including any changes/updates to it?

The formulary is digital and online.

https://www.va.gov/formularyadvisor/

1. Under Section B.3 Price/Cost Schedule, can you clarify / define what the quantity, the unit and the unit price in the table refers to?

For example, line item one based off 6000 prescriptions per year over a 12-month period pf performance is 500 per month so what is the monthly cost? Discount percentage etc.? that cost per month is multiplied by the 12 months to get the total yearly price.

1. Are all prescriptions written on the designated legitimate forms identified in the solicitation deemed as first fill when processed by the contractor’s pharmacy or must the pharmacy / pharmacist perform any other determination to qualify first fill?

As per the SOW there is a specific form the veterans will provide for the prescription.

1. Will a member’s pharmacy and/or medical claims history be available to the contractor as part of any clinical / quality of care reviews we may implement when filling a prescription?

Not sure what You are asking, however the contract will be assigned a Contracting officer representative(COR)

1. If private company generics provide superior value to the VA, and can be shipped / delivered within 24 hours of a prescription being presented, is that an option that the VA will consider or must a prescription always be available within one hour?

The prescription must be available within one hour. We already have a shipping of prescriptions this is more for contingency operation.

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Services, Non-Personal; Contractor to provide Pharmacy Benefit Management Services (aka First-Fill Pharmacy Services) for the VA Gulf Coast Veterans Health Care System (VAGCVHCS) Community Based Outpatient Clinics (CBOCs) in accordance with the services outlined in the Performance Work Statement (PWS).

(Pricing to be based on estimated 6000 prescription per year)

Contractor Must annotate:

Dispensing Fee per prescription Discount from AWP ___% off generic drugs ___% Brand name if no generic exist Administration fee, if any Contract Period: Base POP Begin: 10-13-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds PRODUCT/SERVICE CODE: Q517 - Medical - Pharmacy Services

EMERGENCY OCCURENCES (Natural Disaster) - Non-personal Services; Contractor to provide Pharmacy Benefit Management Services (aka First-Fill Pharmacy Services from eligible pharmacy locations with the Gulf Coast Veterans Health Care System Locations (Biloxi, MS; Mobile, FL; Pensacola, FL; Panama City, FL; and Eglin

(Pricing to be based on estimated 2000 prescription per year)

Contractor Must annotate:

Dispensing Fee per prescription Discount from AWP ___% off generic drugs ___% Brand name if no generic exist Administration fee, if any Contract Period: Base POP Begin: 10-13-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Services, Non-Personal; Contractor to provide Pharmacy Benefit Management Services (aka First-Fill Pharmacy Services) for the VA Gulf Coast Veterans Health Care System (VAGCVHCS) Community Based Outpatient Clinics (CBOCs) in accordance with the services outlined in the Performance Work Statement (PWS).

Contractor Must annotate:

Dispensing Fee per prescription Discount from AWP ___% off generic drugs ___% Brand name if no generic exist Administration fee, if any Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

EMERGENCY OCCURENCES (Natural Disaster) - Non-personal Services; Contractor to provide Pharmacy Benefit Management Services (aka First-Fill Pharmacy Services from eligible pharmacy locations with the Gulf Coast Veterans Health Care System Locations (Biloxi, MS; Mobile, FL; Pensacola, FL; Panama City, FL; and Eglin

Contractor Must annotate:

Dispensing Fee per prescription Discount from AWP ___% off generic drugs ___% Brand name if no generic exist Administration fee, if any Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Services, Non-Personal; Contractor to provide Pharmacy Benefit Management Services (aka First-Fill Pharmacy Services) for the VA Gulf Coast Veterans Health Care System (VAGCVHCS) Community Based Outpatient Clinics (CBOCs) in accordance with the services outlined in the Performance Work Statement (PWS).

Contractor Must annotate:

Dispensing Fee per prescription Discount from AWP ___% off generic drugs ___% Brand name if no generic exist Administration fee, if any Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

EMERGENCY OCCURENCES (Natural Disaster) - Non-personal Services; Contractor to provide Pharmacy Benefit Management Services (aka First-Fill Pharmacy Services from eligible pharmacy locations with the Gulf Coast Veterans Health Care System Locations (Biloxi, MS; Mobile, FL; Pensacola, FL; Panama City, FL; and Eglin

Contractor Must annotate:

Dispensing Fee per prescription Discount from AWP ___% off generic drugs ___% Brand name if no generic exist Administration fee, if any Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Services, Non-Personal; Contractor to provide Pharmacy Benefit Management Services (aka First-Fill Pharmacy Services) for the VA Gulf Coast Veterans Health Care System (VAGCVHCS) Community Based Outpatient Clinics (CBOCs) in accordance with the services outlined in the Performance Work Statement (PWS).

Contractor Must annotate:

Dispensing Fee per prescription Discount from AWP ___% off generic drugs ___% Brand name if no generic exist Administration fee, if any Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

EMERGENCY OCCURENCES (Natural Disaster) - Non-personal Services; Contractor to provide Pharmacy Benefit Management Services (aka First-Fill Pharmacy Services from eligible pharmacy locations with the Gulf Coast Veterans Health Care System Locations (Biloxi, MS; Mobile, FL; Pensacola, FL; Panama City, FL; and Eglin

Contractor Must annotate:

Dispensing Fee per prescription Discount from AWP ___% off generic drugs ___% Brand name if no generic exist Administration fee, if any Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Services, Non-Personal; Contractor to provide Pharmacy Benefit Management Services (aka First-Fill Pharmacy Services) for the VA Gulf Coast Veterans Health Care System (VAGCVHCS) Community Based Outpatient Clinics (CBOCs) in accordance with the services outlined in the Performance Work Statement (PWS).

Contractor Must annotate:

Dispensing Fee per prescription Discount from AWP ___% off generic drugs ___% Brand name if no generic exist Administration fee, if any Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

EMERGENCY OCCURENCES (Natural Disaster) - Non-personal Services; Contractor to provide Pharmacy Benefit Management Services (aka First-Fill Pharmacy Services from eligible pharmacy locations with the Gulf Coast Veterans Health Care System Locations (Biloxi, MS; Mobile, FL; Pensacola, FL; Panama City, FL; and Eglin

Contractor Must annotate:

Dispensing Fee per prescription Discount from AWP ___% off generic drugs ___% Brand name if no generic exist Administration fee, if any Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

End of Document Pharmacy Benefit Management