S06 36C25726R0018 - 0007 - Post Questions and Answers.pdf

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)

1 5

0007 09-02-2026

MSO-2026-COM-0003

36C257

Department of Veterans Affairs

VHA RPO West - NCO 17

Health Care Resources Branch

11495 Turner Road

El Paso TX 79936-1372

Carlos Jaquez - 915-341-4575 carlos.jaquez@va.gov

36C257

See block 6

To all Offerors/Bidders

36C25726R0018

06-29-2026

X

X X

X 1

The purpose of this amendment is to publish the Government’s questions and answers and to formally notify all interested parties that the question period for this solicitation has closed.

a. See continuation page for questions and answers.

b. No additional questions will be accepted, and any inquiries submitted after the designated deadline will not be addressed.

c. All other terms and conditions remain in full for and effect.

Carlos Jaquez

Contracting Officer

CONTINUATION PAGE

Q125. We understand that the VA may be unable to provide the incumbent’s purchasing data for vaccines and medications. However, because the VA tracks patient care, could the VA provide historical administration data by medication type for the past 24 months, similar to the information recently provided for mental health injectables?

A125. The VA understands the intent behind your request; however, the VA does not maintain historical administration data for medications and vaccines that are purchased, supplied, and administered by the incumbent contractor.

Q126. The VA has indicated that offerors should rely on their knowledge and expertise. However, the incumbent possesses specific knowledge of the patient population, market conditions, and historical utilization that other offerors do not have. Providing this data would help ensure that all offerors have access to the same relevant information and can compete on a more level playing field.

A126. See A125.

Q127. As we evaluate potential facilities, are there any additional facility acceptance, infrastructure, or site requirements we should consider beyond those identified in the RFP and amendments?

A127. There are no additional requirements other than those specified in the RFP, referenced VA publications, and the amendments.

Q128. Can the VA clarify the major equipment responsibilities between the Government and contractor, particularly medical equipment, IT/telehealth infrastructure, furniture, security systems, and other clinic-specific equipment?

A128. The VA will supply the Muse compatible EKG, telehealth equipment, one AED and the ThinPrep Pap test. All other medical equipment and supplies are the responsibility of the contractor, including medications and vaccines. The contractor is also responsible for the courier service to transport to the VA for processing.

The furniture, security system, telephone system, and all other office and clinical supplies needed for clinic operations are the responsibility of the contractor.

The VA will provide the primary data and voice circuit, primary data services (including internet) WAN router, LAN switches, and monitoring devices such as Ciena and Unlogic boxes. PC workstations, multifunction printer/scanner/copier devices that connect to the VA network, software, and networking equipment required to access the VA EHR. The contractor will be responsible for obtaining and providing upon request, Local Exchange Carrier Right of Entry documentation for installation of voice/data services. The contractor is also responsible for the installation and maintenance of the network cabling infrastructure within the facility including all cabling located inside the walls and plenum space of the structure, cabling racks, network equipment racks, patch panels, wall ports, and a secure communications closet space to house the networking equipment.

Q129. For the technical evaluation, are there particular facility/site characteristics the VA considers most important when comparing otherwise compliant proposed locations?

A129. The site must be located in Sherman, Texas.

Q130. In Amendment 0003 question 33, the VA's answer was, "The inventory of medications required to support quality patient care of the enrolled Veterans may vary depending on the unique needs of the population serve. However, a copy of the current VANTHCS PACT Medication list is attached for reference. The VA does not track monthly or annual usage of medications purchased and administered by the contract CBOCs." However, the PACT Medication list was not attached in this Amendment. Will the VA provide a copy of the VANTHCS PACT Medication list?

A130. Attached below is the PACT Medication List.

ACETAMINOPHEN 325MG TAB

ALBUTEROL 3/IPRATROP 0.5MG/3ML INHL 3ML

amLODIPine BESYLATE 10MG TAB

ARIPiprazole 1064MG/3.9ML SA INJ SUSP

ARIPiprazole 300MG/KIT SA INJ SUSP

ARIPiprazole 400MG/KIT INJ SUSP SA

ARIPiprazole 441MG/1.6ML SA INJ SUSP

ARIPiprazole 662MG/2.4ML SA INJ SUSP

ARIPiprazole 675MG/2.4ML SA INJ STARTER

ARIPiprazole 882MG/3.2ML SA INJ SUSP

ASPIRIN CHEWABLE 81MG TAB

ASPIRIN 325MG EC TAB

CEFTRIAXONE INJ 250MG VIAL

cefTRIAXone NA VIAL 1GM INJ cloNIDine HCL 0.1MG TAB cloNIDine HCL 0.2MG TAB

CYANOCOBALAMIN INJ 1000MCG/ML, 1ML

dexameTHASONE INJ 4MG/1ML 1ML INJ

DEXTROSE 15GM/37.5GM SQUEEZE TUBE

DEXTROSE SQUEEZE 24GM/32.2ML 32.2ML GEL

diphenhydrAMINE 50MG/1ML 1ML INJ

Diphenhydramine Cap 25mg

DIPHTH, PERTUSS (ACELL), TET 2-2.5 0.5

EPI (EQV-ADRENACLICK) 0.3MG/0.3MLINJC

fluPHENAZine DECANOATE 125MG/5ML 5ML INJ

GLUCAGON 1MG/VIL INJ EMERGENCY

GLUCOSE 4GM CHEW TAB

GLUCOSE ORAL GEL DEXTROSE 15GM/37.5GM SQUEEZE TUBE

HAEMOPHILUS B TETANUS TOX CONJ V

HALOPERIDOL DECANOATE 100MG/ML 1ML INJ

HALOPERIDOL DECANOATE 50MG/ML 1ML INJ

HEPATITIS A 1440ELU/1ML 1ML SYR

HEPATITIS A&B (720/20) VACCINE 1ML INJ

HEPATITIS B VACC (REC)(ENGERIX-B)

hydrALAZINE HCL 25MG TAB hydroCHLOROthiazide 25MG TAB

HYDROCORTISONE 1% UD CREAM

HydrOXYzine HCL 10MG TAB

IBUPROFEN 400MG TAB

INFLUENZA VACCINE, (PF) 0.5ML SYR

INFLUENZA VAC, HIGH-DOSE SYR 0.7M

INSULIN HUMAN 70/30 (NPH/REG) INJ

INSULIN NPH HUMAN 100 UNIT/ML

INSULIN REG HUMAN 100UNIT/ML INJ

IPRATROPIUM BROMIDE 0.02% 2.5ML INH SOL

KETOROLAC 30MG/1ML 1ML INJ VI

KETOROLAC 30MG/1ML 1ML INJ VI

LEVONORGESTREL (EQV-PLAN B) 1.5MG PKG 1

LIDOCAINE 1% INJ PF VIAL

LIDOCAINE HCL 2% TOP GEL

LISINOPRIL 20MG TAB

MEASLES/MUMPS/RUBELLA VIRUS VACC

MedroxyPROGESTERONE ACETATE 150MG/1ML 1ML INJ SUS

MENINGOCOCCAL B (BEXSERO) INJ SYR 0.5ML

MENINGOCOCCAL (MENVEO 1-VIAL) INJ,SOL

MethylPREDNISolone ACETATE SUSP 80MG/1ML 1ML INJ

MethylPREDNISolone SUCC 40MG/1ML 1ML VIAL

MethylPREDNISolone Succinate 125MG INJ metoPROlol TARTRATE 50MG TAB

NALOXONE HCL 4MG SPRAY/NASAL SPRAY

NALTREXONE HCL 380MG/1VI 1VI INJ,SUS

NEOMY, POLY, BACI OINT UNIT DOSE PK

NITROGLYCERIN 0.4MG SL TAB

NITROGLYCERIN 2% OINT 1GM UD

OLANZapine RAPID DISINTEGRATING 10MG TAB

ONDANSETRON HCL INJ 2MG/1ML 2ML INJ

PALIPERIDONE KIT (3 MONTH) 273MG SA INJ

PALIPERIDONE PALMITATE ER 117MG/KIT INJ

PALIPERIDONE PALMITATE ER 156MG IN

PALIPERIDONE PALMITATE ER 234MG/KIT INJ

PALIPERIDONE PALMITATE ER 39MG/KIT INJ

PALIPERIDONE PALMITATE ER 410MG IN

PALIPERIDONE PALMITATE ER 546MG/KIT INJ

PALIPERIDONE PALMITATE ER 78MG/KIT INJ

PALIPERIDONE PALMITATE SA 819MG INJ

Papillomavirus 9-Valent Vacc 0.5ml Syr

PEN G BENZAT/PROCA SUS,600,000UNT/ML,2ML

PNEUMO 20-VALENT CONJUGATE VACCINE 0.5ML SYR

POTASSIUM CHLORIDE SA 10MEQ TAB

POTASSIUM CHLORIDE SA 20MEQ TAB

risperiDONE MICROSPHERE 25MG/2ML 2ML SYRINGE risperiDONE SA 12.5MG/2ML 2ML SYRINGE risperiDONE SA 37.5MG/2ML 2ML SYRINGE risperiDONE SA 50MG/2ML 2ML SYRINGE

RSV VACCINE LYPHL INJ SYR KIT

SOD POLYSTYRENE SULFON 15GM/60ML 60ML SUSP

SODIUM CHLORIDE 0.9% INHL 3ML INH

SPACE-INHALER

TETANUS/DIPHTH TOXOID, ADULT 0.5ML SYRINGE

Triamcinolone 40mg/ml 1ml

TUBERCULIN (10 TESTS) 5TU/0.1ML 1ML INJ

TYPHIM VI VACCINE INJ SYR 0.5ML SYRINGE

WATER FOR INJECTION WO/PRES 10ML VI

ZOSTER VACCINE,RECOMBINANT INJ

Q131. Will the VA confirm who is responsible for administering Mental Health medication in the Sherman CBOC?

A131. Mental Health injectables are administered by the VA mental health nurse.

End of Document