P02 RFI Amendment 36C26121Q0397 0001_1.pdf

Contract Opportunity

Amendment to a Previous Combined Solicitation

PRODUCT SERVICE CODE *

SUBJECT *

CONTRACTING OFFICE'S *

ZIP-CODE

SOLICITATION NUMBER *

BASE NOTICE TYPE

RESPONSE DATE/TIME/ZONE

ARCHIVE DAYS AFTER THE RESPONSE DATE

RECOVERY ACT FUNDS

SET-ASIDE

NAICS CODE *

CONTRACTING OFFICE

ADDRESS

POINT OF CONTACT *

(POC Information Automatically Filled from

User Profile Unless Entered)

DESCRIPTION * See Attachment

AGENCY'S URL

URL DESCRIPTION

AGENCY CONTACT'S EMAIL

ADDRESS

EMAIL DESCRIPTION

ADDRESS

POSTAL CODE

COUNTRY

ADDITIONAL INFORMATION

GENERAL INFORMATION

PLACE OF PERFORMANCE

* = Required Field Contract Opportunity Amendment to a Previous Combined Solicitation

Q517

Pharmacy Refill Services

95652

-2609

36C26121Q0397

02-14-2021 11:59 PM PACIFIC TIME, LOS ANGELES, USA

N

446110

Department of Veterans Affairs

VA Sierra Pacific Network (VISN 21)

VA Northern California HealthCare System

5342 Dudley Blvd, Bldg 209

McClellan CA 95652-2609

Latasha Winston latasha.winston@va.gov

** See PWS** latasha.winston@va.gov

Department of Veteran Affairs

This is a SOURCES SOUGHT ANNOUNCEMENT ONLY. (Amendment to prior Sources Sought)

The purpose of this Sources Sought announcement is for market research to make appropriate acquisition decisions. It is neither a solicitation announcement nor a request for proposals or quotes.

The Government is not obligated to nor will it pay for or reimburse any costs associated with responding to this sources sought synopsis request. This notice shall not be construed as a commitment by the

Government to issue a solicitation or ultimately award of a contract, nor does it restrict the Government to a particular acquisition approach.

Any inquiries are to be made in writing by email to the point of contact, Latasha Winston Contract Specialist.

Responses to this notice shall be sent by email to latasha.winston@va.gov by the due date and time of

03-14-2021 by 11:59 P.M. PST.

Description:

Contractors should Provide pharmacy benefit management services to veteran beneficiaries with urgent or emergent medications when authorized by Department of Veterans Affairs (VA) San Francisco VA

Health Care System (SFVAHCS). Services will be required for SFVAHCS in several Northern California regions that will include the following counties: Humboldt, Lake, Mendocino, San Francisco, San Mateo, and Sonoma. Services will be required for SFVAHCS San Francisco and Downtown Clinics along with the Community Based Outpatient Clinics (CBOCs) located in San Bruno CA, Clearlake CA, Eureka CA, San Rosa CA, and Ukiah CA. Services will also be required for St. Joseph’s Hospital and lastly the San Francisco VA Health Care System Emergency Room. To provide pharmacy benefit management services to Veteran Beneficiaries as required by the Department of Veterans Affairs San

Francisco VA Health Care System (SFVAHCS), with Urgent or Emergent Medications when the VA Pharmacy is closed or cannot provide the medication in time.

Period of performance: TBD

The Government requests capability statements and comments from interested businesses regarding the requirements described above. Responsible sources are encouraged to submit a response to this notice with a statement of interest on company letterhead. At a minimum, the following information shall be provided:

• Company Name;

• Company Mailing Address;

• Point(s) of Contact including telephone number(s) & email address(es);

• Pricing (listed in B.2)

• Socio-Economic (i.e. Small/Large Business, HUBZone, Service-Disabled Veteran Owned, 8(a), etc.) as it relates to NAICS Code 561320

• DUNS Number

• Additional information and/or comments.

B.2 PRICE/COST SCHEDULE

Period of Performance: Estimated

Ordering Period One: August 01, 2021 through July 31, 2022

CLIN

NO.

SUB

CLIN

Description UNIT

UNIT

PRICE

DISCOUNT

1001 Pharmacy Refill Services EA

1001a Prescription Dispensing Fee EA %

1001b % Discount from Average Wholesale Price

(AWP) for Generic Drugs

EA %

1001c % Discount from AWP for Brand Name Drugs EA %

Ordering Period Two: August 01, 2022 through July 31, 2023

CLIN

NO.

SUB

CLIN

Description UNIT

UNIT

PRICE

DISCOUNT

2001 Pharmacy Refill Services EA

2001a Prescription Dispensing Fee EA %

2001b % Discount from Average Wholesale Price

(AWP) for Generic Drugs

2001c % Discount from AWP for Brand Name Drugs EA %

Ordering Period Three: August 01, 2023 through July 31, 2024

NO.

SUB

CLIN

Description UNIT

UNIT

PRICE

DISCOUNT

3001 Pharmacy Refill Services EA

3001a Prescription Dispensing Fee EA %

3001b % Discount from Average Wholesale Price

(AWP) for Generic Drugs

3001c % Discount from AWP for Brand Name Drugs EA %

Ordering Period Four: August 01, 2024 through July 31, 2025

CLIN

NO.

SUB

CLIN

Description UNIT

UNIT

PRICE

DISCOUNT

4001 Pharmacy Refill Services EA

4001a Prescription Dispensing Fee EA %

4001b % Discount from Average Wholesale Price

(AWP) for Generic Drugs

4001c % Discount from AWP for Brand Name Drugs EA %

Ordering Period Five: August 01, 2025 through July 31, 2026

NO.

SUB

CLIN

Description UNIT

UNIT

PRICE

DISCOUNT

5001 Pharmacy Refill Services EA

5001a Prescription Dispensing Fee EA %

5001b % Discount from Average Wholesale Price

(AWP) for Generic Drugs

5001c % Discount from AWP for Brand Name Drugs EA %

B.3 PERFORMANCE WORK STATEMENT

DESCRIPTION OF SERVICES

1. General Procedure:

Provide pharmacy benefit management services to veteran beneficiaries with urgent or emergent medications when authorized by Department of Veterans Affairs (VA) San Francisco

VA Health Care System (SFVAHCS). Services will be required for SFVAHCS in several

Northern California regions that will include the following counties: Humboldt, Lake, Mendocino, San Francisco, San Mateo, and Sonoma. Services will be required for SFVAHCS

San Francisco and Downtown Clinics along with the Community Based Outpatient Clinics

(CBOCs) located in San Bruno CA, Clearlake CA, Eureka CA, San Rosa CA, and Ukiah CA.

Services will also be required for St. Joseph’s Hospital and lastly the San Francisco VA Health

Care System Emergency Room. To provide pharmacy benefit management services to Veteran

Beneficiaries as required by the Department of Veterans Affairs San Francisco VA Health Care

System (SFVAHCS), with Urgent or Emergent Medications when the VA Pharmacy is closed or cannot provide the medication in time.

2. SPECIFICATIONS: First time or emergency medication shall include, but not limited to the following:

a. All prescriptions filled shall be written on VA prescription blanks (VA Form 10-

2577F) only and in accordance with VA policy and procedures as well as applicable state and federal regulations. Other prescription blanks can be authorized in writing by the VA Contracting Officer or VA Contracting Officer’s

Representative (COR).

b. Prescriptions filled and dispensed will be limited to medications of emergent/urgent need as determined by VA clinical staff and will follow safe and effective formulary management principles practiced within the VA. VA Formulary is available at https://www.pbm.va.gov/nationalformulary.asp. Emergent and urgent are defined as medication(s) is needed in 24 hours and has the potential to result in serious harm to the patient if not administered.

i. Non-formulary and “non-emergent” medications (i.e. Viagra, other medications or any expendable stock /supply items [non-drug products], cosmetics, over-the counter medications, nutritional supplements, vitamins or herbal supplements) as identified by not being on the provided VA https://www.pbm.va.gov/nationalformulary.asp

Formulary are not to be dispensed by the pharmacy without prior authorization.

ii. In order for a non-formulary medication to be dispensed, CBOC provider will call VA COR (or designee) for prior approval. VA COR (or designee) will then call Contractor Designee to have a prior authorization input into the system, allowing the medication to be dispensed for the veteran.

iii. The VA formulary will be updated as necessary and provided to the

Contractor Designee. VA will provide drug name, strength and form(s) for each drug to be added along with the representative NDC number.

iv. Per 49 CFR, certain medications are classified as hazardous and thus are regulated in transportation including by air. Therefore, these medications must be provided under the VA approved contract pharmacy in situations where there are no substitutable medication(s) available. Certificates specific to these hazardous medications will be issued to the patient after being seen by the VA authorized community provider that will allow a 30-day supply to be filled at contracted community pharmacies. Refills will be allowed for these specific hazardous medications. Both VA authorized community providers and these hazardous medications will remain non-formulary thus requiring approval from the VA COR (or designee).

c. Medications shall be dispensed with a maximum 10-day supply (unless repackaging is not an option example: of insulin, oral inhalers, etc.), unless authorization has been given.

i. Antibiotic prescriptions that need to be dispensed in 14-day supply may be authorized by the physician.

d. Medications shall be dispensed in the generic form unless otherwise stipulated by the San Francisco VA Health Care System Pharmacy Services. A product is not considered a generic equivalent unless specified in the FDA Orange Book;

Approved Drug Products with Therapeutic Equivalence Evaluations. The generic name must be indicated on the drug label for all medications.

e. Medications shall be dispensed in appropriate vessels, consistent with federal and state guidelines.

f. No refills of prescriptions will be authorized, unless authorization has been given.

The contractor shall fill ONLY NEW PRESCRIPTIONS normally; unless a prior authorization has been given to the specific medication prescription that cannot be mailed by the SFVAHCS Pharmacy (i.e., hazardous drugs). A new prescription is defined as a written prescription for a drug product and strength that has been written as a new prescription by the provider and has a new, unique prescription number.

g. NO PRESCRIPTIONS WILL BE MAILED.

h. VA reserves the right to add or delete areas of services based on patient demand.

Changes in service areas shall be addressed in a written bilateral modification to this contract issued by the Contracting Officer

i. All patients shall be offered counseling from a Pharmacist for each prescription filled. Counseling offered shall be consistent with the California State Board of

Pharmacy requirements to ensure appropriate use and optimal outcomes from drug therapy. The counseling shall include, but is not limited to:

i. Name, description and use of medication

ii. Dose, dosage, form, and route

iii. Special directions and precautions

iv. Common side effects and action required if side effects occur

v. Techniques for self-monitoring drug therapy

vi. Action to be taken if a dose is missed

vii. Proper storage

viii. What the patient can expect from the medication

ix. The balance of the patient’s prescribed medication shall be mailed from the VA Pharmacy

k. Contractor as well as Pharmacy Services covered by this contract shall be provided to veterans, Monday through Friday, from at least 8:00 a.m. to 6:00 p.m., Pacific Standard Time (PST).

l. The contractor shall provide Pharmacies/Pharmacists who shall be (but not limited to):

i. Located and Registered in the State of California in the aforementioned

Northern California counties as they are available.

ii. Collects, synthesize, and interprets patient prescription, and disease data

iii. Checks for factual and potential drug related problems, including (but not limited to):

(1) therapeutic duplication

(2) drug-disease contraindications

(3) drug-drug interactions (including interactions with over the counter drugs)

(4) incorrect drug dosage

(5) drug-allergy interactions

iv. Identify, clarify, and resolve drug related problems with the prescriber and patient.

v. Be available to answer any drug related questions that a patient may have after the prescription is filled.

vi. Treat all patients with dignity, courtesy and respect.

vii. Waiting times for prescription dispensing shall be 30 minutes on average, but shall not exceed two hours.

viii. The contractor cannot store patient information on a mobile device and shall not transfer Personal Health Information (PHI) by fax or email to and/or from a VA Medical Facility unless approved by VA CO and meets VA Handbook 6500.6.

2. TELEPHONE ORDERS (CRITICAL PATIENT SAFETY REQUIREMENT):

A. In the event of a circumstance that requires a telephone order to be taken, the

Pharmacist taking the order shall Repeat the Order (also known as Read Back) to the prescriber and assure their concurrence with the repeated order. Any and all changes or clarifications to a prescription order which require communication with the patient’s provider shall be confirmed by REPEATING THE ORDER, the change or clarification to assure accuracy.

3. MONTHLY VOLUME AND PRICING

Total Estimated Monthly Volume: 20,800 prescriptions.

Total Estimated Yearly Volume: 249,600 prescriptions.

Estimate a few prescriptions will be filled at CRRC Downtown – San Francisco and VA

San Francisco Emergency Room. Estimate majority will be filled in CBOCs Clearlake, Eureka, Santa Rosa, Ukiah, San Bruno, and St. Joseph’s Hospital

Prices will be as follows for each prescription: Prescription Ingredient costs +

Prescription Dispensing Fee

4. SFVAHCS CBOC LOCATIONS AND HOLIDAYS:

a. Clearlake, CA CBOC: 15145 Lakeshore Drive Clearlake, CA 95422-8106

b. Eureka, CA CBOC: 930 West Harris Street Eureka, CA 95503-3927

c. San Bruno, CA CBOC: 1001 Sneath Lane (Suite 300) San Bruno, CA 94066-

d. San Francisco (Downtown), CA Clinics: 401 3rd Street (CRRC) San Francisco, CA 94107-1214

e. Santa Rosa, CA CBOC: 3841 Brickway Boulevard Santa Rosa, CA 95403-8226

f. Ukiah, CA CBOC: 630 Kings Court Ukiah, CA 95482-5003

g. VA SFC Hospital Emergency Room: 4150 Clement Street San Francisco 94121

h. St. Joseph’s Hospital: 1165 Montgomery Drive Santa Rosa, CA 95405

Federal law (5 U.S.C. 6103) establishes the following public holidays for Federal employees. Please note that most Federal employees work on a Monday through

Friday schedule. For these employees, when a holiday falls on a non-workday --

Saturday or Sunday -- the holiday usually is observed on Monday (if the holiday falls on

Sunday) or Friday (if the holiday falls on Saturday).

SFVAHCS is closed on Federal holidays. Current public holidays for Federal employees are: New Year’s Day, Birthday of Martin Luther King, Jr., Washington’s

Birthday, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, Christmas Day and any day specifically declared by the President of the United States of America.

Calendar dates for Federal holidays are available at https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/#url=2020

5. VA SFVAHCS CLINIC HOURS, CONTRACTOR PHARMACY HOURS AND

LOCATIONS (RADIUS REQUIREMENT):

SFVAHCS clinic hours are Monday through Saturday, 8:00 AM – 4:30 PM Pacific

Standard Time.

Contractor pharmacies should be open during weekday hours and include some evening and weekend hours. The contractor shall provide at least one pharmacy location within a five (5) mile radius of each SFVAHCS clinic listed above. The contractor shall provide the name, street address, city, zip code, telephone and fax number of each pharmacy. SFVAHCS shall approve the use of at least one pharmacy per VA clinic.

6. REPORTING REQUIREMENTS

https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/#url=2020

a. Contractor shall provide a monthly summary (for each contracted Pharmacy or

CBOC) to the VA Pharmacy Service detailing the following information for services provided:

▪ Patient Name/ID

▪ Medication Name and Strength

▪ Quantity Dispensed

▪ Brand or Generic

▪ NDC (National Data Code)

▪ Prescription Number

▪ Prescription Drug Costs

▪ Administrative Costs

▪ Prescriber Name

▪ Day Supply

i. A copy of the monthly invoice are to be sent to: VA San Francisco

Pharmacy

4150 Clement Street

San Francisco, California 94121 by the 10th day in the following month. Invoices must include date dispensed, patient's name, patient’s last four of SSN, provider name, drug, Rx number, strength, quantity, and total charge.

The contractor shall provide for quality control/performance improvement purposes the following information:

i. All medication errors and medication related incidents will be recorded and investigated and reported to the VA COR on a quarterly basis. Medication errors or events that result in required hospitalization, clinical intervention or significant negative events will be reported to the VA

COR immediately.

ii. Customer complaints/suggestions/compliments shall be recorded and reported to the VA COR on a quarterly basis (or more frequently if a significant problem occurs).

7. STATUTORY REQUIREMENTS

Services required under this contract shall be performed in accordance with the following:

▪ California Board of Pharmacy, State & Federal laws

▪ Code of Federal regulations, Title 21

▪ United States Code, Title 21

8. CONFIDENTIALITY AND SECURITY

Contractor shall ensure the confidentiality and security of all patient information and shall be held liable in the event of breach of confidentiality. The Contractor shall comply with the provisions of the Privacy Act of 1974 (5 USC 522a), Confidentiality of Drug

Abuse, Alcohol Abuse, Sickle Cell Anemia and HIV/AIDs Treatment Records (38 USC

7332) and Confidentiality of Medical Quality Assurance Records (38 USC 5705). The

Contractor shall comply with all pertaining confidentiality and security statutes.

Contractor shall be HIPAA (Health Insurance Portability and Accountability Act) compliant. Failure to comply with statutes regarding confidentiality and security of patient health information/Individually identifiable information may result in financial sanctions.