36C79123R0007 0003 9-25-23.docx

DOCX document 100 KB Posted

Attached to
R408--FY24 IVC PHARMACY BENEFIT MANAGER
Solicitation number
36C79123R0007
Issued by

About this file

This document is an amendment to a solicitation for pharmacy benefit management services. The amendment clarifies questions from a previous amendment regarding required reports and differing network size decrease percentages. It also edits the solicitation's performance work statement section on network standards to define urban, suburban and rural locations based on population thresholds from U.S. Census Bureau definitions. For network size guarantees, it specifies that the contractor must maintain the initial retail pharmacy network size with a maximum ten percent decrease, and provides an example. Monthly reporting on network access and size is required to demonstrate compliance with the standards.

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File Type Posted
36C79123R0007 0003.docx DOCX document
Attachment 12 - Pricing Worksheet revised 9-25-23.xlsx XLSX spreadsheet
Attachment 15 - Reversal Payment Reconciliation.xlsx XLSX spreadsheet
Attachment 16 - NASP Definitions of Specialty Pharmacy and Specialty Medications.pdf PDF
36C79123R0007 0002 9-25-23.docx DOCX document
36C79123R0007 0001 9-11-2023.docx DOCX document
36C79123R0007 0001_1.docx DOCX document
Attachment 1 - Eligibility Primary Status Secondary Response Reversal and Reversal Response Formats updated 6-8-23.pdf PDF
Attachment 9 - Quality Assurance Surveillance Plan 7-20-2023.pdf PDF
Attachment 13- Labor Wage Determination 2015-5419 7-25-2023.pdf PDF
Attachment 2 - Override Procedures updated 6-21-2023.pdf PDF
Attachment 6 - FY22 NDC Listing.xlsx XLSX spreadsheet
Attachment 3 - Excluded Items.pdf PDF
Attachment 8- Small Business Subcontracting Plan.docx DOCX document
Attachment 4 - FY22 Zip Codes.xlsx XLSX spreadsheet
Attachment 14 - Authority to Operate.docx DOCX document
Attachment 12 - Pricing Worksheet final 8-9-23.xlsx XLSX spreadsheet
36C79123R0007 9-05-23 final.docx DOCX document
Attachment 5 - Adjudication and Recoupment Process Maps updated 6-8-2023.pdf PDF
Attachment 7 - Business Associate Agreement updated 6-8-2023.pdf PDF
Attachment 10 - Past Performance References.docx DOCX document
Attachment 11 - Past Performance Questionnaire.docx DOCX document
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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)

None

Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden CO 80401-5621

Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden CO 80401-5621 To all Offerors/Bidders

36C79123R0007 09-25-2023

X

Pharmacy Benefit Management Services for Veteran Family Member Programs The purpose of this solicitation amendment is to address the following:

1.) Clarify questions 21 and 24 from Amendment 0002 and edit section 5.4

Solicitation closing time from Amendment 0002 and all other terms and conditions remain the same.

Sandra McAnany Contracting Officer

Amendment 0003 is hereby issued to clarify Questions 21 and 24 from Amendment 0002 and edit solicitation Performance Work Statement section 5.4 Question 21: Can the Government please confirm which reports are required specifically?

Answer 21: Reports to meet the requirements in Section 4.19 will be required during postaward conference.

Question 24: 5.4 C: Network Size Standards: The PBM shall maintain the initial size of the retail pharmacy network; maximum decrease in size: 10% D: Network Size Performance Guarantees Greater than 18.0% but less than or equal to 20.0%; maximum decrease in size: 2.0% Greater than 20.0%; maximum decrease in size: 3.0% Can the Government explain the differing "maximum decrease in size" percentages between the Network Size Standard and the Performance Guarantee? Can the Government provide an example?

Answer 24: See edits for Section 5.4

5.4 NETWORK STANDARDS

A:Network Access Standards
Location Type
Distance Traveled
Percentage of Beneficiaries
Urban
A pharmacy within 2 miles estimated driving distance
90 %
Suburban
A pharmacy within 5 miles estimated driving distance
90 %
Rural
A pharmacy within 15 miles estimated driving distance
90 %
A:Network Access Standards
Location Type
Distance Traveled
Percentage of Beneficiaries
Urban
A pharmacy within 2 miles estimated driving distance with populations 50,000 or more.
90 %
Suburban
A pharmacy within 5 miles estimated driving distance with populations of 2,500 to 49,999.
90 %
Rural
A pharmacy within 15 miles estimated driving distance with populations less than 2,500.
90 %

The Government uses the US Census Definitions Urban: Population of 50,000 or more.

Suburban: Population of 2,500 to 49,999 Rural: Population under 2,500

B: Network Access Performance Guarantees The Contractor will guarantee the network access standards listed above are met for each location type. Measurements shall be determined using GeoAccess reporting monthly, and these reports will be provided by the Contractor to VFMP no later than the 8th working day after the close of each month in the contract period.

C:Network Size Standards
Network Size
Maximum Decrease in Size
The Contractor shall maintain the initial size of the retail pharmacy network
10%

For example: If the initial size of the retail pharmacy network is 50,000 it must not decrease by more than 5,000 pharmacies during the life of the contract.

D: Network Size Performance Guarantees The Contractor will guarantee the network size standard specified above is achieved. A report indicating the count of active contracted network pharmacies will be produced monthly, and this report will be provided by the Contractor to VFMP no later than the 8th working day after the close of each month in the contract period. The COR shall compare the monthly count of active contracted network pharmacies to the initial count at the beginning of the initial contract period to determine compliance.

Network Size
Maximum Decrease in Size
Greater than 18.0% but less than or equal to 20.0%
2.0 %
Greater than 20.0%
3.0 %

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