Atch D - Statement of Work - Pharmacy After Hours.pdf

Scope of Work – Pharmacy After-Hours

It is the intent of the Elko Service Unit, hereafter referred to as ESU, to acquire non-personal professional Pharmacy After Hour Services to American Indians and Alaska Native patients for the Southern Bands Health Center, hereafter referred to as the “Service Unit” located in, Elko, NV.

Contractor is requested to provide non-personal professional Pharmacy After Hours Services for a 12-month base period and four (4) 12-month option periods. The intent of this contract is to establish a method whereby the Elko Service Unit can minimize disruptions in dispensing of medications during weekends, Holidays, and other closures or extenuating circumstances as a temporary pharmacy for patients.

The contractor shall provide the required services for picking up and dispensing Pharmaceutical(s) in Elko, Nevada. Work performance shall be performed according to the requirements and conditions contained in this Scope of Work.

LOCATION: All services shall be performed for the following location;

Southern Bands Health Center 515 Shoshone Circle Elko, NV 89801

A local community pharmacy in Elko, Nevada, shall provide pharmacy services for limited duration (3-day supply) to bridge gap of coverage while Southern Bands Health Center Pharmacy is closed, for prescriptions provided as result of hospital discharge and/or emergency department visits from the local hospital, with limited exceptions, and excluding routine prescriptions for chronic medications.

1. Patient eligibility is verified at the vendor pharmacy, by identification and/or presenting an IHS hospital voucher.

2. Vendor pharmacy will bill the patients alternate resources first (ie: insurance with prescription coverage/other pharmacy third-party coverage), before billing the Government (ESU) and invoice any remaining balance or co-pay.

3. Limited to a maximum of 3-day supply only, vendor pharmacy will transfer remaining prescription to Southern Bands Health Center Pharmacy via pharmacy-to-pharmacy or by returning hardcopy to patient with annotated notes to then be submitted to pharmacy; as permitted by law/regulation.

4. Service is for limited timeframes, between Friday at 5:00 pm through Monday 7:00 am and all day on federal holidays and other closures. Federal holidays are designated by the

United States Congress in Title V of the United States Code (5 U.S.C. § 6103). Federal

Holidays consist of:

January 01 – New Year’s Day

3rd Monday in January– Birthday of Martin Luther King, Jr.

3rd Monday in February– Washington’s Birthday last Monday in May – Memorial Day

June 19 – Juneteenth National Independence Day

July 04 – Independence Day

1st Monday in September – Labor Day

2nd Monday in October – Columbus Day

November 11 – Veterans Day

4th Thursday in November – Thanksgiving Day

Scope of Work – Pharmacy After-Hours

December 25 – Christmas Day

5. Medication cost is limited to Average Wholesale Price (AWP) for prescription drugs with reasonable Usual and Customary (U&C) charges.

6. In an emergency resulting in facility closure or to fulfill other needs such as health center closure to the public, and/or extenuating circumstances for patients. Southern Bands Health Center may provide written authorization that is specific with date(s) of service available outside the approved timeframes and/or day supply extension.

The Chief Pharmacist will monitor, control and track the Registration/Purchased-Referred Care

(PRC) prescriptions and will validate PRC eligibility.

INVOICING

Monthly payments may be requested on the contractor's invoice and submitted to the Southern

Bands Health Center, 515 Shoshone Circle, Elko, NV 89801 via the electronic Invoice Processing

Platform (IPP). Vendor must register on the Department of Treasury Invoice Processing Platform

(IPP) for account access. Vendor can contact the IPP Helpdesk at (866) 973-3131 (M-F 8AM to 6PM

ET), or IPPCustomerSupport@fiscal.treasury.gov.

RECEIVING REPORT

Upon receipt of the invoice, Contracting Officer’s Representative or Technical Point of Contact will approve if accurate.

PAYMENT

The Phoenix Area Indian Health Service Division of Financial Management is herein designated for payment processing. Payment shall be made as close as possible to, but not later than thirty (30) calendar days after receipt in IPP.

CONTRACTOR'S REGISTRATION

Prospective contractors and contractors conducting business with the government are required to register at SAM.GOV and to fulfill requirements for maintaining current registration.

END OF SCOPE OF WORK