Att 8 - Submittal Form J Formulary Disruption Analysis.xlsx

XLSX spreadsheet 1 MB Posted

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Notice of Cancellation RFP 2025-0200-0177 / 02-101-25 Pharmacy Benefit Manager Services
Solicitation number
2025-0200-0177 / 02-101-25
Issued by
Alaska

About this file

This document is a Submittal Form J for Formulary Disruption Analysis, covering pharmacy benefit management for an active employee health plan. The analysis covers claims data from May 1, 2024 to August 31, 2024, with an average of 16,928 members covered. The plan utilizes a broad formulary with exclusions for both non-specialty and specialty medications, requiring a comprehensive review of potential prescription disruptions.

The analysis requires detailed documentation of medication changes, including the number of distinct members impacted, percentage of total members affected, and the number of prescriptions impacted. The form mandates a granular breakdown of medication transitions across different tiers (Generic, Preferred Brand, Non-Preferred Brand) and tracking of medications moving from covered to excluded status. Providers must list each medication by NDC (National Drug Code), including the number of distinct patients, total prescriptions, specialty indicators, and proposed tier placement. The form also requires alternative medication recommendations for drugs that are not covered or are being moved to excluded status.

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Amd Six RFP 2025-0200-0177 02-101-25 PBM Services.pdf PDF
Notice of Cancellation RFP#2025-0200-0177-02-101-25 Pharmacy Benefit Manager (PBM) Services.pdf PDF
Amd Five RFP 2025-0200-0177 02-101-25 PBM Services.pdf PDF
Amd Three RFP 2025-0200-0177 02-101-25 PBM Services.pdf PDF
Amd Four RFP 2025-0200-0177 02-101-25 PBM Services.pdf PDF
Amd Three Att 10 - Submittal Form L - Cost Proposal Version 2.xlsx XLSX spreadsheet
Amd Two RFP 2025-0200-0177 02-101-25 PBM Services.pdf PDF
Amd One RFP 2025-0200-0177 02-101-25 PBM Services.pdf PDF
Att 1 - Submittal Form A Offeror Information and Certifications.docx DOCX document
Att 4 - Submittal Form G (Part 1 of 2) - Contractual Reqs.xlsx XLSX spreadsheet
Att 3 - Submittal Form F Mandatory Requirements.xlsx XLSX spreadsheet
Att 12 - Submittal Form M (Part 2 of 2) - Financial Requirements Narrative Response Form.docx DOCX document
Att 17 - HIPPA Business Associate Agreement.docx DOCX document
Att 16 - Intent to Propose Form (ITP).xlsx XLSX spreadsheet
Att 11 - Submittal Form M (Part 1 of 2) - Financial Requirements.xlsx XLSX spreadsheet
Att 10 - Submittal Form L - Cost Proposal.xlsx XLSX spreadsheet
Att 9 - Submittal Form K Subcontractors.xlsx XLSX spreadsheet
Att 14 - Client Reference Form.docx DOCX document
Att 6 - Submittal Form H GeoAccess Analysis.xlsx XLSX spreadsheet
Att 5 - Submittal Form G (Part 2 of 2) - Contractual Reqs Narrative Response Form.docx DOCX document
Att 2 - Submittal Forms B-E.docx DOCX document
RFP 2025-0200-0177 02-101-25 PBM Services.pdf PDF
Att 7 - Submittal Form I Network Disruption Analysis.xlsx XLSX spreadsheet
Att 13 - Standard Agreement Form & Appx A-D.pdf PDF
Att 15 - Non-Disclosure Agreement (NDA).docx DOCX document
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Formulary Disrupt_Employee

Submittal Form J - Formulary Disruption Analysis
Formulary Disruption - Active Employee Plan
Offeror must complete the following formulary disruption tables for the commercial plan for Active Employees based on the offeror's proposed formulary. PBM analysis must be based on the most recent four months in the commercial plan's claims data that will be provided upon the submission of the ITP and NDA forms as detailed in RFP Section 3.18 Nondisclosure and Confidentiality. Results to be included are the number of members that will require a change as well as the number of prescriptions associated with the formulary change.
Claims Dispensed between 5/1/2024 and 8/31/2024
Average number of members covered: 16,928
Non-Specialty formulary: Broad Formulary with Exclusions
Specialty formulary: Broad Formulary with Exclusions
Table 1 - Summary
Type of ChangeNumber of Distinct Members Impacted% of Total MembersNumber of Scripts Impacted% of Total Scripts (including all brands and generics)
Non-Specialty
No change
Positive (higher-cost tier to lower-cost tier)
Negative (lower-cost tier to higher-cost tier)
Moving from Covered to Not Covered/Excluded
Specialty
No change
Positive (higher-cost tier to lower-cost tier)
Negative (lower-cost tier to higher-cost tier)
Moving from Covered to Not Covered/Excluded
Note: Each distinct member of the population may be impacted positively, negatively or not at all. Therefore, the number of members impacted in the table above are not additive.
Table 2 - Detailed Disruption Results
Offeror must complete the table below by listing each drug utilized in the most recent four months of the Active Employee Plan's claims data by NDC, the number of distinct patients for which the drug was dispensed and the total number of prescriptions filled. For each NDC, indicate if the drug is specialty or non-specialty with respect to the offeror's formulary and indicate the tier that the drug will be considered for the purposes of calculating member cost share. (Note: Tier 1 = Generic; Tier 2 = Preferred Brand, Tier 3 = Non-Preferred Brand and Excluded = no access. The drop down for "Not Covered/1x Use" should be used to indicate a single use NDCs that are not on formulary. When this drop down is used, provide the offeror's alternate NDC and drug name that is on the offeror's formulary. The drop down for Invalid/Expired NDC should be used for drugs that are no longer available to be filled.)
NDCDrug NameTherapeutic ClassNumber of Distinct PatientsNumber of ScriptsSpecialty IndicatorTierAlternative NDCAlternative Drug Name
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