Att I - Pre-proposal Network Form.docx

This is a pre-proposal network opportunities form attachment for RFP 26-84426, a 340B Contract Pharmacy solicitation issued by the Indiana Department of Administration (IDOA). The form serves as an optional submission document for interested vendors to provide preliminary information regarding their potential participation in the contract pharmacy network. Bidders must complete the form by filling in required information fields including company name, MBE/WBE/IVOSB certification status if applicable, company address, contact name and title, telephone number, and email address. Completed forms must be submitted via email to rfp@idoa.in.gov with a subject line that reads "RFP-26-84426 Attachment I - [INSERT COMPANY NAME]" in accordance with RFP Section 1.24.

This pre-proposal form does not establish pricing terms, contract award dates, performance schedules, or other binding obligations. The form functions as an informational vehicle allowing the contracting agency to identify potential network participants and establish contact information prior to formal proposal evaluation. No specific performance metrics, deliverables, funding amounts, or contract renewal provisions are detailed within this attachment.