Attachment C - Retail Network Disruption Report~1.xlsx
XLSX spreadsheet 12 KB Posted
- Attached to
- Pharmacy Benefit Manager
- Solicitation number
- S000000161
- Issued by
- Pulaski County, Arkansas
About this file
This document is an Attachment C - Retail Network Disruption Report related to a Pharmacy Benefit Manager contract opportunity for the state of Arkansas. The report provides details on the current network of retail pharmacies in the Broad Retail 30, Arkansas Independents & Associations Retail 30, Broad Retail 90, and Arkansas Independents & Associations Retail 90 networks. It includes the number of currently utilized retail pharmacies, the number of members using those pharmacies, and the number of prescriptions adjudicated through those pharmacies that are either part of or not part of the proposed networks. The report also provides a summary of the top 3 currently utilized retail pharmacies that are not part of each of the proposed networks.
The contract opportunity is for a Pharmacy Benefit Manager in the state of Arkansas. No additional details are provided on the contract term, renewal options, response dates, or award information.
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Other files
| File | Type | Posted |
|---|---|---|
| Contract and Grant Disclosure~17.pdf | ||
| S000000161 Cost Workbook.xlsx | XLSX spreadsheet | |
| S000000161 Q and A.pdf | ||
| S000000161 - Drug Pricing Product Exclusions.xlsx | XLSX spreadsheet | |
| S000000161 Bidders Conference PPT.pdf | ||
| Attachment E - Financial and Formulary Scoring Examples~1.xlsx | XLSX spreadsheet | |
| Attachment D - Formulary Disruption Reporting~1.xlsx | XLSX spreadsheet | |
| Attachment G Arkansas Independents Network.xlsx | XLSX spreadsheet | |
| Attachment A - Non-Disclosure Agreement~1.docx | DOCX document | |
| Attachment F - Specialty Pharmacy Listing- Revised.xlsx | XLSX spreadsheet | |
| S000000161 Technical Proposal Packet.docx | DOCX document | |
| Attachment B - List of Exclusions~1.xlsx | XLSX spreadsheet | |
| S000000161 Pharmacy Benefits Manager.pdf |
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Sheet1
| S000000161 ATTACHMENT C: RETAIL NETWORK DISRUPTION REPORT | ||||
| TABLE: 1 | ||||
| Type of Change | Broad Retail 30 Network | Arkansas Independents & Associations Retail 30 Network | Broad Retail 90 Network | Arkansas Independents & Associations Retail 90 Network |
| Number of Currently Utilized Retail Pharmacies that are Not Part of the Proposed Network and are Eligible to Solicit | ||||
| Number of Members that are Using those Retail Pharmacies that are Not Part of the Proposed Network and are Eligible to Solicit | ||||
| Number of Prescriptions that Adjudicated via those Retail Pharmacies that are Not Part of the Proposed Network and are Eligible to Solicit | ||||
| Number of Currently Utilized Retail Pharmacies that are Part of the Proposed Network | ||||
| Number of Members that are Using Those Retail Pharmacies that are Part of the Proposed Network | ||||
| Number of Prescriptions that Adjudicated via those Retail Pharmacies that are Part of the Proposed Network |
| TABLE 2: Provide a summary of the Top 3 Currently Utilized Retail Pharmacies that are Not Part of the Proposed Broad Retail 30 Network based on impacted number of members, Location of Pharmacies, Number of members that use each of those pharmacies and Number of prescriptions that use each of those pharmacies | |||
| Out-of-Network Retail 30 Pharmacy #1 | Out-of-Network Retail 30 Pharmacy #2 | Out-of-Network Retail 30 Pharmacy #3 |
| Name | 10 words. | 10 words. | 10 words. |
| City, State | 10 words. | 10 words. | 10 words. |
| # of Members | Integer. | Integer. | Integer. |
| # of Scripts | Integer. | Integer. | Integer. |
| TABLE 3: Provide a summary of the Top 3 Currently Utilized Retail Pharmacies that are Not Part of the Proposed Arkansas Independents & Associations Retail 30 Network based on impacted number of members, Location of Pharmacies, Number of members that use each of those pharmacies and Number of prescriptions that use each of those pharmacies | |||
| Out-of-Network Arkansas Independents & Associations Retail 30 Pharmacy #1 | Out-of-Network Arkansas Independents & Associations Retail 30 Pharmacy #2 | Out-of-Network Arkansas Independents & Associations Retail 30 Pharmacy #3 |
| Name | 10 words. | 10 words. | 10 words. |
| City, State | 10 words. | 10 words. | 10 words. |
| # of Members | Integer. | Integer. | Integer. |
| # of Scripts | Integer. | Integer. | Integer. |
| TABLE 4: Provide a summary of the Top 3 Currently Utilized Retail Pharmacies that are Not Part of the Proposed Broad Retail 90 Network based on impacted number of members, Location of Pharmacies, Number of members that use each of those pharmacies and Number of prescriptions that use each of those pharmacies | |||
| Out-of-Network Broad Retail 90 Pharmacy #1 | Out-of-Network Broad Retail 90 Pharmacy #2 | Out-of-Network Broad Retail 90 Pharmacy #3 | |
| Name | 10 words. | 10 words. | 10 words. |
| City, State | 10 words. | 10 words. | 10 words. |
| # of Members | Integer. | Integer. | Integer. |
| # of Scripts | Integer. | Integer. | Integer. |
| TABLE 5: Provide a summary of the Top 3 Currently Utilized Retail Pharmacies that are Not Part of the Proposed Arkansas Independents & Associations Retail 90 Network based on impacted number of members, Location of Pharmacies, Number of members that use each of those pharmacies and Number of prescriptions that use each of those pharmacies | |||
| Out-of-Network Arkansas Independents & Associations Retail 90 Pharmacy #1 | Out-of-Network Arkansas Independents & Associations Retail 90 Pharmacy #2 | Out-of-Network Arkansas Independents & Associations Retail 90 Pharmacy #3 |
| Name | 10 words. | 10 words. | 10 words. |
| City, State | 10 words. | 10 words. | 10 words. |
| # of Members | Integer. | Integer. | Integer. |
| # of Scripts | Integer. | Integer. | Integer. |
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