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.
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
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