RFP 27-001 PHARMACY SERVICES Page 1 of 30

REQUEST FOR PROPOSAL

PHARMACY SERVICES

RFP 27-001

BIDS DUE NOVEMBER 12, 2026

AT 2:00 PM

MHMR OF TARRANT COUNTY (“MHMR”)

PROCUREMENT SERVICES

3840 HULEN STREET, SUITE 106

FORT WORTH, TEXAS 76107

RFP 27-001 PHARMACY SERVICES Page 2 of 30

INDEX

THIS PROPOSAL PACKAGE CONTAINS THE FOLLOWING SECTIONS:

1. COMPANY OVERVIEW

2. TIMELINE OF EVENTS AND DEADLINES

3. SUBMISSION GUIDELINES AND PROPOSAL FORMAT

4. PROPOSAL TERMS AND CONDITIONS, AND SPECIFICATIONS

5. PROPOSAL EVALUATION PROCESS

6. BEST AND FINAL OFFER (BAFO)

7. MHMR’S REQUIRED SUBMISSION FORMS

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1. COMPANY OVERVIEW

My Health My Resources of Tarrant County (“MHMR”) is a community center, a local mental health authority (“LMHA”), a local behavioral health authority (“LBHA”), a local intellectual and developmental disability authority (“LIDDA”), and a unit of local government as defined by chapters 533 and 534 of the Texas Health and Safety Code. MHMR has provided mental health and intellectual and development disability services in Tarrant County since its inception in 1969.

Initially operating as a small community center offering only mental health and IDD services, MHMR has expanded over the years both in growth and services, now providing services at locations and serving more than 75,000 people annually throughout Tarrant and surrounding counties. Our 2,000 employees include psychiatrists, nurses, social workers, therapists, teachers, case managers, dieticians, professionals, direct care and many others. All are committed to providing person-centered care. MHMR is the second largest community center in Texas, offering services in the following areas:

• Mental Health

• Intellectual and Developmental Disabilities

• Substance Use Disorder

• Child and Family Services

• Early Childhood Intervention (ECI)

• Criminal Justice Support

• Veterans

• Homelessness

MHMR is a Certified Community Behavioral Health Clinic (CCBHC). The CCBHC model is designed to deliver whole-person care through care coordination of integrated, evidence-based behavioral health services and primary care screenings.

As a result of MHMR’s commitment to improve our care quality, MHMR is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). This accreditation formally recognizes that an organization is guided by internationally recognized service standards and best practices.

MHMR invites qualified vendors hereafter referred to as “Applicant,” “Bidder,” “Contractor,” “Proposer,” “Respondent,” “Supplier,” or “Vendor” to submit a proposal for PHARMACY SERVICES, to include RFP 27-001.

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2. TIMELINE OF EVENTS AND DEADLINES

The proposed schedule below is tentative and is subject to change throughout the procurement process by MHMR.

NOTICE: THE COPY OF COMPLETED PROPOSAL MUST BE RECEIVED IN THE

PURCHASING DEPARTMENT AT 3840 HULEN STREET, SUITE 106 FORT WORTH, TEXAS

76107 ON OR BEFORE 2:00 P.M., NOVEMBER 12, 2026.

Solicitation Packet Issue Date Friday, September 25, 2026 Deadline To Submit Questions Thursday, October 8, 2026 at 12:00PM Deadline to Respond to Questions Thursday, October 15, 2026 at 4:00 P.M.

Deadline for Submission of RFP Thursday, November 12, 2026 at 2:00 P.M.

Anticipated Award Date Contingent upon Committee and/or Board Approval

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3. SUBMISSION GUIDELINES AND PROPOSAL FORMAT

3.1 Standard Submission Guidelines

Bidder shall follow MHMR’s Standard Submission Guidelines, located at https://mhmrtarrant.org/wp-content/uploads/Submission-Guidelines.pdf, the terms of which are hereby incorporated into this RFP. To the extent the terms of this RFP conflict with the Standard Submission Guidelines, this RFP controls.

3.2 Proposal Checklist

Bidder may refer to the checklist below to confirm that the required documents are included in its Proposal.

☐ Tab 1—Introductory Letter (Standard Submission Guidelines, Section 21, page 6) ☐ Tab 2—Executive Summary (Standard Submission Guidelines, Section 21, page 6) ☐ Tab 3—Bidder’s background information (Standard Submission Guidelines, Section

21, pages 6–7) ☐ Texas State Board of Pharmacy license (Section 4.2.B)

☐ Tab 4—Financial Consideration (Standard Submission Guidelines, Section 21, page 7) ☐ Tab 5—Required Submission Forms (Standard Submission Guidelines, Section 21, page 7) ☐ All forms other than Pricing Sheet (see Tab 8 below), Section 7 ☐ Tab 6—Scope (Standard Submission Guidelines, Section 21, pages 7–8) ☐ EHR integration considerations, Section 4.2.A ☐ Read/review compliance plan, Section 4.2.C.3

☐Service Model addressing components of Section 4.3 ☐ PAP Plan, Section 4.3.A.19 ☐ Sample Reports, Section 4.4.A.2 ☐ Work Plan, Section 4.6 ☐ Statement of Qualifications, Section 4.8

☐ Tab 7—Descriptive Literature (Standard Submission Guidelines, Section 21, page 8) ☐ Tab 8—Pricing and Delivery (Standard Submission Guidelines, Section 21, page 8)

☐ Completed Pricing Sheet, Section 7 ☐ Bid Submission

☐ Bid is submitted electronically following the requirements at Public Purchase, https://mhmrtarrant.org/bids-and-rfps/.

OR

☐ Bid is submitted in paper format with electronic copy (flash drive), addressed to

MHMR PURCHASING, 3840 HULEN STREET, SUITE 106, FORT WORTH,

TX 76107 and titled with RFP 27-001 PHARMACY SERVICES DO NOT

OPEN UNTIL THURSDAY, NOVEMBER 12, 2026 AT 2:00PM.

https://mhmrtarrant.org/wp-content/uploads/Submission-Guidelines.pdf https://mhmrtarrant.org/bids-and-rfps/

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This checklist is provided for convenience only, Bidder is still responsible for reviewing all solicitation documents, requirements, and terms to confirm that all required items are included. Failure of MHMR to include or specify an item in this checklist shall not be considered in Bidder’s error to include information or attachments in its Proposal.

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4. PROPOSAL TERMS AND CONDITIONS, AND SPECIFICATIONS

4.1 MHMR Standard Terms and Uniform Assurances

By submitting a bid with MHMR, Bidder agrees that it has reviewed, understands, and agrees to MHMR’s standard documents, including its Standard Terms and Conditions, available at https://mhmrtarrant.org/wp-content/uploads/Standard-Terms-and- Conditions.pdf and Uniform Assurances, available at https://mhmrtarrant.org/wp-content/uploads/Uniform-Assurances_.pdf, the contents of which are hereby incorporated into this RFP.

Any departures from MHMR’s standard documents must be denoted in the Bidder’s deviations.

4.2 Scope of Services

MHMR is accepting proposals for Pharmacy Services. All proposals submitted must specifically address each element and requirement listed throughout this RFP.

Additionally, clarifying information is required for all exceptions, deviations, or alternatives provided the proposals.

A. Background MHMR is seeking responses from qualified pharmacies to dispense prescription medications in accordance with Texas State Board of Pharmacy rules and regulations and applicable law on-site at various MHMR locations. The intent of this RFP is to increase medication adherence for behavioral health patients at no additional cost to the patient and support MHMR’s functions to improve patient outcomes.

Pharmacy services model shall include, but is not limited to, medication management;

medication delivery; staff consultations; on-site staffing; remote administrative services;

inventory management; utilization review; reporting; customer service; and assistance with administrative tasks related to pharmacy and patient medication management. To the extent practicable, pharmacy services model shall address integration with MHMR’s Electronic Health Record (“EHR”). In any event, the model shall address how Respondent anticipates the collection of information from MHMR, how it assimilates and stores data in its own system, and how it will deliver data back to MHMR to ensure a closed loop system, preferably in a machine-readable format compatible with MHMR’s EHR. Reporting capabilities shall include all the relevant data points as outlined in this RFP.

The selected pharmacy will oversee, administer, and manage the Pharmaceutical Assistance Program (PAP) and any rebate program that will benefit MHMR patients.

MHMR may award all the services outlined in this RFP to a single qualified pharmacy provider or may evaluate and award select services to multiple qualified pharmacy providers, contingent on evaluation of best value to the Agency. The preferred Respondent shall be able to provide all the services specified within this RFP. MHMR reserves the right to negotiate all fees with any pharmacies whose proposed fees fall outside the range of https://mhmrtarrant.org/wp-content/uploads/Standard-Terms-and-Conditions.pdf https://mhmrtarrant.org/wp-content/uploads/Standard-Terms-and-Conditions.pdf https://mhmrtarrant.org/wp-content/uploads/Uniform-Assurances_.pdf https://mhmrtarrant.org/wp-content/uploads/Uniform-Assurances_.pdf

RFP 27-001 PHARMACY SERVICES Page 8 of 30 other proposals, in order to secure a fair and reasonable price.

The estimated volume of MHMR’s current utilization is:

Fiscal Year Pharmacy Expenditures Number of Prescriptions

FY24 1.3M 92,445

FY25 1.4M 91,122

B. Qualifications Responding pharmacies must be licensed by the Texas State Board of Pharmacy. Staff performing services under this RFP and resulting Contract must be properly licensed for the scope of work being performed, in accordance with applicable law. Pharmacy shall be a participant in the Risk Evaluation and Mitigation Strategies (REMS) as set forth by the Federal Drug Administration or any successor registry or program.

Responding pharmacies shall demonstrate

• Knowledge of MHMR’s mission;

• Experience working with MHMR patients or similar populations;

• Experience working in the behavioral health community;

• Experience providing various auxiliary value-added services as described in this

RFP;

• Experience and familiarity working with Medicaid programs including STAR, STAR + PLUS, STAR Kids, and CHIP;

• Experience and familiarity working with Medicare and Medicare Advantage; and

• Capabilities sufficient to satisfy the terms of this RFP.

C. General Service Requirements C.1. All pharmaceuticals, chemicals and drugs provided under this contract shall conform to the standards set by the Federal Food and Drug Administration and the latest editions of the US Pharmacopoeia, the National Formulary, or the American Medical Association’s publication, New Drugs, where applicable, whether or not this is specifically described in the proposal. In cases of multi-source drug products, manufacturers must be approved by the Food and Drug Administration (FDA) as well as their drug products and listed in the therapeutic equivalence evaluations publication.

C.2. Pharmacy and staff shall adhere to the rules and regulations of the Texas State

Board of Pharmacy, the applicable rules and regulations set forth by the Drug Enforcement Administration, and applicable law.

C.3. Respondent represents and warrants that it has received, read and understood the

MHMR Compliance Plan, attached as Exhibit 1. Respondent further represents and warrants that it agrees to abide by the principles contained in the Compliance Plan, including its responsibility to report any known or suspected violation of the Plan.

C.4. Respondent agrees and acknowledges that in receiving, storing, possessing, or otherwise dealing with client information, if any, access or generated during

RFP 27-001 PHARMACY SERVICES Page 9 of 30 services as a Respondent for Agency, that Respondent and its officers, employees, and agents are bound by the provisions of laws, statutes, and regulations protecting the confidentiality of this information, as found in the Health Insurance Portability and Accountability Act (HIPAA), 421 U.S.C. § 1320d et. Seq. and the Federal Standards for Privacy of Individually Identifiable Health Information, 45 C.F.R., Parts 160 and 164; Texas Administrative Code Title 26, Chapter 334, and other state and or federal regulations protecting the confidentiality of this information.

In addition, Respondent agrees and acknowledges that in receiving, storing, processing, or otherwise dealing with information, if any, pertaining to or about a person with respect to alcohol or substance use disorder, Respondent, its officers, employees, and agents are bound by the provisions of 42 C.F.R. Part 2.

C.5. Respondent agrees to follow, undertake, or institute appropriate procedures of safeguarding patient information, if any, with particular reference to patient identifying information. The term “patient identifying information” includes, but is not limited to, a patient’s medical record, graphs, or charts; statements made by the patient, either orally or in writing, while receiving services; photographs, videotapes, etc. and any acknowledgement that a person is or has been a patient of the facility, center, or other designated provider. Data systems or equipment must be configured to sufficiently safeguard patient identifying information, in accordance with all applicable privacy standards and, as applicable, MHMR technological requirements.

C.6. Respondent agrees to resist in judicial proceedings any efforts to obtain access to information pertaining to patients except as expressly stated in applicable laws, rules, or regulations. Respondent agrees to inform MHMR of any attempts to gain access to patient information.

C.7. Respondent shall ensure, in coordination with MHMR as applicable, that facilities meet federal, state, and local requirements, including but not necessarily limited to, building, health, fire and safety codes. Documentation of compliance shall be kept in centrally located files of the Respondent. The environment shall be safe and free from hazards and appropriate safeguards shall exist with regard to potentially hazardous equipment.

D. Confidentiality For confidentiality purposes, only pharmacy personnel and when appropriate, data entry personnel, will have access to information regarding whether a customer is a patient at MHMR, and there will be no overt designation that an individual is a patient.

4.3 Statement of Work

Successful Respondents shall address the below Specifications for Service and Medication Delivery Components, to include all six service components: A. On-Site Pharmacy;

B. Intermediate Care Facility Pharmacy Services; C. Remote Service Delivery Methods;

D. Inventory Management Services; E. Pharmacy Business Management Services, and F. Clinical Services.

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A. On-Site Pharmacy Respondent shall demonstrate ability to provide a full-service in-house pharmacy to MHMR patients in a seamless, comprehensive, on-site pharmacy system, to be located across various MHMR locations (see Exhibit 2). To the extent that the space needs to be renovated or updated to comply with pharmacy standards, such renovations are to be the sole responsibility of Respondent. Respondent shall enter into lease or sub-lease agreements, as applicable, for the space with MHMR. Sub-lease agreements may be subject to the approval of a Landlord. All leases and sub-leases shall be priced at fair market value.

Services for the On-Site Pharmacy shall include the following:

A.1. For MHMR prescribed medications:

i Respondent will bill the patient’s pharmacy benefit when the client has Medicaid, Medicare, insurance or other payer, collecting any co-pays or other fees due by the patient, in accordance with patient’s benefit plan.

ii For eligible patients without a pharmacy benefit, MHMR shall provide payment.

A.2. For non-MHMR prescribed medications:

i Respondent will bill the patient’s pharmacy benefit.

ii There is no MHMR subsidy for prescriptions ordered outside of MHMR.

Patient is solely responsible for the cost of the prescription, unless otherwise approved by an authorized representative of MHMR in writing.

A.3. For patients with Medicaid, Medicaid Managed Care, Medicare part D or third-party insurance who utilize the Pharmacy, Pharmacy will bill the appropriate party, and will interface with community providers and MHMR providers to maximize the availability of medications to those individuals.

A.4. Pharmacy will fill prescriptions to the full quantity of months allowed by Medicaid as ordered by providers.

A.5. Medication orders delivered, phoned or faxed from MHMR locations by 5:00 p.m.

must be filled and fulfilled the following workday.

A.6. Pharmacy shall separate and dispense prescriptions in one, two, three, or four-week supply or any other pre-filled pill organizer arrangement as ordered by MHMR provider.

A.7. All prescriptions will be filled with acceptable generic product unless a generic is not available. Only *AA or **AB rated generic substitutes are acceptable; however, MHMR is open to medical and pharmaceutical consideration, in consultation with

MHMR.

A.8. Utilize a quality improvement program which addresses medication dispensing errors and adverse medication reactions.

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A.9. Utilize an electronic prescribing system.

A.10. Have a Pharmacist and Pharmacy technician(s) available during regular business hours as a consultant to patients, physicians, MAs, RNs and other MHMR staff regarding medications, side effects, and food/drug interactions and to provide written medication education materials to patients.

A.11. Provide Pharmacy’s phone line and generic email address. To the extent Pharmacy has toll-free telephone and fax lines, provide such lines to MHMR.

A.12. Pharmacy will not charge the MHMR for postage and delivery costs of medication unless expressly approved by MHMR in writing. If, in accordance with applicable Pharmacy rules and regulations, a Pharmacy anticipates delivery charges to a patient that are not covered by a patient’s insurance, Pharmacy shall notify MHMR.

A.13. Must provide delivery/mail options including overnight delivery directly to the patients at MHMR locations, their residence, or temporary location such as a shelter.

A.14. Respondent is responsible for ensuring that where a patient address lists MHMR’s administrative address that pharmaceuticals are not mailed to the listed address but should be re-routed to Respondent’s main on-site pharmacy location upon award.

MHMR may withhold from Respondent payments the cost of shipping fees paid by MHMR related to the return of medications mailed as a result of a violation of this provision.

A.15. To the extent that medications shipped are lost in the mail or otherwise unable to be delivered, Respondent shall assume all costs related to re-shipment. To the extent that an address is incorrectly provided at the fault of MHMR or an MHMR patient, this provision shall be inapplicable.

A.16. Preference shall be given to a Respondent who can provide direct delivery of medications across Tarrant County, and with signature required, as applicable.

A.17. Ability to ship/deliver medications requiring refrigeration in special containers with dry ice, clearly marked for required refrigeration.

A.18. Pharmacy will utilize an electronic mechanism to distinguish patients for whom

MHMR will be paying from those with third-party billing benefits and will be able to provide MHMR with accurate reporting regarding same.

A.19. Pharmacy will participate, manage and administer all aspects of the Patient’s

Assistance Program / Physician’s Assistance Program (PAP) through the Pharmaceutical companies and shall submit, as part of its Proposal, a PAP Plan.

Respondent needs to present a solution/plan for handling the program for patients in multiple locations. The pharmacy will need to provide all aspects of the PAP

RFP 27-001 PHARMACY SERVICES Page 12 of 30 medications process, including the request, order, receipt and inventory of medications.

i Plan should address identifying prescribed medications eligible for PAP;

ii Plan should address how it identifies patients with eligible medications;

facilitates PAP applications; and communicates with MHMR.

iii Reports related to PAP eligibility shall be submitted to MHMR on a weekly basis.

iv The successful Respondent may be eligible to receive a rebate on PAP eligible prescriptions. Preference will be given to a Respondent that can clearly identify how it will generate reports and maximize PAP utilization.

A.20. Respondent shall, immediately upon discovery, advise MHMR of any defective product/recall information and identify and provide to MHMR a list of patients impacted.

A.21. Ability to credit and rebill medications as deemed available by carrier source.

A.22. Respondent shall maintain drug inventory and provide reports as requested by MHMR. Respondent must provide a unit price showing each component as attached on Proposal Pricing page (AWP Price, Minus Discount, Plus Dispensing Fee, MAC & Total Price) for each pharmaceutical listed on pricing page and submit this with Proposal.

A.23. Respondent shall ensure that all Medication is labeled in accordance with Federal, Texas State Law and the Texas Board of Pharmacy regulations.

A.24. Respondent shall keep appropriate records on all Medication ordered by the

MHMR and provide MHMR reports as requested.

A.25. Respondent shall maintain computerized patient profiles.

A.26. Respondent shall provide full credit for any and all Medications that are not picked up by or deliver to patient.

A.27. Respondent shall accept personal medications for destruction when returned to the Pharmacy by MHMR patients and treatment providers.

A.28. Respondent shall dispense medications in blister packaging for clients in MHMR residential and crisis programs.

A.29. Respondent shall dispense liquid/dissolvable psychotropic medication when required.

A.30. Respondent shall dispense long-acting injectable medications, such as Haldol®

Decanoate and Risperdal® Consta, and other long-acting injectables as required.

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A.31. Respondent shall provide support to patients with refill synchronization and reminder calls.

B. Intermediate Care Facility (ICF) Pharmacy Services In addition to the obligations provided under Section A, On-Site Pharmacy Services, Respondent shall:

B.1. Be responsible for the Quarterly Review of each individual in their designated facilities. The Review, to be consistent with applicable standards, will include, but not necessarily be limited to:

i Verifying current physician’s orders are present in chart.

ii Verifying that the medications received agree with the physician’s orders.

iii Checking the expiration date on each medication.

iv Reviewing records as to any adverse drug reaction.

v Verifying that prescribed lab work is up to date.

vi Reviewing records as to any adverse reaction with food to drug.

vii Checking eMAR to verify that drug was taken by individual.

viii Checking house stock for expiration date and replenishing supply.

ix Checking for concurrent use of potentially interacting medication.

x Checking for use of duplication therapy.

xi Checking the indicators against the patient’s charts for any irregularities.

xii Submitting written report identifying any discrepancies within 24 hours of completion of the Quarterly Review to the applicable MHMR contact.

Review may be provided via a consultant pharmacist, provided consultant pharmacist meets all standard qualifications.

B.2. Deliver the required Medicaid Waiver Home and Community Based Services in compliance with the Patient Principles for Evidentiary Certification.

B.3. Provide MHMR 24-hour access to ICF Pharmacy services.

B.4. Deliver medications to MHMR’s ICF Homes (preferred).

B.5. Respondent will review medications and bill the most expensive to Medicaid; cycle billing when allowable.

B.6. MHMR will reimburse Respondent for medications not covered by Medicaid and Medicare, as authorized by MHMR.

B.7. Respondent will provide over-the-counter medications at a reasonable and fair market price.

C. Remote Services Delivery Methods Ability to provide remote services to MHMR patients in a seamless comprehensive manner to all MHMR Center locations. Service Delivery to Remote Center Locations shall include the following components:

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C.1. Proposed method of delivery and provide medications to patients that are serviced in locations other than the location of the on-site pharmacy

C.2. Proposed plan/method to deliver and provide medications to patients that are homeless.

C.3. Proposed plan/method to deliver and provide medications to patients that are difficult to locate.

C.4. Proposed plan/method to deliver and provide medications to patients with transportation challenges.

D. Inventory Management Services

Respondent will be responsible to administer and manage the inventory; however, MHMR Chief Medical Officer will establish the formulary and will be able amend the formulary from time to time as needed. Currently, the formulary that is approved by MHMR Chief Medical Officer is the HHS Psychiatric Drug Formulary, available at https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/psychiatric/psychiatric-drug-formulary.pdf.

E. Pharmacy Business Management (PBM) Services Respondent shall be responsible for administering PBM services, and shall:

E.1. Provide a dedicated Account Executive to oversee and manage this account with a minimum of 7 years of experience managing and overseeing Behavioral Health Care Accounts through the pharmacy or PBM.

E.2. Attend quarterly meetings with management to review reports, issues, concerns, drug utilization, trends, and review recommendations to assist with cost containment and center management of medications. Please attach sample reports that Respondent will be able to provide including, but not limited to, reports based on class of medication and date filled.

E.3. Attend quarterly meetings with MHMR Medical Leaderships and provide utilization trends, habits, cost savings recommendations, as well as provide answers to questions.

E.4. Develop and implement MHMR specific plan specifications, including but not limited to: Formulary Management, Closed Physician Network, Drug restrictions, Custom Prior Authorization design, and Remote center specifications.

E.5. Provide list of Pharmacies available for accessing the Retail Pharmacy Network.

https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/psychiatric/psychiatric-drug-formulary.pdf https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/facilities-regulation/psychiatric/psychiatric-drug-formulary.pdf

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F. Clinical Services Respondent shall ensure the following:

F.1. A registered pharmacist shall be available to the medical staff for consultation regarding all aspects of medication.

F.2. Supplies and prescribed Medications are dispensed in 1 to 90-day supply and refills as prescribed.

F.3. Enforce compliance with the established formulary through a predetermined process, to be finalized after contract award.

F.4. Provide patient education regarding medication uses and interactions, healthy living and other related topics.

F.5. Provide, when requested, in-service training to the MHMR Staff regarding, but not limited to, the following subjects: drug security, documentation and sanitation standards for medication administration; education on specific medication use and therapeutics; and medication management.

F.6. Provide monitoring of medications including, but not limited to, Clozapine prescriptions.

F.7. In consultation and with prior approval of MHMR Chief Medical Officer provide specific psychotropic formulary, with a prior authorization mechanism for obtaining non-formulary medications.

4.4 Mandatory Reporting/Meeting Requirements

A. Monthly Statistical Report Respondent shall provide a monthly statistical report as follows:

A.1. Respondent shall coordinate with MHMR to develop reports in a format compatible with MHMR’s and Respondent’s system that is manipulable, stratified, and provides individual, group, and aggregate data for MHMR patients. At a minimum, reports should be able to filter for (1) MHMR and non-MHMR prescribers and (2) On-site Pharmacy and ICF programs. For example:

i Reports that capture patients eligible for PAP;

ii Reports that distinguish patients by service and identify type and amount of medications prescribed;

iii Cost reports;

iv High risk medications being prescribed;

v Adherence reports;

vi Reports identifying MHMR prescriber trends.

A.2. To the extent Respondent is able to pull sample reports containing the information listed in A.1 of this section through its current system, it should attach redacted sample reports to its Proposal.

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B. Quarterly Meetings B.1. A pharmacist employed by the Respondent shall attend quarterly meetings and inspections/audits of the on-site pharmacy, if applicable, or other services for regulatory compliance, drug storage, and expiration date compliance, and pharmacy compliance.

C. EHR Exchange C.1. Respondent will work with MHMR regarding the exchange of information with

MHMR's Electronic Health Record (EHR) and any database that the Respondent uses to collect information regarding medications.

D. Quality Assurance D.1. Respondent with utilize e-prescribing and other time and cost saving technologies to assist with the reporting of information about the services delivered.

D.2. Respondent will perform comprehensive systems testing and quality assurance audits, with results reported to MHMR, prior to the “Go-Live” date at no additional cost.

D.3. The Respondent shall provide and conduct a continuous monitoring system with the specific goals of improving quality of services and care provided. Medication error and omission shall be monitored and reported to MHMR quarterly.

D.4. All incidents of medication interactions, allergic reactions, contradictions, and duplication of therapy shall be reported to MHMR’s Medication Committee at quarterly Pharmacy Board Meeting and as needed.

D.5. Respondent will work with the MHMR’s Medical Leadership Team, to review, develop and help implement pharmacy related policies and procedures that will be in compliance with the Federal and State of Texas statutes as appropriate.

4.5 Invoicing

A. Monthly Invoice Required A.1. A monthly invoice, delineated by program (On-site Pharmacy and ICF), to be delivered to Accounts Payable at Accounts.Payable@mhmrtc.org by MHMR location to include patient’s names, ID/Case Number, date of service(s), name of medication, number of tablets/capsules/injections/liquids/sprays/volume dispensed, instructions, costs and credits (including amounts paid by third-party payers, as applicable). To the extent multiple services are awarded to a single vendor, reports must separate patients by service, to include On-Site Pharmacy and

ICF.

A.2. Electronic data in an manipulable Excel format shall also be provided with the report.

mailto:Accounts.Payable@mhmrtc.org

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4.6 Work Plan

The Primary On-Site Pharmacy is to be located at 300 Pennsylvania Ave., Fort Worth, TX 76104.

As part of its Proposal, Respondent shall submit a Work Plan to include:

A. Discussion of RFP Requirements and Implementation Work Plan shall include:

A.1. Detailed discussion and illustrations of the Respondent’s ability, commitment, and plan to meet the RFP requirements.

A.2. Plan for coordination between MHMR, operationalizing for delivery of medications between MHMR locations

A.3. Service Delivery Flow Chart with Preliminary layouts, sketches, diagrams, and/or other graphic representations.

A.4. A continuity plan in the event of technological or other disruption and methods to coordinate with MHMR and provide seamless care.

B. Transition Considerations

Work Plan shall:

B.1. Identify how it intends to transition services from MHMR’s current Pharmacy to new Pharmacy in event of award.

B.2. Address how Respondent intends to work with the current pharmacy, as applicable, to transition services.

C. Timeline

Work Plan shall:

C.1. Address how Respondent anticipates plans to meet implementation deadline of September 1, 2027.

C.2. Include detailed transition plan with timelines and goals for service delivery in order to begin Services no later than the timeframes specified.

D. Additional Required Components Work Plan shall, as applicable:

D.1. Acknowledge barriers to implementation, and a plan to surmount them.

D.2. Identify E-prescribing abilities and steps to integrate into MHMR's EHR.

D.3. Address the following:

i Incumbent coordination, RFP 27-001 PHARMACY SERVICES Page 18 of 30 ii No-disruption communication, iii Transition Risks, iv Contingency Planning, v Continuity of patient care, vi Medication access, vii Prescription fulfillment, viii Inventory, ix Data/reporting, x Billing, xi Staffing, xii Facility access, xiii Lease/sublease considerations, xiv Technology/EHR coordination, xv Patient communication, and xvi Implementation phases (including go-live testing, post-go-live stabilization) and timeline.

D.4. Work Plans will be evaluated based on ability to avoid service disruption and ensure transition is orderly, compliant, and patient-centered.

4.7 Treatment of the Issues

In this section, the proposer may comment on any aspect of the solicitation including suggestions for possible alternative approaches to the coverage, definition, development, and organization of the issues presented in this RFP and may propose alternative approaches.

4.8 Statement of Qualifications

A. Organizational and Staff Experience;

B. References and Financial Statements;

C. Personnel;

D. Staffing plan;

Note: The personnel named in the technical proposal will remain responsible throughout the term and any renewal of the contract. No diversion or replacement may be made without submission of a resume of the proposed replacement with final approval being granted by

MHMR.

4.9 Basis of Award

A.1. Proposals received will be considered inclusive of the contract costs associated with providing services under contract.

A.2. Evaluation and award selection will be made by a panel consisting of Doctors, Registered Nurses, Management and Business Office staff.

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A.3. Awards shall be made on the basis of the evaluation criteria listed in this RFP.

A.4. MHMR reserves the right to accept or reject any or all proposals. Further, MHMR reserves the right to delete any items from this RFP or resulting contract when deemed to be in the best interest of the patient and MHMR.

A.5. MHMR will not be bound to act by any previous communication with bidders, other than this RFP and state law.

A.6. Bids will be awarded in the best interest of Center and patients.

A.7. MHMR may award all the services outlined in this RFP to a single qualified pharmacy provider or may evaluate and award select services to multiple qualified pharmacy providers, contingent on evaluation of best value to the Agency.

A.8. Questions may be submitted to MHMR Purchasing at MHMR.Purchasing@mhmrtc.org.

4.10 Term of Contract

The initial term of this contract is for two (2) year(s), and will renew for six (6) one-year periods, if not terminated prior pursuant to the terms and conditions of the agreement. All renewals are subject to the terms and conditions set forth in the contract.

mailto:MHMR.Purchasing@mhmrtc.org

RFP 27-001 PHARMACY SERVICES Page 20 of 30

5. PROPOSAL EVALUATION PROCESS

Not all evaluation factors are equal in importance, and each factor is weighted in accordance with its importance to MHMR. Each item has been assessed a percentage upon which the final score will be determined. A total of one hundred percentage (100%) points for the following items will be considered a perfect score.

The following elements represent the evaluation criteria that will be considered during the evaluation process:

CRITERIA MAXIMUM

POINT

Overall Program Concept.

• Proposal addresses all required components of RFP.

• Indication that contractor has a well-defined concept and program structure for all components of service desired by MHMR. (Including equipment, availability, and start-up/transition time)

Project Management Methodology.

• Indications of Project Management capabilities for large scale data center;

focus on solution and timeline and achieve desired result. Detail of tasks, schedule, dependencies, duration, etc.

• Staffing is appropriate for size and scope of project

• Technological solutions and reporting capabilities are appropriate for size and scope of project

Financial Condition.

• Include a copy of your latest annual report or other comparable documentation. As evidenced by the financial information requested of each contractor, indication that the contractor, or contractors, are financially stable and able to provide related services in its entirety.

History/Description of Pharmacy.

• Provide a brief history and description of your firm. The description should include the size (number of employees) and areas of specialization.

Past Performance.

• Past performance demonstrates support of MHMR’s mission and goals of this RFP, prior work is of a similar scope and size, Bidder demonstrates clear past experience/expertise related to the services.

Cost.

• Final cost may be negotiated with the successful Contractor.

FINAL MAXIMUM EVALUATION POINTS 100

RFP 27-001 PHARMACY SERVICES Page 21 of 30

6. BEST AND FINAL OFFER (BAFO)

MHMR reserves the right to return to the Offeror(s) remaining in the competitive range to request a BAFO proposal based on one or more components of the initial proposal. The BAFO request may warrant additional discussion. These criteria will be explained at the time best and final offers are requested. Although discussions and BAFOs may take place, Offerors are encouraged to provide their best offer/proposal initially and not anticipate discussions to make their best offer/proposal.

RFP 27-001 PHARMACY SERVICES Page 22 of 30

7. MHMR’S REQUIRED SUBMISSION FORMS

PROPOSAL PRICING

List pricing offered **Pricing will include Usual & Customary rate as a requirement:

Do you agree to this? Y / N

Central Fill Pharmacy: Retail Pharmacy Network:

Generic AWP Discount: ________ Generic AWP Discount: _______ Generic Dispense Fee: _________ Generic Dispense Fee: ________ Generic MAC rate offered: Y / N Generic MAC rate offered: Y / N Provide MAC performance discount: Provide MAC performance discount:

Other Fees: _________ Other Fees: ________ Description of other fees (Include attachment of fees, if needed):

Generics (Top 15):

Drug description/Strength

MAIL

Unit Price Proposed

RETAIL

Unit Price Proposed

COMMENTS

BENZTROPINE MESYLATE 1MG

BUSPIRONE 10 MG

BUSPIRONE HCL 15 MG

CLONIDINE HCL 0.1 MG

DULOXETINE HCL 60 MG

GABAPENTIN 300 MG

HYDROXYZINE HCL 25 MG

HYDROXYZINE PAMOATE 25 MG

HYDROXYZINE PAMOATE 50 MG

LITHIUM CARBONATE 300 MG

PRAZOSIN HCL 1 MG

SERTRALINE 50 MG

SERTRALINE 100 MG

TRAZODONE HYDROCHLORIDE

50 MG

TRAZODONE HYDROCHLORIDE

100 MG

RFP 27-001 PHARMACY SERVICES Page 23 of 30

RFP 21-009 ON SITE PHARMACY SERVICES

PROPOSAL PRICING (Continued)

List pricing offered **Pricing will include Usual & Customary rate as a requirement:

Do you agree to this? Y / N

Central Fill Pharmacy Retail Pharmacy Network:

Brand AWP Discount: ________ Brand AWP Discount: _______ Brand Dispense Fee: _________ Brand Dispense Fee: ________ Other Fees: _________ Other Fees: ________ Description of other fees(Include attachment of fees, if needed):

Brands (Top 15):

Drug description/Strength

MAIL

Unit Price Proposed

RETAIL

Unit Price Proposed

Comment

ABILIFY 2 MG

ABILIFY 5 MG

ABILIFY 10 MG

DEPAKOTE 500 MG

DEPAKOTE ER 500 MG

INVEGA SUSTENNA 234 MG

LEXAPRO 10 MG

LEXAPRO 20 MG

PROZAC 20 MG

SEROQUEL 100 MG

TRILEPTAL 300 MG

VISTARIL 25 MG

WELLBUTRIN XL 150 MG

ZOLOFT 50 MG

ZOLOFT 100MG

PAP Dispensing Fee: ___________

PAP Admin Fee: _______________

RFP 27-001 PHARMACY SERVICES Page 24 of 30

ACKNOWLEDGEMENT

RFP 27-001 PHARMACY SERVICES

MHMR IN ITS SOLE AND ABSOLUTE DISCRETION SHALL HAVE THE RIGHT TO

AWARD CONTRACTS FOR ANY OR ALL MATERIALS LISTED IN EACH PROPOSAL,

SHALL HAVE THE RIGHT TO REJECT ANY AND ALL PROPOSALS, AND SHALL NOT BE

BOUND TO ACCEPT THE LOWEST PROPOSAL AND SHALL BE ALLOWED TO ACCEPT

THE TOTAL PROPOSAL OF ANY ONE CONTRACTOR, OR AS OTHERWISE STATED IN

THIS PROPOSAL.

THIS SUBMISSION IS GUARANTEED AS AN IRREVOCABLE OFFER VALID FOR 120

CALENDAR DAYS AFTER THE PROPOSAL OPENING DATE.

BY RETURNING THIS PROPOSAL COMPLETED, CONTRACTOR CERTIFIES THAT IT HAS

READ, UNDERSTOOD, AND AGREED TO THE TERMS CONTAINED HEREIN. COMPANY

HAS HAD THE OPPORTUNITY TO CONSULT WITH LEGAL COUNSEL REGARDING THE

DOCUMENTS AND WAIVES ANY CLAIM, OBJECTION, OR DEFENSE ON THE GROUNDS

THAT THE DOCUMENTS HAVE NOT BEEN REVIEWED BY LEGAL COUNSEL. PROPOSAL

MAY BE CONSIDERED INVALID IF NOT RETURNED.

THE INDIVIDUAL SIGNING THIS FORM BELOW HEREBY REPRESENTS AND WARRANTS

THAT THEY ARE DULY AUTHORIZED TO EXECUTE THIS ACKNOWLEDGEMENT ON

BEHALF OF CONTRACTOR, AND BY SIGNING BELOW CONTRACTOR IS BOUND TO THE

TERMS AND CONDITIONS CONTAINED HEREIN.

Name and Address of Company Authorized Representative

Company Name Authorized Signature

Number/Street Address Typed or Printed Name

City, State, Zip Code Title

Telephone Number Fax Number

E-mail Address

RFP 27-001 PHARMACY SERVICES Page 25 of 30

ATTACHMENT A

Veteran Heroes United in Business (VetHUB)

VetHUB Utilization Assessment

Legal Business Name Principal Owner Name

Number/Street Address Principal Owner Phone

City, State, Zip Code Title

1. If none of the below applies to your business please initial here____________________, in doing so you acknowledge that your business will NOT be considered a Veteran Heroes United in Business (you may skip questions 2 and 3).

2. Does your business meet the following eligibility criteria?

☐ Owner is an economically disadvantaged person ☐ Owner is a Service-Disabled Veteran with a service-related disability of 20% or greater.

☐ Owner has 51% ownership ☐ Owner controls day-to-day operation of business and can provide proof ☐ Owner holds company title equivalent to ownership and control requirements ☐ Business is primarily based in Texas with proof of principal place of business in Texas ☐ Business is a for-profit entity that has not exceeded the size standard prescribed by 34 TAC

§ 20.294.

3. Is your business already VetHUB certified? ☐ Yes ☐ No

If yes, please indicate the name of the certifying agency:

Certificate #: Expiration Date:

If not certified, is your business eligible for certification based on question 2 above?

☐ Yes ☐ No

4. Please sign and date the form below.

Signature Date Print Name

RFP 27-001 PHARMACY SERVICES Page 26 of 30

ATTACHMENT B

NOTICE “NO BID” FORM

This form is to indicate you are not interested in submitting a Proposal at this time. If you are responding to this solicitation, do not complete or submit this form. Submitting this form may result in your disqualification.

If submitting a “No Bid”, send this Attachment only to MHMR:

MHMR Purchasing Department Notice “No Bid” – RFP 27-001 PHARMACY SERVICES 3840 Hulen Street, Suite 106 Fort Worth, Texas 76107 MHMR.Purchasing@mhmrtc.org.

Please check the appropriate box below, complete the remainder of this form and return it prior to the scheduled deadline for this solicitation:

☐ My business cannot provide the products, supplies and/or services listed in this request;

however, my business would like to remain on MHMR’s list to submit bids/proposals for future projects. My business provides the following commodities or services

Describe commodities/services offered:

☐ My business has chosen not to submit a Proposal at this time but would like to remain on your list for this Proposal category. We did not submit a Proposal because

List reason(s) for not submitting a Proposal:

☐ Please remove my business from all MHMR lists until further notice. Provide the information below to be removed:

Reason(s) for removal:

Business Name:

Representative (Print Name):

Address:

E-mail Address:

Phone Number:

mailto:MHMR.Purchasing@mhmrtc.org

RFP 27-001 PHARMACY SERVICES Page 27 of 30

Authorized Signature

Title Date

BIDDERS WHO RESPOND TO THIS INVITATION WITH A COMPLETED PROPOSAL

FORM WILL REMAIN ON OUR MAILING LIST. BIDDERS MAKING NO RESPONSE MAY

BE REMOVED FROM THE MAILING LIST.

RFP 27-001 PHARMACY SERVICES Page 28 of 30

ATTACHMENT C

DEVIATION FORM

All deviations to this Solicitation must be noted on this sheet. In the absence of any entry on this Deviation Form, the prospective contractor assures MHMR of their full agreement and compliance with the Specifications, Terms and Conditions.

An individual authorized to execute contracts must sign the Deviation Form. Any exceptions taken to the terms and conditions identified in this Solicitation Package must be expressly stated below.

THIS DEVIATION FORM MUST BE SIGNED BY EACH PROSPECTIVE CONTRACTOR

WHETHER THERE ARE DEVIATIONS LISTED OR NOT, AND SUBMITTED WITH THIS

SOLICITATION

Signature:

COMPANY NAME

AUTHORIZED SIGNATURE

PRINTED NAME/TITLE

DATE

RFP 27-001 PHARMACY SERVICES Page 29 of 30

ATTACHMENT D

NON-COLLUSION AFFIDAVIT OF CONTRACTOR

State of County of verifies that:

(Name)

(1) Owner, partner, officer, representative, or agent of has submitted the attached bid. (Company Name)

(2) Company is fully informed in respect to the preparation, contents, and circumstances regarding the attached bid.

(3) Neither said company nor any of its officers, partners, agents or employees has in any way colluded, conspired or agreed, directly or indirectly with any other contractor, firm or person to submit a collusive or sham bid in connection with the attached bid and the price or prices quoted herein are fair and proper.

SIGNATURE

PRINTED NAME

Subscribed and sworn to before me this day of

NOTARY PUBLIC in and for

County, Texas.

My commission expires

THIS FORM MUST BE COMPLETED, NOTARIZED AND SUBMITTED WITH

PROPOSAL

RFP 27-001 PHARMACY SERVICES Page 30 of 30

ATTACHMENT E

REFERENCE FORM

Invalid contact information will result in default of references and may cause the bid to be disqualified. THIS PAGE MUST BE COMPLETED AND SUBMITTED WITH THE

PROPOSAL.

Company Name:

Street Address:

City, State & Zip: Phone:

E-mail:

List date and describe work performed:

Size of Organization:

City, State & Zip: Phone:

E-mail:

City, State & Zip: Phone:

E-mail:

Compliance Plan

I. Overview:

As adopted by the Board of Trustees (Board) on July 31, 2001 and reviewed annually.

The Board formally adopted the following Compliance Plan and related documents on July 31, 2001.

These documents represent the commitment of MHMR to compliance with applicable federal and state laws and the program requirements of federal, state, and private health care plans. MHMR Board, Executive Leadership Team (ELT), managers and staff, affiliated physicians, contractors, and other agents, where appropriate, are expected to read, understand, and agree to abide by this Compliance Plan and any related policies and procedures.

The Compliance Plan of MHMR is designed to prevent, detect and correct any instances of noncompliance with applicable federal and state law and program requirements of federal, state, and private health care plans. Every employee at MHMR has important responsibilities identified in this Compliance Plan, including a duty to report any compliance concerns as explained in this Compliance Plan.

This Compliance Plan is also designed to be consistent with the Department of Health and Human Services Office of Inspector General Compliance Program Guidelines. As regulatory guidance and applicable laws change in the future, this Compliance Plan will be modified as necessary to incorporate these changes. The Compliance Plan is to be reviewed on an annual basis by the Compliance Officer.

The outcome of said review will be forwarded to the Chief Executive Officer (CEO). Amendments will be submitted to the MHMR Board for approval.

This Compliance Plan includes seven major elements:

A. Compliance Standards, Policies and Procedures

Compliance Plan. Retrieved 08/2026. Official copy at https://mhmrtarrant.policystat.com/policy/20656928/. Copyright © 2026 MHMR of Tarrant County

RFP 27-001 Pharmacy Services Exhibit 1

Exhibit 1 https://mhmrtarrant.policystat.com/v2/search?author=2114278 https://mhmrtarrant.policystat.com/v2/search?author=2114278 https://mhmrtarrant.policystat.com/v2/search?category=59213 https://mhmrtarrant.policystat.com/v2/search?reference=55762

This element documents general expectations of compliance as defined by three broad compliance principles. The element also outlines the general standards of conduct for employees and establishes that compliance procedures will be developed.

B. Compliance Officer, Compliance Committee, and Legal Counsel

This element authorizes the designation of a Compliance Officer and the Compliance Committee. This element also defines the roles and responsibilities of the Compliance Officer and the Compliance Committee, as well as that of the General Counsel.

C. Education and Training

This element identifies the procedure by which MHMR will provide the necessary training to employees and contractors in order to meet the requirements of this Compliance Plan.

D. Communication

This element describes the methods employees may use to communicate their compliance concerns. Reporting is encouraged. There will be no retaliatory action.

E. Auditing and Monitoring

This element describes the action to be taken to monitor the effectiveness of the Compliance Plan. Implementation and effectiveness of the Compliance Plan will be reported to appropriate management staff.

F. Investigations and Corrective Action

This element describes the investigative and corrective procedures for all noncompliance with the Compliance Plan. The element also describes the methods of reporting noncompliance and modification of the organization's practices subsequent to evidence of noncompliance.

G. Disciplinary Actions

This element documents the disciplinary actions that may be taken for noncompliance. These actions are consistent with all MHMR Human Resources Operating Procedures.

II. Compliance Standards, Policies and Procedures:

A. Overview

1. Compliance training will emphasize confidentiality, anonymity, and non-retaliation for compliance…