ATTACHMENT__2_CLIN_STRUCTURE_TABLE.docx

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Emergency Prescription Assistance Program (EPAP) - Long Term
Solicitation number
HHS-ASPR-16-100-SOL-00006
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File Type Posted
Amend_3_-_RFQ__16-100-SOL-00006_-_EPAP_Long_Term.pdf PDF
proposal_intent_response_sheet_form1.doc DOC document
Amendment_2_-_RFQ__16-100-SOL-00006_-_EPAP_Long_Term.pdf PDF
ATTACHMENT__3_PRICING_TABLE_.xlsx XLSX spreadsheet
Amendment_1_-_RFQ__16-100-SOL-00006_-_EPAP_Requirement.pdf PDF
ATTACHMENT__2_CLIN_STRUCTURE_TABLE.pdf PDF
ATTACHMENT__1_PAST_PERFORMANCE.pdf PDF
ATTACHMENT__3_PRICING_TABLE_.pdf PDF
Appendix_A-HISTORICAL_DATA.pdf PDF
Appendix_D-Sample_Eligibility.pdf PDF
Appendix_E-Sample_Claim_Report.pdf PDF
Appendix_F-Pharmacy_Notification.pdf PDF
FINAL_RFP_16-100-SOL-00006.pdf PDF
Appendix_B-Sample_Work_Flow.pdf PDF
Appendix_C-Sample_DME.Formulary.pdf PDF
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ATTACHMENT #2 - CLIN STRUCTURE TABLE

EPAP Long Term Requirement - RFP #HHS-ASPR-16-100-SOL-0006

CLIN STRUCTURE TABLE

CLIN#

Description of Supply or Services
Fixed Price Amount
0001
Emergency Prescription Assistance Program (EPAP) to support ASPR in the event of a national disaster - Base Period

Pre-Activation Phase Maintenance

0002
Emergency Prescription Assistance Program (EPAP) to support ASPR in the event of a national disaster - Base Period

Activation Phase De-Activation Phase

TOTAL BASE PERIOD
$
0003
EPAP to support ASPR in the event of a national disaster - Option One
0004
EPAP to support ASPR in the event of a national disaster - Option One
TOTAL OPTION ONE
$
0005
EPAP to support ASPR in the event of a national disaster - Option Two
0006
EPAP to support ASPR in the event of a national disaster - Option Two
TOTAL OPTION TWO
$
0007
EPAP to support ASPR in the event of a national disaster - Option Three
0008
EPAP to support ASPR in the event of a national disaster - Option Three
TOTAL OPTION THREE
$
0009
EPAP to support ASPR in the event of a national disaster - Option Four
0010
EPAP to support ASPR in the event of a national disaster - Option Four
TOTAL OPTION FOUR
$

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