ATTACHMENT__2_CLIN_STRUCTURE_TABLE.pdf

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Emergency Prescription Assistance Program (EPAP) - Long Term
Solicitation number
HHS-ASPR-16-100-SOL-00006
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RFP Attachment 2 - CLIN Structure Table

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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
ATTACHMENT__2_CLIN_STRUCTURE_TABLE.docx DOCX document
Amendment_1_-_RFQ__16-100-SOL-00006_-_EPAP_Requirement.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

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

Pre-Activation Phase Maintenance

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 $

EPAP to support ASPR in the event of a national disaster - Option One

Maintenance

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 Maintenance

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 Maintenance

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 Maintenance

EPAP to support ASPR in the event of a national disaster - Option Four

TOTAL OPTION FOUR $

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