DRAFT RFP Section B
34 KB Posted
- Attached to
- Draft RFP Elements for Comment - TRICARE Pharmacy Program, Fourth Generation (TPharm4) - AMENDMENT 1
- Solicitation number
- HT9402-13-R-0001
- Issued by
-
Defense Health Agency
About this file
DRAFT RFP Section B
Text of this file
Sheet1
| CLIN Nomenclature | Unit | Paragraph | Type | Party | ||
| Transition In - TRICARE | 1 LT | C.17 | Invoice | Firm Fixed Price | Offeror Proposed | |
| Transition In - Department of Veteran's Affairs (DVA) | 1 LT | C.17 | Invoice | Firm Fixed Price | Offeror Proposed | |
| Government Directed Mailings, Phase-In | EA | C.17.2.1 | Fixed Price Per Unit | Offeror Proposed | ||
| Retail Network Claims, Electronic | EA | C.6.2 | Fixed Price Per Unit | Offeror Proposed | ||
| Retail Network Claims, Non-Electronic | EA | C.6.2.1 | Fixed Price Per Unit | Offeror Proposed | ||
| Retail Network Claims, Dept. of Veteran's Affairs (DVA) | EA | C.6.2.2 | Limited Review Function. DoD prior authorization requirements, the DoD Medical Necessity Determination requirements do not apply | Fixed Price Per Unit | Offeror Proposed | |
| MTF Prescriptions, Adjudication Services | EA | C.6.4 | Fixed Price Per Unit | Offeror Proposed | ||
| MTF Prescriptions, Central Mail Fulfillment | EA | C.7.8 | Fixed Price Per Unit | Offeror Proposed | ||
| Mail Order Pharmacy, Prescription Fill | EA | C.7 | Full Up requirement to include Utilization Review, etc. do not apply | Fixed Price Per Unit | Offeror Proposed | |
| Transfer New Retail Prescription to Mail Order Pharmacy | EA | C.7.6 | Fixed Price Per Unit | Offeror Proposed | ||
| Transfer New Retail Prescription to MTF | EA | C.7.6 | Fixed Price Per Unit | Offeror Proposed | ||
| Mail Order Pharmacy, Prescription Fill, Special Handling | EA | C.7.9 | Austere Fill & Ship function. The Govt deems the requirement for Prior Auth for a drug has been satisfied | Fixed Price Per Unit | Offeror Proposed | |
| Mail Order Pharmacy, Prescription Fill, Specialty Clincial Spt | EA | C.7.9.1 | Fixed Price Per Unit | Offeror Proposed | ||
| Un-replenished MOP Pharmaceutical Agents & Supplies | 1 LT (NTE) | C.7.11 | Cost Reimbursement | Govt Determined | ||
| Clinical Reviews (PA & MN) | EA | C.9.1 | These are clinical reviews (generic vs. brand) or P&T guidance regarding Federal Pricing Enforcement | Fixed Price Per Unit | Offeror Proposed | |
| Explanation of Benefits (EOB) | EA | C.10.1 | Fixed Price Per Unit | Offeror Proposed | ||
| Government Directed Mailings | EA | C.10.4 | Fixed Price Per Unit | Offeror Proposed | ||
| Clinical Support Agreements with MTF Pharmacies | NSP | C.16 | Firm Fixed Price | |||
| To Be Negotiated | Govt Determined | |||||
| Contract Data Requirements List (CDRLs) | NSP | TBD | TBD | Offeror Proposed | ||
| Incentives | ||||||
| Retail Network Cost Control Incentive | 1 LT | H.1 | 10% No Cap of savings measured by WAC published by FDB; failing that AWP published by Medispan | Formula | ||
| Incentive Fee | Govt Determined | |||||
| Incentive for Savings on High Cost Medications | 4 LT | H.2.1 | Formula | |||
| Incentive Fee | Govt Determined | |||||
| Incentive for Transfers to Mail Order Pharmacy or MTF | 4 LT | H.2.2 | Per Unit Incentive Fee | Offeror Proposed | ||
| Contract Phase-Out | 1 LT | C.18 | Firm Fixed Price | Offeror Proposed |
Sheet2
Sheet3
Other files
| File | Type | Posted |
|---|---|---|
| DRAFT_RFP_Section_X_Composite_-_Guarantee_(Oct_4 _2012).docx | DOCX document | |
| Attach4_MTF Sites.xls | XLS spreadsheet | |
| Attach9_Specialty Clinical Services List.docx | DOCX document | |
| Attach6_Required Mailings.doc | DOC document | |
| Attach5_SRP Sites.doc | DOC document | |
| DRAFT RFP Section C | — | |
| Attach2_Deployed Prescription Volume.xls | XLS spreadsheet | |
| Attach7_Bulk Chemicals Used for Compounding Final Report 07 23 12.xlsx | XLSX spreadsheet | |
| Attach8__ Enhanced IA Standards Checklist IAW H4.pdf | ||
| Attach1_Utilization Data.xls | XLS spreadsheet | |
| DRAFT RFP Section L | — | |
| DRAFT RFP Section F | — | |
| DRAFT RFP Section H | — | |
| Attach3_MTF Workload.xls | XLS spreadsheet |
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