EXHIBIT_L-10_Historical_Data_and_Other_Info_Available_to_Offerors_(Aug_06 _2013).pdf

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TRICARE Pharmacy Program, Fourth Generation (TPharm4)
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HT9402-13-R-0001
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EXHIBIT_L-10 Historical Data and Other Info Available to Offerors (Aug 06 2013)

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Exhibit L-10 Historical Data and Other Information Available to Offerors

HT9402-13-R-0001 L-10-1

Technical and Interface Data

L-10.1 CCD Fee Web App User Manual *

L-10.2 Tech Specification for CCDD *

L-10.3 Tech Specification for Claims Coverage Eligibility *

L-10.4 CAC Middleware Rqmts Release 4.0 v 1.0 *

L-10.5 DS Longon 2.0 *

L-10.6 DWR Instructions for MCSC *

L-10.7 GIQD Web Application User Manual *

L-10.8 PID-S Update Generic Interface *

L-10.9 HIC SIT OHI Interface *

L-10.10 DEERS OHI / Application v 1.0.08 User Manual *

L-10.11 Security Online v.3.1 *

L-10.12 Data Dictionary Medical- Dental Edition v 1.0.08 *

Managed Care Pricing File (MCPF)

L-10.13 Managed Care Pricing File Information

L-10.14 Managed Care Pricing File – TMOP Sample

L-10.15 Managed Care Pricing File – MTF Sample (Pt. 1 of 3)

L-10.16 Managed Care Pricing File – MTF Sample (Pt. 2 of 3)

L-10.17 Managed Care Pricing File – MTF Sample (Pt. 3 of 3)

L-10.18 Implementation Guide for Transferring Prescription Refills from the Military

Treatment Facility (MTF) to the TRICARE Mail Order Pharmacy (TMOP)

L-10.19 Summary of PDTS Data Warehouse Content

* Any data marked with asterisks must be requested by potential offerors.

See Exhibit L-11 for ordering instructions.

Historical Data

Data Pkg 1 Utilization data for January 1, 2011 through December 31, 2011

1.01. Network Retail Pharmacy Outlets Utilized by TRICARE Beneficiaries

1.02. TRICARE Retail Pharmaceutical Utilization

1.03. TRICARE Retail Pharmacy Claim Volume

1.04. TRICARE Clinical Reviews

1.05. TRICARE Mail Order Pharmacy Utilization

1.06. TRICARE Mail Order Pharmacy Volume

1.07. TRICARE Specialty Drug Utilization Data by GCN, Retail and Mail Order

1.08. TRICARE Monthly Unique Utilizers

1.09. Customer Service Volume

1.10. Monthly Compound Volume

Exhibit L-10 Historical Data and Other Information Available to Offerors

HT9402-13-R-0001 L-10-2

Data Pkg 2 Utilization data for January 1, 2012 through September 30, 2012.

2.01. Network Retail Pharmacy Outlets Utilized by TRICARE Beneficiaries

2.02. TRICARE Retail Pharmaceutical Utilization

2.03. TRICARE Retail Pharmacy Claim Volume

2.04. TRICARE Clinical Reviews

2.05. TRICARE Mail Order Pharmacy Utilization

2.06. TRICARE Mail Order Pharmacy Volume

2.07. TRICARE Specialty Drug Utilization Data by GCN, Retail and Mail Order

2.08. TRICARE Monthly Unique Utilizers

2.09. Customer Service Volume

2.10. Monthly Compound Volume

Data Pkg 3 Retail Utilization Detail – CY 2011

Data Pkg 4 Retail Utilization Detail – CY 2012 (through September)

Data Pkg 5 Retail Utilization of Maintenance Medications by Beneficiaries Over 65

Data Pkg 6 Pre-Deployment / Out Processing Centers

Data Pkg 7 Historical Deployed Prescription Volume

Data Pkg 8 Unreplenished Agents for OP1, OP2 and OP3

8.01 Unreplenished Agents for OP1

8.02 Unreplenished Agents for OP2

8.03 Unreplenished Agents for OP3

Data Pkg 9 Historical MTF Claim Volume

Data Pkg 10 Historical MTF Call Volume

Data Pkg 11 Indian Health Service (IHS) Pharmacy Listing

Data Pkg 12 Dept. of Veteran’s Affairs (DVA) Pharmacy Listing

Data Pkg 13 IHS & VA Claims Volume

13.01 IHS Pharmacy Claims Volume

13.02 VA Pharmacy Claims Volume and VA CHDR Volume

Data Pkg 14 TRICARE Beneficiaries by Zip Code

Data Pkg 15 Misc. Summary Information

15.1 Eligibility Override Volume

15.2 Prescription Monitoring

15.3 Newly Eligible Mailing

Data Pkg 16 Federal Ceiling Price (FCP) Dispute Volume

Data Pkg 17 Historical Theater Medical Data Store (TMDS) Volume

Data Pkg 18 Prescription Transfers from Retail to Mail Order

Data Pkg 19 Assistance Reporting Tool (ART) Pharmacy Referral Volume

Data Pkg 20 Prescription Restriction Volume

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