Attachment J-2 Acronym List.docx

DOCX document 21 KB Posted

Attached to
DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5) Federal contract opportunity
Solicitation number
HT940220R0002
Issued by
Defense Health Agency

About this file

This draft request for proposals concerns pharmacy services for the TRICARE program. The Defense Health Agency is seeking a contractor to provide TRICARE pharmacy benefits management for an estimated nine-year period of performance including transition-in, base years, and option years. Services required include retail pharmacy network administration, mail order pharmacy, specialty pharmacy, drug utilization review, pharmacy benefits management, and coordination of benefits with other health insurers. The agency is releasing this draft RFP for industry feedback on requirements and technical approach by January 17, 2020, prior to a planned solicitation in mid-2020. The final solicitation will be posted on beta.SAM.gov.

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Other files for this federal contract opportunity

Other files attached to DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5), newest first.
File Type Posted
QA CAS Applicability Specific Clauses (May 15 2020).pdf PDF
TPharm5 Section C Draft RFP2 2020-4-6.docx DOCX document
Data Pkg 7 Specialty Drug Utilization, Retail and Mail.xlsx XLSX spreadsheet
Data Pkg 14 Retail Claims with COB.xlsx XLSX spreadsheet
Attachment J-5 TPharm5 Award Fee Plan 20191122.docx DOCX document
Data Pkg 5 MOP Utilization by Drug.xlsx XLSX spreadsheet
Data Pkg 23 - Paid Claims and Rejects - MHS GENESIS.xlsx XLSX spreadsheet
Data Pkg 22 - Paid Claims and Rejects - Retail.xlsx XLSX spreadsheet
Data Pkg 24 - CHCBP Volume.xlsx XLSX spreadsheet
Attachment L-9.6 Self-Admin Injectables List.xlsx XLSX spreadsheet
Attachment L-9.7 Expanded Use of MTF and TMOP List.xlsx XLSX spreadsheet
Attachment L-18 CDRL Supplemental Bid Schedule.xlsx XLSX spreadsheet
Attachment L-1 Ordering Instructions for Data Files not on SAM.gov.docx DOCX document
TPharm5 Draft Section L 20191202.docx DOCX document
Data Pkg 25 - OHI Development.xlsx XLSX spreadsheet
Attachment L-9.5 Non-Formulary List.xlsx XLSX spreadsheet
Data Pkg 9 Customer_Service_Volume.xlsx XLSX spreadsheet
Data Pkg 16 VA_VA CHDR Volume.xlsx XLSX spreadsheet
Data Pkg 17 - TRICARE Beneficiaries by Zip Code.xlsx XLSX spreadsheet
Attachment L-1.3 Business Associate Agreement.docx DOCX document
Attachment L-9.2 Retail Vaccine List.docx DOCX document
Attachment L-9.1 Non-FCP Compliant List.xlsx XLSX spreadsheet
Data Pkg 1 Retail Utilization by Pharmacy.xlsx XLSX spreadsheet
Data Pkg 4 - Clinical Review Volume.xlsx XLSX spreadsheet
Attachment L-6 Client Authorization.docx DOCX document
TPharm5 Draft Section K 20191120.docx DOCX document
HT940220R0002 SF33 and Section B 20191202.pdf PDF
Attachment J-4 MTF Sites.xlsx XLSX spreadsheet
Data Pkg 8 Mail and Retail Monthly Utilizers.xlsx XLSX spreadsheet
TPharm5 Draft Section J 20191127.docx DOCX document
Attachment L-10 Small Business Participation Plan.docx DOCX document
Data Pkg 2 - Retail Utilization by Drug.xlsx XLSX spreadsheet
Attachment J-1 Definitions.DOCX DOCX document
TPharm5 Draft Section M 20191202.docx DOCX document
Attachment J-3 Website Links.docx DOCX document
Attachment L-5 Guaranty_Agreement.pdf PDF
Attachment L-7 Teaming Subcontractor Consent Ltr.docx DOCX document
Attachment L-9.3 Covered OTCs - Purchased Care.xlsx XLSX spreadsheet
Attachment L-19.1 PPI Tool Instructions.docx DOCX document
Data Pkg 3 TRICARE Retail Pharmacy Claim Volume.xlsx XLSX spreadsheet
TPharm5 Draft Section C 20191202.docx DOCX document
Data Pkg 6 - MOP Utilization.xlsx XLSX spreadsheet
Attachment L-13 VA_Pharmacy_Listing_2019.xlsx XLSX spreadsheet
Attachment L-1.2 Non-Disclosure Agreement.docx DOCX document
Data Pkg 21 Enrolled Beneficiary Population.xlsx XLSX spreadsheet
TPharm5 Draft Section H 20191121.docx DOCX document
Data Pkg 10 - Compound Utilizers.xlsx XLSX spreadsheet
TPharm5 Draft Section I 20191120.docx DOCX document
Data Pkg 11 - Retail Utilization Detail, Guarantee Categories.xlsx XLSX spreadsheet
TPharm5 Draft Section F 20191202.docx DOCX document
Show all 50

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Text version

SECTION J

ATTACHMENTS

Attachment J-2 – Acronym List ADP – Automated Data Processing ADSM – Active Duty Service Member AFRICOM – United States Africa Command AHLTA – Armed Forces Health Longitudinal Technology Application AIS – Automated Information System ANDA – Abbreviated New Drug Application API(s) – Application Programming Interface(s) APO – Army Post Office ART – Assistance Reporting Tool ARU – Automated Response Unit ASAP – American Society for Automation in Pharmacy B2B – Business-to-Business Gateway BAP – Beneficiary Advisory Panel BCACs – Beneficiary Counseling and Assistance Coordinators BCF – Basic Core Formulary BLA – Biologic License Application BPA – Blanket Purchase Agreements CC&D – Catastrophic Cap and Deductible CCDD – Catastrophic Cap and Deductible Database CDC – Centers for Disease Control CDD – Certificate of Data Destruction CDR – Clinical Data Repository CDRL – Contract Data Requirements List CENTCOM – United States Central Command CFR – Code of Federal Regulations CHCBP – Continued Heath Care Benefits Program CHCS – Composite Health Care System CHDR – Clinical Data Repository/Health Data Repository CIT – Continuous Integrated Testing CLIN – Contract Line Item Number CMS – Center for Medicare and Medicaid Services CO – Contracting Officer COB – Coordination of Benefits COOP – Continuity of Operations Plan COR – Contracting Officer’s Representative CSA – Clinical Support Agreement DAPA – Distribution and Pricing Agreements DAW – Dispense as Written DBN – DoD Benefits Number DEA – Drug Enforcement Agency DEERS – Defense Enrollment Eligibility Reporting System DFARS – Defense Federal Acquisition Regulation Supplement DHA – Defense Health Agency DHMSM – Defense Healthcare Management Systems Modernization DISA – Defense Information Systems Agency DLA–TS – Defense Logistics Agency Troop Support DMDC – Defense Manpower Data Center DMR – Direct Member Reimbursement DOB – Date of Birth DoD – Department of Defense DoDI – Department of Defense Instruction DoD ID – Department of Defense Identification DPO – Diplomatic Post Office DPP – Deployment Prescription Program DS Logon – DoD Self–service Logon DSA – Data Sharing Agreement DT&E – Developmental Testing and Evaluation DUA – Data Use Agreement DUR – Drug Utilization Review DVA – Department of Veterans Affairs ECF – Extended Core Formulary EHR – Electronic Health Record EI – Enterprise Infrastructure EOB – Explanation of Benefits ePA – Electronic Prior Authorizations EUCOM – United States European Command FAR – Federal Acquisition Regulation FCP – Federal Ceiling Price FDA – Food and Drug Administration FDB – First Databank FHP&R – Force Health Protection & Readiness FOIA – Freedom of Information Act FPO – Fleet Post Office FR – Federal Register FSS – Federal Supply Schedule FST – Formulary Search Tool FTDTL – Forensic Toxicology Drug Testing Laboratory FY – Fiscal Year GIQD – General Inquiry to DEERS GSN – Generic Sequence Number HA – Health Affairs HDR – Health Data Repository HHS – Health and Human Services HIPAA – Health Insurance Portability and Accountability Act HIT – Home Infusion Therapy HL7IMM – Health Level 7 Immunizations I&O – Infrastructure and Operations Division IA – Information Assurance ICD – Interface Control Document IHS – Indian Health Service INDOPACOM – United States Indo–Pacific Command LIMS – Laboratory Information Management System MAJCOM – Major Command (includes AFRICOM, CENTCOM, EUCOM, INDOPACOM, NORTHCOM, SOUTHCOM) MCSC – Managed Care Support Contractor MHS – Military Health System MME – Morphine Milligram Equivalents MN – Medical Necessity MOU – Memorandum of Understanding MPPP – Market Price Pharmaceutical Program MTFs – Military Treatment Facilities NABP – National Association of Boards of Pharmacy NCC–MERP – National Coordinating Council for Medication Error Reporting and Prevention NCPDP – National Council for Prescription Drug Programs NDA – New Drug Application NDAA – National Defense Authorization Act NDC – National Drug Code NF – Non–formulary NIST – National Institute of Standards and Technology NORTHCOM – United States Northern Command NPV – National Prime Vendor OHI – Other Health Insurance OHI/SIT – Other Health Insurance Standard Insurance Table OMB – Office of Management and Budget OSD – Office of the Secretary of Defense OT&E – Operational Testing and Evaluation OTC – Over-the-counter P&T – DoD Pharmacy and Therapeutics Committee PA – Prior Authorization PBM – Pharmacy Benefit Management/Manager PCM – Primary Care Manager PDMP – Prescription Drug Monitoring Program PDW – Pharmacy Data Warehouse PHI – Protected Health Information PHS – Public Health Service PIA – Privacy Impact Assessment PII – Personally Identifiable Information POC – Point of Contact POD – Pharmacy Operations Division POSC – Pharmacy Operations Support Contract ProDUR – Prospective Drug Utilization Review PWS – Performance Work Statement SDD – Solutions Delivery Division SFTP – Secure file transfer protocol SOO – Statement of Objectives SORN – System of Records Notice SOUTHCOM – United States Southern Command SOW – Statement of Work SP – Special Publication SSN – Social Security Number TED – TRICARE Encounter Data TEPRV – TRICARE Encounter Provider record TFL – TRICARE for Life TMDS – Theater Medical Data Store TMIP – Theater Medical Information Program TMOP – TRICARE Mail Order Pharmacy TOM – TRICARE Operations Manual TPharm – TRICARE Pharmacy Program/Contract TPM – TRICARE Policy Manual TRM – TRICARE Reimbursement Manual TROOP – True Out-Of-Pocket expenses TSM – TRICARE Systems Manual UF – TRICARE Uniform Formulary US CERT – United States Computer Emergency Readiness Team USC – United States Code USTF – Uniformed Services Treatment Facility VPN – Virtual Private Network

26 Nov 2019 Page 1 of 6 HT9402-20-R-0002

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