Attachment L-18 CDRL Supplemental Bid Schedule.xlsx

XLSX spreadsheet 15 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 document provides a draft request for proposal for the TRICARE Pharmacy Services, 5th Generation contract. The Defense Health Agency is seeking pharmacy services through a new stand-alone contract with fixed unit prices and an 18-month base period for transition-in followed by seven 1-year option periods for health care delivery and a potential 6-month extension. Services will include retail pharmacy networks, mail order pharmacy, specialty pharmacy, pharmacy benefits management, and care coordination. The agency requests that interested vendors review specified sections and provide any questions or comments on the draft RFP by January 17th, 2020. An information session on the draft RFP was held on December 11th, 2019. The agency estimates a formal solicitation may be issued in mid-2020.

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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
Responses to Industry on Revised Draft Section C 20200504.pdf PDF
TPharm5 - Overview of Changes to Draft Section C.DOCX DOCX document
TPharm5 Section C Draft RFP2 2020-4-6.docx DOCX document
DHA Responses to Industry on Draft RFP 20200318.pdf PDF
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-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 13 - MTF Claims Volumes by Site.xlsx XLSX spreadsheet
Attachment L-3 Specialty Reimbursement for Use in Determining Incentiv....docx DOCX document
Attachment L-9 Benefit Design Document_TPharm5.xlsx XLSX spreadsheet
Attachment L-2 Retail Network Reimbursement Table.docx DOCX document
TPharm5 Draft RFP READ FIRST 20191202.docx DOCX document
Tpharm5 Draft Section G 20191202.docx DOCX document
Attachment L-8 MMC Sample File.xlsx XLSX spreadsheet
Attachment L-9.8 PA_ST_QL List.XLSX XLSX spreadsheet
Attachment L-4 Negotiated Specialty Retail Replenished Dispensing Fees.docx DOCX document
Attachment L-9.9 Fluoride Products List.xlsx XLSX spreadsheet
Attachment L-12 IHS_Pharmacy_Listing_2019.xlsx XLSX spreadsheet
Data Pkg 15 IHS_Pharmacy_Claims_Volume_2017_&_2018.xlsx XLSX spreadsheet
TPharm5 Draft Section E 20191120.docx DOCX document
TPharm5 Draft Section D 20191120.docx DOCX document
Attachment L-1.1 List of Data Packages.docx DOCX document
Attachment L-19 Past Performance Questionnaire Template Tab F 20191120.docx DOCX document
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
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Text version

Sheet1

CDRL NumberCDRL TitleDevelopment
(Transition)Submission
(OP1)Submission
(OP2)Submission
(OP3)Submission
(OP4)Submission
(OP5)Submission
(OP6)Submission

(OP7)

A010FOIA Releasable Contract
A020MOU with DHA Communications
A021MOU with DHA Information Operations (Pharmacy Data Warehouse)
A022MOU with MHS Genesis Contractor
A023MOU with MCSC - East Region
A024MOU with MCSC - West Region
A025MOU with DHA Third Party Claims Review Contractor
A030Continuity of Operation Plan
A031Disaster Recovery Test Results
A040NIST Certification of Compliance Report updated 10.5.18
A050Quality Control Annual Report
A060Statement on Standards for Attestation Engagement (SSAE) No. 16
A061Bridge Letter Statement on Standards for Attestation Engagement No. 16
A070Risk Assessment Letter of Assurance
A080Fraud Detection and Prevention Strategy and Internal Procedures
A090DEERS Query Volume Forecast
A100Education Plan
D010Mail Order Daily NDC Change Requests Report
D011Mail Order Daily Backorder Report
D020MTF Rejection Detail Report
D030Contractor Payment Check Issue Data
D040Retail Pharmacy Claims (RPC) Data Requirements
M010TPharm Contract Performance Summary
M020Call Center Top Issues Report
M030Priority Correspondence Report
M040Network Pharmacy Report
M041Network Access Report
M050TPharm Metric Summary Report
M060Pharmacy Claims Processing System Availability Report
M070MTF Rejection Summary Report
M071MTF Data Integrity Summary Report
M072MTF High Cost Claim Summary Report
M080HIPAA Privacy Disclosure Report
M090Supervisory Review Report
M100Deployment Prescription Program Report
M110MOP Replenishment Reconciliation Report - Claims
M111MOP Replenishment Reconciliation Report - NDC Level
M120Expanded Mail Order and MTF Report
M130Auto Refill Dashboard
M140Market Pricing Report
M150TMDS Claims Volume Report
M160Bank Reconciliation Format
M170Accounts Receivable Reports
M180Bank Cleared Payment Report
M190Bank Account Statement Report
M200Benefit Design and Formulary Search Tool Changes
M210Compound Prescription Report
M220PDMP Overview Report
M230Prescription Monitoring Program Report - MTF
M231Prescription Monitoring Program Report - MCSC
M240Retail Refund Dispute Report
M250Pharmacy Claims Audit Report
Q010Clinical and Admin Review Report
Q020Beneficiary Services Report
Q030Pharmacy Help Desk Report
Q040Mail Order Pharmacy Prescription Report
Q041Mail Order Pharmacy Reship Report
Q042Mail Order Quality Control Report
Q050Paper Claims Processing Report
Q060Prescription Monitoring Program Utilizer Report
Q061Prescription Monitoring Program Overview Report
Q070Benefit Design Edit Safety Report
Q080EOB Report
Q090TED Summary Report
Q100Fraud and Abuse Summary Report
Q110OHI Development Report
Q111OHI Cost Avoidance Report
Q120CHCBP Monitoring Report
Q130Eligibility Recoupment Status Report
Q140Quarterly Review Program Report
Q150Specialty Pharmacy Services Report
Q150Specialty Dispensing and Services Report
Q160Educational Update Report
Q170Mail Order Pharmacy Utilizers Data File
R010Operations Issues Log
R020Pharmacy Change Monitoring Report
R030Ad Hoc Management Reports
R040Appeals Processing Guidelines, Desk Instructions and Reference Material
R050Breach Report
R060Standard Operating Procedures (Desk Procedures)
R070Threats Report
R080Random Sampling Audit Worksheet
R090Fraud Abuse Patient Harm-Initial Notification Checklist
R100DHA-MTF Fraud and Abuse Cover Sheet
R110Declaration of Transfer and Destruction of Records
R120MOU with Outgoing Contractor
R130State of Emergency Report
T010Transition-In Plan
T020Transition-In Status Report
T030Transition-Out Plan
T040Transition-Out Status Report
W010Mail Order Rebaseline and Continuous Monitoring Approval Report
W020MTF Data Integrity Report
W021MTF High Cost Claim Report
W030MHS GENESIS Drug Reject Report

File details come from the government source that posted it. Updated .