Attachment L-3 Specialty Reimbursement for Use in Determining Incentiv....docx

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DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5)
Solicitation number
HT940220R0002
Issued by

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This notice provides a draft request for proposals for the Defense Health Agency's TRICARE Pharmacy Services, 5th Generation contract. The potential multi-year contract would include an 18-month transition period, seven 1-year option periods for healthcare delivery, and a potential 6-month extension. The contractor would provide pharmacy benefits management services to TRICARE beneficiaries, including retail network administration, specialty pharmacy, mail order, compounding, and care coordination. The Defense Health Agency seeks industry feedback on requirements and pricing approaches by January 17, 2020, and may issue a formal solicitation in mid-2020. Interested offerors are invited to review sections of the draft RFP and provide questions or comments to help the agency provide high-quality pharmacy services within statutory and regulatory requirements.

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Attachment L-10 Small Business Participation Plan.docx DOCX document
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TPharm5 Draft Section C 20191202.docx DOCX document
Attachment L-5 Guaranty_Agreement.pdf PDF
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Attachment L-18 CDRL Supplemental Bid Schedule.xlsx XLSX spreadsheet
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Attachment L-10 Specialty Reimbursement for Use in Determining Incentives

Option Period
Type of Rx
Pricing Basis
Guaranteed Average Price

Adjustment Percentage Guaranteed Average Dispensing Fee

1
Brand
WAC

AWP

1
Generic
WAC

AWP

2
Brand
WAC

AWP

2
Generic
WAC

AWP

3
Brand
WAC

AWP

3
Generic
WAC

AWP

4
Brand
WAC

AWP

4
Generic
WAC

AWP

5
Brand
WAC

AWP

5
Generic
WAC

AWP

6
Brand
WAC

AWP

6
Generic
WAC

AWP

7
Brand
WAC

AWP

7
Generic
WAC

AWP

Note for the Specialty Reimbursement Table Each applicable "Guaranteed Average Price Adjustment Percentage" and "Guaranteed Average Dispensing Fee" in this table will be used for the calculations described in Section H.

HT940220R0002 Page 1 of 1 Attachment L-10

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