Data Pkg 15 IHS_Pharmacy_Claims_Volume_2017_&_2018.xlsx

XLSX spreadsheet 12 KB Posted

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

About this file

This document contains a draft request for proposals for the TRICARE Pharmacy Services, Fifth Generation contract along with details of the related federal contract opportunity. The Defense Health Agency is seeking pharmacy benefit management services through a new stand-alone contract with fixed unit pricing and performance-based requirements. The potential nine-year contract includes an 18-month transition period, seven 1-year option periods for service delivery, and a 6-month extension. The agency is requesting industry feedback on sections involving statements of objectives, specialty pharmacy, retail networks, compounded medications, care coordination, patient safety notifications, and quality control. Interested vendors should provide any questions or comments on the draft RFP to the Defense Health Agency by January 17, 2020. The agency intends to issue a formal solicitation in mid-2020 and hold an informational session on the draft RFP on December 11, 2019 to address any advance questions submitted.

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Data Pkg 14 Retail Claims with COB.xlsx XLSX spreadsheet
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Data Pkg 5 MOP Utilization by Drug.xlsx XLSX spreadsheet
Data Pkg 25 - OHI Development.xlsx XLSX spreadsheet
Data Pkg 22 - Paid Claims and Rejects - Retail.xlsx XLSX spreadsheet
TPharm5 Draft Section C 20191202.docx DOCX document
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Data Pkg 19 Historical_TMDS_Volume_2017-2018.xlsx XLSX spreadsheet
Attachment L-1.1 List of Data Packages.docx DOCX document
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Data Pkg 21 Enrolled Beneficiary Population.xlsx XLSX spreadsheet
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Text version

IHS 2017

FOR OFFICIAL USE ONLY
Title: Indian Health Services RX Volume
Date Range: 1/1/2017 - 12/31/2017
Jan-17Feb-17Mar-17Apr-17May-17Jun-17Jul-17Aug-17Sep-17Oct-17Nov-17Dec-17Grand Total
Service Category# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX
Retail7,3716,7157,4656,7687,5167,3236,9557,5157,0647,5496,9736,82486,038
Jan-17Feb-17Mar-17Apr-17May-17Jun-17Jul-17Aug-17Sep-17Oct-17Nov-17Dec-17Grand Total
Service CategoryPaper Claim# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX
Retail7,3716,7157,4656,7687,5167,3236,9557,5157,0647,5496,9736,82486,038
TPHARM DMRYes222122415
TPHARM MPDNo302437432727202423151721308
TPHARM RETAILNo7,3416,6897,4266,7237,4887,2946,9337,4917,0417,5346,9526,80385,715
Grand Total7,3716,7157,4656,7687,5167,3236,9557,5157,0647,5496,9736,82486,038

IHS 2018

FOR OFFICIAL USE ONLY
Title: Indian Health Services RX Volume
Date Range: 1/1/2018 - 12/31/2018
Jan-18Feb-18Mar-18Apr-18May-18Jun-18Jul-18Aug-18Sep-18Oct-18Nov-18Dec-18Grand Total
Service Category# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX
Retail8,0486,5787,2237,2457,4626,7437,1887,2466,5187,5326,9116,45185,145
Jan-18Feb-18Mar-18Apr-18May-18Jun-18Jul-18Aug-18Sep-18Oct-18Nov-18Dec-18Grand Total
Service CategoryPaper Claim# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX
Retail
TPHARM DMRYes112127
TPHARM MPDNo18191714148198618721169
TPHARM RETAILNo8,0296,5587,2047,2317,4476,7357,1697,2386,5127,5146,9026,43084,969
Grand Total8,0486,5787,2237,2457,4626,7437,1887,2466,5187,5326,9116,45185,145
DMR - Indicates member submitted request for reimbursement (ie, paper claim)
MPD - Indicates VA claims processed under Medicare PCN
d

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