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) Federal contract opportunity
Solicitation number
HT940220R0002
Issued by
Defense Health Agency

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Written by GovTribe AI ·

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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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
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-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 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
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
Attachment J-2 Acronym List.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
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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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