Data Pkg 16 VA_VA CHDR Volume.xlsx

XLSX spreadsheet 14 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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This document provides details regarding a draft request for proposals for the TRICARE Pharmacy Services, 5th Generation contract. The Defense Health Agency anticipates awarding an 18-month base period for transition followed by seven 1-year option periods for health care delivery. Services will include retail and specialty pharmacy programs. The agency seeks feedback on statements of objectives, specialty pharmacy, retail network access, compounded medications, care coordination, and patient safety notification. Interested vendors should submit any questions or comments on the draft RFP by January 17, 2020. The agency estimates issuing a formal solicitation in mid-2020 and hosting all future information 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
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 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
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
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VA & VA CHDR 2016

FOR OFFICIAL USE ONLY
Title: VA and VA CHDR RX Volume
Date Range: 1/1/2016 - 12/31/2016
Jan-16Feb-16Mar-16Apr-16May-16Jun-16Jul-16Aug-16Sep-16Oct-16Nov-16Dec-16Grand Total
Service Category (Claim)PCN DescriptionPaper Claim# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX
RetailTPHARM DMRYes311218
RetailTPHARM MPDNo477367551720272116241815400
RetailTPHARM RETAILNo3,4243,3143,4662,1651,2481,3781,1621,3111,3521,2561,3261,34522,747
Retail Total3,4743,3873,5342,2211,2651,4001,1891,3321,3691,2801,3441,36023,155
VA CHDRCHDRNo1,086,4801,018,9161,190,2681,106,5851,133,2871,132,4591,065,3861,179,4671,108,2561,107,0251,100,170930,91213,159,211
DMR - Indicates member submitted request for reimbursement (ie, paper claim)
MPD - Indicates VA claims processed under Medicare PCN

VA & VA CHDR 2017

FOR OFFICIAL USE ONLY
Title: VA and VA CHDR 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 (Claim)PCN DescriptionPaper Claim# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX
Retail - VA FacilitiesTPHARM DMRYes11
Retail - VA FacilitiesTPHARM MPDNo122029373238212918363127330
Retail - VA FacilitiesTPHARM RETAILNo1,4851,3841,5391,2481,3521,3131,1251,3141,1061,1941,2451,15915,464
Retail Total1,4971,4041,5681,2851,3841,3511,1461,3441,1241,2301,2761,18615,795

VA CHDR CHDR No 500,541 347,182 353,620 299,783 343,511 336,706 290,873 333,624 303,850 328,156 313,938 311,804 4,063,588

VA & VA CHDR 2018

FOR OFFICIAL USE ONLY
Title: VA and VA CHDR 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 (Claim)PCN DescriptionPaper Claim# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX# RX
Retail - VA FacilitiesTPHARM MPDNo201410121095611189115
Retail - VA FacilitiesTPHARM RETAILNo1,2611,0471,1281,1181,2231,1751,4641,3511,1961,3411,3771,45515,136
Retail Total1,2811,0611,1381,1301,2331,1841,4691,3571,2071,3421,3851,46415,251

VA CHDR CHDR No 371,920 345,977 424,690 482,362 632,782 859,503 1,029,516 1,405,859 1,382,254 1,525,303 1,471,552 719,114 10,650,832

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