Data Pkg 19 Historical_TMDS_Volume_2017-2018.xlsx

XLSX spreadsheet 16 KB Posted

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

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Written by GovTribe AI ·

This document contains a draft request for proposals for the TRICARE Pharmacy Services, 5th Generation contract along with background information on the opportunity. The Defense Health Agency is seeking pharmacy benefit management services for the TRICARE pharmacy program through an 18-month transition period, seven 1-year option periods, and a potential 6-month extension. Key services required include retail pharmacy network administration, mail order pharmacy, specialty pharmacy, and utilization management. The agency estimates a potential 9-year period of performance. Interested parties are invited to provide feedback on sections of the draft RFP by January 17, 2020 related to statements of objectives, specialty pharmacy services, retail network access, compounded medications, care coordination, and patient safety notifications. The Defense Health Agency will host an information session on December 11, 2019 and anticipates releasing a formal solicitation in mid-2020.

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Data Pkg 2 - Retail Utilization by Drug.xlsx XLSX spreadsheet
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Attachment L-10 Small Business Participation Plan.docx DOCX document
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Attachment L-3 Specialty Reimbursement for Use in Determining Incentiv....docx DOCX document
Attachment L-9 Benefit Design Document_TPharm5.xlsx XLSX spreadsheet
Data Pkg 14 Retail Claims with COB.xlsx XLSX spreadsheet
Attachment L-9.5 Non-Formulary List.xlsx XLSX spreadsheet
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
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Attachment L-12 IHS_Pharmacy_Listing_2019.xlsx XLSX spreadsheet
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Data Pkg 10 - Compound Utilizers.xlsx XLSX spreadsheet
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Data Pkg 21 Enrolled Beneficiary Population.xlsx XLSX spreadsheet
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Weekly File TMDS Stats

Theater Data Medical Store (TMDS) Claims Volumes
January 1, 2017 - December 31, 2018
Week OfTotal Number of Records Received from TMDSAHLTA-T Records AdjudicatedTC2 Records AdjudicatedTotal Records AdjudicatedNumber of Aged Claims DroppedNumber of Duplicates DroppedNumber of Errors DroppedTotal Number Dropped% Dropped
1/2/17579310507121762501346169403170
1/9/17648612988352133633363783435367
1/16/177028165887725355003855138449364
1/23/177447136583522007864296165524770
1/30/1764451234109223266343278207411964
2/6/17534111729502122511261989321960
2/13/175330110992220312822780237329962
2/20/1745538588791737274245389281662
2/27/17525897282417964182907137346266
3/6/17432175810401798264216495252358
3/13/1737075439151458299186981224961
3/20/1736286239361559278173457206957
3/27/175992109398120744773280161391865
4/3/1748319417581699259279974313265
4/10/1735056218881509173175964199657
4/17/1746279198801799393238649282861
7/24/1741238696588651583022542123619182540862
7/26/17596054137386380003325474378435160587
7/27/17438301461693152388410191084351599
7/31/1727624944038971131609143186568
8/7/17479578483716213342619221317466
8/14/17478475092716772712714122310765
8/21/17403163676614022082308113262965
8/28/175572790179425841922483313298854
9/4/175238716104417602943007177347866
9/11/17424167993316121732289167262962
9/18/17347450997314821221698172199257
9/25/17587480481116153833621255425973
10/2/1762481156111622722443528204397664
10/16/17117021948200639544296941378774866
10/23/1728933669601326771347143156754
10/30/17113491655104927046397678328864576
11/6/175794106099920592373318180373564
11/9/17302562301037842679402761701346211
11/13/176407878103819162684062161449170
11/20/176292864100118652573977193442770
11/27/17457270682915355162343178303766
11/30/1780074067460540547
12/1/17261692501014
12/4/174355749985173494245176262160
12/11/17538810548811935104326683345364
12/18/1748879109171827132287157306063
12/25/1741106998851584100239432252661
1/1/1835685537621315127205472225363
1/8/182903646908155434125461134946
1/15/185548891116220532423146107349563
3/24/18281065492560911101930155575181700561
3/26/182845439780121993148548162657
4/2/1848338147571571167304352326267
4/9/183751620751137196222559238063
4/16/1851225966051201538332261392177
4/23/1832375115261037129202843220068
8/11/18311673797856412361804176443581880660
8/13/1837954816841165488210933263069
8/22/182885409784119346158759169259
8/27/18221329066495421120731125957
9/3/183166600851145172159251171554
9/10/182356343719106256118058129455
9/17/182800395795119099145952161058
9/24/1823893287441072116116932131755
9/28/18101100000
10/1/18274927970298141169829176864
10/8/182319254832108631118418123353
10/15/183207348996134450177439186358
10/22/182503217852106924138030143457
10/29/182629269956122523133546140453
11/8/1821692669951261238414490842
11/12/182454314806112029125451133454
11/19/182835434738117298151946166359
11/26/18213131610581374646187575736
12/5/18209329478210768189442101749
12/10/182455415916133169101441112446
12/17/182807497794129128140781151654
12/24/182416298750104867124556136857
12/31/181418208636844275173057440

Column Descriptions

Column HeadingDescription of Contents
Week OfReflects Sunday calendar date for each week.
Total Number of Records Received from TMDSReflects total number of records received from TMDS before any processing is done by PDTS.
AHLTA-T Records AdjudicatedReflects total number of AHLTA-T records remaining to be adjudicated on PDTS after initial processing.
TC2 Records AdjudicatedReflects total number of TC2 records remaining to be adjudicated on PDTS after initial processing.
Total Records AdjudicatedReflects total number of AHLTA-T and TC2 records adjudicated on PDTS.
Number of Aged Claims DroppedReflects total number of aged claims dropped.
Number of Duplicates DroppedReflects total number of duplicates dropped.
Number of Errors DroppedReflects total number of errors dropped.
Total Number DroppedReflects sum of aged claims, duplicates, and errors that were dropped.
% DroppedReflects percentage of total number of claims received from TMDS that were dropped prior to any claims being adjudicated on PDTS.

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