Data Pkg 24 - CHCBP Volume.xlsx

XLSX spreadsheet 10 KB Posted

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

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This document contains a draft request for proposals for the TRICARE Pharmacy Services, 5th Generation contract along with a related federal contract opportunity notice. The Defense Health Agency is seeking pharmacy benefit management services for TRICARE beneficiaries through a new stand-alone contract with fixed unit pricing and potential performance period of up to nine years. The draft RFP includes sections on contract line item structure, specialty pharmacy, retail network access, care coordination, patient safety notifications, and quality control. Interested vendors are invited to provide feedback on the draft RFP by January 17, 2020. The agency will host an informational session on the opportunity on December 11, 2019 and anticipates issuing a formal solicitation in mid-2020.

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Attachment L-9.8 PA_ST_QL List.XLSX XLSX spreadsheet
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Attachment L-10 Small Business Participation Plan.docx DOCX document
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Data Pkg 8 Mail and Retail Monthly Utilizers.xlsx XLSX spreadsheet
Attachment J-1 Definitions.DOCX DOCX document
TPharm5 Draft Section M 20191202.docx DOCX document
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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-5 Guaranty_Agreement.pdf PDF
Data Pkg 6 - MOP Utilization.xlsx XLSX spreadsheet
Attachment L-13 VA_Pharmacy_Listing_2019.xlsx XLSX spreadsheet
Data Pkg 19 Historical_TMDS_Volume_2017-2018.xlsx XLSX spreadsheet
Attachment L-1.1 List of Data Packages.docx DOCX document
Data Pkg 13 - MTF Claims Volumes by Site.xlsx XLSX spreadsheet
TPharm5 Draft Section I 20191120.docx DOCX document
Attachment L-19.1 PPI Tool Instructions.docx DOCX document
Attachment L-9.3 Covered OTCs - Purchased Care.xlsx XLSX spreadsheet
Attachment J-5 TPharm5 Award Fee Plan 20191122.docx DOCX document
TPharm5 Draft Section D 20191120.docx DOCX document
Attachment L-12 IHS_Pharmacy_Listing_2019.xlsx XLSX spreadsheet
TPharm5 Draft Section E 20191120.docx DOCX document
Attachment L-18 CDRL Supplemental Bid Schedule.xlsx XLSX spreadsheet
Data Pkg 7 Specialty Drug Utilization, Retail and Mail.xlsx XLSX spreadsheet
Data Pkg 16 VA_VA CHDR Volume.xlsx XLSX spreadsheet
TPharm5 Draft Section H 20191121.docx DOCX document
Attachment L-7 Teaming Subcontractor Consent Ltr.docx DOCX document
Attachment L-2 Retail Network Reimbursement Table.docx DOCX document
Attachment L-4 Negotiated Specialty Retail Replenished Dispensing Fees.docx DOCX document
Tpharm5 Draft Section G 20191202.docx DOCX document
Data Pkg 10 - Compound Utilizers.xlsx XLSX spreadsheet
TPharm5 Draft Section F 20191202.docx DOCX document
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Sheet1

CHCBP Monitoring Report
Jan-17Feb-17Mar-17Apr-17May-17Jun-17Jul-17Aug-17Sep-17Oct-17Nov-17Dec-17Jan-18Feb-18Mar-18Apr-18May-18Jun-18Jul-18Aug-18Sep-18Oct-18Nov-18Dec-18
# of Benes newly ID'ed as having met cat cap27264145333447423549228040116282529124841288812
Total # of Benes ID'ed as having met cat cap741001411862192533003423774264485285685795856135584111153194222310339
# of Beneficiaries who paid copays in excess of cat cap1076772785845887260470238920157459352233152129264124
# Recoupment Actions against benes who showed uncollected copays after receipt of cat cap correction000000000000000000000000

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