Data Pkg 8 Mail and Retail Monthly Utilizers.xlsx

XLSX spreadsheet 11 KB Posted Dec 2, 2019

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

About this file

Written by GovTribe AI · Dec 28, 2023

This document contains a draft request for proposal for the TRICARE Pharmacy Services, 5th Generation contract along with related utilization data. The draft RFP seeks pharmacy services including mail order, retail network management, and specialty pharmacy services for TRICARE beneficiaries. The anticipated contract would have an 18-month transition period and up to 9 years of total performance including options and an extension. The Defense Health Agency intends to issue the formal RFP in mid-2020 and seeks industry feedback on sections related to use of statements of work, specialty pharmacy, retail network access, compounded medications, care coordination, and quality control by January 17, 2020. Utilization data from 2017 through 2018 for mail order and retail pharmacy is provided for informational purposes.

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File	Type	Posted
DSADHA_SSVTemplate_20170101.pdf	PDF	Jun 10, 2020
QA CAS Applicability Specific Clauses (May 15 2020).pdf	PDF	May 15, 2020
Responses to Industry on Revised Draft Section C 20200504.pdf	PDF	May 4, 2020
TPharm5 - Overview of Changes to Draft Section C.DOCX	DOCX document	Apr 6, 2020
TPharm5 Section C Draft RFP2 2020-4-6.docx	DOCX document	Apr 6, 2020
DHA Responses to Industry on Draft RFP 20200318.pdf	PDF	Mar 18, 2020
TPharm5 Draft RFP Info Session 20191211.pdf	PDF	Dec 16, 2019
Data Pkg 2 - Retail Utilization by Drug.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-9.8 PA_ST_QL List.XLSX	XLSX spreadsheet	Dec 2, 2019
Data Pkg 15 IHS_Pharmacy_Claims_Volume_2017_&_2018.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 3 TRICARE Retail Pharmacy Claim Volume.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-9.4 Covered OTC List - MHS GENESIS.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-10 Small Business Participation Plan.docx	DOCX document	Dec 2, 2019
TPharm5 Draft Section J 20191127.docx	DOCX document	Dec 2, 2019
Attachment J-1 Definitions.DOCX	DOCX document	Dec 2, 2019
TPharm5 Draft Section M 20191202.docx	DOCX document	Dec 2, 2019
Attachment L-9.6 Self-Admin Injectables List.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-19 Past Performance Questionnaire Template Tab F 20191120.docx	DOCX document	Dec 2, 2019
Attachment L-3 Specialty Reimbursement for Use in Determining Incentiv....docx	DOCX document	Dec 2, 2019
Attachment L-9 Benefit Design Document_TPharm5.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 14 Retail Claims with COB.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-9.5 Non-Formulary List.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 5 MOP Utilization by Drug.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 25 - OHI Development.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 22 - Paid Claims and Rejects - Retail.xlsx	XLSX spreadsheet	Dec 2, 2019
TPharm5 Draft Section C 20191202.docx	DOCX document	Dec 2, 2019
Attachment L-5 Guaranty_Agreement.pdf	PDF	Dec 2, 2019
Data Pkg 6 - MOP Utilization.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-13 VA_Pharmacy_Listing_2019.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 19 Historical_TMDS_Volume_2017-2018.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-1.1 List of Data Packages.docx	DOCX document	Dec 2, 2019
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TPharm5 Draft Section I 20191120.docx	DOCX document	Dec 2, 2019
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Attachment J-5 TPharm5 Award Fee Plan 20191122.docx	DOCX document	Dec 2, 2019
TPharm5 Draft Section D 20191120.docx	DOCX document	Dec 2, 2019
Attachment L-12 IHS_Pharmacy_Listing_2019.xlsx	XLSX spreadsheet	Dec 2, 2019
TPharm5 Draft Section E 20191120.docx	DOCX document	Dec 2, 2019
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Data Pkg 16 VA_VA CHDR Volume.xlsx	XLSX spreadsheet	Dec 2, 2019
TPharm5 Draft Section H 20191121.docx	DOCX document	Dec 2, 2019
Attachment L-7 Teaming Subcontractor Consent Ltr.docx	DOCX document	Dec 2, 2019
Attachment L-2 Retail Network Reimbursement Table.docx	DOCX document	Dec 2, 2019
Attachment L-4 Negotiated Specialty Retail Replenished Dispensing Fees.docx	DOCX document	Dec 2, 2019
Tpharm5 Draft Section G 20191202.docx	DOCX document	Dec 2, 2019
Data Pkg 10 - Compound Utilizers.xlsx	XLSX spreadsheet	Dec 2, 2019
TPharm5 Draft Section F 20191202.docx	DOCX document	Dec 2, 2019
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CY 2017 - 2018

FOR OFFICIAL USE ONLY

DHA Pharmacy Operation Support Contract

Title: Utilizer Totals by POS

Date Range: 1/1/2017 - 12/31/2018

Service Category (Breakout)

Month Date

1/31/17

2/28/17

3/31/17

4/30/17

5/31/17

6/30/17

7/31/17

8/31/17

9/30/17

10/31/17

11/30/17

12/31/17

1/31/18

2/28/18

3/31/18

4/30/18

5/31/18

6/30/18

7/31/18

8/31/18

9/30/18

10/31/18

11/30/18

12/31/18

Service Category (Claim)

# of

Utilizers

# of Utilizers

# of

Utilizers

# of

Utilizers

# of

Utilizers

# of Utilizers

# of

Utilizers

# of

Utilizers

# of

Utilizers

	Mail Order	1,019,017	973,758	1,038,364	989,492	1,040,439	1,020,144	1,008,054	1,040,006	1,000,169	1,019,028	1,008,012	981,108	1,012,048	950,088	928,729	936,852	946,826	893,016	926,368	923,198	860,568	916,471	883,889	866,158
	Retail	1,551,668	1,509,425	1,574,722	1,464,301	1,510,479	1,454,879	1,401,407	1,480,334	1,521,099	1,654,639	1,562,443	1,547,517	1,664,456	1,520,808	1,525,292	1,479,960	1,502,509	1,422,828	1,435,771	1,502,450	1,540,341	1,790,019	1,609,115	1,542,375
	Service Category (Rolled)
	Month Date	1/31/17	2/28/17	3/31/17	4/30/17	5/31/17	6/30/17	7/31/17	8/31/17	9/30/17	10/31/17	11/30/17	12/31/17	1/31/18	2/28/18	3/31/18	4/30/18	5/31/18	6/30/18	7/31/18	8/31/18	9/30/18	10/31/18	11/30/18	12/31/18
	Service Category (Claim)	# of
Utilizers	# of Utilizers	# of Utilizers	# of Utilizers	# of Utilizers	# of Utilizers	# of Utilizers	# of Utilizers	# of Utilizers	# of
Utilizers	# of
Utilizers	# of
Utilizers	# of Utilizers	# of Utilizers	# of Utilizers	# of Utilizers	# of Utilizers	# of Utilizers	# of Utilizers	# of Utilizers	# of Utilizers	# of
Utilizers	# of
Utilizers	# of

Utilizers Mail Order & Retail 2,184,237 2,130,395 2,221,972 2,104,195 2,170,399 2,109,028 2,063,603 2,143,945 2,144,281 2,264,483 2,195,635 2,168,338 2,277,427 2,129,842 2,111,701 2,076,453 2,098,122 1,995,121 2,026,423 2,075,487 2,061,926 2,303,278 2,148,444 2,084,347

File details come from the government source that posted it. Updated Dec 2, 2019.