Data Pkg 9 Customer_Service_Volume.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

About this file

This document provides a draft request for proposals for the TRICARE Pharmacy Services, 5th Generation contract along with related customer service volume data. The Defense Health Agency is contemplating a new stand-alone pharmacy services contract to provide TRICARE pharmacy benefits. The potential contract would have an 18-month transition period, seven 1-year option periods for healthcare delivery, and a potential 6-month extension, for a total potential period of performance of 9 years. The draft RFP outlines requirements for retail pharmacy networks, specialty pharmacy, compounded medications, care coordination, and patient safety notifications. Interested vendors are invited to provide feedback on the draft RFP by January 17, 2020. The agency estimates a formal solicitation may be issued in mid-2020.

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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
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 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
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
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
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Text version

Customer Service Volume

FOR OFFICIAL USE ONLY
DoD Pharmacy Program
Title: CUSTOMER SERVICE VOLUME - TRICARE Pharmacy
Date Range: 01/01/2017 - 12/31/2018

TPharm CY17-18 TELEPHONE AND CORRESPONDENCE VOLUMES

Jan-17Feb-17Mar-17Apr-17May-17Jun-17Jul-17Aug-17Sep-17Oct-17Nov-17Dec-17Jan-18Feb-18Mar-18Apr-18May-18Jun-18Jul-18Aug-18Sep-18Oct-18Nov-18Dec-18Contract YTD
Beneficiary Telephone Calls Received - Total639,046548,624619,604541,630616,104603,316586,569624,926628,583655,589588,624637,860746,987704,846755,974742,808714,838649,214656,275653,072572,223645,487605,479578,23115,315,909
Beneficiary Telephone Calls Received - Handled by IVR176,515155,777176,398152,163176,983169,767169,938182,511179,000188,618174,396196,028217,180203,258205,669204,087198,086196,659201,240195,047177,488200,727180,258180,9944,458,787
Beneficiary Telephone Calls Received - Handled by CSR462,531392,847443,206389,467439,121433,549416,631442,415449,583466,971414,228441,832529,807501,588550,305538,721516,752452,555455,035458,025394,735444,760425,221397,23710,857,122
Pharmacy Help Desk Calls Received81,73264,38361,26551,38157,64057,08853,30353,41950,28552,00451,57447,65157,26948,84453,24448,38349,77866,33847,14450,03245,87352,09946,67342,7401,290,142
MTF Pharmacy Help Desk Calls Received2933104223574064863414123876188408919828089939871,05590185594695297580966516,691
Routine Correspondence10,0268,2399,1238,6708,2827,3027,2537,5035,9557,4757,0388,4579,61511,42110,0338,8778,2437,9647,9428,0027,0176,0116,0265,389191,863
Priority Correspondence8678474249474765303847284777686047544455577563471,298

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