Data Pkg 9 Customer_Service_Volume.xlsx

XLSX spreadsheet 12 KB Posted

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

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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DHA Responses to Industry on Draft RFP 20200318.pdf PDF
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Data Pkg 2 - Retail Utilization by Drug.xlsx XLSX spreadsheet
Attachment L-9.8 PA_ST_QL List.XLSX XLSX spreadsheet
Data Pkg 15 IHS_Pharmacy_Claims_Volume_2017_&_2018.xlsx XLSX spreadsheet
Data Pkg 3 TRICARE Retail Pharmacy Claim Volume.xlsx XLSX spreadsheet
Attachment L-9.4 Covered OTC List - MHS GENESIS.xlsx XLSX spreadsheet
Attachment L-10 Small Business Participation Plan.docx DOCX document
TPharm5 Draft Section J 20191127.docx DOCX document
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
Attachment L-9.6 Self-Admin Injectables List.xlsx XLSX spreadsheet
Attachment L-19 Past Performance Questionnaire Template Tab F 20191120.docx DOCX document
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
TPharm5 Draft Section C 20191202.docx DOCX document
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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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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