TPharm5 Draft RFP READ FIRST 20191202.docx

DOCX document 18 KB Posted

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DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5) Federal contract opportunity
Solicitation number
HT940220R0002
Issued by
Defense Health Agency

About this file

This notice provides a draft request for proposals (RFP) for the TRICARE Pharmacy Services, 5th Generation (TPharm5) requirement. The Defense Health Agency (DHA) is contemplating a new stand-alone pharmacy services contract with fixed unit pricing to provide services to the TRICARE Pharmacy Program for an estimated period of up to nine years, including an 18-month transition period and seven 1-year option periods for healthcare delivery. The DHA seeks industry feedback on sections of the draft RFP related to specialty pharmacy, retail network access, compounded medications, care coordination, patient safety notifications, and quality control. Interested parties are invited to submit comments on the draft RFP by January 17, 2020. The DHA will host an information session on December 11, 2019 and intends to issue a formal RFP 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
DSADHA_SSVTemplate_20170101.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
TPharm5 Draft RFP Info Session 20191211.pdf PDF
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 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
Attachment J-2 Acronym List.docx DOCX document
Attachment J-3 Website Links.docx DOCX document
Attachment L-5 Guaranty_Agreement.pdf PDF
Attachment L-7 Teaming Subcontractor Consent Ltr.docx DOCX document
Attachment L-9.3 Covered OTCs - Purchased Care.xlsx XLSX spreadsheet
Attachment L-19.1 PPI Tool Instructions.docx DOCX document
Data Pkg 3 TRICARE Retail Pharmacy Claim Volume.xlsx XLSX spreadsheet
TPharm5 Draft Section C 20191202.docx DOCX document
Data Pkg 6 - MOP Utilization.xlsx XLSX spreadsheet
Attachment L-13 VA_Pharmacy_Listing_2019.xlsx XLSX spreadsheet
Attachment L-1.2 Non-Disclosure Agreement.docx DOCX document
Data Pkg 21 Enrolled Beneficiary Population.xlsx XLSX spreadsheet
TPharm5 Draft Section H 20191121.docx DOCX document
Data Pkg 10 - Compound Utilizers.xlsx XLSX spreadsheet
TPharm5 Draft Section I 20191120.docx DOCX document
Data Pkg 11 - Retail Utilization Detail, Guarantee Categories.xlsx XLSX spreadsheet
TPharm5 Draft Section F 20191202.docx DOCX document
Data Pkg 19 Historical_TMDS_Volume_2017-2018.xlsx XLSX spreadsheet
Attachment L-9.4 Covered OTC List - MHS GENESIS.xlsx XLSX spreadsheet
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
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Text version

TRICARE Pharmacy Services, 5th Generation (TPharm5) DRAFT Request for Proposals (RFP)

HT940220R0002

The Defense Health Agency (DHA) is a joint, integrated DoD Combat Support Agency that enables the US Army, US Navy, and US Air Force medical services to provide a medically ready force and ready medical force to Combatant Commands in both peacetime and wartime. The DHA supports the delivery of integrated, affordable, and high quality health services to Military Health System (MHS) beneficiaries and is responsible for driving greater integration of clinical and business processes across the MHS by: Implementing shared services with common measurement of outcomes; enabling rapid adoption of proven practices, helping reduce unwanted variation, and improving the coordination of care across time and treatment venues.

The Defense Health Agency (DHA) is contemplating a new follow-on stand-alone Pharmacy services contract with fixed unit prices for the TRICARE Pharmacy Program, 5th Generation. DHA anticipates the contract will include an 18-month base period for transition-in, seven 1-year option periods for health care delivery, with 1-year concurrent contract phase out activities, and a potential 6-month extension of services permitted per FAR Clause 52.217-8, Option to Extend Services, for a potential total allowable period of performance of 9 years. The purpose of this notice is to provide potential offerors with the DRAFT TPharm5 Request for Proposal (RFP); attached to this notice are Sections B – M and Section L and J attachments. This posting is intended solely for information and planning purposes only, and is NOT a solicitation. Schedule B is provided only to share the Government’s concept regarding CLIN structure as known at this time (estimated quantities are entirely notional). DHA is seeking industry feedback and recommendations on its description of the TPharm5 requirements, and its approach in the draft RFP documents attached. Potential offerors are invited to review the DRAFT RFP documents and provide questions and comments. DHA requests that responders identify the specific solicitation document, and cite specific paragraphs where appropriate when providing additional questions or comments.

DHA will consider industry's comments to revise its approach for TPharm5 to provide high quality pharmacy services to TRICARE beneficiaries within the statutory and regulatory limitations governing this entitlement program. DHA requests responders submit any questions or comments about the DRAFT RFP via email to Ms. Hilary Meckel, Contracting Officer, dha.buckley.acquis-procure.mbx.tpharm5@mail.mil no later than COB 17 January 2020; include “DRAFT TPharm5 HT9402-20-R-0002” in the subject line.

In particular, DHA would like to draw interested vendors’ attention to the following Sections in the DRAFT RFP for review and comment:

1. §C.1.1.1 Use of Statements of Objectives

1. §C.3.3 Specialty

1. §C.3.4.2 Retail Network Access

1. §C.6.3.5 Compounded Medications

1. §C.6.3.6 Care Coordination

1. §C.7.11.2 Patient Safety Notification

1. §C.13.1.1 Quality Control DHA is not issuing a solicitation at this time, and this notice shall not be construed as DHA's commitment to issue a solicitation nor does it restrict DHA to a particular acquisition approach. Interested parties shall not send proposals in response to this notice, nor shall they contact any other individuals about this Notice or the TPharm5 requirement. Any information provided to DHA is strictly voluntary and given with no expectation of compensation, and is clearly provided at no cost to the Government. If DHA issues a solicitation, DHA will conduct any source selection in accordance with the Federal Acquisition Regulation (FAR) 15, as supplemented, at Managed Care - Contract Division (MC-CD), in Aurora, Colorado. DHA estimates it may issue a formal solicitation mid-2020 on the Beta.SAM.gov Contract Opportunities (https://beta.sam.gov) website. Any future information on this acquisition will be posted on Beta.SAM.gov Contract Opportunities. It is the responsibility of the prospective offeror to review this site regularly for updates and/or changes.

TPharm5 DRAFT RFP Info Session DHA will host an info session for the TPharm5 draft RFP on December 11, 2019 from 1400-1600 EST.

Participants may submit questions in advance of the info session to the TPharm5 mailbox dha.buckley.acquis-procure.mbx.tpharm5@mail.mil. Slides and any information provided during the info session will be posted to this notice on BETA.SAM.gov.

Participants may join the web session via: https://ldd.adobeconnect.com/tpharm5/ Participants may join the audio session via: 1-888-928-9122, Participant Code: 9249445# Participation in groups is encouraged to reduce the number of individual sessions created.

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