TPharm5 Draft Section E 20191120.docx

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DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5)
Solicitation number
HT940220R0002
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This document provides a draft request for proposals for the TRICARE Pharmacy Services, 5th Generation contract. The Defense Health Agency is seeking proposals for a new stand-alone pharmacy services contract to provide fixed unit priced pharmacy benefits to TRICARE beneficiaries. The anticipated contract would include an 18-month transition period, seven 1-year option periods for service delivery, and a potential 6-month extension. The draft RFP outlines requirements for retail pharmacy networks, specialty pharmacy, compounded medications, care coordination, and patient safety notifications. It invites industry feedback on key sections by January 17, 2020 and indicates a formal solicitation may be issued in mid-2020.

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Text version

SECTION E

INSPECTION AND ACCEPTANCE

E.

E.1. Clauses.

FAR 52.246-4 Inspection of Services–Fixed Price (AUG 1996) E.2. Inspection. Inspections may be conducted electronically or by physical inspection. Inspections will be performed at the Defense Health Agency, the Contractor’s and/or subcontractor’s facilities, or any other locations at which work is performed. Inspection of services and/or supplies provided hereunder will be accomplished by the Contracting Officer’s Representative (COR) or his/her designee(s).

E.3. Acceptance.

E.3.1. TEDS Records. The acceptance process for the listed claims/pharmacy transactions are performed by the TEDS at the batch header/individual TEDS record level. Acceptance will be accomplished by individual TEDS record.

· Retail Network Claims

· Specialty Network Claims

· Mail Order Pharmacy, Prescription Fill

· Clinical Prior Authorization and Medical Necessity Reviews

E.3.2. Other Records. Acceptance or rejection of services other than those submitted with a TED record, provided under the terms and conditions of this contract, will be accomplished by the Contracting Officer, or Contracting Officer’s Representative using a DD250, Material Inspection and Receiving Report. The DD250s shall be submitted to the Contracting Officer’s Representative, with a copy provided to the Contracting Officer only after the Contractor has accomplished the required services.

E.3.3. Contract Transition-In and Contract Transition-Out. The Contractor shall submit a DD250, Material Inspection and Receiving Report, after accomplishing the required contract transition-in and contract transition-out requirements, respectively. The DD250 shall be sent to the Contracting Officer’s Representative, with a copy provided to the Contracting Officer.

E.4. Quality Assurance Surveillance Plan (QASP). The Government will utilize a QASP to facilitate contract surveillance.

(End of Section E)

HT940220R0002 Page E1 of E1 22 Nov 2019

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