TPharm5 Draft Section E 20191120.docx

DOCX document 20 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. 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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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
TPharm5 Section C Draft RFP2 2020-4-6.docx DOCX document
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 9 Customer_Service_Volume.xlsx XLSX spreadsheet
Data Pkg 16 VA_VA CHDR Volume.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
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
Attachment J-1 Definitions.DOCX DOCX document
TPharm5 Draft Section M 20191202.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
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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

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