SOW_for_Compounded_Inpatient_and_Narcotic_Pharmaceuticals_JUL2016.doc

PERFORMANCE WORK STATEMENT

Naval Hospital Camp Pendleton

Inpatient Pharmacy

Compounding and Deliveries of Inpatient and Narcotic Pharmaceuticals Contract

1. BACKGROUND:

Main Pharmacy requests service contract on compounding and deliveries of inpatient and narcotic pharmaceuticals to Inpatient Pharmacy, Naval Hospital Camp Pendleton.

2. SCOPE:

Naval Hospital Camp Pendleton requires service contract on compounding and deliveries of inpatient and narcotic pharmaceuticals listed below:

· 450 syringes of Ephedrine (Preservative Free) 5mg/ml in 0.9% Sodium Chloride 5ml in 5ml BD Syringe (150 syringes per delivery)

· 450 syringes of Phenylephrine (Preservative Free) 100mcg/ml in 0.9% Sodium Chloride 10ml in 10ml BD Syringe (150 syringes per delivery)

· 600 syringes of Succinylcholine Chloride Injection 20mg/ml (Preservative Free) 10ml in 10ml BD Syringe (200 syringes per delivery)

· 810 bags of Oxytocin 20 units in 0.9% Sodium Chloride 1000ml Bag (270 bags per delivery)

· 360 bags of Fentanyl Citrate 2mcg/ml and 0.125% Bupivacaine PF in 0.9% Sodium Chloride 200ml in 250ml LifeCare Bag (120 bags per delivery)

· 90 syringes of Hydromorphone 1mg/ml in 0.9% NaCl 30ml in 35ml Monoject Barrel Syringe (30 syringes per delivery)

· 30 bags of Hydromorphone 20mcg/ml and 0.125% Bupivacaine PF in 0.9% NaCl 200ml in 250ml Intravia Bag (10 bags per delivery)

· 75 syringes of Morphine Sulfate (PF) 1mg/ml in 0.9% NaCl 30ml in 35ml Monoject Barrel Syringe (25 syringes per delivery)

Delivery schedules shall be made on the following dates:

· 15 August 2016

· 15 September 2016

· 30 September 2016

3. OBJECTIVES:

· The contractor shall aseptically compound the requested pharmaceutical items and delivers the required quantities on scheduled dates listed above.

4. Tasks/Requirements: Defines the specific tasks/deliverables/must have’s and the parameters for which the contractor must complete or abide by to describe the required effort:

· The contractor shall aseptically prepare and compound the requested inpatient and narcotic pharmaceutical items listed above.

· The contractor shall deliver the required quantities per delivery on the scheduled dates listed above.

· The contractor shall compound these products listed above in accordance with FDA regulations under Section 503B of the FD&C Act.

· The contractor shall not compound drugs that have been removed or withdrawn from the market and/or deemed unsafe or not effective.

· The contractor shall fill out and follow the guidance on ASHP Sterile Products Assessment Tool attached herein and shall adhere to its responses.

· The contractor shall prepare all the required products aseptically under direct supervision of a licensed pharmacist according to applicable local, state and federal rules and regulations.

· The contractor shall provide quality assurance and improvement reports on a periodic basis when requested.

· The contractor shall follow the guidance on aseptic techniques under USP chapter 797 standards.

· The contractor shall address all deliveries to the location listed below:

Naval Hospital Camp Pendleton

Main Pharmacy

200 Mercy Circle

Camp Pendleton, CA 92055

5. GOVERNMENT FURNISHED PROPERTY/TASKS: Defines the specific tasks or deliverables the Government will be responsible for in relation to the Government requirement.

The Government shall provide the following:

· Fax and send the hard copy 222 Form to the contractor for all corresponding narcotic pharmaceutical items.

6. SECURITY REQUIREMENTS (IF ANY): None

7. PLACE OF PERFORMANCE:

a. Naval Hospital Camp Pendleton

Main Pharmacy

200 Mercy Circle

Camp Pendleton, CA 92055

b. Naval Hospital Camp Pendleton

Bldg H-135

Santa Margarita Road

Camp Pendleton, CA 92055

8. PERIOD OF PERFORMANCE: August 15, 2016 to September 30, 2016

9. OTHER TERMS AND CONDITIONS: N/A

10. DEFINITION OF TECHNICAL TERMS: N/A