P01 SOW- 2023.docx
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- Attached to
- Q517--MPLS First Fill Pharmacy Service
- Solicitation number
- 36C26323Q0425
About this file
This document contains a performance work statement and related federal contract opportunity notice. The performance work statement outlines pharmacy services required to fill and dispense original prescriptions written by Department of Veterans Affairs providers assigned to VA community based outpatient clinics or resource and referral centers located across Minnesota and Wisconsin. The contractor's pharmacy must be within 5 miles of each specified clinic location. Prescriptions must be filled according to VA formulary guidelines and limitations on quantities, with generics used to the extent permitted by law. The contractor will be reimbursed using average wholesale pricing minus an applicable percentage plus a dispensing fee. The federal contract opportunity notice indicates this is a pre-solicitation notice for pharmacy services to support the clinics outlined in the performance work statement. The solicitation will be posted on March 9, 2023 with proposals due by April 1, 2023. This will be a 100% small business set-aside for service-disabled veteran-owned small businesses.
The performance work statement and federal contract opportunity notice were provided by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23 located in Minneapolis, Minnesota.
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B.3 PERFORMANCE WORK STATEMENT (PWS)
Description/Specifications:
A. The contractor’s pharmacy (or pharmacies as applicable) will fill and dispense original prescriptions that are written by Veteran Affairs (VA) approved prescribers assigned to the Veteran Affairs Community Based Outpatient Clinic (CBOC) or the Veteran Affairs Community Resource and Referral Center (CRRC).
i. The contractor must have one or more pharmacies within 5 miles, (or the nearest pharmacy if one is not available within 5 miles) from each of the following locations:
1. Chippewa Falls CBOC 8:00am-4:30pm M-F excluding holidays 2503 County Highway I Chippewa Falls, WI 54729
2. Hayward CBOC 7:45-4:30pm Monday, Tuesday and Thursday excluding holidays 15954 River’s Edge Drive Hayward, WI 54843
3. Rice Lake CBOC 8:00am-4:30pm M-F excluding holidays 2700A college Drive Rice Lake, WI 54868
4. Iron Range (Hibbing) CBOC 7:30am-4:30pm M-F excluding holidays 990 West 41st St, Suite 5 Hibbing, MN 55746
5. Ely CBOC 8:00am to 4:30pm Tuesday and Thursday excluding holidays 720 Miners Drive East Ely, MN 55731
6. Mankato CBOC 1961 Premier Drive, Suite 330 Mankato, MN 56001
7. St James CBOC 8:00am -4:30pm Monday, Thursday, Friday excluding Federal holidays 1212 Heckman Court St James, MN 56081
8. Rochester CBOC 8:00am-4:30pm M-F excluding Federal holidays 3900 55th Street W Rochester, MN 55091
9. Maplewood CBOC 7:00am-4:30pm M-F excluding Federal holidays 1725 Legacy Parkway, Suite 100 Maplewood, MN 55109
10. Ramsey CBOC 7:30am-4:30pm M-F excluding Federal holidays 7545 Veterans Drive Ramsey, MN 55303
11. Community Resource and Referral Center, CRRC 1201 Harmon Place, Suite 103 Minneapolis, MN 55403
12. Twin Ports CBOC 8:00am-4:30pm M-F excluding holidays 3520 Tower Avenue Superior, WI 54880
13. Southwest Metro (Shakopee) CBOC 1111 Shakopee Town Square Shakopee, MN 55379
14. South Central Border (Albert Lea) CBOC 1665 W. Main Street Albert Lea, MN 56007
B. The CBOC/CRRC operating hours are normally 08:00 AM to 04:30 PM, Monday-Friday, excluding federal holidays.
C. Prescriptions filled will be in written form provided by the CBOC or CRRC VA Physician(s). Dispensing pharmacies must be able to accept the written prescription on VA Form 10-2577F, printed form from the EHR (Electronic Health Record), or a VA fax prescription. VA uses the VA Form 10-2577F for Schedule II drugs.
| i. | Should the state in which the dispensing pharmacy operates require other than VA Form 10-2577F, Security Prescription Form, it will be the contractor’s responsibility to provide the VA Medical Center, Chief of Pharmacy, or designee, with the regulation or requirement, ordering addresses, and ordering information needed to provide the VA approved provider with the proper security form. |
| ii. | The contractor and contracting pharmacy will not require the patient to provide more information than their name, the last four of the social security number, and date of birth. THERE IS NO JUSTIFICATION BY THE CONTRACTOR OR CONTRACTING PHARMACY TO REQUIRE THE PATIENT TO GIVE THE FULL SOCIAL SECURITY NUMBER. |
D. Prescriptions will only be filled by a VA approved provider and will be limited to those drugs on the VHA formulary, legend drugs, or otherwise authorized by the Minneapolis VAHCS.
E. Prescriptions will be filled and limited to a maximum of ten (10) days. An antibiotic may be filled for up to a fourteen (14) day course of therapy.
F. No refills will be authorized. The contractor shall fill NEW PRESCRIPTIONS ONLY.
G. Reimbursement shall be determined by the Average Wholesale Price (AWP), discounted by the applicable percentage, plus the applicable dispensing fee. THE TOTAL PRICE CHARGED TO THE VA SHALL NOT EXCEED THAT CHARGED TO THE GENERAL PUBLIC AND SHALL NOT EXCEED THE PRICE CHARGED BY THE CONTRACTOR’S LOWEST THIRD-PARTY REIMBURSEMENT PLAN.
H. Prescriptions shall be filled with generic drugs to the extent permitted by law and the least expensive drug product the pharmacy has in stock will be dispensed. Generic drugs shall be dispensed, if in the professional judgment of the pharmacist, the substitute product is available, safe, effective, and to the greatest extent possible contains the same chemical ingredients of the same strength, quantity, and dosage of the brand name. All generic products used must be in compliance with Federal and State requirements. Brand name drugs will only be reimbursed IF NO GENERIC FORM OF THE DRUG EXISTS IN THE MARKETPLACE.
I. VA beneficiaries or their representative will pick up their own prescriptions at the dispensing pharmacy. No prescriptions are to be mailed. No prescriptions are to be delivered.
J. The VA shall randomly audit all prescription fills. The Department of Veterans Affairs shall have free access during regular business hours, and a 24-hour advance notice for non-business hours, to such books, records, invoices, and prescription files as deemed necessary to verify claim information, prescription volume, and the usual and customary charges to the general public for covered prescriptions. The contractor shall make all prescription records and invoices available at the time of the audit.
K. Contract pharmacies shall obtain confirmation of prescriptions filled for VA beneficiaries by having the patient sign for each prescription received. Signature records shall be retained and readily accessible for random VA audit.
L. All prescription must have proper auxiliary labels attached and pharmacist counseling and medication information sheets provided.
M. The contractor and all pharmacies shall keep all information concerning VA beneficiaries confidential and shall not release or disclose information to any person, except as authorized in writing and according to all applicable laws. The Privacy Act of 1974, Public Law 93-579, December 31, 1974,(5 U.S.C. 552a) applies to this procurement.
N. Pharmacies authorized to fill prescriptions under the contractor’s plan must agree to the following conditions:
| i. | Pharmacists will review allergy history with patients prior to filling prescriptions. |
| ii. | All information concerning VA beneficiaries shall be kept confidential and shall not be disclosed to any person, except as authorized in writing and according to all applicable laws. |
| iii. | Representatives of the VA are authorized to visit the contractor’s site and the premises of any pharmacy filling VA prescriptions during regular business hours for the purposes of auditing and evaluating, which may include the inspection of clinical records. |
| iv. | The contractor shall report all adverse drug events reported by VA beneficiaries to the Minneapolis VAHCS, Chief of Pharmacy Services or designee, and to the approved prescribing provider. |
| v. | Services provided to VA beneficiaries under this contract shall meet all applicable Federal and State regulations. |
O. The contractor shall accept a call from the Contracting Officer’s Representative (COR) advising of all existing and/or new VA approved providers’ state license number, DEA number and NPI number.
| i. | The contractor shall immediately notify its contract pharmacies of the physician information so as to avoid delay in patient services. |
| ii. | Notification of physician information may occur on the day the VA physician provides services at a CBOC/CRRC location, or prior as time allows. |
P. The Government reserves the right to fill any prescription covered under this contract through the use of its own resources and/or staff.
Q. RECALLED AND DEFECTIVE PRODUCTS: The Contractor will immediately notify the Contracting Officer of any recalls of product or other important product safety issues. As appropriate, the Contractor will replace and/or reimburse recalled/defective products at no cost to the Government. The contractor may be liable for costs of processing recalls, i.e. administrative and clinical services to replace recalled/defective products.
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