Price Appendix FAQ NAD.pdf

PDF 231 KB Posted

Attached to
Department of Defense Pharamacy Uniform Formulary Blanket Purchase Agreement/Uniform Formulary Additional Discount Program
Solicitation number
HT9402-25-Q-9304
Issued by

About this file

The Price Appendix FAQ document provides detailed instructions for pharmaceutical manufacturers submitting pricing information for the Department of Defense (DoD) Uniform Formulary Blanket Purchase Agreement (BPA) and Additional Discount Program (ADP). The document outlines three distinct pricing approaches: BPA (Basic Purchase Agreement), ADP (non-FAMP Discount), and ADP (WAC Discount), with specific guidance for each method. Key instructions include filling in yellow cells, understanding auto-population features, and using specific calculation methods for pricing and discounts.

The document is specifically designed for the August 2025 P&T Committee meeting, which will review newly approved drugs across various therapeutic categories including corticosteroids, immunomodulators, oncological agents, insulins, and targeted immunomodulatory biologics. Manufacturers are provided with spreadsheet templates for up to 10 National Drug Codes (NDCs), with options to request additional tables if needed. If vendors do not wish to submit a quote for a specific formulary category, they can indicate this by leaving certain cells at 0.0000% or allowing them to highlight red, signaling non-participation to the P&T committee.

View the file

Other files

File Type Posted
A0001 HT9402-25-Q-9304.pdf PDF
A0001 Price List - Imuldosa - TIB - IL-23.xlsx XLSX spreadsheet
A0001 Price List - Yutrepia - Pulmonary Arterial Hypertension - Prostacyclin Nebulized.xlsx XLSX spreadsheet
A0001 Price List - Avmapki Fakzynja Co-pack - Oncological Agents - NA.xlsx XLSX spreadsheet
A0001 RFQ HT9402-25-Q-9304 NAD.pdf PDF
A0001 Price List - Arbli - Renin-Angiotensin Antihypertensives - A II Rec Blockers.xlsx XLSX spreadsheet
A0001 Price List - Ensacove - Oncological Agents - NA.xlsx XLSX spreadsheet
A0001 Price List - Andembry-Corticosteroids-Immune Modulators-Hereditary Angioedema.xlsx XLSX spreadsheet
A0001 Price List - Zelsuvmi -Antiinfectives - Miscellaneous.xlsx XLSX spreadsheet
A0001 Price List - ustekinumab-aekn - TIB - IL-23.xlsx XLSX spreadsheet
A0001 Price List - Khindivi - Corticosteroids-Immune Modulators - NA.xlsx XLSX spreadsheet
A0001 Price List - Ibtrozi - Oncological Agents - NA.xlsx XLSX spreadsheet
A0001 Price List - Tryptyr - Ophthalmic - Dry Eye.xlsx XLSX spreadsheet
A0001 Price List - Merilog - Insulins - Rapid-Acting Agents.xlsx XLSX spreadsheet
A0001 Price List - nilotinib tartrate-Oncological Agents-Chronic Myelogenous Leukemia.xlsx XLSX spreadsheet
A-1 Price List-Andembry-Corticosteroids-Immune Modulators-Hereditary Angioedema Agents.xlsx XLSX spreadsheet
A-1 Price List - Arbli - Renin-Angiotensin Antihypertensives - Angiotensin II Receptor Blockers.xlsx XLSX spreadsheet
RFQ HT9402-25-Q-9304 NAD.pdf PDF
A-1 Price List - Ensacove - Oncological Agents - NA.xlsx XLSX spreadsheet
A-1 Price List - Ibtrozi - Oncological Agents - NA.xlsx XLSX spreadsheet
A-1 Price List-nilotinib tartrate-Oncological Agents-Chronic Myelogenous Leukemia.xlsx XLSX spreadsheet
A-1 Price List - Zelsuvmi -Antiinfectives - Miscellaneous.xlsx XLSX spreadsheet
A-1 Price List - Yutrepia - Pulmonary Arterial Hypertension - Prostacyclin Nebulized.xlsx XLSX spreadsheet
DoD Formulary Placement of FDA Newly Approved Drugs.pdf PDF
A-1 Price List - Khindivi - Corticosteroids-Immune Modulators - NA.xlsx XLSX spreadsheet
A-1 Price List - Avmapki Fakzynja Co-pack - Oncological Agents - NA.xlsx XLSX spreadsheet
A-3 Price List - Imuldosa - TIB - IL-23.xlsx XLSX spreadsheet
A-1 Price List - ustekinumab-aekn - Targeted Immunomodulatory Biologics - IL-23.xlsx XLSX spreadsheet
A-3 Price List - Tryptyr - Ophthalmic - Dry Eye.xlsx XLSX spreadsheet
A-1 Price List - Merilog - Insulins - Rapid-Acting Agents.xlsx XLSX spreadsheet
Show all 30

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Price Appendix FAQ

1. BPA

a. Make sure to read through the Formulary Notes at the top of the spreadsheet.

These will help you understand the P&T committee’s decision making process for formulary status.

b. Fill in all yellow cells. All other cells will be locked from editing.

c. Once you enter the Package Size (column G) for each NDC, it will auto populate for the remaining cells in the table.

d. If you wish to not submit a quote for a condition set, the Price per NDC (column

F) will highlight red. This will indicate to the P&T committee you do not wish to submit a quote for the given Formulary Category Description.

e. The Price per Unit (column H) will be auto calculated for your convenience.

i. Calculation is Price per Unit =

𝑃𝑟𝑖𝑐𝑒 𝑝𝑒𝑟 𝑁𝐷𝐶

Package Size

f. We have provided tables for 10 different NDCs. You only need to fill out the tables for your NDCs.

i. For example, if you have 5 NDCs you wish to submit, you only need to fill out the first 5 tables.

g. If you wish to submit more than 10 NDCs, contact the POCs on the RFQ document with the number of NDCs you would like to submit a quote for and we will send you a spreadsheet with an adequate number of NDC tables.

h. If you have questions/concerns about filling out the table, contact the POCs on the

RFQ document outlining the issue.

2. ADP (non-FAMP Discount)

a. Make sure to read through the Formulary Notes at the top of the spreadsheet.

These will help you understand the P&T committee’s decision making process for formulary status.

b. Fill in all yellow cells. All other cells will be locked for editing.

c. Once you input the first non-FAMP price of a drug (column F), all subsequent rows in the table will auto populate with the same non-FAMP price.

d. Once you input the first Current Annual Federal Ceiling Price (column H), all subsequent rows in the table will auto populate with the FCP price.

e. If you submit a 0.0000% Additional offered refund (column G), the cell will highlight red. This will indicate to the P&T committee you do not wish to submit a quote for the given Formulary Category.

f. Columns I and J will be auto calculated for your convenience. You can view the formula being used to calculate both columns.

i. Total Calculated Refund = ((non-FAMP-FCP) + (non-FAMP*Y%))

ii. We have also provided the formula for the Total Calculated Refund in the

Formulary Notes at the top of the spreadsheet.

g. We have provided tables for 10 different NDCs. You only need to fill out the tables for your NDCs.

i. For example, if you have 5 NDCs you wish to submit, you only need to fill out the first 5 tables.

h. If you wish to submit more than 10 NDCs, contact the POCs on the RFQ document with the number of NDCs you would like to submit a quote for and we will send you a spreadsheet with an adequate number of NDC tables.

i. If you have questions/concerns about filling out the table, contact the POCs on the

3. ADP (WAC Discount)

a. WAC is ONLY used for products that do not have a FCP, such as diabetic supplies (i.e., test strips), and can also be applied to covered drugs.

b. Make sure to read through the Formulary Notes at the top of the spreadsheet.

These will help you understand the P&T committee’s decision making process for formulary status.

c. Fill in all yellow cells. All other cells will be locked for editing.

d. Once you input the first WAC price of a drug (column F), all subsequent rows in the table will auto populate with the same WAC price.

e. If you submit a 0.0000% WAC Discount, the cell in column G will highlight red.

This will indicate to the P&T committee you do not wish to submit a quote for the given Formulary Category.

f. The Total Calculated Retail Refund per Package (column H) will be auto calculated for your convenience.

g. We have provided tables for 10 different NDCs. You only need to fill out the tables for your NDCs.

i. For example, if you have 5 NDCs you wish to submit, you only need to fill out the first 5 tables.

h. If you wish to submit more than 10 NDCs, contact the POCs on the RFQ document with the number of NDCs you would like to submit a quote for and we will send you a spreadsheet with an adequate number of NDC tables.

i. If you have questions/concerns about filling out the table, contact the POCs on the

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