S-44000-00001751_Attachment D REFERENCE CHECK FORM.docx

DOCX document 33 KB Posted

Attached to
2022 Prescription Drug Pricing RFP
Solicitation number
S-44000-00001751
Issued by
Marion County, Oregon

About this file

This document is a Reference Check Form for a Request for Proposal (RFP) issued by the Department of Consumer and Business Services, Division of Financial Regulation in the state of Oregon for prescription drug pricing data sets. The RFP is identified as S-44000-00001751 and is seeking proposers to provide wholesale acquisition cost data by National Drug Code for all prescription drugs marketed in the United States, as well as other types of drug pricing information. The RFP covers the jurisdictions of Marion County and the cities of Salem. Proposers are required to provide references, and this form is used by the agency to collect feedback on the proposer's performance in areas such as meeting schedules, work accuracy, contract compliance, and clarity of communications. Respondents are asked to indicate the likelihood of using the proposer's services again.

The contract resulting from this RFP will provide the state and local agencies within the covered jurisdictions with the necessary prescription drug pricing data to support their regulatory and reporting requirements. No details are provided on pricing terms, set-asides, incumbent providers, or funding sources, as this information is not included in the Reference Check Form.

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Text version

RFP [###-####-##] – [RFP title]

ATTACHMENT F - REFERENCE CHECK FORM

RFP S-44000-00001751 Prescription Drug Pricing Information Att D

ATTACHMENT D - REFERENCE CHECK FORM

(Agency to send out questions to provided references)

Proposer Name:__________________________________________
Reference Entity:__________________________________________
Reference Contact Name:__________________________________________
Contact Telephone Number:__________________________________________
Contact Email Address:__________________________________________

1. Describe your experience with Proposer’s completion or delivery of services on schedule.

2. Describe your experience with Proposer’s accuracy of similar work performed.

3. Describe your experience with Proposer’s specifications and contractual obligations

4. Describe your experience with Proposer’s clarity of work product and communications

5. How likely would you be to use Proposer’s services again? Please explain.

Version 1.0 - November 19, 2014Page 1 of 2
DAS Procurement Services, Version 2.0 – December 9, 2016Page 1 of 2

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