S02. 36C25626Q0050.docx

36C25626Q0050

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

564-26-1-100-0006

10-09-2025 Caleb Parker, Contract Specialist

(713) 791-1414 ext. 149866 10-23-2025

2:00 PM

CDT

36C256 Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Road, Suite 750

Houston TX 77056-5643

X

456110 $37.5 Million

N/A

36C564 Department of Veterans Affairs Fayetteville VA Medical Center

1100 North College Avenue Fayetteville AR 72703 36C256 Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Road, Suite 750

Houston TX 77056-5643

FSC e-Invoice Payment http://www.fsc.va.gov/fsc/einvoice.asp Invoice Setup Information 1-877-489-6135 Invoice must be submitted electronically

1-877-489-6135 N/A

See CONTINUATION Page Contractor shall provide Emergent/ Non-Emergent Prescription services in accordance with the Performance Work Statement located at the Fayetteville VA Medical Center in Fayetteville, AR.

AR.

Reference B.2 Price/Cost Schedule, B.3 Delivery Schedule, and Performance Work Statement starting on page 6 and ending on page 18 for additional details.

Base Period of Performance (POP): 11/28/2025 - 09/30/2026 Option Period 1: 10/01/2026 - 09/30/2027 Option Period 2: 10/01/2027 - 09/30/2028 Option Period 3: 10/01/2028 - 09/30/2029 Option Period 4: 10/01/2029 - 09/30/2030

See CONTINUATION Page

X X

1(One)

Ashley Haslauer Contracting Officer

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT:

Ashley Haslauer, Contracting Officer Department of Veterans Affairs Network Contracting Office 16 2400 Canal Street New Orleans, LA 70119-6535 Email: Ashley.Haslauer@va.gov

Caleb Parker, Contract Specialist Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Road, Suite 750 Houston

TX 77056-5643

Email: caleb.parker@va.gov

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

PERFORMANCE WORK STATEMENT

URGENT/EMERGENT PRESCRIPTON FILLING SERVICES

Veterans Healthcare System of The Ozarks (VHSO) 1100 North College Ave.

Fayetteville, AR 72703

The purpose of this contract is to ensure Veterans have access to immediate prescription fulfillment following non-VA urgent or emergent care encounters.

PERIOD OF PERFORMANCE:

· Base Period: November 28, 2025 – September 30, 2026

· Option Period 1: October 1, 2026 – September 30, 2027

· Option Period 2: October 1, 2027 – September 30, 2028

· Option Period 3: October 1, 2028 – September 30, 2029

· Option Period 4: October 1, 2029 – September 30, 2030 The prescription authorization voucher qualifier will be updated routinely (up to monthly) to prevent unintended use of this coverage.

Branson, MO 65616

a. Monthly Invoice Submission:

· Invoices must be submitted within 30 calendar days from the end of each month.

· Each invoice must include:

1. Name and ID (Social Security Number) of patient

2. Name, strength, quantity, and NDC of medication dispensed

3. Date dispensed

4. Cost of medication and dispensing fee

5. Assigned prescription number

6. Name of VA provider or non-VA provider (VA and non-VA prescriptions separate for auditing)

7. Contract Number / Billing group

8. Approving VA Pharmacist

b. No Additional Billing: The contractor shall not bill the beneficiary, their family, private insurer, Medicare, or any other entity for services provided under this contract.

c. Reimbursement: Based on the Average Wholesale Price (AWP) discounted plus the applicable dispensing fee. Total price charged to the VA shall not exceed the contractor's lowest third-party reimbursement rate.

Personnel assigned by the contractor to perform services covered by this contract must have:

· Contractor must have An active, unrestricted license in a State, Territory, or Commonwealth of the United States or the District of Columbia.

· Contractor must have qualifications subject to review by the VA Chief of Staff and approval by the VA Facility Director.

· Contractor must have Licensure in accordance with the State requirements where services are provided.

· In addition to applicable state licenses, the Contractor shall maintain at least one recognized national healthcare accreditation related to pharmacy operations (e.g., URAC, ACHC, or equivalent). Documentation of this certification shall be provided with the offeror’s quotation and maintained throughout the period of performance.

· Contractor must be enrolled in a nationwide pharmacy provider network to ensure there are more than two available pharmacy providers are available at each service location (Fort Smith, AR 72903; Ozark, AR 72949; Fayetteville, AR 72703; Springfield, MO 65807; Harrison, AR 72601; Joplin, MO 64804; Jay, OK 74346; Bella Vista, AR; Branson, MO 65616).

· Contractor must have support network available for real-time receipt of pharmacy calls for overriding prescriptions to be processed between the hours of 08:00 and 22:00 7 days per week.

· Contractor must have real-time online validation for medication selection match to VA National Urgent/Emergent Formulary for prescription processing at the pharmacy provider as well as day supply limitation to 14 days supply for all prescriptions except 10 days supply for Opioid pain medications.

· Contractor must have 5 years related experience processing prescriptions for VA facilities at private non-VA pharmacies for Veteran subscribers.

· The Contractor shall ensure that each licensed pharmacy included in the contract network maintains at least one (1) on-site licensed pharmacist during all operating hours. Evidence of each pharmacist’s current, valid state license shall be provided with the offeror’s quotation and maintained throughout the period of performance.

· The Contractor shall comply with all HIPAA and VA data privacy requirements. A fully executed Business Associate Agreement (BAA) with the Government will be required prior to commencement of work. The Contractor shall coordinate with the VA Privacy Officer to complete the BAA once an award has been made.

6. Place of Performance The work shall be performed in service areas listed in areas listed in Scope of Work (2. Above).

7. Personnel Policy The Contractor shall be responsible for protecting the personnel (employees, agents, or subcontractors) furnishing services under this contract. To carry out this responsibility, the contractor shall provide the following for these personnel – worker’s compensation, professional liability insurance, health examinations, income tax withholding, and social security payments. The parties agree that such personnel shall not be considered a VA employee for any purpose and shall be considered employees of the contractor.

“The Contractor shall provide an annual summary report including the total number of prescriptions filled, total cost per service area, and confirmation of continued accreditation and licensure. Failure to provide the annual report may result in contract corrective action.

Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA personnel regarding information and information system security.

a. The Certification and Accreditation requirements do not apply, and a Security Accreditation Package is not required.

It is agreed that:

The Contractor shall comply with all HIPAA and VA data privacy requirements and demonstrate such compliance through valid accreditation or certification documentation at time of quote submission.

B.2 PRICE/COST SCHEDULE ITEM INFORMATION

Urgent/Emergent Prescriptions Processed in accordance with the PWS.

Contract Period: Base POP Begin: 11-28-2025 POP End: 09-30-2026

PRINCIPAL NAICS CODE: 456110 - Pharmacies and Drug Retailers PRODUCT/SERVICE CODE: Q517 - Medical - Pharmacy Services

Urgent/Emergent Prescriptions Processed in accordance with the PWS.

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027

Urgent/Emergent Prescriptions Processed in accordance with the PWS.

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028

Urgent/Emergent Prescriptions Processed in accordance with the PWS.

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029

Urgent/Emergent Prescriptions Processed in accordance with the PWS.

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030

GRAND TOTAL

B.3 DELIVERY SCHEDULE

1100 North College Avenue Fayetteville, AR 72703 1944

USA

479-443-4301 (65425) james.duncan5@va.gov

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at Federal Acquisition Regulation (FAR) 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on—

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in FAR 32.608-2 in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the…