S02. Attachment C - Pharmacies to Proximity of Clinics.pdf

PDF 232 KB Posted

Attached to
Prescription Services Federal contract opportunity
Solicitation number
36C25626Q0050
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This document is Attachment C - Pharmacies to Proximity of Clinics, a form requiring offerors to provide detailed information about pharmacies near multiple Community Based Outpatient Clinics (CBOCs) located in Arkansas, Missouri, and Oklahoma. The form includes tables for six different clinic locations: Fort Smith (AR), Harrison (AR), Branson (MO), Jay (OK), Ozark (AR), and Fayetteville Veterans Affairs Medical Center (AR).

For each clinic location, the offeror must complete a table with specific pharmacy details including: pharmacy name, address, and phone number; handicapped accessibility; distance from clinic; drive-up window availability; hours of operation; days of operation; and normal waiting time to fill prescriptions. The document explicitly states that this attachment "SHALL be filled out and returned with Offer", indicating it is a mandatory submission requirement for the solicitation. The form is designed to assess the accessibility and convenience of pharmacy services for veterans near these community-based clinics.

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S02. Attachment A - Wage Determination No. 2015-5109 Revision No. 28 dated 07-08-2025.pdf PDF
S02. Attachment D - Needed Prescriptions.pdf PDF
S02. Attachment B - Past Performance References.pdf PDF
S02. 36C25626Q0050.pdf PDF
S02. 36C25626Q0050.docx DOCX document

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Text version

Attachment C - PHARMACIES TO PROXIMITY OF CLINICS

List of Pharmacies to Proximity of Clinic’s. This SHALL be filled out and returned with Offer.

CBOC Location: Fort Smith Community Based Outpatient Clinic 1500 Dodson Avenue Fort Smith AR 72901

Offeror shall provide the following information for the CBOC with his/her offer.

Name, Address, and Phone # of

Handicappe d

Distanc e

Drive-up Hours and

Normal

Dispensing Pharmacy

Accessible? from clinic

Window Days of Waiting Time

Yes or No (# of miles)

Availabl e

Operatio n to Fill

Yes or No

Prescriptions

CBOC Location: Harrison Community Based Outpatient Clinic 707 N Main St Harrison AR 72601 Offeror shall provide the following information for the CBOC with his/her offer.

Name, Address, and Phone # of

Handicappe d

Distanc e

Drive-up Hours and

Normal

Dispensing Pharmacy

Accessible? from clinic

Window Days of Waiting Time

Yes or No (# of miles)

Availabl e

Operatio n to Fill

Yes or

CBOC Location: Branson Community Based Outpatient Clinic 5571 Gretna Branson MO 65616 Offeror shall provide the following information for the CBOC with his/her offer.

Name, Address, and Phone # of

Handicappe d

Distanc e

Drive-up Hours and

Normal

Dispensing Pharmacy

Accessible? from clinic

Window Days of Waiting Time

Yes or No (# of miles)

Availabl e

Operatio n to Fill

Yes or

CBOC Location: Jay Community Based Outpatient Clinic 1569 N. Main St Jay, Oklahoma 72346 Offeror shall provide the following information for the CBOC with his/her offer.

Name, Address, and Phone # of Handicappe d Distanc e

Drive-up Hours and

Normal

Dispensing Pharmacy Accessible? from clinic

Window Days of Waiting Time

Yes or No (# of miles)

Availabl e

Operatio n to Fill

Yes or

CBOC Location: Ozark Community Based Outpatient Clinic 2713 West

Commercial

Ozark, AR 72949 Offeror shall provide the following information for the CBOC with his/her offer.

Name, Address, and Phone # of Handicappe d Distanc e

Drive-up Hours and

Normal

Dispensing Pharmacy Accessible? from clinic

Window Days of Waiting Time

Yes or No (# of miles)

Availabl e

Operatio n to Fill

Yes or

CBOC Location: Fayetteville Veterans Affairs Medical Center 1100 N. College Ave.

Fayetteville, AR 72703 Offeror shall provide the following information for the CBOC with his/her offer.

Name, Address, and Phone # of

Handicappe d

Distanc e

Drive-up Hours and

Normal

Dispensing Pharmacy

Accessible? from clinic

Window Days of Waiting Time

Yes or No (# of miles)

Availabl e

Operatio n to Fill

Yes or

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