S555 Official Solicitation Price Sheet DHS HDCs - FINAL - 07.07.26~1.xlsx
XLSX spreadsheet 26 KB Posted
- Attached to
- Pharmacy Services for DHS HDCs
- Solicitation number
- S000000555
- Issued by
- Arkansas
About this file
This is an official solicitation price sheet for S555 Pharmacy Services for HDCs (Health Department Clinics) issued by the Arkansas Department of Human Services. The solicitation seeks a pharmacy services contractor to provide comprehensive pharmaceutical support to multiple HDCs over a four-year initial term. The contractor must submit pricing for program implementation, onboarding, ongoing monthly program administration, system implementation, and monthly system fees including licenses and data exchange costs. All pricing information must be entered into designated blue-shaded cells on the price sheet, with blank cells presumed to represent zero costs that will not be charged to the State.
The pricing structure includes two primary tables: Table 1 captures one-time implementation costs and ongoing monthly administrative and system fees, while Table 2 addresses Over-the-Counter (OTC) and non-prescription pharmacy items not covered by third-party insurance. For Table 2 items, prospective contractors must provide percentage discounts below National Average Drug Acquisition Cost (NADAC) for OTC medications, brand name prescriptions, and generic prescriptions, and percentage discounts below Wholesale Acquisition Cost (WAC) for wound care products. The State has established baseline cost estimates totaling $2,400,000 for the four-year initial term across all OTC and non-prescription items, though these estimates are not guaranteed volumes. Contractors should notify the State during the Clarification of Solicitation period regarding any concerns about the pricing structure.
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Text version
S555 Solicitation Price Sheet
| OFFICIAL SOLICITATION PRICE SHEET |
| S000000555 Pharmacy Services for HDCs |
| Arkansas Department of Human Services |
Prospective Contractor Name:
1. Prospective Contractors should enter their name in the blue-shaded cell where indicated.
2. Prospective Contractors should enter costs into the blue-shaded cells only.
3. If a cell is left blank, the presumed amount for that service will be zero, and the Contractor shall not charge the Department for that service.
4. Prospective Contractors should notify the State during the Clarification of Solicitation period of concerns about the pricing structure provided on the price sheet.
TABLE 1: SERVICES
Instructions:
Item 1: Prospective Contractors shall enter the one-time cost associated with program implementation and onboarding for all HDCs, as applicable, in the blue-shaded cell. If the cost for program implementation is zero, no onboarding fees may be charged to the State.
Item 2: Prospective Contractors shall enter the ongoing monthly program administration costs, and all costs associated with the activities and tasks required by the RFP and the submitted proposal in the blue-shaded cell (Do not include any pharmacy item costs with this item).
Item 3: Prospective Contractors shall enter the one-time cost associated with system implementation costs for all HDCs, as applicable, in the blue-shaded cell. If the cost for system implementation is zero, no system implementation fees may be charged to the State.
Item 4: Prospective Contractors shall enter the ongoing monthly system costs, including licenses and data exchange costs, associated with providing a system interface for HDCs.
The Total Estimated Cost for Table 1 will automatically populate and add with Table 2 to determine the Grand Total Estimated Cost for 4 Years.
| Item | Description | Total Cost | |
| 1 | Program Implementation (one-time cost) | $0.00 | |
| Item | Description | Monthly Cost | Est Four (4) Year Cost |
(monthly cost x 48)
| 2 | Monthly program administration fee | $0.00 | $0.00 |
| Item | Description | Total Cost | |
| 3 | System Implementation (one-time cost) | $0.00 | |
| Item | Description | Monthly Cost | Est Four (4) Year Cost |
(monthly cost x 48)
| 4 | Monthly system fees | $0.00 | $0.00 |
| TOTAL ESTIMATED COST | $0.00 |
TABLE 2: OTC & Non-Prescription Pharmacy Items Instructions:
Table 2 is designed to capture Over-the-Counter (OTC) and non-prescription items HDCs will be charged for that are not covered by a third party. Discount Percentages applied in Table 2 will be used to determine the cost of ongoing charges for Items 1 - 4 as needed by the Department. The State has provided estimated baseline cost estimates to obtain fair and comparable pricing from all Prospective Contractors, but cost estimates are not representative of guaranteed volumes.
Items 1 through 3: Prospective Contractors shall provide a percentage discount below National Average Drug Acquisition Cost (NADAC) for each line item in the blue-shaded cells, based on the estimated average annual spend for DHS. The percentage should be entered as a positive number. The Discounted Cost Extension Estimate amount will automatically calculate the Baseline Cost minus the percentage entered.
Item 4: Prospective Contractors shall provide a percentage discount below Wholesale Acquisition Cost (WAC) in the blue-shaded cell, based on the estimated average annual spend for DHS.
The Total OTC and Non-Prescription Pharmacy Items Cost will automatically populate and add with Table 1 to determine the Grand Total Estimated Cost for 4 Years.
| Item | Description | 4 Year Initial Term Baseline Cost | % Below NADAC Cost (DISCOUNT) | % Below WAC Cost (DISCOUNT) | 4 Year Initial Term Discounted Cost Extension Estimate |
| 1 | (OTC) medication (including blister pack when available) | $ 1,320,000.00 | 0.00% | $1,320,000.00 | |
| 2 | Brand Name Prescription medication not covered by Medicaid or other insurance (including blister pack when available) | $ 480,000.00 | 0.00% | $480,000.00 | |
| 3 | Generic Prescription medication not covered by Medicaid or other insurance (including blister pack when available) | $ 480,000.00 | 0.00% | $480,000.00 | |
| 4 | Wound care products not covered by Medicaid or other insurance | $ 120,000.00 | 0.00% | $120,000.00 | |
| OTC AND NON-PRESCRIPTION PHARMACY ITEMS | $2,400,000.00 | ||||
| GRAND TOTAL ESTIMATED COST FOR 4 YEARS | $2,400,000.00 |
File details come from the government source that posted it. Updated .