SCOPE_OF_WORK_PIP.pdf

SCOPE OF WORK

The City is soliciting proposals for prescription pharmaceuticals mail order services for the City’s employees and eligible dependents (the “Members”) that are part of a voluntary personal importation mail order prescription program.

1.1 The pharmaceuticals requested under the RFP shall include the medications on the

Formulary Drugs List provided in the RFP, but are not limited to, and may be subject to change based on plan utilization, cost shifts in the market, dosage changes, etc..

1.2 Respondents shall:

1.2.1 Ensure all pharmaceuticals follow current Food and Drug Administration (“FDA”) regulations.

1.2.2 Upload a complete list of countries with participating pharmacies.

1.2.3 Upload a sample of Respondent’s standard monthly reporting package.

1.2.4 Upload a list of offices and facilities that would provide services under this contract.

1.3 Awarded Respondent shall:

1.3.1 Collaborate with the awarded third-party pharmacy benefits manager. The pharmacy benefits manager will support the City’s utilization of the international mail order pharmacy program by:

1.3.1.1 Providing monthly electronic files of Members to the Awarded Vendor.

1.3.1.2 Sending weekly letters, on the City’s letterhead, to Members who have used a U.S.-based pharmacy to obtain a medication that is available through Awarded Vendor, with information on how to access Awarded Vendor's services and Members’ copay savings.

1.3.1.3 Incorporate claims from Awarded Vendor into pharmacy benefits manager data warehouse to support clinical programs.

1.3.1.4 Include claims from the Awarded Vendor in the summary financial reports monthly.

1.3.1.5 Accepting a monthly file from the Awarded Respondent of all medications filled for the Members.

1.3.1.6 Work with the City and the City’s Pharmacy Benefit Manager to develop a revolving formulary of various pharmaceuticals that provide the most competitive pricing for the Members

1.3.1.7 Ensure that the proposed pharmaceutical price in U.S. dollars shall only be increased or decreased to reflect the following: global currency fluctuations; and price increases or decreases by the manufacturer and/or distributor for the cost of the pharmaceutical(s).

1.3.1.8 Arrange for the supply of those pharmaceuticals to the Members with a valid prescription from their United States (“U.S.”) attending physician.

1.3.1.9 Provide pharmaceuticals that meet quality assurance standards. The City’s preferred quality assurance standards are outlined in Minimum Quality Assurance Standards.

1.3.1.10 Provide a list to the City of the fulfilled pharmaceuticals, including prices, in U.S.

dollars, upon request.

1.3.1.11 Make available, upon request, the listed price in U.S. dollars of any handling and delivery costs incurred by the pharmacy with respect to the shipment of the pharmaceuticals to the Members.

1.3.1.12 Prepare and submit, monthly, a detailed invoice for all pharmaceuticals purchased by the Members to the City.