R408--Pharmacy Benefit Management (PBM) First Fill Services VA Central Iowa and Sioux Falls VA Health Care System Period of Performance: 07-01-2020 to 06-30-2025 Solicitation Amendment 0002 to Revise SOW

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the

offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY

is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not,

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter

or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to

the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print)

(Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign)

(Signature of Contracting Officer)

1

3

0001

03-06-2020

N/A; to be listed on task

orders issued against BPA

None

Sioux Falls Services Team

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105

Sioux Falls Services Team

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105

To all Offerors/Bidders

36C26320Q0292

03-06-2020

X

X

X

1

N/A

See CONTINUATION Page

N/A; to be listed on task orders issued against Blanket

Purchase Agreement (BPA).

Pharmacy Benefit Management First Fill Services to support the VA Central Iowa Health Care System and Sioux Falls VA

Health Care System.

Period of Performance: 07-01-2020 to 06-30-2025

Solicitation is hereby amended to revise estimated quantities listed in Section B.2 (Price Schedule); please see

attached for detail.

All others terms and conditions of the solicitation remain UNCHANGED.

Contracting Officer

VA-VHA-SAOC-2016-AC23EC83

CONTINUATION PAGE

B.2 PRICE SCHEDULE

ITEM INFORMATION

ITEM NUMBER

DESCRIPTION OF SUPPLIES/SERVICES

ESTIMATED QUANTITY

UNIT

UNIT PRICE

ESTIMATED AMOUNT

0001

3,375.00

EA

__________________

__________________

Pharmacy Benefit Management Services

VA Central Iowa Health Care System

Ordering Period 1: 07-01-2020 to 06-30-2021

Firm Fixed Price Dispensing Fee Plus Discounted AWP Percentage

__________ - AWP% Brand Name

_________ - AWP% Generic

0002

5,100.00

EA

__________________

__________________

Pharmacy Benefit Management Services

Sioux Falls VA Health Care System

Ordering Period 1: 07-01-2020 to 06-30-2021

Firm Fixed Price Dispensing Fee Plus Discounted AWP Percentage

__________ - AWP% Brand Name

_________ - AWP% Generic

1001

3,375.00

EA

__________________

__________________

Pharmacy Benefit Management Services

VA Central Iowa Health Care System

Ordering Period 2: 07-01-2021 to 06-30-2022

Firm Fixed Price Dispensing Fee Plus Discounted AWP Percentage

__________ - AWP% Brand Name

_________ - AWP% Generic

1002

5,100.00

EA

__________________

__________________

Pharmacy Benefit Management Services

Sioux Falls VA Health Care System

Ordering Period 2: 07-01-2021 to 06-30-2022

Firm Fixed Price Dispensing Fee Plus Discounted AWP Percentage

__________ - AWP% Brand Name

_________ - AWP% Generic

2001

3,375.00

EA

__________________

__________________

Pharmacy Benefit Management Services

VA Central Iowa Health Care System

Ordering Period 3: 07-01-2022 to 06-30-2023

Firm Fixed Price Dispensing Fee Plus Discounted AWP Percentage

__________ - AWP% Brand Name

_________ - AWP% Generic

2002

5,100.00

EA

__________________

__________________

Pharmacy Benefit Management Services

Sioux Falls VA Health Care System

Ordering Period 3: 07-01-2022 to 06-30-2023

Firm Fixed Price Dispensing Fee Plus Discounted AWP Percentage

__________ - AWP% Brand Name

_________ - AWP% Generic

3001

3,375.00

EA

__________________

__________________

Pharmacy Benefit Management Services

VA Central Iowa Health Care System

Ordering Period 4: 07-01-2023 to 06-30-2024

Firm Fixed Price Dispensing Fee Plus Discounted AWP Percentage

__________ - AWP% Brand Name

_________ - AWP% Generic

3002

5,100.00

EA

__________________

__________________

Pharmacy Benefit Management Services

Sioux Falls VA Health Care System

Ordering Period 4: 07-01-2023 to 06-30-2024

Firm Fixed Price Dispensing Fee Plus Discounted AWP Percentage

__________ - AWP% Brand Name

_________ - AWP% Generic

4001

3,375.00

EA

__________________

__________________

Pharmacy Benefit Management Services

VA Central Iowa Health Care System

Ordering Period 5: 07-01-2024 to 06-30-2025

Firm Fixed Price Dispensing Fee Plus Discounted AWP Percentage

__________ - AWP% Brand Name

_________ - AWP% Generic

4002

5,100.00

EA

__________________

__________________

Pharmacy Benefit Management Services

Sioux Falls VA Health Care System

Ordering Period 5: 07-01-2024 to 06-30-2025

Firm Fixed Price Dispensing Fee Plus Discounted AWP Percentage

__________ - AWP% Brand Name

_________ - AWP% Generic

ESTIMATED GRAND TOTAL

__________________

Pharmacy Benefit Management (PBM) First Fill Services for VA Central Iowa Health Care System and Sioux Falls VA Health Care System

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR Subpart 12.6, as supplemented with additional information included in this notice.

This is a solicitation conducted using FAR Part 13 (Simplified Acquisition Procedures).

This announcement constitutes the only solicitation; quotes are being requested.

Solicitation number 36C26320Q0292 is issued as a request for quotes (RFQ).

The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular (FAC) 2020-04.

This procurement is a total set-aside for Service-Disabled Veteran Owned Small Business (SDVOSB).

Prospective offerors must be registered and current in the System for Award Management (SAM) database at time of offer to the Government (https://www.sam.gov).

Prospective offerors shall also be registered and verified through Vet Biz at https://www.vetbiz.va.gov at time of offer to the Government.

Quotes will only be accepted from responsible contractors. The NAICS code for the solicitation is 524292 with a size standard of $35 million.

Product service code for this solicitation is R408.

A list of the contract line items, quantities, and units of measure are listed within the attached solicitation documentation.

The VA anticipates award of single Blanket Purchase Agreement (BPA) to provide services to both facilities.

The period of performance is 07-01-2020 to 06-30-2025. Funds will be obligated through issuance of task orders against the BPA.

FAR provisions 52.212-1, 52.212-2, and 52.212-3 apply to this procurement and are detailed within the attached solicitation document.

FAR clauses 52.212-4 and 52.212-5 apply to this procurement and are included within the attached solicitation document.

Additional requirements are listed within the attached solicitation document.

The Defense Priorities and Allocations System (DPAS) does not apply to this acquisition.

Technical questions on this solicitation are due via e-mail only to Doug Reed, Contracting Officer, at douglas.reed3@va.gov no later than 11:59pm Eastern Standard Time (EST), 03-20-2020

Quotes are due to the Contracting Officer by 11:59pm EST, 04-03-2020. Quotes are required to be emailed to douglas.reed3@va.gov prior to the solicitation closing date and time. It is the responsibility of the offeror to ensure their quote is received in its entirety by the Contracting Officer before the solicitation closing.

Contact Doug Reed, Contracting Officer, at douglas.reed3@va.gov for information regarding the solicitation.