RFP 2020-014 ? Pharmacy Services

Agency: The Center for Health Care Service
State: Texas
Type of Government: State & Local
NAICS Category:
  • 446110 - Pharmacies and Drug Stores
Posted Date: Jun 23, 2020
Due Date: Jul 17, 2020
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RFP 2020-014 – Pharmacy Services – Posted 6/12/2020 – Revised 6/23/2020

Addendum I – posted 6/23/2020

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THE CENTER FOR HEALTH CARE
SERVICES
REQUEST FOR PROPOSAL
(“RFP”)
(RFP-2020-014)
for
Pharmacy Services
Revised 6/23/2020
Release Date: 6/12/2020
Proposals Due: 7/17/2020 by 12:00 PM
* Proposals not received by deadline will be rejected and returned unopened.
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002 - TABLE OF CONTENTS
002 - TABLE OF CONTENTS................................................................................................................................................. 2
003 - BACKGROUND ............................................................................................................................................................. 3
004 - SCOPE OF SERVICES ................................................................................................................................................. 4
005 - ASSURANCES .............................................................................................................................................................. 9
006 - TERM OF CONTRACT................................................................................................................................................ 10
007 - PRE-SUBMITTAL CONFERENCE .............................................................................................................................. 10
008 - PROPOSAL REQUIREMENTS ................................................................................................................................... 10
009 - SUBMISSION OF PROPOSAL ................................................................................................................................... 11
010 - RESTRICTIONS ON COMMUNICATION ................................................................................................................... 12
011 - EVALUATION OF CRITERIA ...................................................................................................................................... 13
012 - AWARD OF CONTRACT AND RESERVATION OF RIGHTS .................................................................................... 13
013 - SCHEDULE OF EVENTS ............................................................................................................................................ 14
014 - INSURANCE REQUIREMENTS.................................................................................................................................. 14
015 - RFP ATTACHMENTS .................................................................................................................................................. 17
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003 - BACKGROUND
The Bexar County Board of Trustees for Mental Health Mental Retardation Services d/b/a The Center for Health Care
Services (“CENTER”) is a multi-facility community mental health and mental retardation Center created under the
authority of Section 534.001 of the Texas Health and Safety Code by its sponsoring agencies, Bexar County and the
Bexar County Hospital District d/b/a the University Health System. The CENTER has been providing services to Bexar
County residents experiencing mental health, intellectual developmental disabilities and/or substance abuse issues for
over fifty years and is the Texas Health and Human Services Commission-designated Local Mental Health Authority for
Bexar County, Texas. The CENTER is considered a quasi-governmental entity, a political subdivision of the state of
Texas, but is not a Texas state agency. The CENTER’S administrative offices are located at 6800 Park Ten Blvd. Suite
200-S, San Antonio, Texas 78213.
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004 - SCOPE OF SERVICES
The Center for Health Care Services (“CHCS”, “Center”) is seeking proposals from qualified and experienced
pharmaceutical companies or entities to provide pharmacy needs as further defined in this Request for Proposals, to
include but not limited to:
1. Providing operation of a pharmacy to the CENTER; on-site pharmacies within CENTER outpatient clinics serving
over 1,000 individuals;
2. Delivery of medication to consumers’ homes (when needed);
3. Delivery of medication to CENTER residential facilities and other CENTER clinics;
4. Routine assistance with Patient Assistance Programs (PAP);
5. Compliance with State and CENTER data reporting requirements, to include atypical antipsychotic (new
generation medication or “NGM”) monitoring;
6. Maintain sample stock of commonly used expensive medication;
7. Medication training;
8. Maintain medication availability for the CENTER’S primary care, behavioral health, and substance abuse
formularies and/or needs.
General Requirements
Respondent must:
1. Ensure to be in compliance with all of the as well as all state and Federal laws regulating pharmacy operations.
2. Ensure that employees or agents acting on behalf of the Pharmacy comply with all of the requirements of this
RFP. This includes respondent’s ability to provide the dedicated staff member(s) as well as provide their
background and credentials.
3. Be duly licensed in the State of Texas,
4. Participate in the Texas DSHS HIV Medication Program.
5. Be able to provide services to eligible patients in compliance with Section 602 of the Veterans Health Care Act.
Must dispense prescribed medication in accordance with all applicable Federal and State statutes and
regulations.
6. Provide language line services for Non-English speaking clients, as needed.
7. Have eligible Patient drug utilization review.
8. Have sufficient employees, equipment, stock medication and medication purchasing capacity to handle the
volume to ensure:
Delivery time - at least a four (4) hour turnaround time for new medication orders e-prescribed, hand
delivered, phoned, or faxed,
Emergency delivery time – a maximum of two (2) hour “turnaround” time for emergency prescriptions to
be started by the consumer the same day,
that prescription(s) may either be picked up by the patient or delivered directly to the patient within five (5)
days at no additional expense to CHCS or the patient,
refill authorization by the Centers for consumers that require weekly or monthly monitoring.
locations and hours of operations to accommodate consumer needs the same as the general public.
9. Be able to separate and dispense prescriptions in either one, two, three, or four weeks supply as indicated by
individual consumer need at no additional filling fee.
10. Be able to fill only medications authorized by the Center as applicable to our contract.
11. Be able to fill medications prescribed:
by CHCS physicians or APRNs, authorized contract physicians or APRNs
fill 3-7 days’ worth medications for continuity of care when prescribed by non-CHCS physician or APRN if
approved by Medical Director, on call prescriber or designee.
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12. Be able to provide the Center with consumer IM medications, and provide “stock” IM medications such as Haldol®
Decanoate, Prolixin® Decanoate, and Cogentin® at each Center location for use in either unit dose or multiple
dose vials, whichever medication is requested.
13. Be able to provide a mechanism that would restrict the consumer from refilling their prescriptions until 80% of time
has passed from receiving the previous prescriptions unless authorized by the Center.
14. Provide a:
toll free telephone number and toll free fax number,
pharmacist available during regular business hours as a consultant to consumers and staff regarding
medications, side effects, and food/drug interactions and to provide written medication education
materials to consumers consistent with the rules, limitations, and privileges pertaining to the pharmacy-
patient relationship established by the Texas State Board of Pharmacy
15. Be a participant in the Clozaril National Registry and the Clozaril program or ensure that network of pharmacies
are participating members.
Other Requirements
1. Provide monthly statements/reports at no cost, and in a format specified by the Center (to include electronic format).
a. Statements and reports will include, but not be limited to:
i. the patients’ names,
ii. name of medication,
iii. number of tablets/capsules dispensed,
iv. strength of medication,
v. number of days prescribed,
vi. number of refills,
vii. costs.
b. In addition, to provide medication utilization reports which include:
i. Clinic name,
ii. Invoice number,
iii. Patient full name,
iv. Patient date of birth,
v. Patient ID Number,
vi. Prescription number,
vii. name of drug,
viii. atypical or non-atypical,
ix. invoice amount,
x. transaction date,
xi. prescribing physician,
xii. payor source,
xiii. any filling fees
xiv. credits for medications and the filling fee for medications not picked up by the consumers.
2. Usual & Customary compliance.
Patients' complaints.
the name and number of a customer service representative to handle complaint resolution.
medication dispensing errors
adverse medication reactions.
medication dispensing error
Low generic substitution rate.
Low Formulary compliance.
High controlled substance percent.
Percentage use of "Do Not Substitute" indicators.
Higher than average number of prescriptions per Patient.
Higher than average days' supply per prescription.
Higher than average ingredient cost per prescription.
Higher than average quantity billed per prescription.
Compliance with governmental regulations.
Review of insurance signature logs.
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