Q517--Pharmacy Benefits Managementview on SAM.gov

The Department of Veterans Affairs, Network Contracting Office (NCO) 6, on behalf of Health Service Area 2.1, is conducting this Sources Sought to gain knowledge of potential qualified sources interested and capable of providing Pharmacy Benefits Management Firs-fill Services. Anticipated North American Industry Classification System (NAICS) code is 524292 Pharmacy Benefit Management and Other Third-Party Administration of Insurance and Pension Funds. Responses to this Sources Sought notice will assist in determining the appropriate market strategy. The Scope of this requirement includes, but isn t limited to: Unless otherwise pre-authorized, prescription fills will be limited to a maximum of 14-day supply. Prescriptions will be filled for legend drugs listed in the Department of Veterans Affairs National Drug Formulary. A copy will be provided upon award to the contractor. Prescriptions filled under this contract will achieve the largest discounts available pursuant to contractor's agreements with its network pharmacies. Generic drugs will be dispensed whenever possible. A product is not considered a generic equivalent unless the strength, quantity, and dosage are the same as the brand name. The generic name must be displayed on all labels for all medications. Drug products on the VA Drug Standardization list will be dispensed as per criteria stated on the list. The Drug Standardization List is a list of pharmaceutical products for which substitution is not permitted under normal circumstances. The current list as of May 20, 2025 of medications is as follows: However, as changes occur updates can be viewed via this link VA Drug Standardization List - January 2025.docx VA beneficiaries will utilize contractor's network of pharmacies. Contractor must be able to provide a minimum of one licensed pharmacy accepting its plan in the Virginia localities of Charlottesville, Emporia, Fredericksburg, and the counties surrounding Richmond (Chesterfield, Goochland, Hanover, Henrico, Richmond City, and Powhatan County). Contractor will provide a method for authorized Veterans Affairs providers based at these locations to give VA beneficiaries a voucher or alternative that can be presented to the contractor s network of pharmacies. This voucher must state that the VA beneficiaries are covered under this program. This method must include a hard-copy and an electronic option in order to serve VA beneficiaries that have had face-to-face and telehealth appointments. After an authorized pharmacy has filled a prescription, the original order will be electronically transmitted to contractor. Contractor will capture all information required by the VA and provide the Richmond VAMC with such data monthly. In addition to the information contained on the prescription document, the date of filling, quantity provided, and prescription number will be provided. Contractor shall have at least one pharmacy within (5) miles of the requesting CBOCs. As permitted by RFO Part 10, …