This is a JEFO for purchasing and installing an update to the existing NEXiA pharmacy automation software and revised equipment at multiple military medical facilities in Hawaii and Guam. The work involves integrating NEXiA with the Electronic Health Record and other pharmacy systems to enhance medication safety and enable network-wide prescription management. The purchase includes associated proprietary peripheral equipment from the vendor, Innovation Associates, Inc. The performance locations are the Tripler Army Medical Center, Schofield Barracks/Desmond Doss, Naval Health Clinic Makalapa, NHC Kaneohe Bay, Naval Hospital Guam, and NH Guam Apra Harbor. The purchase will be made against an existing Patient Monitoring and Capital Equipment Program contract valid through July 22, 2029.