Inactive

This notice does not constitute a request for proposal or request for quote. The intent of this notice is to provide the pre-solicitation notice required by FAR 5.2 Synopsis of Proposed Contract Actio... This notice does not constitute a request for proposal or request for quote. The intent of this notice is to provide the pre-solicitation notice required by FAR 5.2 Synopsis of Proposed Contract Actions in preparation for release of the Request for Proposal (RFP) at a later date. On or about August 23, 2021, the Department of Labor, Office of the Assistant Secretary for Administration and Management (OASAM), Office of the Senior Procurement Executive (OSPE), Office of Workers’ Compensation (OWCP) anticipates issuing a Request for Proposal, (RFP) to obtain Comprehensive Pharmacy Benefits Management Program (PBM) services for the Division of Energy Employees Occupational Illness Compensation (DEEOIC) and the Divison of Coal Mine Workers' Compensation (DCMWC) Programs). The RFP will be posted as an unrestricted full and open competition. The U.S. Department of Labor’s (DOL) Office of Workers’ Compensation Programs (OWCP) administers four occupational illness/injury compensation programs which mitigate (through the provision of wage replacement, cash benefits, medical treatment, vocational rehabilitation and other benefits) the financial burden on certain covered workers or their dependents or survivors when resulting in work-related illness, injury, disease, or death. Although the OWCP administers four (4) Programs, The Division of Coal Mine Workers’ Compensation (DCMWC) and The Division of Energy Employees Occupational Illness Compensation (DEEOIC) are the sole programs included in this requirement. The PBM Services requirement represents new services. As a result, there is no incumbent contractor currently providing full PBM Services to any of the two (2) compensation programs administered by DEEOIC, and DCMWC. The two programs do not have a formal formulary or have any formal prior authorization requirements currently in place. The two programs currently utilize a system that matches accepted conditions to drug uses. If a billed drug is not normally used for the accepted condition it will deny and the claimant’s prescribing physician would then have to request an exception. The DCMWC is the only program that has a covered drug list which it uses to make payments for pharmaceuticals. This effort will require the contractor to implement and operate a Pharmacy Benefits Management (PBM) Program in the United States and surrounding territories for the DEEOIC and DCMWC Program Divisions administered by the Office of Workers Compensation Program (OWCP). This includes claimants that require prescription medications and durable medical equipment (DME) as a result of work related injuries or illnesses as stipulated under the statutes administered by DEEOIC or DCMWC. Services required are as follows: Provide Comprehensive PBM Services; Provide full prescription coverage for accepted conditions; Provide DME for accepted conditions; and Provide a pharmacy card system to claimants once claim eligibility is determined by the programs. The RFP will be available on the World Wide Web at the government point of entry, https://beta.sam.gov. The RFP will be posted as an unrestricted full and open competition with mandatory criteria that must be met by the vendor. This contract will utilize a pricing structure that is a discount off of Medi-Span’s Average Wholesale Price (AWP) for pharmaceuticals, and a discount off of OWCP’s fee schedule for DME. It should also be noted that the government will not support any upfront costs or monthly costs associated with this contract outside of the reimbursement of drug and DME utilization. The resultant contract will be fixed price with a one-year base period of performance and four one-year option periods. Full implementation of the contract must occur no later than 180 days after the contract start date. All questions must be submitted in writing and will be addressed via an amendment to the RFP.