Will the same MAC list offered apply to both retail and mail service pricing? Do you agree that damaged, returned or unusable prescriptions will not be billed to the Plan? Will all mail order pricing be applied to all prescriptions filled at the mail service including Specialty claims? Will you accept all responsibilities for member copayments (i.e. IBAC will not collect or be responsible for member delinquency on copays)? Will you accept responsibility for mail service postage increases keeping IBAC dispensing fees consistent throughout the contract? Identify your mail service provider and location. How long have you used this vendor? Do you or your parent organization own all or any portion of this mail service provider? What volume of prescriptions does this vendor handle for you annually? What is the advantage to the Plan if you own your own mail service? If you sub-contract, what advantage does that provide the Plan? What hours is your facility open? What hours are the customer service desk open? Are clinical resources available to assist members with prescription drug questions at the same hours? Describe your process to transition mail service from the current vendor, especially as it impacts the member. Will you call the prescriber on behalf of the member for a new prescription? How will the Mail Service Claims be priced for prescriptions with a day’s supply less than 84 and less than 31? When does the clock on mail order turnaround begin, when the prescription arrives, when the mail is opened, when the prescription is keyed into the system? What is the maximum lag time from arrival of mail to initiation of the turnaround clock? Do you have a pill splitting program? What savings are derived from the process? Do you have a process to fill a prescription locally if your mail service is out of stock or the member is late in filling the prescription? What is the reimbursement for these short fills or emergency fills (retail or mail rates, not a financial number). Is there a drug store chain you prefer to use or have contracted to assist?
“I agree to submit a report, or reports, to the State Purchasing Division of the General Services Department declaring under penalty of perjury that during the last calendar year starting January 1 and ending on December 31, the following to be true and accurate: “In conjunction with this procurement and the requirements of this business’ application for a Resident Veteran Business Preference/Resident Veteran Contractor Preference under NMSA 1978, § or 13-1-22, when awarded a contract which was on the basis of having such veterans preference, I agree to report to the State Purchasing Division of the General Services Department the awarded amount involved. I will indicate in the report the award amount as a purchase from a public body or as a public works contract from a public body as the case may be. “I understand that knowingly giving false or misleading information on this report constitutes a crime.” I declare under penalty of perjury that this statement is true to the best of my knowledge. I understand that giving false or misleading statements about material fact regarding this matter constitutes a crime. ________________________________ _________________________________ (Signature of Business Representative)* (Date) *Must be an authorized signatory for the Business. The representations made in checking the boxes constitutes a material representation by the business that is subject to protest and may result in denial of an award or termination of award of the procurement involved if the statements are proven to be incorrect. Appendix H Corporate Financial Documents (Not Pricing) Appendix I PBM Quarterly Reporting Package Appendix J Implementation Plan
Appendix L New Mexico Employees Health Coverage Form 1. For all contracts solicited and awarded on or after January 1, 2008: If the Offeror has, or grows to, six (6) or more employees who work, or who are expected to work, an average of at least 20 hours per week over a six (6) month period during the term of the contract, Offeror must agree to have in place, and agree to maintain for the term of the contract, health insurance for those employees and offer that health insurance to those employees no later than July 1, 2018 if the expected annual value in the aggregate of any and all contracts between Contractor and the State exceed $250,000 dollars. 2. Offeror must agree to maintain a record of the number of employees who have (a) accepted health insurance; (b) decline health insurance due to other health insurance coverage already in place; or (c) decline health insurance for other reasons. These records are subject to review and audit by a representative of the state. 3. Offeror must agree to advise all employees of the availability of State publicly financed health care coverage programs by providing each employee with, as a minimum, the following web site link to additional information . 4. For Indefinite Quantity, Indefinite Delivery contracts agreements without specific limitations on quantity and providing for an indeterminate number of orders to be placed against it); these requirements shall apply the first day of the second month after the Offeror reports combined sales (from state and, if applicable, from local public bodies if from a state price agreement) of $250,000. Signature of Offeror: _________________________ Date________