{"canonical":"https://abierto.us/opportunities/36c25527q0015","key":"36C25527Q0015","url":"https://abierto.us/opportunities/36c25527q0015","title":"Q517--PHARMACY BENEFITS SERVICES | WICHITA |","solicitation_number":"36C25527Q0015","notice_type":"o","open":true,"removed":false,"removed_at":null,"response_deadline":"2026-11-23T19:00:00Z","first_posted":"2026-10-05","last_posted":"2026-10-30","department":"VETERANS AFFAIRS, DEPARTMENT OF","subagency":"VETERANS AFFAIRS, DEPARTMENT OF","office":"255-NETWORK CONTRACT OFFICE 15 (36C255)","naics":"524292","psc":"Q517","set_aside":null,"place_state":"KS","place_scope":"site","site":null,"place_state_source":null,"place_evidence":null,"place_county":"20173","place_county_name":"Sedgwick County","place_city":"2079000","place_city_name":"Wichita","winner":null,"award_amount":null,"publications":[{"notice_id":"a2ef542655a54731a6e47d6aad6ff0bd","title":"Q517--PHARMACY BENEFITS SERVICES | WICHITA |","solicitation_number":"36C25527Q0015","notice_type":"r","base_type":"r","posted":"2026-10-05","posted_at":"2026-10-05T18:18:55.563Z","due_at":"2026-10-12T18:00:00Z","due_date":"2026-10-12","cancelled":false,"archived":false,"archive_date":"2026-11-11","removed_at":null,"award_number":null,"awardee_name":null,"amount":null,"link_sam":"https://sam.gov/workspace/contract/opp/a2ef542655a54731a6e47d6aad6ff0bd/view","enriched":true,"history":[{"index":1,"title":"Q517--PHARMACY BENEFITS SERVICES | WICHITA |","action":"publish","latest":true,"deleted":false,"archived":false,"cancelled":false,"posted_at":"2026-10-05T18:18:55.563Z","notice_type":{"code":"r","label":"Sources Sought"},"request_type":"submit","opportunity_id":"a2ef542655a54731a6e47d6aad6ff0bd","solicitation_number":"36C25527Q0015"}]},{"notice_id":"109b678d745f4822a738b72aeef7c0f6","title":"Q517--36C25527Q0015 | Pharmacy Benefits Services | Wichita |","solicitation_number":"36C25527Q0015","notice_type":"p","base_type":"r","posted":"2026-10-15","posted_at":"2026-10-15T15:53:50.519Z","due_at":"2026-11-16T19:00:00Z","due_date":"2026-11-16","cancelled":false,"archived":false,"archive_date":"2026-12-16","removed_at":null,"award_number":null,"awardee_name":null,"amount":null,"link_sam":"https://sam.gov/workspace/contract/opp/109b678d745f4822a738b72aeef7c0f6/view","enriched":true,"history":[{"index":2,"title":"Q517--36C25527Q0015 | Pharmacy Benefits Services | Wichita |","action":"publish","latest":true,"deleted":false,"archived":false,"cancelled":false,"posted_at":"2026-10-15T15:53:50.519Z","notice_type":{"code":"p","label":"Presolicitation"},"request_type":"submit","opportunity_id":"109b678d745f4822a738b72aeef7c0f6","solicitation_number":"36C25527Q0015","related_opportunity_id":"a2ef542655a54731a6e47d6aad6ff0bd"},{"index":1,"title":"Q517--PHARMACY BENEFITS SERVICES | WICHITA 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|","action":"publish","latest":true,"deleted":false,"archived":false,"cancelled":false,"posted_at":"2026-10-30T19:10:59.117Z","notice_type":{"code":"o","label":"Solicitation"},"request_type":"submit","opportunity_id":"bfb0de95d69f40e9bbbb6fd8f97bb819","solicitation_number":"36C25527Q0015","related_opportunity_id":"a2ef542655a54731a6e47d6aad6ff0bd"},{"index":1,"title":"Q517--PHARMACY BENEFITS SERVICES | WICHITA |","action":"publish","latest":true,"deleted":false,"archived":false,"cancelled":false,"posted_at":"2026-10-05T18:18:55.563Z","notice_type":{"code":"r","label":"Sources Sought"},"request_type":"submit","opportunity_id":"a2ef542655a54731a6e47d6aad6ff0bd","solicitation_number":"36C25527Q0015"}]}],"latest_notice_id":"bfb0de95d69f40e9bbbb6fd8f97bb819","first_type":"r","notices":[{"award":{"awardee":{}},"dates":{"posted":"2026-10-05","posted_at":"2026-10-05T18:18:55.563Z","created_at":"2026-10-05T18:18:53.367Z","modified_at":"2026-10-05T18:18:55.563Z","response_deadline":{"raw":"2026-10-12T13:00:00-05:00","utc":"2026-10-12T18:00:00Z","date":"2026-10-12","time":"13:00:00","timezone":"America/Chicago","utc_offset_seconds":-18000}},"links":{"sam":"https://sam.gov/workspace/contract/opp/a2ef542655a54731a6e47d6aad6ff0bd/view"},"naics":{"codes":["524292"],"primary":"524292"},"title":"Q517--PHARMACY BENEFITS SERVICES | WICHITA |","agency":{"office":{"code":"36C255","name":"255-NETWORK CONTRACT OFFICE 15 (36C255)"},"subtier":{"code":"3600","name":"VETERANS AFFAIRS, DEPARTMENT OF"},"department":{"code":"036","name":"VETERANS AFFAIRS, DEPARTMENT OF"},"office_address":{"zip":"66048","city":"LEAVENWORTH","state":"KS","country":"USA"},"organization_id":"100186523","organization_type":"OFFICE"},"status":{"active":true,"latest":true,"deleted":false,"archived":false,"cancelled":false,"publication":"published","archive_date":"2026-11-11","archive_type":"auto_custom"},"history":[{"index":1,"title":"Q517--PHARMACY BENEFITS SERVICES | WICHITA |","action":"publish","latest":true,"deleted":false,"archived":false,"cancelled":false,"posted_at":"2026-10-05T18:18:55.563Z","notice_type":{"code":"r","label":"Sources Sought"},"request_type":"submit","opportunity_id":"a2ef542655a54731a6e47d6aad6ff0bd","solicitation_number":"36C25527Q0015"}],"contacts":[{"name":"Maria Riza R. Owen","role":"primary","email":"maria.owen2@va.gov","phone":"913-946-1122","title":"Contract Specialist"}],"base_type":{"code":"r","label":"Sources Sought"},"notice_id":"a2ef542655a54731a6e47d6aad6ff0bd","lineage_id":"a2ef542655a54731a6e47d6aad6ff0bd","provenance":{"detail":{"endpoints":["opportunity","resources","history"],"fetched_at":"2026-10-06T07:01:46.996693760Z"},"extract":{"url":"https://s3.amazonaws.com/falextracts/Contract%20Opportunities/datagov/ContractOpportunitiesFullCSV.csv","etag":"\"be5b55b19b729af7bdd453e30d78434d-26\"","fetched_at":"2026-10-06T03:48:34.605332942Z","row_sha256":"c629185033933439ae48b51a0319c85b046f0b35ac67d26fba8f16aafadf2490","last_modified":"2026-10-06T03:30:43Z"},"updated_at":"2026-10-06T07:01:46.996693760Z","first_seen_at":"2026-10-06T03:48:34.605332942Z"},"description":{"html":"Sources Sought Notice:\nThis is not a request for formal proposals or quotes, it does not obligate the Government to award a contract. Requests for a solicitation will not receive a response. Responses to this Sources Sought must be in writing. \nThe purpose of this Sources Sought announcement is for market research to make appropriate acquisition decisions and to gain knowledge of potentially qualified businesses interested in and capable of providing the required services.  \nDocumentation of technical expertise must be presented in sufficient detail for the government to determine that your company possesses the necessary functional area expertise and experience to compete for this acquisition. \nResponses to this notice shall include the following: \n(a) company name \n(b) address \n(c) point of contact \n(d) phone and email\n(e) UEI number \n(f) Cage Code \n(g) Type of small business, e.g., Services Disabled Veteran Owned Small Business, Veteran-Owned Small Business, 8(a), HUBZone, Women Owned Small Business, Small Disadvantaged Business, Small Business, or Large Business; and \n(h) Capability statement that addresses the organization s qualifications and ability to perform as a contractor for the work described below.\nThis Sources Sought is for Robert J. Dole VA Medical Center, 5500 E. Kellogg Avenue, Wichita, KS who have a requirement for contractor provided third party pharmacy benefit services to support a First Fill Prescription Voucher Program serving eligible Veterans. This program provides first or urgent fill prescriptions when VA pharmacies are unable or impractical to dispense medications, such as after hours emergency room visits, time sensitive medications from Community Based Outpatient Clinics (CBOCs), Home Based Primary Care (HBPC), or telehealth appointments.\nThe NAICS Code is 527292 (Pharmacy Benefit Management and Other Third-Party Administration of Insurance and Pension Funds) with a Small Business size standard of $45.5 million. SDVOSB/VOSB vendors must be registered in the SBA VetCert database. \nOfferors capable of providing this service shall notify the Contract Specialist no later than (NLT) October 12, 2026, 1:00 pm CST via email at maria.owen2@va.gov\nAll information is to be submitted via email to: maria.owen2@va.gov. Phone calls will not be accepted.\n\nPerformance Work Statement\nFirst Fill Prescription Voucher Program   Pharmacy Benefit Services\n\n1. Introduction\nThe Veterans Health Administration (VHA) has a requirement for contractor provided third party pharmacy benefit services to support a First Fill Prescription Voucher Program serving eligible Veterans. This program provides first or urgent fill prescriptions when VA pharmacies are unable or impractical to dispense medications, such as after hours emergency room visits, time sensitive medications from Community Based Outpatient Clinics (CBOCs), Home Based Primary Care (HBPC), or telehealth appointments. \nThe purpose of this Performance Work Statement (PWS) is to define the scope, objectives, tasks, deliverables, performance standards, and reporting requirements for the contractor s provision of pharmacy benefit services under this program. \n\n2. Scope of Work\nThe contractor shall provide all personnel, pharmacy network locations, systems, tools, and non personal services necessary to perform first and urgent fill outpatient pharmacy services for eligible VA beneficiaries assigned to the Robert J. Dole VA Medical Center (RJDVAMC) located at 5500 E. Kellogg Dr, Wichita, KS, associated CBOCs, and HBPC programs, as well as additional facilities added during the term of this contract. \nThe scope of work includes, at a minimum:\nDispensing new prescriptions written by authorized VA providers, with no refills. \nMaintaining a geographically accessible pharmacy network with extended and after hours operating times. \nAdhering to VA provided emergency medication formulary lists and applicable federal and state laws, regulations, and VA policies. \nProviding required reporting, data, and documentation to support billing, quality assurance, performance measurement, and compliance. \n\n3. Technical Requirements\nA. Pharmacy Services and Operations\nThe contractor shall:\nDispense prescriptions only for eligible VA beneficiaries presenting a VA issued ID card, at designated network pharmacies. \nDispense only new prescriptions written by authorized VA providers (RJDVA, CBOC, HBPC), with no refills permitted under this program. \nMaintain operating hours that include 24 hour locations and extended evening/weekend access, at a minimum Monday through Sunday coverage, including federal holidays. \nLimit the maximum day supply to 10 days for most medications, and up to 14 days for antibiotics/antibacterial agents unless otherwise authorized under emergency conditions. \nDispense generic medications to the extent permitted by law, using AB rated generics that meet all federal and state requirements, and selecting the least expensive product in stock that meets clinical requirements. \nPrescriptions must be provided in written form by authorized providers, and dispensing pharmacies must be able to accept and process written prescriptions. \nB. Formulary Management\nThe contractor shall:\nAdhere strictly to the VA Emergency Medication Formulary List, dispensing only legend drugs on the approved list unless prior authorization is obtained from the VA Chief of Pharmacy or designee. \nProvide real time messaging and hard edits within the pharmacy systems to prevent dispensing of non formulary or prior authorization medications without VA approval. \nMaintain and implement a mechanism to receive formulary updates from VA and to update pharmacy systems accordingly in a timely manner. \nC. Records, Confidentiality, and Compliance\nThe contractor and contract pharmacies shall:\nMaintain electronic records of all VA prescriptions filled, including patient signatures for each prescription received. \nProtect the confidentiality of all VA beneficiary information and comply with the Privacy Act of 1974, HIPAA, and all applicable federal and state privacy and security requirements. \nEnsure no patient information is stored on mobile devices and that access to VA information systems is restricted to personnel with appropriate background investigations and training, in accordance with VA directives. \nAll protected health information and sensitive personal information shall be handled in accordance with VA directives, 45 CFR Part 164, and applicable VA handbooks and policies. \nD. Quality of Service and Counseling\nThe contractor shall:\nProvide high quality service for patients and providers, with an account management team that communicates directly with the VA Contracting Officer s Representative (COR)/Facility POC to address and promptly resolve issues. \nOffer pharmacist counseling to ensure optimal outcomes from drug therapy, including medication name and use, dose and route, precautions, common side effects and actions, self monitoring techniques, missed dose instructions, and proper storage. \n\n4. Delivery & Location Information\nServices shall be provided to VA beneficiaries associated with:\nRobert J. Dole VA Medical Center and designated Community Based Outpatient Clinics (CBOCs) and HBPC programs within the primary service area and additional areas added during the contract term. \nThe contractor shall provide and maintain a list of participating pharmacies that are:\nGeographically accessible to RJDVA and each CBOC.\nHandicapped accessible.\nEquipped with accessible weekday, weekend, and evening hours, including drive through windows where available. \nThe list shall include, at a minimum: facility name and address, pharmacy name and address, phone/fax, pharmacists  names and license numbers with expiration dates, accessibility status, distance from VA facilities, availability of drive up windows, hours and days of operation, and normal waiting times. \n\n5. Security Requirements\nContractor and subcontractor personnel requiring access to VA information and information systems must comply with VA, federal, and state security and privacy requirements, including VA Directive and Handbook 0710 (Personnel Suitability and Security Program), applicable cyber security and privacy training, and VA Rules of Behavior. \nThe contractor shall:\nRequest logical or physical access to VA information systems only to the extent necessary to perform contract services. \nNotify the ordering Contracting Officer immediately when personnel with access to VA information or systems are reassigned or separated, including unfriendly terminations. \nReport all known or suspected security or privacy incidents, including data breaches involving sensitive personal information, to the ordering Contracting Officer, ISO, and Privacy Officer in accordance with VA policy and any applicable Business Associate Agreement. \nWhere required, the contractor shall be liable for liquidated damages in the event of data breaches involving sensitive personal information, as specified by 38 U.S.C. §5725 and VA contract provisions. \n\n6. Period of Performance\nBase Year: 01/04/2027   01/03/2028\nOption Year 1: 01/04/2028   01/03/2029\nOption Year 2: 01/04/2029   01/03/2030\nExercise of option years shall be at the Government s discretion, based on continued need, contractor performance, and availability of funds. \n\n7. Work Hours\nPharmacy services under this program must be available:\nThrough a network that includes 24 hour pharmacies providing coverage Monday through Sunday, including weekends and federal holidays. \nThrough additional pharmacies open at least Monday through Saturday from 8:00 a.m. to 9:00 p.m. local time, or as specified by the VA for accessibility.\n\n8. VA Points of Contact\nThe contractor shall designate a program manager (Primary and Alternate) and provide contact information to the CO and Facility POC within five (5) days of contract award. \n\n9. Installation and Cleanup\nNot applicable; services under this PWS relate to pharmacy benefit administration and dispensing rather than physical installation of equipment. Any on site activities at VA or pharmacy locations shall be conducted in a manner that does not disrupt normal operations and comply with VA safety and housekeeping requirements.\n\n10. Training\nAll contractor and subcontractor employees requiring access to VA information or information systems shall:\nComplete VA Cyber Security Awareness and Rules of Behavior training and annual refresher training. \nComplete appropriate VA privacy training and any role based information security training required, with documentation of completion provided to the ordering CO or representative within one week of contract initiation and annually thereafter. \nFailure to maintain current training and signed Rules of Behavior may result in suspension or termination of physical or electronic access and removal from contract work. \n\n11. Warranty and Maintenance Service\nNot applicable for physical products; however, the contractor shall maintain all pharmacy benefit management systems, data interfaces, and reporting tools used to support this program in good working order and ensure continuous, reliable operation. System maintenance must not compromise data integrity, privacy, or availability of service to VA beneficiaries. \n\n12. Performance Metrics and Quality Control\nThe contractor shall develop and maintain a quality control program to ensure services are performed in accordance with commonly accepted commercial practices, The Joint Commission standards, VA handbooks and directives, and all applicable laws and regulations. \nKey performance areas include:\nAccuracy and timeliness of dispensing and documentation.\nCompliance with formulary and prior authorization requirements.\nResponsiveness to VA inquiries and corrective actions.\nPatient counseling and service quality.\nThe Facility POC may monitor performance through observation, inspection of services, record review, and assessment of complaints. When unacceptable performance occurs, the POC may issue a Contract Discrepancy Report (CDR), and the contractor shall provide and implement a corrective action plan within the timeframe specified in the CDR. \nA. Quality Assurance Surveillance Plan (QASP)\nThe Government will use the following performance objectives, standards, acceptable quality levels, and surveillance methods to evaluate contractor performance. These standards are derived from the service, compliance, reporting, counseling, and responsiveness requirements in the SOW.\nRequired Services\nPerformance Standards\nAcceptable Quality Level\nMethods of Surveillance\nIncentive / Remedy\nPharmacy network availability\nContractor maintains a geographically accessible pharmacy network with required weekday, weekend, evening, and holiday coverage, including 24-hour locations where required.\n100%\nPeriodic inspection of network list; random validation of pharmacy hours and access.\nContractor required to correct deficiencies immediately; repeated failure may support issuance of CDR and consideration of payment deduction.\nEligible prescription dispensing\nPrescriptions are dispensed only to eligible VA beneficiaries and only for new prescriptions written by authorized VA providers; no refills are permitted.\n100%\nRandom record review; complaint review; periodic audit of filled prescriptions.\nDocumented noncompliance may result in corrective action and possible payment adjustment for improper fills.\nDay-supply compliance\nPrescriptions do not exceed 10 days for most medications and do not exceed 14 days for antibiotics/antibacterials unless otherwise authorized.\n100%\nRandom review of prescription records and invoices.\nAny noncompliant fills require corrective action and possible reconciliation of improper charges.\nFormulary compliance\nContractor dispenses only approved formulary drugs unless prior authorization is obtained from the VA Chief of Pharmacy or designee, and contractor systems prevent unauthorized non-formulary dispensing.\n100%\nRandom monitoring; system/edit review; complaint review; record audit.\nUnauthorized non-formulary dispensing may result in CDR, corrective action, and disallowance of related charges.\nGeneric substitution compliance\nContractor dispenses AB-rated generic medications when permitted by law and uses the least expensive clinically appropriate product in stock.\n95%\nRandom invoice and fill review.\nTrends below threshold require corrective action and may affect payment review.\nPatient counseling\nPharmacist counseling is available and provided consistent with contract requirements, including medication use, dose, precautions, side effects, missed doses, and storage.\n95%\nCustomer feedback; complaint log; random record review if documented.\nRepeated substantiated failures require corrective action plan.\nReporting timeliness\nMonthly, quarterly, and annual reports are submitted electronically to the Facility POC within required timeframes and contain required elements by location.\n100%\n100% inspection of all deliverables.\nLate or incomplete reports may support payment withholding until corrected or other negotiated deduction language.\nMonthly detailed statement accuracy\nMonthly statements include patient name, patient SSN, provider name, drug name, strength, quantity, dispense date, dispensing pharmacy, AWP, and dispensing fee.\n100%\n100% inspection; record review.\nInaccurate statements require correction; unsupported charges may be adjusted.\nConsult documentation response\nContractor provides consult documentation within 10 calendar days of request\n100%\n100% inspection of requests and response dates.\nFailure may result in adjustment of questioned statement amounts, as stated in the SOW.\nComplaint resolution / responsiveness\nContractor account management team responds promptly to VA inquiries and works directly with the COR/Facility POC to resolve issues.\n95%\nComplaint log; email/issue tracking review; periodic inspection.\nFailure to respond or resolve timely may result in corrective action requirements.\nRecords management\nContractor maintains electronic records of prescriptions filled, including patient signatures for each prescription received.\n100%\nRandom record review; periodic inspection.\nMissing documentation may result in corrective action and questioned costs.\n \nPrivacy and HIPAA compliance\nContractor protects beneficiary information and complies with the Privacy Act, HIPAA, VA privacy requirements, and restrictions on storing patient information on mobile devices.\n100%\nRandom monitoring; incident review; training and compliance record review.\nAny breach or material privacy failure shall be referred to the CO immediately and handled under contract, VA policy, and applicable law.\nSecurity/training compliance\nContractor personnel complete required VA cyber security, privacy, and Rules of Behavior training and maintain required access controls.\n100%\nPeriodic inspection of training documentation and access records.\nPersonnel may be removed from work or access; contractor must correct deficiencies immediately.\n\n\n13. Reporting and Documentation\nThe contractor shall provide:\nMonthly, quarterly, and annual electronic reports to the Facility POC showing total prescriptions filled and total dollar amounts, by location. \nMonthly detailed statements including, at a minimum: patient name, patient SSN, provider name, drug name, strength, quantity, date dispensed, dispensing pharmacy, AWP, and dispensing fee. \nReports containing sensitive information shall be encrypted and/or password protected when transmitted via email. \nPharmacy Service at the RJDVAMC shall review monthly statements, and the contractor shall provide consult documentation within 10 calendar days upon request; failure to do so may require adjustment of statements by the amount in question. \n\n14. Government Responsibilities\nThe Government shall:\nAssign a Facility POC to monitor day to day contractor performance and verify compliance. \nEstablish and maintain internal record keeping systems to ensure correct reimbursement for prescriptions and services. \nConduct random audits of prescription fills and have access to contractor records during regular business hours with reasonable notice. \n\n15. Budget, Payment, and Pricing\nReimbursements shall be determined by Average Wholesale Price (AWP), discounted by the applicable percentage plus the applicable dispensing fee and shall not exceed prices charged to the general public or to the contractor s lowest third party plan. \nAWP shall be based on the current Red Book or equivalent reference, with updates provided to VA throughout the contract term. \n\n16. Terms, Conditions, and Change Management\nThis PWS is subject to all applicable VA contractual terms and conditions, including confidentiality, intellectual property, data rights, termination, and dispute resolution provisions. \nAny changes to the scope, deliverables, or performance requirements must be requested in writing and approved by the Contracting Officer through a contract modification, following VA change management procedures.","text":"Sources Sought Notice:\nThis is not a request for formal proposals or quotes, it does not obligate the Government to award a contract. Requests for a solicitation will not receive a response. Responses to this Sources Sought must be in writing.\nThe purpose of this Sources Sought announcement is for market research to make appropriate acquisition decisions and to gain knowledge of potentially qualified businesses interested in and capable of providing the required services.\nDocumentation of technical expertise must be presented in sufficient detail for the government to determine that your company possesses the necessary functional area expertise and experience to compete for this acquisition.\nResponses to this notice shall include the following:\n(a) company name\n(b) address\n(c) point of contact\n(d) phone and email\n(e) UEI number\n(f) Cage Code\n(g) Type of small business, e.g., Services Disabled Veteran Owned Small Business, Veteran-Owned Small Business, 8(a), HUBZone, Women Owned Small Business, Small Disadvantaged Business, Small Business, or Large Business; and\n(h) Capability statement that addresses the organization s qualifications and ability to perform as a contractor for the work described below.\nThis Sources Sought is for Robert J. Dole VA Medical Center, 5500 E. Kellogg Avenue, Wichita, KS who have a requirement for contractor provided third party pharmacy benefit services to support a First Fill Prescription Voucher Program serving eligible Veterans. This program provides first or urgent fill prescriptions when VA pharmacies are unable or impractical to dispense medications, such as after hours emergency room visits, time sensitive medications from Community Based Outpatient Clinics (CBOCs), Home Based Primary Care (HBPC), or telehealth appointments.\nThe NAICS Code is 527292 (Pharmacy Benefit Management and Other Third-Party Administration of Insurance and Pension Funds) with a Small Business size standard of $45.5 million. SDVOSB/VOSB vendors must be registered in the SBA VetCert database.\nOfferors capable of providing this service shall notify the Contract Specialist no later than (NLT) October 12, 2026, 1:00 pm CST via email at maria.owen2@va.gov\nAll information is to be submitted via email to: maria.owen2@va.gov. Phone calls will not be accepted.\n\nPerformance Work Statement\nFirst Fill Prescription Voucher Program Pharmacy Benefit Services\n\n1. Introduction\nThe Veterans Health Administration (VHA) has a requirement for contractor provided third party pharmacy benefit services to support a First Fill Prescription Voucher Program serving eligible Veterans. This program provides first or urgent fill prescriptions when VA pharmacies are unable or impractical to dispense medications, such as after hours emergency room visits, time sensitive medications from Community Based Outpatient Clinics (CBOCs), Home Based Primary Care (HBPC), or telehealth appointments.\nThe purpose of this Performance Work Statement (PWS) is to define the scope, objectives, tasks, deliverables, performance standards, and reporting requirements for the contractor s provision of pharmacy benefit services under this program.\n\n2. Scope of Work\nThe contractor shall provide all personnel, pharmacy network locations, systems, tools, and non personal services necessary to perform first and urgent fill outpatient pharmacy services for eligible VA beneficiaries assigned to the Robert J. Dole VA Medical Center (RJDVAMC) located at 5500 E. Kellogg Dr, Wichita, KS, associated CBOCs, and HBPC programs, as well as additional facilities added during the term of this contract.\nThe scope of work includes, at a minimum:\nDispensing new prescriptions written by authorized VA providers, with no refills.\nMaintaining a geographically accessible pharmacy network with extended and after hours operating times.\nAdhering to VA provided emergency medication formulary lists and applicable federal and state laws, regulations, and VA policies.\nProviding required reporting, data, and documentation to support billing, quality assurance, performance measurement, and compliance.\n\n3. Technical Requirements\nA. Pharmacy Services and Operations\nThe contractor shall:\nDispense prescriptions only for eligible VA beneficiaries presenting a VA issued ID card, at designated network pharmacies.\nDispense only new prescriptions written by authorized VA providers (RJDVA, CBOC, HBPC), with no refills permitted under this program.\nMaintain operating hours that include 24 hour locations and extended evening/weekend access, at a minimum Monday through Sunday coverage, including federal holidays.\nLimit the maximum day supply to 10 days for most medications, and up to 14 days for antibiotics/antibacterial agents unless otherwise authorized under emergency conditions.\nDispense generic medications to the extent permitted by law, using AB rated generics that meet all federal and state requirements, and selecting the least expensive product in stock that meets clinical requirements.\nPrescriptions must be provided in written form by authorized providers, and dispensing pharmacies must be able to accept and process written prescriptions.\nB. Formulary Management\nThe contractor shall:\nAdhere strictly to the VA Emergency Medication Formulary List, dispensing only legend drugs on the approved list unless prior authorization is obtained from the VA Chief of Pharmacy or designee.\nProvide real time messaging and hard edits within the pharmacy systems to prevent dispensing of non formulary or prior authorization medications without VA approval.\nMaintain and implement a mechanism to receive formulary updates from VA and to update pharmacy systems accordingly in a timely manner.\nC. Records, Confidentiality, and Compliance\nThe contractor and contract pharmacies shall:\nMaintain electronic records of all VA prescriptions filled, including patient signatures for each prescription received.\nProtect the confidentiality of all VA beneficiary information and comply with the Privacy Act of 1974, HIPAA, and all applicable federal and state privacy and security requirements.\nEnsure no patient information is stored on mobile devices and that access to VA information systems is restricted to personnel with appropriate background investigations and training, in accordance with VA directives.\nAll protected health information and sensitive personal information shall be handled in accordance with VA directives, 45 CFR Part 164, and applicable VA handbooks and policies.\nD. Quality of Service and Counseling\nThe contractor shall:\nProvide high quality service for patients and providers, with an account management team that communicates directly with the VA Contracting Officer s Representative (COR)/Facility POC to address and promptly resolve issues.\nOffer pharmacist counseling to ensure optimal outcomes from drug therapy, including medication name and use, dose and route, precautions, common side effects and actions, self monitoring techniques, missed dose instructions, and proper storage.\n\n4. Delivery & Location Information\nServices shall be provided to VA beneficiaries associated with:\nRobert J. Dole VA Medical Center and designated Community Based Outpatient Clinics (CBOCs) and HBPC programs within the primary service area and additional areas added during the contract term.\nThe contractor shall provide and maintain a list of participating pharmacies that are:\nGeographically accessible to RJDVA and each CBOC.\nHandicapped accessible.\nEquipped with accessible weekday, weekend, and evening hours, including drive through windows where available.\nThe list shall include, at a minimum: facility name and address, pharmacy name and address, phone/fax, pharmacists names and license numbers with expiration dates, accessibility status, distance from VA facilities, availability of drive up windows, hours and days of operation, and normal waiting times.\n\n5. Security Requirements\nContractor and subcontractor personnel requiring access to VA information and information systems must comply with VA, federal, and state security and privacy requirements, including VA Directive and Handbook 0710 (Personnel Suitability and Security Program), applicable cyber security and privacy training, and VA Rules of Behavior.\nThe contractor shall:\nRequest logical or physical access to VA information systems only to the extent necessary to perform contract services.\nNotify the ordering Contracting Officer immediately when personnel with access to VA information or systems are reassigned or separated, including unfriendly terminations.\nReport all known or suspected security or privacy incidents, including data breaches involving sensitive personal information, to the ordering Contracting Officer, ISO, and Privacy Officer in accordance with VA policy and any applicable Business Associate Agreement.\nWhere required, the contractor shall be liable for liquidated damages in the event of data breaches involving sensitive personal information, as specified by 38 U.S.C. §5725 and VA contract provisions.\n\n6. Period of Performance\nBase Year: 01/04/2027 01/03/2028\nOption Year 1: 01/04/2028 01/03/2029\nOption Year 2: 01/04/2029 01/03/2030\nExercise of option years shall be at the Government s discretion, based on continued need, contractor performance, and availability of funds.\n\n7. Work Hours\nPharmacy services under this program must be available:\nThrough a network that includes 24 hour pharmacies providing coverage Monday through Sunday, including weekends and federal holidays.\nThrough additional pharmacies open at least Monday through Saturday from 8:00 a.m. to 9:00 p.m. local time, or as specified by the VA for accessibility.\n\n8. VA Points of Contact\nThe contractor shall designate a program manager (Primary and Alternate) and provide contact information to the CO and Facility POC within five (5) days of contract award.\n\n9. Installation and Cleanup\nNot applicable; services under this PWS relate to pharmacy benefit administration and dispensing rather than physical installation of equipment. Any on site activities at VA or pharmacy locations shall be conducted in a manner that does not disrupt normal operations and comply with VA safety and housekeeping requirements.\n\n10. Training\nAll contractor and subcontractor employees requiring access to VA information or information systems shall:\nComplete VA Cyber Security Awareness and Rules of Behavior training and annual refresher training.\nComplete appropriate VA privacy training and any role based information security training required, with documentation of completion provided to the ordering CO or representative within one week of contract initiation and annually thereafter.\nFailure to maintain current training and signed Rules of Behavior may result in suspension or termination of physical or electronic access and removal from contract work.\n\n11. Warranty and Maintenance Service\nNot applicable for physical products; however, the contractor shall maintain all pharmacy benefit management systems, data interfaces, and reporting tools used to support this program in good working order and ensure continuous, reliable operation. System maintenance must not compromise data integrity, privacy, or availability of service to VA beneficiaries.\n\n12. Performance Metrics and Quality Control\nThe contractor shall develop and maintain a quality control program to ensure services are performed in accordance with commonly accepted commercial practices, The Joint Commission standards, VA handbooks and directives, and all applicable laws and regulations.\nKey performance areas include:\nAccuracy and timeliness of dispensing and documentation.\nCompliance with formulary and prior authorization requirements.\nResponsiveness to VA inquiries and corrective actions.\nPatient counseling and service quality.\nThe Facility POC may monitor performance through observation, inspection of services, record review, and assessment of complaints. When unacceptable performance occurs, the POC may issue a Contract Discrepancy Report (CDR), and the contractor shall provide and implement a corrective action plan within the timeframe specified in the CDR.\nA. Quality Assurance Surveillance Plan (QASP)\nThe Government will use the following performance objectives, standards, acceptable quality levels, and surveillance methods to evaluate contractor performance. These standards are derived from the service, compliance, reporting, counseling, and responsiveness requirements in the SOW.\nRequired Services\nPerformance Standards\nAcceptable Quality Level\nMethods of Surveillance\nIncentive / Remedy\nPharmacy network availability\nContractor maintains a geographically accessible pharmacy network with required weekday, weekend, evening, and holiday coverage, including 24-hour locations where required.\n100%\nPeriodic inspection of network list; random validation of pharmacy hours and access.\nContractor required to correct deficiencies immediately; repeated failure may support issuance of CDR and consideration of payment deduction.\nEligible prescription dispensing\nPrescriptions are dispensed only to eligible VA beneficiaries and only for new prescriptions written by authorized VA providers; no refills are permitted.\n100%\nRandom record review; complaint review; periodic audit of filled prescriptions.\nDocumented noncompliance may result in corrective action and possible payment adjustment for improper fills.\nDay-supply compliance\nPrescriptions do not exceed 10 days for most medications and do not exceed 14 days for antibiotics/antibacterials unless otherwise authorized.\n100%\nRandom review of prescription records and invoices.\nAny noncompliant fills require corrective action and possible reconciliation of improper charges.\nFormulary compliance\nContractor dispenses only approved formulary drugs unless prior authorization is obtained from the VA Chief of Pharmacy or designee, and contractor systems prevent unauthorized non-formulary dispensing.\n100%\nRandom monitoring; system/edit review; complaint review; record audit.\nUnauthorized non-formulary dispensing may result in CDR, corrective action, and disallowance of related charges.\nGeneric substitution compliance\nContractor dispenses AB-rated generic medications when permitted by law and uses the least expensive clinically appropriate product in stock.\n95%\nRandom invoice and fill review.\nTrends below threshold require corrective action and may affect payment review.\nPatient counseling\nPharmacist counseling is available and provided consistent with contract requirements, including medication use, dose, precautions, side effects, missed doses, and storage.\n95%\nCustomer feedback; complaint log; random record review if documented.\nRepeated substantiated failures require corrective action plan.\nReporting timeliness\nMonthly, quarterly, and annual reports are submitted electronically to the Facility POC within required timeframes and contain required elements by location.\n100%\n100% inspection of all deliverables.\nLate or incomplete reports may support payment withholding until corrected or other negotiated deduction language.\nMonthly detailed statement accuracy\nMonthly statements include patient name, patient SSN, provider name, drug name, strength, quantity, dispense date, dispensing pharmacy, AWP, and dispensing fee.\n100%\n100% inspection; record review.\nInaccurate statements require correction; unsupported charges may be adjusted.\nConsult documentation response\nContractor provides consult documentation within 10 calendar days of request\n100%\n100% inspection of requests and response dates.\nFailure may result in adjustment of questioned statement amounts, as stated in the SOW.\nComplaint resolution / responsiveness\nContractor account management team responds promptly to VA inquiries and works directly with the COR/Facility POC to resolve issues.\n95%\nComplaint log; email/issue tracking review; periodic inspection.\nFailure to respond or resolve timely may result in corrective action requirements.\nRecords management\nContractor maintains electronic records of prescriptions filled, including patient signatures for each prescription received.\n100%\nRandom record review; periodic inspection.\nMissing documentation may result in corrective action and questioned costs.\n\nPrivacy and HIPAA compliance\nContractor protects beneficiary information and complies with the Privacy Act, HIPAA, VA privacy requirements, and restrictions on storing patient information on mobile devices.\n100%\nRandom monitoring; incident review; training and compliance record review.\nAny breach or material privacy failure shall be referred to the CO immediately and handled under contract, VA policy, and applicable law.\nSecurity/training compliance\nContractor personnel complete required VA cyber security, privacy, and Rules of Behavior training and maintain required access controls.\n100%\nPeriodic inspection of training documentation and access records.\nPersonnel may be removed from work or access; contractor must correct deficiencies immediately.\n\n13. Reporting and Documentation\nThe contractor shall provide:\nMonthly, quarterly, and annual electronic reports to the Facility POC showing total prescriptions filled and total dollar amounts, by location.\nMonthly detailed statements including, at a minimum: patient name, patient SSN, provider name, drug name, strength, quantity, date dispensed, dispensing pharmacy, AWP, and dispensing fee.\nReports containing sensitive information shall be encrypted and/or password protected when transmitted via email.\nPharmacy Service at the RJDVAMC shall review monthly statements, and the contractor shall provide consult documentation within 10 calendar days upon request; failure to do so may require adjustment of statements by the amount in question.\n\n14. Government Responsibilities\nThe Government shall:\nAssign a Facility POC to monitor day to day contractor performance and verify compliance.\nEstablish and maintain internal record keeping systems to ensure correct reimbursement for prescriptions and services.\nConduct random audits of prescription fills and have access to contractor records during regular business hours with reasonable notice.\n\n15. Budget, Payment, and Pricing\nReimbursements shall be determined by Average Wholesale Price (AWP), discounted by the applicable percentage plus the applicable dispensing fee and shall not exceed prices charged to the general public or to the contractor s lowest third party plan.\nAWP shall be based on the current Red Book or equivalent reference, with updates provided to VA throughout the contract term.\n\n16. Terms, Conditions, and Change Management\nThis PWS is subject to all applicable VA contractual terms and conditions, including confidentiality, intellectual property, data rights, termination, and dispute resolution provisions.\nAny changes to the scope, deliverables, or performance requirements must be requested in writing and approved by the Contracting Officer through a contract modification, following VA change management procedures.","origin":"detail"},"notice_type":{"code":"r","label":"Sources Sought"},"schema_version":1,"solicitation_number":"36C25527Q0015","place_of_performance":{"zip":"67218","city":{"code":"79000","name":"Wichita"},"state":{"code":"KS","name":"Kansas"},"street":"Department of Veteran Affairs Robert J. Dole VA Medical Center","country":{"code":"USA","name":"UNITED STATES"},"street2":"5500 E. 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This is not a request for proposal, quotation, or bid. The Network Contracting Office 15 (NCO15), 3450 S 4th Street | Leavenworth, KS 66048 intends to issue a solicitation for a VOSB/SDVOSB set-aside, single award, Indefinite Delivery/indefinite Quantity Contract. The contract will cover the contractor provided third party pharmacy benefit services to support a First Fill Prescription Voucher Program serving eligible Veterans. This program provides first or urgent fill prescriptions when VA pharmacies are unable or impractical to dispense medications, such as after hours emergency room visits, time sensitive medications from Community Based Outpatient Clinics (CBOCs), Home Based Primary Care (HBPC), or telehealth appointments. \nThe NAICS Code is 524292 Pharmacy Benefit Management and Other Third-Party Administration of Insurance and Pension Funds, NAICS Size Standard $4.5million. The Product Service Code is Q517 Pharmacy Services. \nAll potential vendors MUST be registered and active in the SAM. SDVOSB/VOSB vendors must be registered in the SBA VetCert database.   The solicitation will be issued electronically and will be available only via the Contract Opportunities / System for Award Management website www.sam.gov. No fax bid packages shall be accepted. The solicitation will be publicized on or about November 1st, 2026.  No phone, fax or email inquiries will be taken for this Pre-Solicitation Notice","text":"This is a PRE-SOLICITATION NOTICE ONLY. This is not a request for proposal, quotation, or bid. The Network Contracting Office 15 (NCO15), 3450 S 4th Street | Leavenworth, KS 66048 intends to issue a solicitation for a VOSB/SDVOSB set-aside, single award, Indefinite Delivery/indefinite Quantity Contract. The contract will cover the contractor provided third party pharmacy benefit services to support a First Fill Prescription Voucher Program serving eligible Veterans. This program provides first or urgent fill prescriptions when VA pharmacies are unable or impractical to dispense medications, such as after hours emergency room visits, time sensitive medications from Community Based Outpatient Clinics (CBOCs), Home Based Primary Care (HBPC), or telehealth appointments.\nThe NAICS Code is 524292 Pharmacy Benefit Management and Other Third-Party Administration of Insurance and Pension Funds, NAICS Size Standard $4.5million. The Product Service Code is Q517 Pharmacy Services.\nAll potential vendors MUST be registered and active in the SAM. SDVOSB/VOSB vendors must be registered in the SBA VetCert database. The solicitation will be issued electronically and will be available only via the Contract Opportunities / System for Award Management website www.sam.gov. No fax bid packages shall be accepted. The solicitation will be publicized on or about November 1st, 2026. No phone, fax or email inquiries will be taken for this Pre-Solicitation Notice","origin":"detail"},"notice_type":{"code":"p","label":"Presolicitation"},"schema_version":1,"solicitation_number":"36C25527Q0015","place_of_performance":{"zip":"67218","city":{"code":"79000","name":"Wichita"},"state":{"code":"KS","name":"Kansas"},"street":"Robert J. Dole VA Medical Center 5500 E. 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