Department of Defense Pharmacy Uniform Formulary Blanket Purchase Agreement/Uniform Formulary Additional Discount Program

The Department of Defense (DoD) is required by law (10 U.S.C. § 1074g) to establish an effective, efficient, integrated pharmacy benefits program for the Military Health System (MHS} which includes the purchase pharmaceutical agents.

The law and implementing regulation (32 CFR Section 199.21} describe the process by which the DoD Pharmacy and Therapeutics (P& T) Committee will consider the relative clinical effectiveness and relative cost effectiveness of pharmaceutical agents in a therapeutic class in recommending the selection of agents for the DoD Uniform Formulary (UF} and, for cost sharing purposes, the classification of a pharmaceutical agent as generic, formulary, Basic Core Formulary (BCF}, Extended Core Formulary (ECF), or nonformulary (NF).

Prior to the scheduled P& T Committee meeting, a Request for Quotation (RFQ) for pharmaceutical agents within Drug Classes identified for placement on the UF has been issued to obtain quotes from industry. The Defense Health Agency may award Uniform Formulary Blanket Purchase Agreements (UF BPA} and the Uniform Formulary Additional Discount Program Agreements (UF ADP) based on the UF decision. This process is described in the attached RFQ.

P & T COMMITTEE MEETING:

May 2025: The following drug classes/subclass will be reviewed: a. BREAST CANCER AGENTS: CYCLIN DEPENDENT KINASE INHIBITOR Ibrance Kisqali Verzenio b. TARGETED IMMUNOMODULATORY BIOLOGICS: INTERLEUKIN 1 (IL-1), INTERLEUKIN 6 (IL-6), AND CYTOTOXIC T-LYMPHOCYTE ASSOCIATED PROTEIN 4 (CTLA-4) Actemra Enspryng Arcalyst Kevzara Kineret Orencia Tyenne The RFQ, including UF BPA and UF ADP appendices are attached herein. The instructions, important deadlines, and points of contact are in document, RFQ HT9402-25-Q-9201.

Pre-quote teleconference is on February 4, 2025. Details are stated in Part 2.5. Prequotation teleconference, contact RFQ Point of Contact (POC) for agenda and dial-in information. Responses to the clinical questions in Part 3.4 shall be submitted via email to the RFQ POC (stated in Part 2.3), no later than the date stated in Part 2.4.