ACKNOWLEDGEMENT OF RECEIPT FORM - DOC by p58FD8

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									                                            ADDENDUM NO. 1


                                SANDOVAL COUNTY, NEW MEXICO


                           REQUEST FOR PROPOSAL
             INMATE PHARMACEUTICAL SUPPLIES AND SERVICES FOR THE
                             SANDOVAL COUNTY
                             DETENTION CENTER
                                12-DC-10-26



This Addendum becomes a part of the Original document and Modifies, as noted below, the original Request
for Proposal:

To allow time for more questions and responses and a site visit of the Sandoval County Detention Center, the due
date for proposals has been moved to 3:00 pm October 30, 2012.


A.      GENERAL

RETURN ONE (1) ORGINIAL AND FIVE (5) COPIES OF ENTIRE PACKET AND YOUR
PROPOSAL TO:

                                   LIZ OTTEN, PROCURMENT OFFICER
                                   SANDOVAL COUNTY FINANCE DEPARTMENT
                                   1500 IDALIA, BLDG. D
                                   BERNALILLO, NEW MEXICO 87004

       The enclosed REQUEST FOR PROPOSAL (RFP) is for your convenience in submitting
a proposal for the enclosed referenced services for Sandoval County.

                                   Sealed proposals shall be received no later than:

                                   3:00 P.M., OCTOBER 26, 2012 OCTOBER 30, 2012

MARK ENVELOPE: “INMATE PHARMACEUTICAL SUPPLIES AND SERVICES FOR
THE SANDOVAL DETENTION CENTER.”

Questions and Responses (in red) Received as of October 12, 2012

      Questions from Vendors Regarding the Inmate Pharmaceutical
     Supplies and Services for the Sandoval County Detention Center
                          RFP # 12-DC-10-26:
Q. What is the average daily population for SCDC?
A. 250

Q. Regarding the list of medications on pages 4-5 of the RFP, can you provide us with
dosage amounts (i.e., Acetaminophen 325 mg) for each listed medication? Without the
dosage amount / strength, the county will end up with proposals that are not comparable.
A. Dosages Provided Below

Q. Additionally, pursuant to New Mexico’s Inspection of Public Records Act, please kindly
provide me with a copy of the county’s current contract for pharmaceutical supplies and
services for SCDC.
A. The current contract will be available on the Sandoval County website:
www.sandovalcounty.com on Monday, October 22, 2012 by 10:00 am.

Q. In addition to providing the strength of each medication, it would also be helpful to
indicate the quantity of medication the county wants priced. As an example, this quantity
may be the number of pills or tablets commonly prescribed as a 30-day supply.
A. 30-days

Q. After reviewing the Acknowledgement of Receipt Form, we did not receive an Appendix
I. Did I miss something?
A. The Acknowledgment of Receipt Form was previously attached to an RFP template;
however this RFP did not include an Appendix I.

Q. What is the current inmate population count at the facility?
A. 250

Q. How many of these inmates are US Marshal inmates?
A. Currently 90 to 100 are USMS prisoners.

Q. What is the length of term of this contract? It seems from the documents that this could
be open-ended year-to-year?
A. One-year Contract with three (3) one-year renewals.

Q. What is the expected start date of the first year of the new contract? When would an
award be expected?
A. County Commission will approve the vendor on November 15, 2012 and
announcement on November 16, 2012, effective 30-days after date.

Q. The RFP document documents a list of medications, without strength, package size, etc.
In order to price this list, strength, and number of tablets/package size would be necessary
for accurate comparison between vendors. Can this be provided?
A. Dosages provided below.

Q. All pharmaceutical contracts are based on a standard of comparison for pricing (ie
Average Wholesale Price, Wholesale Acquisition Cost, etc.). It is usually most typical to
price brand and generic medications with separate formulas based on Average Wholesale
Price less a percentage. What is the methodology desired for this contract. It is through
such formulas that true “apples to apples” comparisons can exist between vendors as
Average Wholesale Price is a “published” number.
To that end, what is the current pricing methodology and formula used by the current
vendor?
A. Average Wholesale Price

Q. Are there any services reasons the contract is currently out for bid at this time?
A. One-year Contract with three (3) one-year renewals.

Q. Who is your current Health Care provider?
A. It is in-house, Sandoval County Detention Center.

Q. Who is your current Mental Health Care provider?
A. Correctional Healthcare Companies

Q. Who is your current pharmacy provider? Is this a local pharmacy?
A. Maxor, it is not a local pharmacy, but they have a contract with a local pharmacy
for emergency medications.

Q. Please describe the number and locations of pharmacy and medication dispensing rooms.
A. There is one pharmacy and medications are dispensed from medication carts.

Q. How many inmates/patients per med room? How many inmates/patients per cart?
A. We utilize two medication carts, separating the facility in half.

Q. What times are med passes?
A. 9:00 AM and 7:00 PM

Q. How many nurses are involved in med pass preparation? How many nurses are involved
in med pass dispensing?
A. We use Medical Technicians for medication dispensing.

Q. Do you have an RN on duty? If so, what are the hours that RN will be available to pass
out the medications?
A. We have an RN and an LPN on duty, but Medical Technicians pass medications.

Q. How are meds distributed? Carts? Window? Room?
A. Carts.

Q. How are inmates and meds identified/confirmed at time of dispensation?
A. MAR’s and Inmate ID bands.

Q. What type of packaging is currently in use for meds? Does stock med packaging needs
differ from patient-specific med packaging needs? Does packaging for health meds differ
from mental health meds?
A. Currently blister packs for prescription medications and bottles for over-thecounter
medications.
We want to go to all blister packs for all medications.

Q. Do you currently have an eMar or EHR? If yes, who is your current eMar or EHR
provider? Will vendor be required or preferred to provide EHR or eMar? If yes, do you
have wireless connectivity in cell blocks or will IT need to work offline?
A. We do not have eMAR’s.

Q. What jail information management system is in place?
A. Archonix - XJail

Q. What was your annual pharmaceutical spending (cost of medications only) for the year
2011?
A. $72,846.00

Q. Is the current contracted pricing AWP or cost plus?
A. AWP

Q. Will you provide a drug utilization report for your facility’s drug ordering for a recent 30-
90 day period?
A. Because of patient confidentiality we do not have this information.

Q. Does Sandoval County participate in 340b drug discount pricing (approx. 20-50% off
AWP)? If yes, who is the “Covered Entity” in place”? If not participating in 340b, does
Sandoval County want to do so or is interested in investigating options?
A. No we do not participate in the 340b and yes we are interested in participating in
340b.

Q. How are pharmacy orders currently being transmitted?
A. Computer that is provided by the current Vendor.

Q. What percentage of inmates are ICE? US Marshall Service? Federal?
A. Of our 250 inmates, 90 to 100 are currently US Marshals Inmates.

Q. What percentage of medications is currently dispensed as stock versus patient specific?
A. 25% stock, 75% patient specific.

Q. Are health care medications ever dispensed as patient-specific?
A. Yes.

Q. Are mental health medications ever dispensed as stock?
A. No.

Q. What state and federal licenses are in your facilities' names? Can you provide a complete
list?
A. Federal DEA License and NM Board of Pharmacy License.

Q. Does your facility have a U.S. Drug Enforcement Administration (DEA) registration,
which is required to receive stock controlled substances (i.e. Schedule 11-1 V
medications)? If not, is your facility’s physical address listed as the business address on
the DEA license of at least one of your healthcare providers?
A. Yes.

Q. Does your facility have a state pharmacy or clinic license?
A. Yes.

Q. How are controlled substances currently destroyed, as they cannot be returned?
A. By the contract pharmacist hired by Maxor.

Q. Are medication carts needed? Yes.
If so, how many? Two.
Any specific requests? Yes.
Sharps containers? No.
Waste receptacle? Yes.
Key Lock? Yes.
Proximity entry? No.

Q. What current committees require a pharmacist to attend? What are the frequency of the
meetings?
A. None at this time.

Q. Will opportunities be provided for additional questions to be asked in the event responses
are unclear?
A. Yes, please send additional questions by 5:00 pm on October 19th.

Q. The RFP advises a site visit before submitting the proposal. How do we set up that visit?
A. A date and time will be scheduled for any vendor interested. Vendors on the
distribution list will be notified by email when a site visit has been scheduled.

Q. What is the average length of stay at the facility for each inmate?
A. State/Local inmates approximately 4 to 6-months.
Federal Inmates 6 to 9 months.

Q. What is the expected days supply the facility wants from the pharmacy provider? 7-day?
14-day? 30-day?
A. 30-days.

Q. Is there an expectation for STAT/emergency medication requests? If yes, how often do
such requests occur?
A. Yes, 2 to 4 times a week.
Q. What is the required delivery schedule? Once per day? More than once per day? 7 days
per week? Weekdays only?
A. Once per week for stock medication. Daily for prescribed medication, except for
Sundays.

Q. Is bingo card / blister card packaging acceptable in 15 or 30-day quantities?
A. Yes.

Q. Will the pharmacy vendor be required to provide Medication Administration Records for
the facility?
A. Yes.

Q. What is the required frequency of pharmacist periodic review, if any?
A. Minimally monthly.

Q. What is the average daily population for the facility?
A. 250

Q. For the list of medications on pages 4-5 of the RFP, can you provide information on the
dosage amounts (i.e., Acetaminophen 325 mg) and the quantity of each particular
medication the county wants priced?
A. Please see dosages provided below. 30-days.

Q. Can you provide a complete drug utilization for the most recent 12 months?
A. Because of patient confidentiality, this report cannot be provided.

Q. What is the date of award announcement?
A. November 16, 2012

Q. What is the average daily population for the past 12 months?
A. 250

Q. What is the average number of prescriptions filled per month for the past 12 months?
A. Information is not available at this time.

Q. What is the current contract rate for pharmacy services?
A. Average wholesale pricing.

Q. Who is your current pharmacy services provider?
A. Maxor

Q. What percentage of items is dispensed as stock versus patient-specific?
A. 25% stock, 75% patient specific

Q. Does your facility have a U.S. Drug Enforcement Administration (DEA) registration,
which is required to receive stock controlled substances (Schedule II-IV medications)? If
not, is your facility’s physical address listed as the business address on the DEA license
of at least one of your facility’s providers?
A. Yes.

Q. Every correctional facility in New Mexico must have either a clinic or custodial license.
The main difference between the two is the allowance to maintain stock. Clinic-licensed
sites are permitted to maintain stock while custodial-licensed sites are not. What is the
current licensure at Sandoval County?
A. Clinic License

Q. A company must be an FDA Registered Repacker to legally repackage stock medications
into blister cards. Will you mandate that the pharmacy vendor use a FDA Registered
Repacker? Will you require bidders to provide evidence that they use an FDA Registered
Repacker (such as providing the repacker’s license and labeler code)? Will you require
documentation to be submitted as part of the proposal?
A. Yes.

Q. A vendor is required by law to be a licensed wholesaler in a particular state to distribute
wholesale quantities of stock medications in that state. Will you require bidders to
provide evidence that they are a licensed wholesaler in the bidder’s home state and in
your state? Will you require documentation to be submitted as part of the proposal?
A. Yes.

Q. Will you mandate that the pharmacy vendor be a National Association of Boards of
Pharmacy (NABP) Verified-Accredited Wholesale Distributor (VAWD)? Will you
require documentation to be submitted as part of the proposal?
A. It will not be mandated.

Q. Is your facility accredited by the National Commission on Correctional Health Care
(NCCHC) or American Correctional Association (ACA)? If not, do you expect to seek
accreditation during the term of the contract?
A. No.

Q. Who is the current Pharmacy Provider?
A. Maxor

Q. What was your annual pharmaceutical spending for the year 2011?
A. $72,846.00

Q. What is the current contracted pricing AWP or cost plus?
A. AWP

Q. Who is the current EMR provider/what software?
A. We do not have EMR at this time.
Q. How long has this pharmacy vendor been in place?
A. 4-years

Q. How are pharmacy orders currently being transmitted?
A. By computer


Medication and Dosages

1.     The vendor shall provide the charges for each of the following medications listed below;
       this is not an all inclusive list of medications utilized at the Sandoval County Detention
       Center.

       Acetaminophen 325mg / 500 mg
       Ibuprofen 200mg / 800 mg
       Aspirin 81 mg / 325 mg
       Naproxen 500 mg
       Flexeril 5 mg / 10 mg
       Tramadol (No longer used)
       Amoxicillin 250 mg / 500 mg
       Erythromycin 250 mg / 400 mg / 500 mg
       Tetracycline 250 mg
       Doxycycline 100 mg
       Penicillin 500 mg
       Erythromycin Eye Ointment 0.5
       Keflex 500 mg
       Bactrim DS
       Augmenton 875-125 mg
       Antibiotic Ear Drops Neomycin + Polymyxin B Sulfates + Hydrocortisone 5
       Lisinopril 10 mg / 20 mg
       Clonidine 0.1
       Ranitidine 150 mg
       Tagament (No longer used)
       Prilosec 20 mg
       Gas-X (No longer used)
       Tums 500 mg
       Maalox 12 oz. Less than 0.5% alcohol
       Pepto Tablets (No longer used)
       Nexium (No longer used)
       Milk of Magnesia 12 oz.
       Imodium 2 mg
       Colace 100 mg
       Powder Fiber 19 oz.
       Kao Pectate 8 oz.
       Glyburide 5 mg
       Metformin 500 mg / 1000 mg
    Insulin – Regular, NPH, Lantus 100 unit/ ml vial
    Insulin Syringes with needles ½ cc 29 guage X ½ inch U-100 insulin
    Lancets
    Test Strips
    Glucose Tablets 50 tablets
    Glucose Testing Machine
    Tuberculosis Testing Solution
    Tuberculosis Syringes with needles 1 ml 25 gauge X 5/8 inch
    Isoniazid (INH) 300 mg
    Tempodent (No longer used)
    Fixodent 24 oz.
    Amitriptyline 25 mg / 50 mg
    Prozac 20 mg
    Zoloft 50 mg / 100 mg
    Wellbutrin 100 mg / 150 mg
    Paxil 20 mg / 30 mg / 40 mg
    Trazadone 50 mg / 100 mg
    Anbesol 0.33 oz. 10% oral anesthetic
    Outgro (No longer used)
    Librium 25 mg
    Lasix 20 mg
    Neurontin 100 mg / 300 mg
    Lithium 300 mg
    Depacote 250 mg / 500 mg
    Seroquel 50 mg / 100 mg
    Thorazine 50 mg / 100 mg
    Haldol 2 mg / 5 mg
    Cogentin 1 mg
    Dilantin 100 mg
    Tegretol 200 mg
    Hydrochlorothiazide 12.5 mg / 25 mg
    Benadryl 25 mg / 50 mg
    Valporic Acid 250 mg / 500 mg
    Levothyroxine 0.50 mg / 0.75 mg / 1.25 mg / 1.75 mg
    Albuterol Inhaler 8.5 g
    Diflucan 150 mg
    Flagyl 250 mg / 500 mg
    Hydrocortisone Cream 1%
    Tolnaftate 1%
    Statins

             ALL OTHER TERMS AND CONDITIONS WILL REMAIN THE SAME.

                                          (End of Addendum)

This addendum modifies, as noted above, the original Request for Proposal documents identified. All other
                    provisions of the contract document shall remain unchanged.
  Acknowledge receipt of this Addendum in the space provided on the RFP Form. Failure to do so may cause your
                      proposal to be considered non-responsive and your response rejected.




                                   REQUEST FOR PROPOSAL
                     INMATE PHARMACEUTICAL SUPPLIES AND SERVICES FOR THE
                                     SANDOVAL COUNTY
                                     DETENTION CENTER
                                        12-DC-10-26

                                 ACKNOWLEDGEMENT OF RECEIPT FORM

In acknowledgement of receipt of this Request for Proposal the undersigned agrees that s/he has received the
Request for Proposal: Inmate Pharmaceutical Supplies and Services for the Sandoval County Detention Center.

The acknowledgement of receipt should be signed and returned to the Procurement Officer no later than 2:00 pm
MST on October 12, 2012. Only potential Offerors who elect to return this form completed with the indicated
intention of submitting a proposal will receive copies of all Offeror written questions and the written responses to
those questions as well as RFP addendums, if any are issued.

FIRM: _________________________________________________________________

REPRESENTED BY: _____________________________________________________

TITLE: ________________________________ PHONE NO.: ____________________

E-MAIL: ___________________________              FAX NO.: ________________________

ADDRESS: _____________________________________________________________

CITY: __________________________ STATE: ________ ZIP CODE: _____________

SIGNATURE: ___________________________________ DATE: _________________

This name and address will be used for all correspondence related to the Request for Proposal.

Firm does/does not (circle one) intend to respond to this Request for Proposal.

                                Liz Otten, Procurement Officer
                 INMATE PHARMACEUTICAL SUPPLIES AND SERVICES FOR THE
                         SANDOVAL COUNTY DETENTION CENTER
                                         12-DC-10-26
                             Sandoval County Finance Department
                                 1500 Idalia Road, Building D
                                            Box 40
      Bernalillo, NM 87004
      Fax: (505) 867-7605
E-mail: lotten@sandovalcountynm.gov

								
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