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					                       M. D. Anderson Cancer Center
                Pharmaceutical Distribution RFP Questionnaire

  The questionnaire is set up to match the RFP sections so you can reference
1 the question the section in the text.
  Each question asks you to select "Yes", "No", "Explanation", and "Reference".
  Please select "Yes" if you agree with the statement and/or can provide the
  service as described, and explain how you would accomplish it, where you
  have accomplished it (reference). Select "No" if you cannot accomplish as
  stated but have an alternative solution. Describe in the "Explanation" box your
  solution and give your reference as to where you have accomplished this in the
2 "Reference" box.
3 Any questions not answered will automatically assume "No".
                                                       The University of Texas M. D. Anderson Cancer Center
                                                          Pharmaceutical Distribution RFP Questionnaire

                                                                                                                     YES   NO   EXPLANATION
4.3      Acceptance or Rejection of Proposals
         The RFP is not an offer to contract. Acceptance of a proposal neither commits M. D. Anderson to
         award a contract to any Supplier nor limits M. D. Anderson’s rights to 1) accept or reject any or all
         proposals in part or whole; 2) request clarification on any specific response, omission, or claim made
4.3      in a response to the RFP; 3) to further evaluate one or more proposals via additional
         interviews/presentations, site visits, reference checks, and other additional criteria; and 4) to further
         negotiate the terms submitted in a proposal, including price, prior to final award of an agreement in
         order to provide an optimum solution.
4.4      Contract Terms and Conditions
         The term of this Agreement will be for a period of sixty (60) months, commencing on November 1,
4.4.1
         2008 and continuing through October 31, 2013
4.4.2    Renewal period - two (2) twelve (12) month renewal periods under the same terms and pricing

4.8      Administration
         The selected Distribution Partner will be responsible for providing MDACC Division of Pharmacy
4.8
         Division of Pharmacy with a detailed administration and procedures manual pertaining to:
4.8.1         Monthly billing for services and products;
4.8.2         Transition implementation schedule
              Ownership and maintenance of information system hardware, software, equipment and
4.8.3
              improvements
4.8.4         Documentation of specific performance
         In the event of any change in practices or procedures affecting the administration of the pharmacy
         operations management programs provided by the Distribution Partner, MDACC Division of Pharmacy
4.8.5    Division of Pharmacy will receive at least three (3) months advance notice in writing. Distribution
         Partner service representatives shall be available for on-site consultations with MDACC Division of
         Pharmacy Division of Pharmacy administration as necessary


5.0      Scope of Work
         At a minimum, MDACC Division of Pharmacy requires that the Pharmacy Distribution Partner shall
         procure, warehouse, and deliver full line wholesale drug services, that at least meet and are
         consistent with current industry standards, including health and proprietary products to all requesting
         departments. Such services and products shall include, but not be limited to, pharmaceuticals, IV
5.0.1
         solutions, IV sets, and other health and proprietary products. It is the intent of MDACC Division of
         Pharmacy to go to a Unit Based Cabinet (UBC) system hospital wide for most medication delivery.
         Our goal is to partner with a Pharmaceutical Distribution company willing and able to significantly
         exceed those current industry standards.



 Division of Pharmacy - Distribution                                            7/21/2010                                               Page 2
                                                       The University of Texas M. D. Anderson Cancer Center
                                                          Pharmaceutical Distribution RFP Questionnaire

                                                                                                                        YES   NO   EXPLANATION
         MDACC Division of Pharmacy REQUIREMENTS FOR PRODUCTS MAY FLUCTUATE WIDELY.
         THEREFORE, THE Distribution Partner AGREES THAT MDACC Division of Pharmacy Division of
5.0.2    Pharmacy HAS MADE NO REPRESENTATION, GUARANTY, OR COMMITMENT THAT MDACC
         Division of Pharmacy Division of Pharmacy WILL PURCHASE ANY MINIMUM OR MAXIMUM
         QUANTITY OF PRODUCTS UNDER THIS AGREEMENT.
         Distribution Partner shall provide all necessary training and validation of competency of MDACC
         Division of Pharmacy Division of Pharmacy’s employees to ensure MDACC Division of Pharmacy
         Division of Pharmacy is utilizing Distribution Partner’s systems in the most effective manner. Training
5.0.3
         shall be performed on-site at MDACC Division of Pharmacy Division of Pharmacy. Training will be
         ongoing as new products become available, new MDACC Division of Pharmacy Division of Pharmacy
         employees require training, and new software versions require additional training.


         Contract Management
         Distribution Partner shall work with MDACC Division of Pharmacy on collaborative planning to
5.1.1
         maximize purchase and inventory management efficiencies.
         Distribution Partner will ensure a timely entry of contract prices within two (2) business days of
5.1.2    manufacturer notification to Distribution Partner of pricing for MDACC Division of Pharmacy Division of
         Pharmacy.
         The Distribution Partner understands that MDACC Division of Pharmacy Division of Pharmacy is a
         member of the Premier Purchasing Partners buying group for the purpose of procurement contracts
         that include, but are not limited to, pharmaceutical, medical/surgical manufacturers and distributors.
5.1.3
         These products shall be referred to as “contract items” and are subject to the pricing and terms
         established between the MDACC Division of Pharmacy Division of Pharmacy, Premier Purchasing
         Partners, the individual manufacturer and Distribution Partner.
         Distribution Partner may negotiate pricing agreements with manufacturers and other distributors on
         behalf of MDACC Division of Pharmacy; however, such pricing agreements shall not be binding on
         MDACC Division of Pharmacy. This shall apply to any manufacturer or distributor that agrees to make
         its contract terms available to MDACC Division of Pharmacy through Distribution Partner. Such items
         shall be furnished to MDACC Division of Pharmacy by the Distribution Partner and billed at the actual
         cost or the net contract price. However, in the event the Distribution Partner’s actual cost is less than
5.1.4    the contract price then MDACC Division of Pharmacy shall be charged the lower of the two (2) prices.
         MDACC Division of Pharmacy shall be charged the lowest of the Premier Purchasing Partners price,
         the Distribution Partner’s file cost or the individual contract price. “Cost” means (i) the price on a
         manufacturer/supplier’s current price list on the date Product is ordered by Customer, or (ii) any
         applicable Customer/GPO contract price authorized by a supplier and maintained in a Distributor bid
         file. “Cost” is subject to Product delivered to Distributor FOB its facilities; “Cost” will only be adjusted
         as mutually negotiated to react to changes in Pharmacy Distribution Industry trends in discounts and
         terms less favorable to the Distributor, or Distributor paying transportation and related costs to receive


 Division of Pharmacy - Distribution                                            7/21/2010                                                  Page 3
                                                        The University of Texas M. D. Anderson Cancer Center
                                                           Pharmaceutical Distribution RFP Questionnaire

                                                                                                                         YES   NO   EXPLANATION




          Products not included in the Premier Purchasing Partners contracts may be included in individual
          contracts between MDACC Division of Pharmacy and manufacturers or other distributors. The
5.1.5
          Distribution Partner shall furnish these items to MDACC Division of Pharmacy and bill at Distribution
          Partner’s actual cost or the contract price, whichever is lower.




          Distribution Partner acknowledges that non-contract pricing shall apply to all items furnished which are
          not included under Premier Purchasing Partners’ contracts, or MDACC individual contracts,
          hereinafter referred to as “Non-Contract Items” Such items shall be furnished to MDACC by the
          Distribution Partner and billed at Distribution Partner’s “cost”. “Cost” means (i) the price on a
          manufacturer/supplier’s current price list on the date Product is ordered by Customer, or (ii) any
5.1.6     applicable Customer/GPO contract price authorized by a supplier and maintained in a Distributor bid
          file. “Cost” is subject to Product delivered to Distributor FOB its facilities; “Cost” will only be adjusted
          as mutually negotiated to react to changes in Pharmacy Distribution Industry trends in discounts and
          terms less favorable to the Distributor, or Distributor paying transportation and related costs to receive
          Products. No other adjustments to Cost are made for cash discounts or purchase or performance
          rebates.
          Distribution Partner shall have the ability to perform a computerized bid solicitation on behalf of and at
          the request of MDACC. Distribution Partner shall also have the ability to provide contract maintenance
5.1.7
          for awarded products at no additional cost. Distribution Partner will demonstrate samples of past
          computerized bid solicitation done for other facilities.
          Distribution Partner will collaborate with MDACC in optimizing its benefits for favorable pricing under
5.1.8
          letters of commitment; market share tier based pricing; and/or manufacturers rebates.
          Distribution Partner shall provide an automated verification of price to confirm that MDACC is billed
5.1.9
          the correct price through the online ordering system.
          Distributor understands that rebates for products directly purchased by MDACC shall be sent directly
5.1.10
          to MDACC Division of Pharmacy
          Pricing shall be inclusive of all freight transportation and handling charges based on F.O.B.
5.1.11
          Destination



  Division of Pharmacy - Distribution                                             7/21/2010                                                 Page 4
                                                          The University of Texas M. D. Anderson Cancer Center
                                                             Pharmaceutical Distribution RFP Questionnaire

                                                                                                                            YES   NO   EXPLANATION
          Distribution Partner shall provide written and verbal notification to MDACC of all anticipated price and
5.1.12    product changes upon notification from manufacturer within ten (10) business days. The Distribution
          Partner will forward original notification from manufacturer to MDACC for its' records.
          Distributor will provide documentation to MDACC that pricing notification requirements have been met
5.1.13
          within 10 business days.
          Distribution Partner shall provide advance notification of contract price changes for Premier
          Purchasing Partners and MDACC individual contracts to M.D. Anderson as contracts expiring in 30,
          60, and 90 days. Distribution Partner shall give MDACC at least thirty (30) days advance written notice
          of all price changes; provided, however, if Distribution Partner receives less than thirty (30) days
5.1.14
          notice from the manufacturer, MDACC may accept the price change without the required notice so
          long as written documentation (satisfactory to MDACC in all respects) is provided by Distribution
          Partner to MDACC evidencing the fact that Distribution Partner was provided less than thirty (30) days
          notice from manufacturer.
          Distribution Partner’s price changes in cost, WAC, or AWP f(or ASP or AMP) or non-contract items
          shall be updated on Distribution Partner’s online systems on the date of the change in cost, but no
          later than 24 hours after receiving notification. Distribution Partner will provide documentation that
          such changes have occurred in a timely fashion. Distribution Partner shall note price changes on the
          invoices daily and will make price changes available as a standard weekly report. Distribution Partner
5.1.15
          will give at least thirty (30) days advance written notice of price changes; provided, however, if
          Contractor receives less that thirty (30) days notice from the manufacturer, MDACC will accept the
          price change without the required notice so long as written documentation (satisfactory to M. D.
          Anderson in all respects) is provided by Distribution Partner to MDACC evidencing the fact that
          Distribution Partner was provided less than thirty (30) days notice from manufacturer
          The Distribution Partner shall provide an electronic price discrepancy list to Pharmacy Purchasing on
          a weekly basis as verification of price to confirm that MDACC is billed the correct price. MDACC and
5.1.16    the Distribution Partner Account Representative will work together to resolve all price discrepancies
          and shall develop procedures to investigate and verify pricing differences. This process shall be
          ongoing throughout the term of this agreement

          Account Representation
          In order to fulfill the joint expectations of this collaborative relationship, Distribution Partner will assign
5.2.1     a full time Account Representative to work onsite Monday through Friday at MDACC, funded by
          Distribution Partner.
          Account Representative will be responsible for the day to day management of the Distribution
5.2.2     Partner/MDACC day to day working relationship as well as strategic and tactical planning and
          implementation
5.2.3     Specific tasks and duties include but are not limited to:
5.2.4        Contract Implementation
5.2.5        Back order reconciliation
  Division of Pharmacy - Distribution                                               7/21/2010                                                  Page 5
                                                     The University of Texas M. D. Anderson Cancer Center
                                                        Pharmaceutical Distribution RFP Questionnaire

                                                                                                               YES   NO   EXPLANATION
5.2.6        Inventory management recommendations
5.2.7        Pricing issues resolution
5.2.8        Credit/re-bill resolution
5.2.9        Facilitation of day-to-day business transactions with the Distribution Partner
5.2.10       Training in regards to systems provided by the Distribution Partner
5.2.11       Other problem resolution in regards to the Distribution Partner's span of offerings
5.2.12       Development of a Substitute Drug list
5.2.13      Track performance metrics
5.2.14       Processing all expired drug returns
5.2.15      Manage and expedite emergency medication activation and delivery
          MDACC shall have the option to accept or reject Distribution Partner’s selection of Account
          Representative for any reason or no reason. In the event Distribution Partner’s Account
5.2.16
          Representative is unacceptable to MDACC at anytime during the term of this Agreement, MDACC
          shall have the right to request a replacement.
          A general performance meeting including designated MDACC Division of Pharmacy personnel and
5.2.17
          the Distribution Partner’s Account Representative shall be held, at least weekly, to review:
5.2.18    o Day-to-day performance of The Distribution Partner’s service levels
5.2.19    o Inventory management opportunities
5.2.20    o Pricing/contracting opportunities
5.2.21    o Manufacturer Back order status
          Distribution Partner’s Account Representative will work with MDACC to identify and review critical
5.2.22
          shortages as part of regular duties

 5.3      Service Areas
          MDACC Pharmacy Department services many locations within the hospital system. The Distribution
5.3.1
          Partner is required to deliver to all current pharmacy inventory locations.
          MDACC requires that the Distribution Partner package products in Low Unit of Measure (LUM) and/or
5.3.2
          bulk by the following inventory locations, and as others are added:
5.3.3      Inpatient Pharmacy Locations
5.3.4       Central IV Pharmacy
5.3.5       Central Robot Pharmacy
5.3.6       Central Unit-based Cabinet
5.3.7       Outpatient Pharmacies
5.3.8       Retail Pharmacies (3)
5.3.9       Ambulatory Treatment Centers(4)
5.3.10      Operating Rooms (1)
5.3.11      Emergency Center (1)
5.3.12       5th floor Operating Room Satellite
5.3.13        7th floor Intensive Care Unit Satellite
5.3.14        9th floor Pediatric Satellite
  Division of Pharmacy - Distribution                                        7/21/2010                                            Page 6
                                                        The University of Texas M. D. Anderson Cancer Center
                                                           Pharmaceutical Distribution RFP Questionnaire

                                                                                                                       YES   NO   EXPLANATION
5.3.15            th
              11 floor Satellite
5.3.16        14th floor Satellite (not complete as of yet)
5.3.17    Unit Based Cabinet (UBC)
5.3.18     104 Main UBC units
5.3.19     42 Auxiliary UBC units
5.3.20     11 Single tower UBC
5.3.21     3 Integrated Single Main units
5.3.22    2 Integrated Double Main units
5.3.23     1 2 Drawer Main unit
5.3.24    All on and off-site satellite service locations
5.3.25    Central Pharmacy Admixture Services IV
5.3.26    Central Pharmacy Admixture Services
 5.4      Ordering/Receiving
          The Distribution Partner shall furnish purchase order training to requesting MDACC departments in
5.4.1     order to ensure efficient and effective utilization of the Distribution Partners on-line order or manual
          system
          The Distribution Partner will make available their computer and web-based order entry system
          allowing for on-site reporting capability, off-line order building, and on-line real time order
5.4.2
          transmission. Upon request, The Distribution Partner shall make available any new online order
          entry and reporting system to MDACC at no additional cost.
          The MDACC Division of Pharmacy and the Distribution Partner will work collaboratively to establish a
5.4.3     “Preferred Products” listing to serve as a basis of mutual understanding and expectation for those
          products to be provided in response to purchase orders
          When a product is subject to allocation, quantities ordered and received will be based on the total
5.4.4     allocation for all MDACC accounts (i.e., “umbrella” allocation) rather than the allocation to any specific
          MDACC account
5.4.5     Generics have to be AB rated
          Ability to have automatic ordering from all inventory locations based on par levels and usage direct to
5.4.6
          wholesaler
5.4.7     Ability to batch all orders at set times for review before being sent to wholesaler
5.4.8     Ability to limit access to Distribution Partner's entire catalog by MDACC designated administrator level

          Ability to allow all MDACC eligible departments to place separate orders, have separate cost center
5.4.9
          accounts, and separate ship to points. Orders will be packed separately and invoiced separately.
          Ability to place an order for products using only the product NDC, MDACC's stock number, bar code
5.4.10
          scan, or Distribution Partner item number
          The MDACC Division of Pharmacy and the Distribution Partner will work collaboratively to establish a
5.4.11    “Preferred Products” listing to serve as a basis of mutual understanding and expectation for those
          products to be provided in response to purchase orders

  Division of Pharmacy - Distribution                                           7/21/2010                                                 Page 7
                                                          The University of Texas M. D. Anderson Cancer Center
                                                             Pharmaceutical Distribution RFP Questionnaire

                                                                                                                             YES   NO   EXPLANATION
          Ordering system shall allocate inventory to MDACC at the time of online order entry assuring receipts
5.4.12
          of quantities on hand in the distribution center as of the time the order is placed
          Ordering system shall enable MDACC to select product substitutions for out of stock items at the time
5.4.13
          of online order entry and prior to final acceptance of order
          Ability to have Retail pharmacies order exact prescribed drug at the NDC level and have flexibility to
5.4.14
          order off formulary items (driven by access levels)
          Ability to have notification of products ordered that will not be available for the scheduled delivery,
5.4.15    provided through the online ordering system in advance of deliver (similar to a "Shopping Cart" in a
          commercial website.) This will allow for alternative product selection immediately.
          Ability to have visibility to the distribution center order fullfillment process step in the distribution center
5.4.16
          order fulfillment workflow queue e.g., as in Fedex or UPS tracking and monitoring)
          Ability to identify products to be ordered using barcodes using an appropriate symbology meeting all
5.4.17
          requirements as described elsewhere in this document
          Distribution Partner shall provide MDACC with a single source comprehensive product catalog
5.4.18
          through an on-line system which shall be updated daily
5.4.19    Distribution Partner Catalog must have/show:
5.4.20       MDACC Item ID
5.4.21       Generic
5.4.22       Brand Name
5.4.23       Strength
5.4.24       Dose
5.4.25       Unit Dose
5.4.26       Size
5.4.27       Package size
5.4.28       Route
5.4.29       NDC #
5.4.30       Drug class
5.4.31       Manufacturer catalog #
5.4.32       Wholesaler item #
5.4.33       AHFS #
5.4.34        Acquisition cost
5.4.35       Average Wholesale Price (AWP)
5.4.36       Wholesale Acquisition Cost (WAC)
5.4.37       ASP and.or AMP when such pricing becomes routinely available
5.4.38        Manufacturer Name
5.4.39       Contract type
5.4.40       Contract start date, end date
5.4.41       Memo field for notes
5.4.42    Ability to have Order Confirmation sent immediately after order is placed
5.4.43    Ability to have the following Order flags in the system:
  Division of Pharmacy - Distribution                                               7/21/2010                                                   Page 8
                                                         The University of Texas M. D. Anderson Cancer Center
                                                            Pharmaceutical Distribution RFP Questionnaire

                                                                                                                         YES   NO   EXPLANATION
5.4.44        When order varies +/- by a definable order quantity (weekly, monthly, quarterly, etc)
5.4.45        Non formulary items ordered
5.4.46        Items that are exceeding normal par levels
5.4.47        Flag for Non-Patient ordered items
5.4.48        Replacement Drugs
5.4.49        Non contracted item
          The order entry system must be capable of being interfaced to the MDACC pharmacy information
5.4.50
          and/or inventory system for automated ordering, receiving, and issuing functions. (Centricity)
          Upon request, Distribution Partner shall make available any new on-line order entry and reporting
5.4.51
          system to MDACC at no additional cost.
          Distribution Partner shall make available their computer and web-based order entry system (s) that
5.4.52
          allows for:
5.4.53        On-site reporting
5.4.54        Off line order building
5.4.55        On-line real time order transmission
5.4.56    Distribution Partner systems operate in a paperless environment
          If product is unavailable at Distribution Partner’s local Distribution Center; Distribution Partner will use
5.4.57    every means identifiable to locate and ship the product in the shortest interval as needed to satisfy the
          underlying patient care requirements
5.4.58    Distribution Partner shall provide robot ready packaged items as needed.,
          Distribution Partner shall work with MDACC to create a "Substitution List" for those products most
5.4.59
          frequently ordered by MDACC and/or those products subject to lack of availability from manufacturer.
          When items from this list are backordered, Distribution Partner will automatically substitute the
5.4.60    product with the approved substitution. Distribution Partner agrees to provide a reason for shipping
          products from the substitution list.
          When a product is subject to allocation, quantities ordered and received will be based on the total
5.4.61    allocation for all MDACC accounts (i.e., “umbrella” allocation) rather than the allocation to any specific
          MDACC account.

 5.5      Order Times
          Cut Off Times -Order Entry/Delivery Time Sunday through Friday “First Delivery” Transmit order by
5.5.1
          9:00 p.m. Delivery by 7:00 a.m. (next day)
          Monday through Friday “Second Delivery” Transmit order by 2:00 p.m. Delivery by 5:30 p.m. (same
5.5.2
          day). Saturday "Second Delivery" order by 2:00 p.m. deliver by 5:30 p.m. Saturday.
          Saturday & Sunday Delivery Transmit order by 9:00 p.m. (Friday) Delivery by 11:00 a.m. (Saturday),
5.5.3
          Transmit order by 9:00 p.m.(Saturday) Delivery by 11:00 a.m.(Sunday)
          Additional Order Entry/Delivery Times shall be determined as requested by MDACC and shall be
5.5.4
          based on MDACC’s requirements.

  Division of Pharmacy - Distribution                                             7/21/2010                                                 Page 9
                                                       The University of Texas M. D. Anderson Cancer Center
                                                          Pharmaceutical Distribution RFP Questionnaire

                                                                                                                      YES   NO   EXPLANATION
5.6.     Product Shortages
         Any unanticipated supply shortages from inventory shipments received will be reported by MDACC
5.6.1
         within two hours of receipt and reconciled by Distribution Partner within 24 hours of that notification.
         If the Distribution Partner cannot supply MDACC's formulary and regularly stocked products within 24
5.6.2    hours, MDACC has the option to procure products where ever available and charge Distribution
         Partner the price difference, processing fees, and freight.
         If said product is unavailable and needed immediately pursuant to patient specific requirements
5.6.3    MDACC has the option to procure products wherever available and charge Distribution Partner the
         price difference, processing fees, and freight.
         In the event that ordered products are unavailable due to Distribution Partner error, Distribution
5.6.4    Partner will supply MDACC pre-approved acceptable alternate products at the equivalent price of the
         originally ordered product.
         Distribution Partner shall provide written, electronic, and verbal notification to MDACC of all
         anticipated product shortages, outages, and resolutions for these products. Such written and verbal
5.6.5    notifications shall be provided to MDACC when the Distribution Partner receives manufacturer
         notification. Distribution Partner shall work with requesting department to find a resolution acceptable
         to MDACC if there is not an already agreed upon substitution product.
         Distribution Partner shall create a standard report for back-ordered or unavailable items. This report
5.6.6
         shall be customizable to include all items or an individual MDACC department’s order.
         Distribution partner shall create a standard weekly report detailing all order edits, manual orders,
5.6.7
         orders exceeding PARs by system user.
         Distribution partner's ordering system will require a reason for any edits to the system generated
5.6.8
         order.

5.7      Expiration Date Policy
         The Distribution Partner shall ensure that the expiration date is clearly indicated on each package, vial
         and bottle, and deliver the longest expiration date possible. However, no item shall be delivered with
         an expiration date less than nine (9) months after the date of delivery. If Distribution Partner is unable
         to supply critical products with an expiration date equal to or greater than nine (9) months after the
5.7.1
         date of delivery and so long as such inability is not due to manufacturer back order or national
         shortage, MDACC may accept such short dated product and return such products to Distribution
         Partner, if unused, for full purchase price or replace the product with the product that meets the
         defined standards for expiration dating, if available.

5.8      Credit for Expired Drugs
         Distribution Partner shall be responsible, at MDACC’s option, for returning all MDACC’s expired drugs
5.8.1
         to the appropriate manufacturer for credit.



 Division of Pharmacy - Distribution                                           7/21/2010                                                Page 10
                                                         The University of Texas M. D. Anderson Cancer Center
                                                            Pharmaceutical Distribution RFP Questionnaire

                                                                                                                         YES   NO   EXPLANATION
          All returns handled by Distribution Partner shall comply with the “return of expired drugs” policies of
5.8.2     the manufacturers. Distribution Partner shall provide MDACC with a printed copy of the individual
          manufacturer return policy requirements.
          Distribution Partner shall issue credits to MDACC for returned goods within two (2) weeks after the
5.8.3
          manufacturer credit date.
          Distribution Partner shall provide a monthly report, satisfactory to MDACC in all respects, describing
          the details of returns for the previous month including, but not limited to, product description, quantity
5.8.4     returned for credit, date returned, manufacturer name, credit value and credit date. The report shall
          also list the products, quantity, and acquisition cost value of items that could not be returned for credit,
          and the reasons for such non-return.
5.8.5     Distribution Partner shall be responsible for destroying any drugs that cannot be returned for credit.


 5.9      Packaging and Labeling
5.9.1     Distribution Partner will provide product in the exact quantities ordered by each inventory location.
5.9.2     Each unit dose will be re-packaged to include:
          Barcode with a reliably read symbology, fully compatible with MDACC selected medication process
5.9.3
          technologies, as described in the complimentary RFP, to include at least the following:
5.9.4      Product NDC#
5.9.5       Product Lot #
5.9.6      Product Expiration Date
5.9.7       Product Acquisition cost
5.9.8     Product Brand Name
5.9.9     Product Generic Name
5.9.10        Unique MDACC identifier
          MDACC Division of Pharmacy, the Distribution Partner and the Medication Process – Supply Chain
5.9.11    Technology Partner will work in close collaboration to assure that the consistency and integration of all
          concurrent projects using bar coding within MDACC can be appropriately managed.


5.10.0    Delivery
          Distribution Partner agrees to deliver products in accordance with the required schedules set forth
5.10.1
          below
          Distribution Partner must maintain a minimum of two (2) deliveries per day, six (6) days per week, or
5.10.2    as otherwise may be required. Deliveries must occur on an as-scheduled basis as specified by
          MDACC.
          Distribution Partner shall provide adequate security for the transport of controlled substances between
5.10.3
          the distribution center and the designated MDACC receiving area
5.10.4    Distribution Partner shall provide properly licensed drivers for the handling of hazardous products
  Division of Pharmacy - Distribution                                             7/21/2010                                                Page 11
                                                        The University of Texas M. D. Anderson Cancer Center
                                                           Pharmaceutical Distribution RFP Questionnaire

                                                                                                                      YES   NO   EXPLANATION
         Products shall be delivered to MDACC in clean reusable totes. Distribution Partner shall ensure totes
         used to transport products are clean and in good working order. Distribution Partner shall replace
5.10.5
         totes that are unacceptable to MDACC. At a minimum, totes shall be power washed monthly or
         sooner as needed.
         Temperature sensitive drugs shall be transported in insulated containers capable of maintaining the
         appropriate temperature in accordance with individual product packaging requirements during
5.10.6
         transport. These containers may be made of plastic, aluminum, or other lightweight, durable material.
         The internal volume should be approximately two (2) cubic feet.
         Distribution Partner shall supply totes, insulated containers, and liners for deliveries at no cost to
         MDACC. The products placed in these totes and containers shall be classified as “loose” and as
5.10.7   “small goods”. Products ordered in case quantities shall be delivered in the original factory box. At the
         times of routine daily deliveries, Distribution Partner shall remove any empty totes and containers from
         previous orders.
         The Distribution Partner will provide a paper or, more ideally, electronic manifest to easily document
5.10.8   delivery and receipt of the numbers of totes and other containers shipped to MDACC Division of
         Pharmacy locations
         Each tote is to contain a receiving document in including the specific purchase order number
5.10.9
         accurately detailing the contents of the respective tote.
        The Distribution Partner shall provide written, electronic, and verbal notification to MDACC of all
        anticipated product shortages, outages, and resolutions for these products. Such written and verbal
5.10.10 notifications shall be provided to MDACC when the Distribution Partner receives manufacturer
        notification or then the manufacturer does not fill The Distribution Partner's order. The Distribution
        Partner shall work with requesting department to find a resolution acceptable to MDACC.
        In case of stock outages, The Distribution Partner shall obtain MDACC ordered products for delivery
        to MDACC by next delivery, obtaining product from other divisions or ordering from the manufacturer
        via overnight deliveries. If the Distribution Partner cannot supply MDACC formulary and regularly
        stocked products by next delivery or MDACC’s patient population necessitates the products)
5.10.11 immediately; MDACC may obtain the product from another sources). The Distribution Partner shall be
        charged the difference in price between the price paid by MDACC and the contract price, plus
        processing fees and freight. Provided, however, MDACC will not back charge the Distribution Partner
        for items purchased from other sources when nationwide outages or manufacturer causes the outage
        recalls.
5.10.12 Distribution Partner agrees to deliver to any and all inventory locations as added in the future
        Distribution Partner agrees to deliver/be prepared to deliver to UBC stocking locations when MDACC
5.10.13
        switches to JIT LUM at the patient bedside in the foreseeable future

          Delivery Locations
          Deliveries will be made directly to the Division of Pharmacy and Distribution Services at their principal
5.10.1    locations and at any other locations, as MDACC may designate from time-to-time. These include, but
          are not limited to:
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                                                                                                             YES   NO   EXPLANATION
               MDACC Inventory Control
               MDACC ATC
               MDACC ATC Pharmacy R0,
               MDACC Clinic Pharmacy R2,
              MDACC Clinic Pharmacy R10
             Central Admixture Pharmacy Services (CAPS),
          Outpatient:
              3 Retail pharmacies
              4 ATC units
              1 OR unit
              1 Emergency Center
          All on and off-site satellite service locations
          Inpatient
              Central IV
              Central Robot
              Central Pyxis
              5th Floor OR Satellite
              7th Floor ICU Satellite
              9th Floor Pediatric Satellite
              11th Floor Satellite
          And any others as added
          Number of Deliveries Per Week
          MDACC requires seven (7) day a week deliveries with the option for 2 on Sunday delivery if
5.10.2
          necessary. The schedule below outlines the details
          Monday - 2
          Tuesday - 2
          Wednesday - 2
          Thursday - 2
          Friday - 2
          Saturday - 2
          Sunday - 1 (optional)

          Fill Rate Definition
           Distribution Partner shall provide a 100% line item fill rate, excluding those products not
5.10.3    commercially available from the manufacturer where an acceptable MDACC designated alternative is
          not available, of MDACC’s ordered products.
          Definition of what would be considered not acceptable and deducted for calculated fill rate:
          Products not on the mutually defined “Preferred Products” list
          Products for which the supply is not consistent (less than 6 months)


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                                                                                                                      YES   NO   EXPLANATION
          Products for which acceptable documentation of a manufacturer’s inability to supply is not received
          Short dated products less than 9 months from the date of MDACC's receipt
          Unusable damaged goods
          Labeling that does not meet MDACC specifications
          Back ordered
          Not shipped items
          Incorrect item shipped
          The Distribution Partner will provide a monthly report of fill rate for units of all line items ordered.


          Emergency Orders
5.11      Emergency Order Delivery shall be at no additional charge
          Emergency Orders will be delivered within 2 hours of order, when placed during normal business
          hours, and 4 hours when order is placed after normal business hours.

          Invoicing and Billing Statement Requirements
          Distribution Partner shall have the ability to invoice and accept payments by EDI. Distribution Partner
5.12      shall provide EDI capability (X12 format) between its mainframe computer and that of MDACC’s
          computer.
          Distribution Partner shall provide all necessary interfaces with any software system MDACC may
          choose to utilize throughout the term of this Agreement.
          Distribution Partner shall provide original electronic invoice as our first preference, MDACC retains the
          right to ask for one (1) legible copy for each Pharmacy generated P.O.
5.12.1    Distribution Partner shall further separate original invoices into date and numerical sequence.
          Distribution Partner shall provide invoices for separate Pharmacy inventory accounts for each
          shipment which references:.
              Purchase Order Number
              Account Number
              Inventory Location Shipped to
              Distribution Partner Item Number
              MD Anderson Stock ID Number
              National Drug Code
              NDC number must be made available in 11, 12, and/or 13-digit format, as required by MDACC.
              Universal Product Code (if appropriate)
              Quantity
              Items ordered
              Items backordered
              Price

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                                                                                                                        YES   NO   EXPLANATION
              Extended Price
              Total Invoice Price
              Price column should accommodate at least ten (10) digits on both invoice and billing statement.
          The invoice must contain at least three (3) price columns
          Average Wholesale Price (AWP)
          Distribution Partner’s Cost
          Acquisition Price
          Reports to include Average Sales Price (ASP) and/or Average Manufacturer’s Price (AMP) when and
          if such information becomes routinely available
          All of the above invoice purchase and credit data must be made available via online electronic
          download, formatted in ASCII Text Comma Delimited, Excel, and/or Access format, as required by
          MDACC. Transmission must occur on each day that any purchase activity takes place.
          Invoices for products “drop shipped” from a manufacturer and distributor due to Distribution Partner’s
          stock shortage, unless due to manufacturer’s shortage or back order, will not include a freight charge.
          Distribution Partner will pay for the freight charge, in addition to the price difference between the
          contract price and acquisition price and a processing charge

          Distribution Partner’s billing statement must include, without limitation, the following:
5.12.2      Customer account number and name
             Billing period date
            MDACC’s purchase order number
            Total value of each invoice referenced
             Distribution Partner’s payment address
             Unpaid balances from previous statements with invoice reference
             Credits and re-bills from previous statements with invoice reference
             A summary billing statement indicating grand total bill for all accounts
            Reconciliation of past due invoices and credits must be cleared by Distribution Partner within a one
          month period.

          Credits, Re-bills, and Returns
          Distribution Partner and MDACC will work together to minimize circumstances requiring issuance of
5.13
          credits and/or rebilling of products.
          MDACC will refuse unacceptable product upon delivery. Merchandise found unacceptable in quality or
          quantity after receipt shall be returned to the Distribution Partner for credit. Distribution Partner shall
          replace product due to miss-picks, shortages or damage by the next delivery or, if clinically urgent,
          within two (2) hours of notification. Distribution Partner shall accept shipping error returns by the next
          delivery from the notification of error by MDACC.


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                                                                                                                        YES   NO   EXPLANATION
         Distribution Partner shall use its best efforts to process credits and re-bills in the same billing
         statement period in which they occur, but in no event later than the next billing statement period
         following the transaction discrepancy. Distribution Partner shall process credits and re-bills when
         notification of the discrepancy is received from MDACC and verification from Premier Purchasing
         Partners, MDACC contract personnel or the manufacturer is received. Distribution Partner’s associate
         responsible for contracts will place any discrepancies with MDACC at the top of the work queue. The
         same associate will ensure Distribution Partner’s mainframe system price is corrected during the
         credit and re-bill process. Discrepancies may include, without limitation, pricing, unit of measure,
         quantity shipped or received, product, as well as other items.
         Discrepancies in the Distribution Partner’s computer shall be corrected within twenty-four (24) hours of
         MDACC’s notification to the Distribution Partner and Distribution Partner will provide verification that
         correction has been made.

         Recalls
         The Distribution Partner shall be responsible for disseminating written and verbal information
         regarding product recalls to MDACC Division of Pharmacy for any or all product recalls and
5.14     replacements and modifications to equipment or supplies, by reason of safety hazard or recall. The
         Distribution Partner shall make such written and verbal notification to MDACC Division of Pharmacy
         within 6 to 24 hours of the recall, depending on the severity and classification of the recalls as follows:
         Class I recall notification within 6 hours
         Class II recall notification within 12 hours
         All other recalls within 12 to 24 hours
         Such recall notice to include confirmation of any prior MDACC Division of Pharmacy purchase history
         (quantities and dates of purchase) of products, equipment and supplies covered in recall, replacement
         and modification notices by inventory location including lot numbers and expiration dates

         Any verbal notification of recalls, replacements or modifications must be confirmed in writing to
         MDACC Division of Pharmacy within tweny-four (24) hours of such verbal notificaiton. All such formal
         notices shall be to the Manager of Pharmacy Finance and the Manager, Inventory Control
         Distribution Partner shall provide a monthly summary report or database file, satisfactory in all
         respects to MDACC Division of Pharmacy, listingall product recall, replacement and modification
         notices received by Distribution Partner. Such report or file shall include, without limitation, date of the
         notice, generic and trade names, manufacturer, distributor, NDC numbers, lot numbers, expiration
         dates, recall class and action to be taken

         Inventory Management and Systems


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                                                          Pharmaceutical Distribution RFP Questionnaire

                                                                                                                        YES   NO   EXPLANATION
         The Distribution Partner shall work with MDACC on collaborative planning to maximize purchase and
         inventory management efficiencies. The Distribution Partner shall maintain an inventory supply of
5.15
         routine purchases sufficient to meet the routine ordering requirements of MDACC Division of
         Pharmacy.
         System provides customizable support to determine and adjust min/max/reorder point for each line
         item based on actual utilization at any inventory location and history
         The Distribution Partner shall provide an inventory analysis program(s)) to further enhance MDACC's
         efforts to achieve maximum annual inventory turns and the accompanying reduced inventory holding
         and labor costs.
         System provides customizable space management reporting and flexibility i.e.., a Warehouse
         Management System
         All inventory actions (receipt, delivery, transfer, addition to stock, relief from inventory) are enabled by
         bar-code scanning transactions
         Systems and technologies must support the use of flat bed scanners (as well as hand-held) for more
         accurate and faster input into system
         System provides ability to track and trace all movement of stock (including product attributes)
         between all inventory locations (similar to FedEx tracking)
         System provides visibility to inventory (product description, quantity, lot numbers, expiration dates,
         formulary status, min/max/reorder point) in all inventory locations from all locations
         System has customizable functionality to determine conversion ratio between manufacturer
         packaging (case, box, tray-pak), etc.) to individual units (low units of measure) for all products
         System has the functionality to identify the product that is picked as the product that is actually
         decremented and charged for in the inventory system
         Shelf labels will be provided sorted and separated for each pharmacy location
         Individual shelf label updates will be provided when a new product is ordered
         Shelf labels provide par levels, min/max/order point (text and bar coding) in all inventory locations as
         well as being stored in the handheld scanner
         System provides functionality to establish and perform random cycle counts in all inventory locations

         System provides customizable functionality to generate the physical inventory and cycle count sheets

         The Distribution Partner shall provide robot-ready packaged items for MDACC use as needed.
         Interface with wholesaler pricing catalog
         Products required to be purchased through direct manufacturer order are stored and distributed
         through the distributors warehouse.
         Reporting
5.16     Business Intelligence Reports




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                                                          Pharmaceutical Distribution RFP Questionnaire

                                                                                                                    YES   NO   EXPLANATION
          Distribution Partner shall provide a data warehouse repository of all purchase history and analytical
          tools to facilitate the reporting of trending, score carding, performance metrics, diversion, inventory
5.16.1
          valuation for each pharmacy service area.

          Reporting functions shall include but not be limited to the following:
             Standard Reporting - Including item catalog, purchase summary, contract expiration, contract
          catalog, price changes, drug utilization, 80/20, and manufacturer’s backorder.
             Ad Hoc Reporting - This report writer function allows the merging of information from different
          sources for reports or will create a custom report.
             Multi-Account Reporting shall have the abilities to compile information from multiple locations and
          departments
             Custom Reporting - These reports will be produced by Distribution Partner to meet the unique
          needs of MDACC with custom reports built to MDACC’s specifications for production by selection and
          run process.

          Standard Reporting Requirements
          Distribution Partner shall provide a printed monthly summary report (showing net sales inclusive of
          credits) on products purchased. The Distribution Partner shall also provide a monthly report for each
          inventory account (showing net sales inclusive of credits). Data elements for the net sales reports
5.16.2    shall also be provided via electronic format in ASCII Text Comma Delimited, Excel, or Access format,
          as required by MDACC. Usage of reports on the Distribution Partner website or available using the
          Distribution Partners software is totally at the discretion of MDACC These monthly reports shall be
          configured in at least the following four (4) ways:
             Year to Date (YTD) for MDACC’s fiscal year (September 1 to August 31)
             Year to Date (YTD) for MDACC’s buying group contract year (Premier Purchasing Partners)
             Year to Date (YTD) calendar year
             Rolling twelve (12) month report
         These reports shall be in alpha/generic name order as well as descending dollar order and sub-
         sorted by dosage form.
         A monthly summary report shall be available for the Top Two Hundred (200) products based on total
         purchases as well as for each pharmacy purchasing location
         A monthly summary report shall be available for an 80/20 Report, in descending dollar volume order
         based on total purchases as well as for each pharmacy purchasing location
         All Purchase History reports shall include, without limitation, the following information:
             MDACC’s inventory ID number
             Distribution Partner’s ID number
             Generic description
           AHFS #
             Brand name
             Distribution Partner name
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                                                                                                                        YES   NO   EXPLANATION
            Strength, package size, and dosage form
            Unit price (indicate buying group contract/direct manufacturer contract/non-contract)
             Quantity
            Extended price
             Average Wholesale Price and Wholesale Acquisition Cost (as well as ASP and/or AMP when
         available)
         Change in acquisition price from last purchase, if any
         Distribution Partner cost
         NDC/UPC numbers
            MDACC account number and name
            YTD total dollars expended, in summary for a summary report and for each inventory account for
         specific inventory center accounts reports
         Premier contract item
         Non-contract item
         Off-contract item
         Non Formulary purchase report
         Distribution Partner shall provide monthly reports of all items originally selected by MDACC that the
         Distribution Partner was unable to provide. Such reports shall include, without limitation, the following
         information: quantity, costs, reasons for the inability to provide, and a monthly fill rate for units of all
         line items ordered. The Distribution Partner shall also provide a monthly report of all alternative
         selections, units and costs, made due to Distribution Partner shortages and outages.
         Distribution Partner shall provide a monthly Contract Compliance report for all items purchased on an
         individual or buying group contract sorted by contract type (GPO, individual, etc)
         Distribution Partner shall provide a monthly summary report showing changes in costs, listing previous
         prices and new contract prices.
         Distribution Partner shall provide monthly Average Wholesale Price and Wholesale Acquisition Cost
         updates to the Pharmacy inventory control system. These updates shall be in the form of an FTP file
         to be downloaded into MDACC’s Pharmacy program or an online electronic interface.
         Based on MDACC’s requirements, Distribution Partner shall provide monthly inventory analysis
         reports to MDACC calculating minimum and maximum order quantities to be used to determine the
         most efficient purchase patterns, minimize stock on hand and maximize cash flow, while maintaining
         safety stock levels.
         For all MDACC formulary items, Distribution Partner shall provide weekly reports to MDACC of
         manufacturer back orders, stock outages, or unavailability for any other reasons.
         All reports requested by MDACC shall be provided at no charge to MDACC.

         Auditing Requirements
         Records of the distribution partner with regards to business with MDACC must be available for
5.17
         inspection and audit.
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                                                          Pharmaceutical Distribution RFP Questionnaire

                                                                                                                      YES   NO   EXPLANATION
          If any inspection or audit of Distribution Partner’s records discloses overcharging of products or errors
          in the use of rates, or otherwise resulting in overpayment by MDACC ,the distribution partner will
          refund twice the amount paid plus interest at prevailing rates during the period of over charging shall
          be refunded.
           Based on the audit finding, MDACC may, at its option, withhold such overpayment from any amounts
          otherwise due from MDACC to Distribution Partner
          Any discrepancies in pricing and terms resulting in overpayments, loss of discounts, and/or rebates
          due to inaccurate and/or untimely loading of manufacturers contracts will be reimbursed by the
          Distribution Partner within 30 days.
          The above-mentioned audits may be performed by MDACC representatives or by outside auditors
          selected by MDACC or its group clients. The selected Distribution Partner(s)) may not charge extra
          fees for providing data or for space and equipment utilized by outside auditors.
          Upon completion of the audits, Distribution Partner representatives should make themselves available
          to MDACC in order to resolve any deficiencies and shortcomings of the selected Distribution Partner’s
          managed care networks.
          The selected Distribution Partner(s)) is also required to make available internal claim audit reports and
          accompanying results to MDACC on a regular basis.

          Technology and Systems
5.18      Electronic Data Interchange Requirements
          Distribution Partner shall be committed to the elimination of errors, increasing efficiencies, and
          eliminating redundancy in business practices through maximizing the use of EDI. Distribution Partner
5.18.1    shall make available transaction sets MDACC may request at no additional cost to MDACC.
          Distribution Partner will detail available EDI data sets. Electronic reporting options required, include
          but are not limited to, order print back, order confirmation and back order status.
          Distribution Partners Electronic Order Entry systems will allow for communication from and to MDACC
          for the following ANSI X.12 standards:
              810 Invoice to Customer              Outbound
              850 Purchase Order                  Inbound
              855 Purchase Order confirmation       Outbound
              856 Shipment Notice/ Manifest        Outbound
              816 Remittance Advise                Inbound
              820 Payment (EFT)/Remit Advice Inbound
              832 Price Sales Catalog             Outbound
          MDACC shall incur no additional costs for EDI, equipment, training, or line charges.

          Ordering System Requirements


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                                                           Pharmaceutical Distribution RFP Questionnaire

                                                                                                                       YES   NO   EXPLANATION
          Distribution Partner shall have the ability to accept and process purchase orders electronically EDI,
5.18.2
          fax or phoned in from any Pharmacy account throughout MDACC or other MDACC ordering locations.
          Distribution Partner’s purchase ordering system shall allow all eligible division of pharmacy MDACC
          departments to place separate orders and have these separated by designated inventory Accounts
          and Ship To points.
           The order system shall allocate inventory to M. D. Anderson at the time of online order entry.
          Distribution Partner’s electronic ordering system shall be Windows PC server or web based and shall
          provide actual real-time on-line order entry with Distribution Partner’s system
          Distribution Partner’s system shall provide the ordering department with a confirmation list of the
          products that will be delivered as well as those that are not going to be ordered, i.e. back ordered. In
          the event a product is unavailable, the ordering system shall allow the account to order a
          predestinated alternative and/or search for and order alternative products.
          MDACC shall be able to restrict individual user access to a specific account(s)) for the purpose of
          ordering, as M.D. Anderson may designate from time to time
          Distribution Partner’s inventory order system shall enable MDACC to have visibility with respect to
          prices, availability of products, contract products, product substitution selections for both generic and
          trade name products, purchase history, and contract information.
          Distribution Partner will load any application software onto MDACC workstations in order to fully utilize
          programs and systems.
          Distribution Partner shall provide bar code readers, software and shelf labels for each of MDACC’s
          inventory account locations. Labels shall include a generic name and a trade name description of the
          product, required ID numbers (e.g., NDC number, MDACC’s stock number, and Distribution Partner’s
          item number), and corresponding NDC or Distribution Partner ID number. At M. D. Anderson’s option,
          Distribution Partner shall affix these labels to the MDACC cost centers’ storage shelves. The bar-code
          shelf labels shall be readable with the bar code reader, at any inventory storage site, for ordering and
          transfer into Distribution Partner’s on-line ordering system, to be compatible with barcode readers
          Distribution Partner shall accept Schedule II narcotic orders from MDACC, as transported from
          MDACC to the Distribution Partner by the Distribution Partner’s sales representative, other duly
          authorized representative of the Distribution Partner, or, at MDACC’s option, a duly authorized
          representative of MDACC
          Distribution Partner will optimize the ability to submit Schedule II orders electronically using CSOS with
          the ability to have more than one order station and more than one approved authorizer



          Software Updates
          all current software updates of applications covered by this RFP will be at no additional cost.
5.18.3    (Software updates are later versions of existing software, which do not necessarily introduce new
          functionalities, but enhances current functionality)
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                                                                                                                      YES   NO   EXPLANATION
          Software updates will be scheduled to occur at mutually agreed upon times to minimize downtime and
          interruptions from work.
          When online system notifies operator of pending available update, notification will include the
          estimated duration of such update process with the option to defer update to a later time.
          Distribution Partner will supply MDACC in advance a release summary of all changes and
          modifications included in the update. Release summaries should specifically include any functionality
          that is a required fix, other functionality that may have been impacted by new or changed code, a list
          of any new features added and a summary of how software performance will be improved by the
          update. MDACC must approve all release summaries
          In this RFP we define a system upgrade as addition of new functionalities
          Technology Standards
          MDACC requires the Distribution Partner’s software application conform within reason to the the
5.18.4
          MDACC IT / IS Standards and Information Security requirements provided (see Attachment B)
          Hardware
          MDACC does not require any workstations however; the application must be made available to load
5.18.5
          on MDACC workstations.
          Support, Training and Maintenance
5.19      Training
          MDACC requires that all training for newly installed pieces of equipment or software, per this Request
5.19.1    for Proposal, be included in the pricing. Training includes new installation training, new hire training,
          and training when upgraded software is installed
          Support and Maintenance
          MDACC requires twenty four hour (24) support for software and hardware issues. MDACC expects
          regularly scheduled preventative maintenance on all installed pieces of equipment. MDACC requests
5.19.2
          a dedicated Help Desk representative to facilitate faster resolution of issues along with guaranteed
          response time of less than four (4) hours.
          MDACC Division of Pharmacy requires the Distribution Partner to maintain the relevant applications
          at an industry supported life cycle in regards to the operating systems, hardware, middle ware and all
          other components.
          Disaster and Recovery Plan
          Distribution Partner shall have and provide a copy of a disaster plan to react in an appropriate and pro-
          active manner to computer system, local, regional, or national emergencies, defining disaster
 6.0
          procedures for MDACC, specifying procedures for product delivery, communications, and alternative
          computer capabilities in case of mainframe computer failure to prevent loss of service
          The information system/technology aspects of the disaster plan must meet the specifications and
          requirements of the MDACC division of technology to be provided at start up.



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                                                                                                                  YES   NO   EXPLANATION
        Changes to the Disaster Plan must be submitted to the MDACC’s Director of Pharmacy Operations
        and Manager of Pharmacy Finance and added to this agreement in the form of an amendment


        Performance Expectations
        The performance of the Distribution Partner is a critical success factor in the relationship with MDACC
        Division of Pharmacy. More importantly, specific performance in several key aspects is vitally
7.0     important to the well-being of patients served. The Division of Pharmacy is challenged to assure the
        availability of required medications while managing the pharmaceutical inventory in a prudent, but
        rigorous manner.

        It must be clearly understood and accepted that when the MDACC Division of Pharmacy Division of
        Pharmacy is unable to received ordered products from the Distribution Partner, the Division incurs
        significant labor efforts and costs to find alternative sources for products not supplied as ordered.
        Furthermore, the Division must have an assured and consistent supply of its routinely ordered
        medications as changes in information systems and Medication Process – Supply Chain technologies
        are required to dispense alternative medications. These expectations speak to the Distribution
        Partner’s performance of its core business functions. The specifics parameters will be tracked and
        measured on a monthly basis.

        Fill Rate Performance
        As noted, receiving the medications as ordered is of the highest importance to filling Division of
        Pharmacy medication distribution obligations. Should fill rates be less than 100% less documented
        manufacturer storages, performance fees-at-risk will be assessed as follows:

        Fill Rate Percentage per Month Fees-at-Risk
        100% - 98%                    $50,000
        97% - 95%                     $75,000
        Less than 95%                 $100,000

        Consistent Supply Performance
        Clinical requirements, systems, technologies and reimbursement protocols necessitate receiving a
        consistent supply of medications as ordered. While supply circumstances may require the Division to
        accept an alternative product, significant costs and impact on resources are impacted. There is some
        limited ability to accommodate product substitutions.

        Product Substitutions per Month            Fees-at-Risk
         10 or fewer substitutions                      None
          Between 10 to 15 substitutions             $ 50,000
          More than 15 substitutions                  $100,000

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                                                                                                                YES   NO   EXPLANATION

        Order Fulfillment and Delivery Performance
        In addition to Fill Rates and Consistency of Supply, the Division of Pharmacy requires that
        performance in the following parameters meet the defined standards to optimize its service
        obligations:
        o Delivery +/- 1 hour out within scheduled window
        o 100% Pricing Accuracy of products delivered
        o Timeliness of contract loads within 2 business days of GPO or manufacturer notification
        o 100% Delivery accuracy
        o Functionality of online ordering system, no unplanned outages

        Failure to meet at least one performance standard shall result in fees-at-risk .

        Mets Standard per Month         Fees-At-Risk
        All targets met                      None
        1 target missed                     $10,000
        2 targets missed                   $25,000
        3 targets missed                   $50,000
        > 3 targets missed                $100,000


        If such fees-at-risk are assessed, payment to MDACC Division of Pharmacy will be in the form of a
        check paid to MDACC Division of Pharmacy no longer than a month after the monthly assessment


        Pricing Proposal
        The Distribution Partner should submit a bid price based on all the services discussed in this RFP.
8.0     Any aberrations from this pricing should be duly noted and highlighted. MDACC Division of Pharmacy
        requires pricing options are to include:

        Base price with clear delineation of what is included and excluded
             Pricing for specific services
             Pricing for defined service levels
             Furthermore, MDACC Division of Pharmacy is particularly looking for pricing separated out by the
        following categories:
             All products available for ordering by all inventory account locations in “Low Unit of Measure”
           All products are repackaged into individual units of measure, either “Robot Ready” or UBC/Non-
        robot ready
           All products bar coded with the minimum requirements specified in section 5.8

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                                                     Pharmaceutical Distribution RFP Questionnaire

                                                                                                          YES   NO   EXPLANATION
         Totes packaged for individual inventory account locations, as designated by MDACC Division of
       Pharmacy (UBC’s, carousels, shelves, refrigerators, etc)
         Distribution to all satellite locations
         Full time account representative onsite at MDACC Division of Pharmacy
         Expired Drug program
         Delivery twice daily, six days per week, once daily on Sunday

       Implementation
       MDACC Division of Pharmacy requests that all bidders submit an implementation schedule with the
9.0    RFP responses. The Implementation Schedule submitted will become part of the final contract with
       the selected Distribution Partner. Please specify timelines by week and function.
         Flow of the implementation to minimize the impact on patient care operations
         Implementation plan quality assurance program
         Training (initial and on-going)
         Implementation staffing (please resume summaries detailing implementation experience) for the
       project manager and key resources
         Expected MDACC staffing requirements (numbers individuals, required experience, time
       commitment and duration




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DOCUMENT INFO
Description: Pharmaceutical Sales Resume Samples document sample