Will the same MAC list offered apply to both retail and mail service pricing? Do you agree that damaged, returned or unusable prescriptions will not be billed to the Plan? Will all mail order pricing be applied to all prescriptions filled at the mail service including Specialty claims? Will you accept all responsibilities for member copayments (i.e. IBAC will not collect or be responsible for member delinquency on copays)? Will you accept responsibility for mail service postage increases keeping IBAC dispensing fees consistent throughout the contract? Identify your mail service provider and location. How long have you used this vendor? Do you or your parent organization own all or any portion of this mail service provider? What volume of prescriptions does this vendor handle for you annually? What is the advantage to the Plan if you own your own mail service? If you sub-contract, what advantage does that provide the Plan? What hours is your facility open? What hours are the customer service desk open? Are clinical resources available to assist members with prescription drug questions at the same hours? Describe your process to transition mail service from the current vendor, especially as it impacts the member. Will you call the prescriber on behalf of the member for a new prescription? How will the Mail Service Claims be priced for prescriptions with a day’s supply less than 84 and less than 31? When does the clock on mail order turnaround begin, when the prescription arrives, when the mail is opened, when the prescription is keyed into the system? What is the maximum lag time from arrival of mail to initiation of the turnaround clock? Do you have a pill splitting program? What savings are derived from the process? Do you have a process to fill a prescription locally if your mail service is out of stock or the member is late in filling the prescription? What is the reimbursement for these short fills or emergency fills (retail or mail rates, not a financial number). Is there a drug store chain you prefer to use or have contracted to assist?
Will the same MAC list offered apply to both retail and mail service pricing? Do you agree that damaged, returned or unusable prescriptions will not be billed to the Plan? Will all mail order pricing be applied to all prescriptions filled at the mail service including Specialty claims? Will you accept all responsibilities for member copayments (i.e. IBAC will not collect or be responsible for member delinquency on copays)? Will you accept responsibility for mail service postage increases keeping IBAC dispensing fees consistent throughout the contract? Identify your mail service provider and location. How long have you used this vendor? Do you or your parent organization own all or any portion of this mail service provider? What volume of prescriptions does this vendor handle for you annually? What is the advantage to the Plan if you own your own mail service? If you sub-contract, what advantage does that provide the Plan? What hours is your facility open? What hours are the customer service desk open? Are clinical resources available to assist members with prescription drug questions at the same hours? Describe your process to transition mail service from the current vendor, especially as it impacts the member. Will you call the prescriber on behalf of the member for a new prescription? How will the Mail Service Claims be priced for prescriptions with a day’s supply less than 84 and less than 31? When does the clock on mail order turnaround begin, when the prescription arrives, when the mail is opened, when the prescription is keyed into the system? What is the maximum lag time from arrival of mail to initiation of the turnaround clock? Do you have a pill splitting program? What savings are derived from the process? Do you have a process to fill a prescription locally if your mail service is out of stock or the member is late in filling the prescription? What is the reimbursement for these short fills or emergency fills (retail or mail rates, not a financial number). Is there a drug store chain you prefer to use or have contracted to assist?
2018_IBAC_0001_Pharmaceutical_Benefits_Managment_Services_IBAC_RFP_20170815_Final_1.docx