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Q When are deliveries expected? A As stipulated in the RFP, orders will be shipped within 24 hours of receiving orders weekends excluded ; . Q Are after-hours deliveries required? A No. Q It is understanding that a contractor will receive prescriptions from physicians, PA's and nurses via the telephone and fax, prepare the medication orders and deliver them to designated clinics within a 24-hour period. Is that correct? A Yes. Contractor may also ship meds to clinic as well as deliver them. Q It is understanding that the cost proposal should be in line with the California Medi-Cal reimbursement schedule with the fee component containing the pharmacy's delivery expense. Is this correct? A Yes. Q Will the Riverside area contractors be responsible for providing services to clinics in the Indio, Cathedral City areas? Delivering to these areas will impact delivery fee calculations. ; A Contractor is to ship or deliver to all County clinics on list. Delivery or shipping charges should all be included in the proposal. Clinic locations may be changed or added by the County. Q Who shall the performance reference letters be addressed to? A County of Riverside: Attn: Angela Langstrom Q With the excessive high cost of psychotropic medications, a pharmacy's cost of goods can be outrageously high. Most pharmacies are obligated to pay their wholesalers on a weekly or biweekly basis. Can pharmacies really count on Riverside County reimbursing us in a timely 30day period from the time of receiving invoices? A County terms are Net 30. If contractor wishes to give a discount for prompt pay, that is an option. Q When registering on the County Purchasing Web-Site purchasing.co.riverside ; what coding should be used for pharmacy services? A Use Class "269" and Item "24.
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AREA DRUGS & THERAPEUTICS COMMITTEE : 11TH OCTOBER 2004 ACTION BY the North and South Division Clinical Handbooks as soon as possible. DECIDED: That any comments on this document be emailed to Dr Beard on Keith.Beard gvic ot.nhs . c ; Review of Formulary Appeal Procedure Mrs Lee spoke on her paper which outlined the purpose of paper, background and context, problems with current process, revised arrangements for appeals, appeal process, summary of appeal process and appeals documentation. In the context of current initiatives for improving the cost-effectiveness of medicines use eg Drugs of Choice, Formulary management ; , a robust and transparent appeals mechanism is needed for medicines that have been rejected for Formulary inclusion. FONDU has agreed a new process to be followed when the decision to exclude a medicine from the Formulary is appealed. The Committee was asked to approve this process. FONDU suggested the following principles: The appeals process should be simplified, with appeals submitted directly to FONDU via the Formulary pharmacist team. Senior pharmacists nurses should also be authorised to submit appeals criteria to be defined ; . Suggestion made of "H" grade nurse. FONDU ADTC should not consider appeals for medicines not accepted by SMC. This should be made clear in the information provided about the appeals process. A revised appeal form, declaration of interest form and guidance notes on the procedure would be prepared once the process had been agreed. A detailed discussion ensued and the following suggestions were made for inclusion: Advice may be sought from Chairman of Drug and Therapeutics Committee or Medicines Management Committee in each Division; names to be inserted. Appropriate grades of nurses and pharmacists who could appeal should be discussed with senior nurses pharmacists. Invite a nurse nurses to join the ADTC. Dr Burns outlined that this was a significant advance. It was highlighted that the process should make clear where the paperwork for appeals should be sent. Mrs Lee advised that when finalised the paperwork for appeals would be put on the ADTC website for easy access. DECIDED: 8 Members.
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