A. GENERAL REQUIREMENTS 1. Supply all prescription formulary and non-formulary drugs, injectables, intravenous products, syringes, sundries and other over-the counter (OTC) products. 2. Develop and maintain, subject to DJJ review and approval, a formulary specifically designed for the Virginia Department of Juvenile Justice. 3. Maintain a computerized drug interaction monitoring system for DJJ residents based upon the patient profile and documented recommendations. The monitoring system shall provide potential drug and food interactions. 4. Assist in designing and implementing policies, procedures, and protocols for medication distribution and control, subject to approval of DJJ Chief Physician and Health Services Director. Any work product developed from this process shall become the property of DJJ. 5. DJJ reserves the right to purchase outside of this contract, medications to treat HIV, Hepatitis, Cancer, and Hemophilia from other vendors participating in the 340B Drug Pricing Program. Contractors may propose pricing for 340B dispensing for identified providers, but DJJ shall not be obligated to purchase from the contractor. B. SPECIFIC REQUIREMENTS 1. Packaging: Prescription medications, solid form medications such as tablets and capsules must be administered using patient specific multi-dose blister packs that conform with all existing material and labeling requirements for prescription drugs in the Commonwealth of Virginia. 2. Dispensing: a. Prescription liquids shall be administered in multi-dose bottles, and prescription creams administered as supplied by the manufacturer. b. Non-prescription drugs and ointments shall be administered according to the protocol previously stated for prescription tablets, capsules, liquids, and creams. c. Provide and fill prescriptions for residents leaving on writ or discharge for a period of up to 45 days, or insufficient quantity to last up to 45 days when combined with current prescription. 3. Labeling: Each prescription container shall be labeled with resident name, number, date, prescribing physician, medication name, lot number, expiration date, strength, dosage, directions for administration, and any applicable warnings or dietary instructions or other information in compliance with federal requirements and the laws of the Commonwealth of Virginia. Each new prescription must be accompanied by a computer generated label that will contain all administration information and can be affixed to the Medication Administration Record (MAR). 4. Hours of Service: Receive and fill routine prescription drug orders between the hours of 9:30a.m and 7p.m. (Eastern Standard Time), Monday through Friday excluding State holidays (Attachment A). Prescription orders received by the Selected Contractor by 2:00p.m (Eastern Standard Time) Monday through Friday shall be delivered to the ordering DJJ Correctional Health Care Unit no later than noon the following day. A system for the provision of twenty-four (24) hours/day, seven (7) days/week emergency service, including deliveries, shall be provided, with a system to ensure orders for formulary antibiotics shall be provided within four hours of physician’s orders. Make referrals through nursing department to specialists when necessary. Utilize designated consult form for all referrals. 5. Delivery: Establish a system for verification of the receipt of orders and delivery of medications. A bar code scanning system is preferred. 6. Returns: Provide a system for the return of expired and discontinued medications. 7. Out of stock items: No “back ordering” of medications for prescriptions will be allowed. Orders which cannot be filled due to an “out of stock” condition will be reported to the institution and filled through a local retail pharmacy network established by the awarded Contractor at no additional cost to the Commonwealth. 8. Emergencies: Provide on-site “stat dose” capability for emergency stock of drugs in unit of use packages to be used in emergency situations or until regular delivery of medications. The specific drugs and quantities WILL be determined by the Chief Physician in conjunction with the awarded Contractor and the Therapeutics Committee. Emergency drugs shall be provided in sealed emergency kit(s) requested by DJJ Chief Physician. 9. Non-formulary: Provide a system for the “Preauthorization,” of non-formulary medication prior to filling. 10. REPORTS: On a quarterly basis, the Contractor shall provide the following reports in a hard copy and electronic format acceptable to the Department of Juvenile Justice. The DJJ utilizes Microsoft Office Professional Suite as its basic platform of applications: a. Institutions: The awarded Contractor shall provide a printed Medication administration Record (MAR) to include all information contained on the prescription label, the name of the practitioner who prescribed the medication and reflect all current medications. b. DJJ Health Services: Contractor shall the DJJ Health Services Unit with summary information for all institutions. Data shall encompass specific drug utilization statistics, physician prescribing habits, psychotropic and narcotic medication utilization, and other utilization data deemed necessary by DJJ and the Contractor.
