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II. SCOPE <br />A. INTRODUCTION <br />The growing cost of medical care is one of our nation's most pressing social, medical and economic <br />challenges. Millions of Americans struggle to afford the medications they need, frequently forgoing <br />them due to price. While the focus is often on senior citizens, the high cost of prescription drugs is a <br />daunting challenge for Americans of all ages, particularly those who are uninsured. The increasing cost <br />of brand-name and generic prescription drugs impacts individuals and families that do not have access <br />to health insurance or are required to pay large co-payments through their health insurance plans. <br />A half-million Orange County residents lack health insurance, according to a new U.S. Census Bureau <br />survey released in September 2009. According to the US Census Bureau, 2006-2008 American <br />Community Survey, 82.8% of Santa Ana residents speak a language other than English at home and of <br />those, 77.3% are Spanish speaking. The median income of households in Santa Ana was $55,927. The <br />Median age was 28.5 yrs and 79% of the population is Hispanic or Latino race. The US Census Bureau <br />estimates that 32.7% of Santa Ana's 320,837 residents are uninsured. In light of these statistics and in <br />response to the rising cost of health care and prescription medications, the City of Santa Ana is <br />committed to developing and implementing a comprehensive Discount Pharmacy Card Program for <br />people who live and work in Santa Ana. <br />Objectives of program: <br />1. Save people money on medications <br />2. Provide an additional revenue source for the City to subsidize healthy recreational <br />programming <br />Qualified vendors interested in sponsoring a program throughout the City of Santa Ana are invited to <br />submit proposals that meet the following program specifications. Your proposal should address <br />each of the items listed in Section II. B-L and will be evaluated against the criteria listed in <br />Section III. <br />B. GENERAL SERVICE REQUIREMENTS <br />The general program and service requirements to be provided by the selected vendor (also referred to <br />as "contractor") shall include the following: <br />1. Contractor will develop and maintain a comprehensive pharmacy network to consistently <br />deliver prescription drug services to individuals and families that participate in the discount <br />drug program. Contractor shall provide the City with thirty (30) days prior written notice <br />before making any additions, deletions and/or revisions to the pharmacy network. <br />2. Contractor's pharmacy network will dispense prescription drugs in quantities, as prescribed and <br />ordered, of up to a ninety (90) day supply, through a retail pharmacy location or mail order <br />service. <br />3. Successful contractor must secure maximized pharmaceutical manufacturer's rebates and <br />discounts on brand name and generic drugs, including mail order service, and pass a <br />predetermined, set percentage of the financial savings to participants and City utilizing its <br />established pharmacy network that achieves the greatest possible set of discounts. <br />4. On a predetermined regular basis, contractor must provide detailed reports on the following: <br />19D-7