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a. Average percent (%) discount off AWP on brand name and generic pharmaceuticals <br />dispensed; <br />b. Total amount of savings provided by these discounts; <br />c. Savings passed on to participants, City and Contractor, per agreement <br />d. Customer satisfaction. All complaints shall be documented and reported to the City, <br />including resolution. <br />e. Total number of participants using the program <br />f. All discounts, rebates and other pass-through reimbursements that are secured for brand, <br />generic, mail order and extended retail supply medications must be recorded, tracked, <br />audited and reported to the City of Santa Ana by category to determine whether <br />measurable savings have reached projected levels. <br />2. Contractor shall not charge any start-up, administrative or other fees to the City. <br />3. Contractor shall not charge any enrollment, participation or other fees to participants. <br />4. On a monthly basis, due the 15th of the month for the previous month, contractor shall submit <br />payments to the City in the amount consistent with the formula provided in the agreement <br />between Contractor and City. <br />There shall be no additional costs to the City or the participant other than the price paid by <br />participants for the discounted medications. <br />C. COVERED PRESCRIPTION DRUGS <br />1. Submit complete formulary information containing fully and partially covered medications that <br />will be offered through the Discount Pharmacy Card Program including brand name and related <br />generic name(s) (if applicable); retail price; discount percent/amount; and program participants' <br />discounted purchase price, including dispensing fee. <br />2. Please provide a list of, historically, the 50 most commonly prescribed covered brand and/or <br />generic names and their respective retail price, applicable percentage of program discount, <br />dispensing fee and proposed final discount price. <br />3. The contractor shall establish a reporting process that confirms guaranteed lowest available <br />discount off the Average Wholesale Price (AWP), discount off maximum allowable cost <br />(MAC) pricing, or the pharmacy's customary cash price. <br />4. The contractor shall have established procedures for enforcing and monitoring prescription <br />pricing for the program. <br />5. Estimate the number and financial amount of discounts for brand name, generic, mail order and <br />extended retail supply drugs that will pass through to participants, City and Contractor. <br />6. Describe the mechanism used to guarantee that Santa Ana residents receive all prescription <br />drugs included in the program, including the discounted price available. <br />7. Describe the limitations or restrictions on drugs covered. <br />8. Describe the AWP discount on all brands and what the average of ALL generics will perform. <br />D. MAIL ORDER/EXTENDED SUPPLY PHARMACY <br />1. Mail order pharmacy services must be offered in addition to the retail pharmacy network. <br />2. Extended medication supplies of up to ninety (90) days must be offered through the retail <br />pharmacy network. <br />19 D-8