United States Department of Veterans Affairs
United States Department of Veterans Affairs

Office of Acquisition & Logistics

National Acquisition Center - Federal Supply Schedule Service
Pharmaceuticals - FSC 65 I B Special Item Number 42-2A
Single Source Innovator, Multiple Source Innovator, Biological & Insulin Pharmaceutical Products

FSS » Pharmaceuticals » Schedule 65 I B » SIN 42-2A

Public Law 2009 Submission & Timeline

Year-End Public Law Timeline for 2008

  • October - Public Law Instruction letter will be sent to all vendors from the Pharmacy Benefits Management Team (PBM)
  • November 1st - Letter will be sent from Assistant Director of Pharmaceuticals, Dental & Other Medical Supplies to all vendors
  • November 17th - November 15th is the last legal day to submit pricing calculations to PBM, however due to the 15th falling on a Saturday the date has been extended to November 17th to be the FINAL DAY for pricing submissions to PBM.
  • December 5th - LAST DAY to submit FCP pricing to your assigned Contracting Officers to assure a January 1, 2009 effective date

2009 Dear Manufacturer Letter (114kb) Adobe Acrobat PDF Document hyperlink opens in a new browser window

2009 Public Law Pricelist Instructions (80kb) Microsoft Word Document hyperlink opens in a new browser window

Public Law Price Updates and PPA Submission Letter

Request for Modifciation Forms and Product/Pricing Spreadsheets
(Only to be used for Public Law Season starting November 15 thru December 31)


Public Law 102-585  —  Contract Administration Forms  —  Q&A

Public Law 102-585, Veterans Health Care Act of 1992

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Contract Administration Forms (42-2A Items ONLY)

Please note that all requests for modification must be completed in its entirety and submitted using the applicable modification request form and associated spreadsheet as provided below.

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Questions and Answers

Q.  What Drugs are covered?

  • Sole source and multi-source innovator drugs for which a prescription is required marketed under an original New Drug Application (NDA) approved by the FDA.
  • Biologics marketed under a FDA license.
  • Drugs marketed as “generics” which are marketed under an NDA.

Q.  What is an Interim Agreement?

An Interim agreement is a letter contract which establishes a “binding commitment” when immediate performance is required.  The interim agreement is created to allow sufficient time to negotiate and award a new FSS contract.

Q.  What are the Provisional, Temporary and Permanent Federal Ceiling Price (FCP)?

  • Provisional FCP is pricing a new covered drug at introduction prior to accumulating 30 days of sales.
  • Temporary FCP pricing is based on 30 days of sales.
  • Permanent FCP pricing is based on one (1) full quarter of sales.

Q.  Is there a grace period for submitting the NFAMP data for the different stages (provisional, temporary, permanent)?  If so, what is it?

A total of 45 days (30 days plus a 15-day grace period) is allowed for temporary non-FAMP reporting, after 30 days of new drug commercial sales have occurred.  However, 45 days is the maximum time allowed, and extensions should not be requested.

Q.  How do I calculate our firm’s (provisional, temporary & permanent) FCP?

Provisional price = 0 days of sales-NFAMP is (WAC - early pay discounts)
NFAMP Temporary price = (30 days of sales less discounts - cash credits for returns)
(number units sold - number units returned)
NFAMP Permanent price = (90 days of sales quarter less discounts) - cash credits for returns)
(number units sold - number units returned)

Q.  When do we re-calculate our permanent FCP?

Product Introduced In   ...Then...   Recalculation Required
Oct 1st - Dec 31st   after Mar 31st
Jan 1st - Mar 31st   after Jun 30th
Apr 1st - Sept 30th   with annual calculation Nov 15th

Q.  Can a negative FCP result?  Why does this happen and what type of pricing does it lead to?

Negative FCPs can result when a company raises the price of an item dramatically from one benchmark quarter to the next (beyond the allowable Consumer Price Index for All Urban Consumers (CPI-U) increase).  When a company has a negative FCP, this will be represented as an FSS price of $0.01.

Q.  What are the guidelines for covered products transferred from one company to another?

In the year of a covered drug transfer, the annual non-FAMP reported the following November must include sales from the full 12-month period, even if the drug was marketed under two different NDCs during the period.  So, if the drug falls into the category described above, then the annual non-FAMP filed next November must be a blend of the prior drug company’s and the new drug company’s wholesale sales of the identical drug during 10/1/20xx thru 9/30/20xx.

Table x - Transferred Covered Drug Pricing
Date of Transfer FCP Calculation in Year of Transfer FCP Calculation for Next Calendar Year FCP Calculation for Third Year After Transfer
1st, 2nd, 3rd Quarter Transferee’s sales capped at Transferor's FCP.

Transferee calculates and submits FCP for next year in November.
Transferee’s FCP based on statutory calculation only.

FCP does not include additional discount based on increase over CPIU.
Transferee’s FCP based on lower of statutory calculation or prior year FSS price plus CPIU (unless first year of multi-year contract).

Includes additional discount.
4th Quarter Transferee’s sales capped at Transferor’s FCP. Transferee’s sales capped at Transferor's new FCP (submitted prior November).

Transferee calculates and submits FCP for next year.
Transferee’s FCP based on statutory calculation only.

FCP does not include additional discount based on increase over CPIU.

Q.  Who is eligible for BIG 4 pricing?

The Big 4 include the Department of Veteran Affairs (VA), Department of Defense (DoD), Public Health Services (PHS) <including Indian Health Services> and the Coast Guard.  State Veteran Homes who have a sharing agreement with the VA and have elected options 2, 3 or 4 (VHA IL 10-99-001), and the division of Immigration Health Services that purchases drugs for use in their clinics.

Q.  What is Dual pricing and when can I submit a request to include it?

While the Public Law Act and its statutorily imposed calculations establish FCP for the Big Four agencies it did not establish what the price should be for other government agencies (OGA).  Since an offeror is not required to offer FCP to OGAs the concept of Dual price (and dual pricelist) was born.  Under dual pricing, OGAs will pay a price that is strictly based on FSS negotiation policy.  In other words, the contracting officer will negotiate dual pricing based on the commercial sales practice data (CSP) disclosures and the goal of obtaining discounts greater than or equal to the offeror’s most favored customer (MFC) discounts.

Q.  Why can’t we elect Dual pricing at the provisional FCP stage?

Provisional FCP is based on a calculation that excludes sales data.  Furthermore, the creation of this concept was to benefit the manufacturer and the Government by having the covered drug available at product launch rather than 30 - 45 days later.  By offering the product at provisional pricing, it is understood that the pricing is to be available to all FSS users.  More importantly and to the point, FSS policy requires that we base our negotiations on the full disclosure of commercial sales practice (CSP) data from the offeror which includes sales history.  Contractors wishing to incorporate dual pricing under their contract must show that the NDC has substantial (significant) commercial sales to their standard commercial customers (e.g. GPOs, Hospitals, etc.).  To ensure the negotiated terms and conditions are fair and reasonable, the FSS needs to review the CSP and determine that the data is reflective of the mfg’s full commercial discounting policy which may not be born out of the first 30 days of sales activity or indicative by early commercial agreements with insignificant actual sales history.

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