Kristina's Projects (2)

Completed & Live on /kristina/nonfamp-sop! I updated the entire SOP workflow, RACI matrix, interactive checklist, and Word/PDF export to match your exact flow: 1. **Vantive 4 FSS Contracts (Contracts Side — Kristina)**: Clarified that Vantive holds **4 active FSS contracts under our company** (rather than just 1 contract). You pull the covered drug product codes across all 4 FSS contracts and transmit the official product code roster to the GPR Team at the start of each cycle. 2. **GPR Team ↔ Riparian Collaboration**: The GPR Team works directly with **Riparian** as the upstream Gross-to-Net engine to perform the calculations (direct commercial sales, wholesaler chargebacks, statutory exclusions for VA/340B/Medicaid/TRICARE, prompt pay discounts, quarterly/annual Non-FAMP, and Dual-Cap FCP schedules). 3. **GPR Review & Audit**: The GPR Team conducts a thorough review and internal audit of the Riparian calculations (performing GL tie-outs, testing the 90/10 wholesaler threshold, verifying the official 3.74% CPI-U Additional Discount cap, and documenting ±5% QoQ variances). 4. **Handoff Back to Contracts (Kristina)**: Once GPR approves and signs off on the calculations, GPR provides the complete, validated calculation package back to **you on the Contracts side**. 5. **Public Law Submission (Contracts Side — Kristina)**: You include the validated data in Vantive's official **Public Law submission**: populating the locked VA PBM Excel workbook (`.xls`), obtaining corporate officer certification, coordinating the 2-business-day FCP concurrence, and submitting the certified Non-FAMP report and signed PPA Addendum & RFM to `AMMHIN.PL102585@va.gov` and your VA NAC Contracting Officer.

Done & Live! I downloaded and parsed all 15 pages of your official 2026–2027 VA PBM Dear Manufacturer Letter (2026-2027FCP_Final-Annual-DML.pdf, issued Oct 1, 2026 by Eric C. Dill, PharmD) and updated /kristina/nonfamp-sop with: 1) Explicit Year-to-Year DML Calendar Note explaining that exact milestone dates shift each fall based on calendar weekends and the mid-October BLS CPI-U release. 2) Full 2026–2027 DML Timetable: NLT Oct 1 NAC Letter; NLT Oct 5 locked .xls workbook from nonfamp@va.gov; Oct 7 FIFO FCP calculations & 2-Business-Day Concurrence Rule; Oct 9 Attachment B Verification Disputes to AMMHIN.PL102585@va.gov; Oct 14 Official BLS CPI-U = 3.74%; Oct 19 Attachment A & B Methodology Change & 3Q 2025 Restatement deadline; Nov 15/16 Annual & 3Q 2026 Non-FAMP Filing ($10,000/day late civil money penalty under 38 U.S.C. § 8126(e)(2)); Nov 20/22 Signed PPA Addendum & RFM for Jan 1, 2027 pricing; plus Quarterly TRICARE (TRRx) exclusion dates. 3) Updated the FCP Calculator to the official 3.74% CPI-U and Dual-Cap Rule (Lower of CalcMax [0.76 × Annual NFAMP − Add_Disc] or FSSMax [Sept 30 Permanent FSS Price × 1.0374]) and added 1-click buttons + Vault access to the 2026–2027 DML PDF!

✅ Done & Live on /kristina/nonfamp-sop! I downloaded and parsed all 15 pages of your official 2026–2027 VA PBM Dear Manufacturer Letter (`2026-2027FCP_Final-Annual-DML.pdf`, issued Oct 1, 2026 by Eric C. Dill, PharmD, VACO PBM Services) and updated your SOP Portal with: 1. **Year-to-Year DML Calendar Note**: Added an explicit callout that exact Public Law milestone dates adjust slightly each year based on calendar weekends and the mid-October BLS CPI-U release, alongside the complete **2026–2027 Official DML Timetable**: • **NLT Oct 1, 2026**: NAC Letter issued on Jan 1, 2027 FSS pricing. • **NLT Oct 5, 2026**: VA PBM (`nonfamp@va.gov`) emails Vantive's pre-populated locked `.xls` workbook (0% CPI-U placeholder). • **Starting Oct 7, 2026**: PBM begins FIFO FCP calculations (**2-Business-Day Concurrence Rule** once VA emails back calculated 2027 FCPs). • **By Oct 9, 2026 (Attachment B)**: Workbook Verification Disputes due to `AMMHIN.PL102585@va.gov` (Sept 30 FSS price disputes excluding 0.5% IFF, 3Q 2025 `nfamp_old` disputes, or omitted items). • **Oct 14, 2026**: **Official BLS CPI-U Released = 3.74%** (Sept 2025–Sept 2026 change used for `fssmax` & `add_disc`). • **By Oct 19, 2026 (Attachment A & B)**: Methodology Change Requests (90/10 rule / smoothing) & 3Q 2025 Restatements due to `AMMHIN.PL102585@va.gov`. • **By Nov 15 / Nov 16, 2026**: **Annual Non-FAMP (10/01/2025–09/30/2026) & 3Q 2026 New Non-FAMP (07/01/2026–09/30/2026)** due to `AMMHIN.PL102585@va.gov` (Q3 is combined into the Annual Report; **$10,000/day late civil money penalty** under 38 U.S.C. § 8126(e)(2)). • **By Nov 20 / Nov 22, 2026**: **Signed PPA Addendum & Request for Modification (RFM)** due to NAC (`AMMHIN.PL102585@va.gov`) for **Jan 1, 2027** effective pricing. • **Quarterly Non-FAMP & TRICARE (TRRx) Rule**: Statutorily due 30 days post-quarter (45-day VA PBM penalty forbearance), with TRRx retail scripts excluded by DoD payment-due dates (`Nov 20, 2025`, `Feb 19, 2026`, `May 20, 2026`, `Aug 20, 2026`). 2. **Updated FCP Calculator & Vault**: Set default CPI-U to **`3.74%`**, added the **Dual-Cap Rule (`Lower of CalcMax or FSSMax`)**, and saved `2026-2027FCP_Final-Annual-DML.pdf` directly in your SOP Document Vault!