Non-FAMP & Public Law 102-585 Submission SOP

38 U.S.C. § 8126 • VA Schedule 65 I B (36F79725D0053) • 0/11 SOP Steps Checked

Official Statutory Reference & Standard Operating Procedure

VA Non-FAMP & Public Law 102-585 Compliance SOP

Authored for Kristina Anderson (Contracts Lead), Vantive's GPR (Government Pricing & Reporting) Team, and Riparian Ops. Governs covered drug products across Vantive's 4 active VA Federal Supply Schedule (FSS) contracts under our company (including Renal Schedule 65 I B Contract 36F79725D0053) requiring Quarterly and Annual Non-FAMP reporting under 38 U.S.C. § 8126 and the 2026–2027 VA PBM Final Annual Dear Manufacturer Letter (DML).

Internal Riparian Cutoff Standard
1. Quarterly & Annual Non-FAMP Formula
(Wholesaler Gross $ − Chargebacks − PPD − Eligible Rebates) ÷ Wholesaler Units
Applies 90/10 Wholesaler Rule (≥90% wholesale units = wholesale channel only).
2. 2026–2027 CPI-U Additional Discount (3.74% Cap)
Max(0, 3Q26 nfamp_new − [3Q25 nfamp_old × 1.0374])
Official 2026–2027 BLS Sept-over-Sept CPI-U = 3.74% (Released Oct 14, 2026).
3. Dual-Cap 2027 Federal Ceiling Price (FCP)
Lower of CalcMax [(0.76 × Annual NFAMP) − Add_Disc] OR FSSMax [Sept 30 FSS × 1.0374]
Rounded to 2 decimals (3rd decimal ≥ 5 rounds up); $0.01 Penny Pricing floor.

Vantive 4 FSS Contracts & 5-Step Chain of Custody (Contracts → GPR ↔ Riparian → Contracts → Public Law)

4 Active Vantive FSS Contracts

Vantive holds 4 active VA Federal Supply Schedule (FSS) contracts under our company (including Renal Schedule 65 I B Contract 36F79725D0053). Covered product codes across these 4 FSS contracts are identified by Contracts (Kristina Anderson) and sent to the GPR Team. The GPR Team works directly with Riparian as the upstream Gross-to-Net engine to calculate Quarterly Non-FAMP, ASP, and Annual FCPs, audits the results against ±3.0% variance thresholds, and delivers 3 validated workbooks back to Kristina on the Contracts side to assemble Vantive's official Public Law submission.

Step 1Vantive's 4 FSS Contracts • Sends Product Codes to GPR

Contracts Side (Kristina Anderson)

Pulls covered drug product codes across Vantive's 4 active FSS contracts (e.g., Contract 36F79725D0053) and transmits the official product code roster to the GPR Team at the start of each reporting cycle.

Step 2Gross-to-Net Calculations & Statutory Exclusions

GPR Team ↔ Riparian Collaboration

The GPR Team works directly with Riparian as the upstream Gross-to-Net engine to calculate net sales, wholesaler chargebacks, prompt pay discounts, exclude 100% of federal/340B/Medicaid sales, and compute Quarterly Non-FAMP and ASP.

Step 3Review, Audit & Variance Validation

GPR (Government Pricing & Reporting) Team QA Review

GPR Team reviews and audits calculations: performs GL tie-outs within ±0.1%, checks 90/10 wholesaler threshold, verifies Blend IDs (NF11K, NF10K), documents QoQ variances against ±3.0% threshold, and generates the 3 required deliverable workbooks.

Step 4Delivers 3 Validated Workbooks to Kristina

GPR Handoff Back to Contracts Side

GPR Team provides the complete, validated package back to Kristina Anderson: (1) Calculation & Variance Explanations Workbook, (2) Internal Cert Sheet, and (3) Pre-populated VA 16-Column Submission File.

Step 5Official Public Law 102-585 Submission & FSS Mod

Contracts Side Public Law Submission

Kristina verifies unit-to-package math (nfamp_qtr = unt_pkg × unit_nfamp), coordinates executive officer attestation, submits the locked VA PBM workbook to AMMHIN.PL102585@va.gov, executes 2-day FCP concurrence, and files the signed PPA Addendum & RFM.

1. Official 2026–2027 VA PBM Dear Manufacturer Letter (DML) & Non-FAMP Timetable

Authoritative Oct 1, 2026 – Jan 1, 2027 VA PBM / NAC milestones alongside Vantive's Contracts ↔ GPR ↔ Riparian workflow targets

Annual DML Calendar Note: Exact Public Law milestone dates adjust slightly year-to-year based on calendar weekends and the mid-October BLS CPI-U release date. Below is the official 2026–2027 VA PBM Dear Manufacturer Letter (DML) timetable (issued Oct 1, 2026 by Eric C. Dill, PharmD, VACO PBM Services). (Official 2026–2027 BLS CPI-U Change = 3.74%; Late Non-FAMP Penalty = $10,000/day under 38 U.S.C. § 8126(e)(2)).
Submission / EventSales Period CoveredStatutory VA DeadlineRiparian Extract FreezeGPR Lead Sign-OffStatutory Basis
1. NAC Annual Public Law Guidance & DML Issued2026–2027 Annual Public Law Cycle KickoffNLT October 1, 2026Oct 1: Contracts (Kristina) sends 4 FSS contract product codes to GPROct 1–2: GPR preps Riparian calculation pull2026–2027 VA PBM Final Annual DML (Eric C. Dill, PharmD) & NAC Jan 1, 2027 FSS guidance
2. VA PBM Distributes Locked Pre-Populated Workbook (.xls)Product Codes Under Vantive's 4 FSS Contracts (NDC-11s)NLT October 5, 2026 (from nonfamp@va.gov)Oct 5: Q3 & 4-Quarter Riparian Data FreezeOct 6: Contracts & GPR audit Sept 30 FSS contract prices across all 4 contractsSent by nonfamp@va.gov with 0% CPI-U placeholder; password-protected locked .xls format
3. VA PBM Begins FIFO FCP Calculations (2-Day Concurrence)2027 Federal Ceiling Price (FCP) Concurrence WindowStarting October 7, 2026 (2 Business Days to Concur)Upon VA return email of calculated FCPsWithin 48 Hours: GPR & Contracts verify FCPsManufacturers have 2 business days to concur with VA PBM's calculated 2027 FCPs once returned
4. Workbook Verification Disputes Due (Attachment B)Sept 30, 2026 Permanent FSS Price & 3Q 2025 nfamp_oldBy October 9, 2026 (to AMMHIN.PL102585@va.gov)Oct 7: GPR ties out 3Q 2025 nfamp_old with RiparianOct 8: Contracts (Kristina) signs Attachment BDispute Sept 30 FSS price (must exclude 0.5% IFF & FET), 3Q 2025 nfamp_old, or omitted codes
5. Official BLS CPI-U Released (2026–2027 CPI-U = 3.74%)Sept 2025 to Sept 2026 Unadjusted CPI-U ChangeOctober 14, 2026 (3.74% Official Rate)Oct 14: Load 3.74% into GPR / Riparian FCP modelOct 15: GPR computes fssmax & add_discPage 7 of 2026–2027 DML: Official CPI-U is 3.74% (used for both fssmax = Sept 30 FSS × 1.0374 and add_disc)
6. Methodology Change & 3Q 2025 Restatement Deadline (Att. A & B)90/10 Wholesaler Rule Flip or Smoothing RestatementsBy October 19, 2026 (to AMMHIN.PL102585@va.gov)Oct 14: GPR completes 90/10 channel ratio checkOct 16: Contracts (Kristina) & GPR reviewAttachment A required for 90/10 methodology changes; Attachment B required if restating 3Q 2025 nfamp_old
7. Annual Non-FAMP (FY26) & 3Q 2026 New Non-FAMP Filing DueAnnual: 10/01/2025–09/30/2026 • 3Q26: 07/01/2026–09/30/2026By November 15 / November 16, 2026Oct 20: GPR delivers reviewed & audited package back to Contracts (Kristina)Nov 5: Officer Certification & Public Law PrepContracts (Kristina) submits combined Annual + 3Q report to AMMHIN.PL102585@va.gov. $10,000/day late civil money penalty (§ 8126(e)(2))
8. Signed PPA Addendum & Request for Modification (RFM) Due2027 FSS Schedule 65 I B Pricelist Upload (Jan 1, 2027 Eff.)By November 20 / November 22, 2026Nov 16: Concurred 2027 FCPs lockedNov 18: Contracts (Kristina) prepares PPA & RFMSubmitted by Contracts (Kristina) to NAC (AMMHIN.PL102585@va.gov) to guarantee Jan 1, 2027 effective pricing
9. Quarterly Non-FAMP Reports (Q1, Q2, Q4) & TRICARE (TRRx) RuleQ1 (Jan–Mar), Q2 (Apr–Jun), Q4 (Oct–Dec) • Product Codes Under 4 FSS Contracts30 Days Post-Quarter (45-Day VA PBM Penalty Forbearance)Business Day 8 Post-Quarter (Riparian ↔ GPR)Day 25 Post-Quarter (GPR provides reviewed package back to Contracts [Kristina])Exclude TRICARE (TRRx) retail scripts by DoD payment-due dates: Nov 20, 2025; Feb 19, 2026; May 20, 2026; Aug 20, 2026
2026–2027 VA PBM Final Annual DML (Oct 1, 2026)VA Pharmacy Benefits Management (PBM) Services & OPAL / NAC

Official 2026–2027 FCP Final Annual Dear Manufacturer Letter (Eric C. Dill, PharmD — VACO PBM Services)

Authoritative annual instruction packet governing Vantive's 2026 Annual Non-FAMP report (10/01/2025–09/30/2026), 3Q 2026 Non-FAMP report (07/01/2026–09/30/2026), official 3.74% BLS CPI-U inflation cap, 2-Business-Day FIFO FCP concurrence, and January 1, 2027 Federal Ceiling Prices.

  • •Official 2026–2027 BLS CPI-U = 3.74% (Released Oct 14, 2026): Sept 2025 to Sept 2026 CPI-U change used for both fssmax (Sept 30 Permanent FSS × 1.0374) and add_disc.
  • •Dual-Cap 2027 FCP Rule: 2027 FCP is the LOWER of CalcMax [(0.76 × Annual Non-FAMP) − Add_Disc] OR FSSMax [Sept 30, 2026 Permanent FSS Price × 1.0374], rounded to 2 decimal places (3rd decimal ≥ 5 rounds up).
  • •Combined Q3 + Annual Filing (Due Nov 15/16, 2026): 3Q 2026 Non-FAMP is submitted inside the Annual Report workbook to AMMHIN.PL102585@va.gov (not filed separately). Late filing carries a $10,000/day civil money penalty under 38 U.S.C. § 8126(e)(2).
  • •TRICARE (TRRx) Exclusion Dates: Exclude retail TRRx scripts based on DoD refund payment-due dates inside the reporting period (Nov 20, 2025; Feb 19, 2026; May 20, 2026; Aug 20, 2026).
38 U.S.C. § 8126 / Public Law 102-585 § 603U.S. Congress / Department of Veterans Affairs (VA)

Veterans Health Care Act of 1992 — Limitation on Prices of Drugs Procured by VA & Federal Agencies

Mandates that manufacturers of covered drugs enter into a Master Agreement (MA) and Pharmaceutical Pricing Agreement (PPA) with the Secretary of Veterans Affairs, calculate quarterly and annual Non-Federal Average Manufacturer Price (Non-FAMP) for covered codes across Vantive's 4 FSS contracts, and cap prices to the 'Big Four' agencies (VA, DoD, PHS/IHS, Coast Guard) at the Federal Ceiling Price (FCP).

  • •Covered Drugs (§ 8126(h)(2)): Single-source drugs, innovator multiple-source drugs (NDA), and biological products (BLA) across Vantive's 4 FSS contracts.
  • •Baseline Statutory Discount (§ 8126(a)(2)): Federal Ceiling Price (FCP) may not exceed 76% of the Annual Non-FAMP (minimum 24% statutory discount).
  • •Additional Discount / CPI-U Cap (§ 8126(d)): If Q3 Non-FAMP (nfamp_new) increases faster than CPI-U (3.74% for 2026–2027 over 3Q 2025 nfamp_old), the excess increase is subtracted as an Additional Discount.
  • •Federal Exclusion Mandate (§ 8126(h)(5)): Sales to the Federal Government (FSS, Big Four, 340B/PHS, Medicaid, TRICARE, Medicare Part D) must be strictly excluded from Non-FAMP calculations.
VA OPAL / NAC Public Law 102-585 GuidanceVA Office of Procurement, Acquisition and Logistics (OPAL / NAC)

VA National Acquisition Center (NAC) — Annual Public Law Updates & Quarterly Non-FAMP Reporting

Establishes the annual Dear Manufacturer Letter (DML) instructions, pre-populated locked .xls calculation workbooks from nonfamp@va.gov, Single-Pricer vs. Dual-Pricer FSS contract rules, 90/10 wholesaler vs. direct methodology, and mandatory filing deadlines.

  • •2-Business-Day Concurrence Rule (Starting Oct 7, 2026): PBM calculates 2027 FCPs on a FIFO basis and emails the workbook back; Contracts (Kristina) & GPR have 2 business days to concur or dispute.
  • •90/10 Wholesaler Rule: If wholesale commercial unit sales represent ≥90% of total commercial units for a covered code, Non-FAMP is calculated solely on wholesale channel transactions; Attachment A required by Oct 19 if changing methodology.
  • •Workbook Price Verification (By Oct 9, 2026): Verify Sept 30 FSS contract prices (excluding 0.5% IFF and vaccine FET) and 3Q 2025 nfamp_old via Attachment B to AMMHIN.PL102585@va.gov.
  • •3-Year Audit Retention: All Riparian extracts, GPR calculation logs, restatement analyses, and Contracts submissions must be retained for a minimum of 3 years for VA OIG inspection.
VA Federal Supply Schedule 65 I BDepartment of Veterans Affairs — Federal Supply Schedule Service

Schedule 65 I B — Drugs, Pharmaceuticals, & Hematology Related Products (Vantive 4 FSS Contracts)

Governs Vantive's 4 active FSS contracts under our company, SIN 42-2A Covered Drugs classifications, signed PPA Addendum & Request for Modification (RFM) submissions by Nov 20/22, and Jan 1 effective pricing.

  • •Signed PPA Addendum & RFM (By Nov 20 / Nov 22, 2026): Contracts (Kristina) submits the signed PPA Addendum and RFM to AMMHIN.PL102585@va.gov so updated 2027 prices upload effective January 1, 2027.
  • •Quarterly Non-FAMP Rule (Q1, Q2, Q4): Statutorily due 30 days post-quarter under § 8126(e), with VA PBM penalty forbearance up to 45 days post-quarter.
  • •Penny Pricing Floor ($0.01): When Additional Discount exceeds 76% of Annual Non-FAMP (or calcmax ≤ $0.00), the statutory FCP floor is set at $0.01 per package unit.

2. Riparian-to-GPR Data Pipeline & Statutory Exclusion Matrix

Exact transaction feeds Kristina's GPR team receives from Riparian and how each bucket is treated under 38 U.S.C. § 8126

Conditional / Evaluate

Direct Commercial Invoice & ERP Sales Ledger (4 FSS Contracts Codes)

Source: Riparian Revenue / Gross-to-Net Engine ↔ GPR Team
Invoice Line • NDC-11 (4 FSS Contracts Codes) • Customer ID • Class of Trade (COT) • Units • Gross $

GPR Validation Rule: Included in Non-FAMP ONLY if Wholesaler Indirect/Direct units are <90% of total commercial units (VA 90/10 Rule; Attachment A required by Oct 19 if methodology changes) or if customer is a verified Wholesaler purchasing direct.

Include in Non-FAMP

Adjudicated Wholesaler Chargebacks & Indirect Sales

Source: Riparian Chargeback & Contract Adjudication Engine ↔ GPR Team
Debit Memo • Wholesaler DEA/HIN • End-Customer COT • Contract ID • WAC vs. Contract Price • Units

GPR Validation Rule: Primary driver of Non-FAMP across product codes in Vantive's 4 FSS contracts. GPR reconciles net wholesaler dollars (Wholesaler WAC minus Chargeback Credit = End Commercial Contract Price) and confirms zero federal contract leakage.

Exclude from Non-FAMP

Federal, 340B, Medicaid & TRICARE (TRRx) Statutory Excluded Buckets

Source: Riparian Government Exclusion & COT Tagging Table ↔ GPR Team
Contract Type • 340B ID / HRSA OPAIS • VA FSS / Big Four / DoD / TRRx Payment-Due Dates • Nominal / Sample Flags

GPR Validation Rule: CRITICAL STATUTORY GUARDRAIL: Exclude 100% of FSS, Big Four, 340B/PHS, Medicaid, Medicare Part D, and TRICARE (TRRx) retail scripts (using DoD payment-due dates: Nov 20, 2025; Feb 19, 2026; May 20, 2026; Aug 20, 2026).

Include in Non-FAMP

Wholesaler Customary Prompt Pay Discounts (PPD) & Returns

Source: Riparian AR Cash Application & Credit Memo Feed ↔ GPR Team
NDC-11 • Prompt Pay % (e.g., 2% Net 30) • Earned PPD $ • Return Credit Memo Adjustment

GPR Validation Rule: Deduct customary prompt pay discounts and commercial credit adjustments per VA Dear Manufacturer Letter methodology; apply smoothing only where authorized.

Conditional / Evaluate

Commercial Rebates, GPO Admin Fees & Bona Fide Service Fees (BFSF)

Source: Riparian Rebate & Fee Classification Ledger ↔ GPR Team
Contract ID • Fee Type • Fair Market Value (FMV) BFSF Flag • Paid/Accrued Quarter • NDC-11

GPR Validation Rule: Verified Bona Fide Service Fees (distribution/GPO administrative fees passing the 4-prong FMV test) are EXCLUDED from price concessions; commercial volume/performance rebates to eligible COTs are INCLUDED.

Include in Non-FAMP

4 FSS Contracts Master & 90/10 Wholesaler Ratio Worktable

Source: Riparian GP Calculation Engine ↔ GPR Team → Contracts (Kristina)
NDC-11 (Covered Codes Across Vantive's 4 FSS Contracts) • Package Size • SIN 42-2A • Wholesaler Units • Direct Units • Wholesaler Share %

GPR Validation Rule: GPR verifies the 90/10 wholesaler unit threshold for covered product codes under Vantive's 4 FSS contracts, audits the calculations, and provides the validated nfamp / nfamp_old / nfamp_new package back to Kristina on the Contracts side.

3. The 3 Quarterly GPR Deliverable Workbooks & VA Submission Specification

Live Q3 2026 Vantive Reports

Real examples provided by Kristina Anderson for Extraneal (Icodextrin) under VA Schedule 65 I B Contract 36F79725D0053, contractor Vantive US Healthcare LLC.

Raw Client Workpapers Securely Deleted (Per Kristina Request)
Deliverable 1181 KB

1. Official VA 16-Column Non-FAMP Submission File

Vantive Q32026 NFAMP Submission File (1).xlsx

The official statutory submission file formatted to the VA NAC 16-column specification. Contains covered NDC-11s, package case sizes (unt_pkg), formulation, Vantive FSS Contract Number (36F79725D0053), Kristina Anderson as Company Official, and package-level Non-FAMP (nfamp_qtr = unt_pkg × unit_nfamp).

View Interactive TablePurged
Deliverable 227.4 KB

2. Calculation Results & Variance Explanations Workbook

NFAMP - Q32026 Vantive Variance Explanations.xlsx

Detailed calculation workbook containing line-by-line price variance analysis against prior quarters, review comments verifying whether swings are within threshold, Blend IDs (NF11K, NF10K), and a full comparison between ASP Price/Units and Quarterly Non-FAMP Price/Units.

View Interactive TablePurged
Deliverable 316.1 KB

3. Internal Non-FAMP Certification & Approval Sheet

NFAMP - Vantive Q32026 Cert Sheet.xlsx

The clean executive sign-off sheet used for internal review and formal approval. Summarizes Renal Products Q3 NFAMP per-unit prices (e.g. $10.93, $10.14, $11.80, $12.31) alongside product codes and catalog descriptions for officer sign-off before transmission to the VA.

View Interactive TablePurged
CRITICAL STATUTORY CALCULATION RULE: Package Non-FAMP in Column 16 (nfamp_qtr)

In the official VA submission file, Column 16 (nfamp_qtr) MUST equal the Package Non-FAMP = unt_pkg (Column 7) multiplied by the per-unit Non-FAMP price approved on the Cert Sheet.

Ref 1: 5 bags × $10.93 = $54.65Ref 2: 6 bags × $10.14 = $60.84Ref 3: 6 bags × $11.80 = $70.80Ref 4: 5 bags × $12.31 = $61.55
qtryearprep_datendc_1ndc_2ndc_3unt_pkgdate_enterdose_formtrade_namefss_cnt_nocompany_ofvendornfamp_qtr (Package $)
3202620260207009410679055 bags2010-04-06BagEXTRANEAL36F79725D0053Kristina AndersonVantive US Healthcare LLC$54.65
3202620260207009410679066 bags2010-03-02BagEXTRANEAL36F79725D0053Kristina AndersonVantive US Healthcare LLC$60.84
3202620260207009410679526 bags2003-03-12BagEXTRANEAL36F79725D0053Kristina AndersonVantive US Healthcare LLC$70.80
3202620260207009410679535 bags2003-03-14BagEXTRANEAL36F79725D0053Kristina AndersonVantive US Healthcare LLC$61.55

4. End-to-End Vantive Contracts, GPR Team & Riparian Standard Operating Procedure

Interactive execution checklist (0 of 11 steps completed) • Check steps off as Contracts, GPR & Riparian progress

Phase 1: Vantive 4 FSS Contracts Product Code Handoff, Riparian GL Tie-Out & Statutory Scrub (Oct 1 – Day 10)4 Steps
SOP-1.1

Contracts (Kristina) Identifies Product Codes from Vantive's 4 FSS Contracts & Transmits Roster to GPR Team

Owner: Contracts Lead (Kristina)Day 1 Post-Quarter (NLT Oct 1–5 for Annual DML)

Contracts Lead (Kristina Anderson) reviews the covered drug product codes across Vantive's 4 active FSS contracts (including Schedule 65 I B Contract 36F79725D0053 for Extraneal and renal formulations) and transmits the official NDC-11 code roster to the GPR Team. Upon receipt of VA PBM's locked pre-populated .xls workbook from nonfamp@va.gov (NLT Oct 5), Kristina confirms baseline FSS contract parameters with GPR.

Deliverable: 4 FSS Contracts Product Code Roster Transmitted to GPR & VA PBM Baseline RosterRef: 2026–2027 VA PBM Annual DML (Oct 1 & Oct 5 Milestones)
SOP-1.2

GPR Team Works with Riparian to Ingest Feeds & Execute Period Close

Owner: GPR TeamDay 1 – Day 5 Post-Quarter (Oct 5 Annual Freeze)

The GPR Team works directly with Riparian Ops to ingest locked transaction feeds for covered codes across Vantive's 4 FSS contracts: ERP commercial billings, wholesaler chargeback adjudications, rebate settlements, and prompt pay ledgers.

Deliverable: Locked Riparian Gross-to-Net Data Package (Product Codes Across 4 FSS Contracts)Ref: 38 U.S.C. § 8126(b); VA NAC Data Integrity Standard
SOP-1.3

GPR Team Reconciles Riparian Feeds, Executes Statutory Exclusions & Audits Pricing

Owner: GPR TeamDay 5 – Day 8 Post-Quarter (By Oct 9 for Annual Att. B)

GPR Team reconciles Riparian gross sales, chargebacks, and prompt pay totals against Finance GL within ±0.1%. Confirms 100% exclusion of VA FSS, Big Four, 340B, Medicaid, Medicare Part D, and TRICARE (TRRx) retail scripts (by DoD payment-due dates). Reconciles Sept 30 FSS contract prices across all 4 FSS contracts and flags any discrepancies to Contracts (Kristina) for Attachment B filing by Oct 9.

Deliverable: Signed GL-to-Riparian Tie-Out, Zero Federal Leakage Log & Attachment B VerificationRef: 38 U.S.C. § 8126(h)(5); 2026–2027 DML Oct 9 Attachment B Deadline
SOP-1.4

GPR Team Validates BFSF & 90/10 Wholesaler Ratios with Riparian (Attachment A)

Owner: GPR TeamDay 9 – Day 12 Post-Quarter (By Oct 19 for Annual Att. A)

GPR Team validates Riparian fee buckets so FMV Bona Fide Service Fees remain excluded while commercial volume rebates are included. Evaluates the 90/10 wholesaler vs. direct unit ratio across covered product codes in Vantive's 4 FSS contracts. If any code requires a methodology change or 3Q 2025 restatement, GPR prepares Attachment A / B for Contracts (Kristina) to submit to AMMHIN.PL102585@va.gov by Oct 19.

Deliverable: Approved Phase 1 Riparian Sign-Off & 90/10 Ratio Log (Att. A/B if applicable)Ref: 2026–2027 VA PBM DML Oct 19 Methodology Change Deadline
Phase 2: GPR Team ↔ Riparian Calculation Engine, 3 Workbooks Production & Handoff to Contracts (Days 11–28)4 Steps
SOP-2.1

GPR Team Calculates Quarterly Non-FAMP, ASP & Maps Blend IDs in Riparian

Owner: GPR TeamDay 12 – Day 18 Post-Quarter (Oct 14–22 Annual)

GPR Team works directly with Riparian to calculate Quarterly Non-FAMP per unit, ASP per unit, and Annual Non-FAMP (10/01/2025–09/30/2026) for covered codes under Vantive's 4 FSS contracts. Applies Blend IDs (e.g. Blend NF11K for Ref 1, Blend NF10K for Ref 4) and loads the official Oct 14 BLS CPI-U rate (3.74% for 2026–2027) to compute Additional Discount (add_disc), CalcMax, and FSSMax (Sept 30 Permanent FSS Price × 1.0374).

Deliverable: Validated 4-Contract Non-FAMP Schedule, ASP Benchmarks & Dual-Cap 2027 FCP ModelsRef: 38 U.S.C. § 8126(a)(2) & (d); 2026–2027 DML Page 7 (3.74% CPI-U)
SOP-2.2

GPR Team Generates Deliverable 1: Calculation Results & Variance Explanations Workbook

Owner: GPR TeamDay 18 – Day 22 Post-Quarter (Oct 22–26 Annual)

GPR Team generates Deliverable 1 ('NFAMP - Q{Q}{YYYY} Vantive Variance Explanations.xlsx'). Performs line-by-line price variance analysis comparing current price to prior price. Values within ±3.0% are annotated as 'Within variance threshold'; any variance exceeding ±3.0% requires a documented root cause in Riparian commercial gross-to-net shifts. Reconciles ASP volume and prices against Non-FAMP volume and prices in the Calculation Summary sheet.

Deliverable: Deliverable 1: Calculation Results & Variance Explanations Workbook (.xlsx)Ref: VA PBM Compliance Assurance & Vantive Internal Pricing Governance
SOP-2.3

GPR Team Generates Deliverable 2: Internal Cert Sheet & Delivers Package to Contracts

Owner: GPR TeamDay 22 – Day 25 Post-Quarter (Oct 26–28 Annual)

GPR Team produces Deliverable 2 ('NFAMP - Vantive Q{Q}{YYYY} Cert Sheet.xlsx') featuring the clean executive approval table (Renal Q{Q} ASP / Non-FAMP Approval) listing Ref, NDC-11, Product Type (Extraneal), Product ID, Description, and Quarterly Non-FAMP per unit. Completes internal GPR sign-off and hands the full 3-workbook package over to Kristina Anderson on the Contracts side.

Deliverable: Deliverable 2: Internal Cert Sheet (.xlsx) & Full Hand-Off to Contracts (Kristina)Ref: Internal Vantive Chain of Custody (Contracts -> GPR ↔ Riparian -> Contracts)
SOP-2.4

Contracts (Kristina) Verifies Deliverable 3: Pre-Populated Official VA 16-Column Submission File

Owner: Contracts Lead (Kristina)Day 25 – Day 28 Post-Quarter (Oct 28 – Nov 2 Annual)

Kristina Anderson on the Contracts side inspects Deliverable 3 ('Vantive Q{Q}{YYYY} NFAMP Submission File.xlsx'). Kristina verifies that all 16 required NAC columns are populated, confirms Vantive US Healthcare LLC, Contract 36F79725D0053, and her name as Company Official. CRITICAL CHECK: Confirms that Column 16 (nfamp_qtr) reflects package-level pricing (unt_pkg × per-unit Non-FAMP from the Cert Sheet, e.g. 5 bags × $10.93 = $54.65). Prepares executive package for officer signature.

Deliverable: Deliverable 3: Verified Official VA 16-Column Submission File Ready for FilingRef: 2026–2027 VA PBM DML 16-Column Specification & 38 U.S.C. § 8126
Phase 3: Executive Officer Sign-Off, Nov 16 Non-FAMP Public Law Filing & Nov 22 PPA/RFM (Nov 15 – Jan 1)3 Steps
SOP-3.1

Executive Package Assembly & Certifying Officer Sign-Off

Owner: Legal & OfficerDay 28 – Day 35 (Nov 2 – Nov 10 Annual)

Contracts Lead (Kristina Anderson) and GPR present the finalized Non-FAMP calculation tables, Variance Audit Memo, Internal Cert Sheet, and pre-populated VA submission file to Legal/Compliance and the designated Corporate Certifying Officer for formal attestation and execution.

Deliverable: Executed Officer Certification & Signed Non-FAMP Package Ready for VA NACRef: 38 U.S.C. § 8126(b) & False Claims Act Attestation
SOP-3.2

Contracts (Kristina) Submits Certified Public Law Package to VA PBM & Coordinates FSS Concurrence/PPA

Owner: Contracts Lead (Kristina)By Nov 15/16 (Annual + 3Q26) • By Nov 20/22 (PPA/RFM) • Q+30/45d (Quarterly)

Kristina Anderson on the Contracts side emails the certified Annual & 3Q Non-FAMP workbook for Vantive's 4 FSS contracts to AMMHIN.PL102585@va.gov by Nov 15/16 (preventing the $10,000/day late penalty under 38 U.S.C. § 8126(e)(2)), manages the 2-business-day FIFO FCP concurrence when VA PBM returns calculated 2027 FCPs, and submits the signed PPA Addendum & Request for Modification (RFM) by Nov 20/22 for Jan 1, 2027 effective pricing.

Deliverable: Timestamped VA PBM Filing Receipt (AMMHIN.PL102585@va.gov), 2-Day FCP Concurrence & Signed PPA/RFMRef: 2026–2027 VA PBM DML (Nov 15/16 & Nov 20/22 Deadlines); 38 U.S.C. § 8126(e)(2)
SOP-3.3

3-Year VA OIG Audit Binder & Chain of Custody Archival

Owner: GPR TeamWithin 5 Business Days Post-Submission

Lock the Riparian calculation run and archive all raw Riparian extracts, the 3 GPR deliverable workbooks (Calculation & Variance Explanations, Internal Cert Sheet, VA 16-Column Submission File), GL tie-outs, TRICARE/340B exclusion logs, officer certifications, and Contracts (Kristina) VA submission receipts in the immutable 3-year audit repository.

Deliverable: Locked 3-Year Statutory Audit Binder (Riparian + 3 GPR Workbooks + Contracts Archive)Ref: 38 U.S.C. § 8126(e) & VA Master Agreement 3-Year Audit Clause

5. Interactive 2026–2027 Non-FAMP & Dual-Cap FCP Calculator

Pre-loaded with official 2026–2027 BLS CPI-U (3.74%), CalcMax vs. FSSMax Dual-Cap Rule & ±5% QoQ variance alert

90/10 Wholesaler Unit Share:94.3% (≥90% — Use Wholesaler Channel Only)
Calculated 3Q 2026 Non-FAMP:$117.00 / unit (+4.00% vs. 3Q 2025)
CPI-U Cap (3.74%) & Additional Discount:Cap: $116.71 | Add'l Disc: -$0.29
Dual-Cap Check (CalcMax vs. FSSMax):CalcMax: $88.06 | FSSMax: $88.70
2027 Statutory Max FCP (Lower of CalcMax & FSSMax):$88.06

6. Vantive Contracts, GPR Team & Riparian RACI Matrix

R = Responsible • A = Accountable • C = Consulted • I = Informed

Deliverable / GateRiparian OpsGPR TeamContracts (Kristina)LegalOfficer
1. Send Product Codes from Vantive's 4 FSS Contracts to GPR & Receive Locked VA PBM Workbook
Phase 1 (Oct 1–5 / Qtr Start)
ICAII
2. GPR Works with Riparian to Ingest Upstream Gross-to-Net Feeds & Execute Period Close
Phase 1 (Days 1–5)
RAIII
3. GPR Reconciles Riparian Feeds, Executes Exclusions & Audits Pricing (Oct 9 Att. B Check)
Phase 1 (By Oct 9 / Days 5–8)
CACII
4. GPR Validates BFSF & 90/10 Wholesaler Ratios with Riparian (Oct 19 Att. A Check)
Phase 1 (By Oct 19 / Days 9–12)
CAICI
5. GPR Works with Riparian to Calculate Non-FAMP, ASP & Maps Blend IDs (NF11K, NF10K)
Phase 2 (Oct 14–22 / Days 12–18)
RAIII
6. GPR Produces Deliverable 1: Calculation Results & Variance Explanations Workbook
Phase 2 (Oct 22–26 / Days 18–22)
IRACI
7. GPR Produces Deliverable 2: Internal Cert Sheet & Hands Off to Contracts (Kristina)
Phase 2 (Oct 26–28 / Days 22–25)
IRAII
8. Contracts (Kristina) Verifies Deliverable 3: Official VA 16-Column Submission File
Phase 2 (Oct 28 – Nov 2 / Days 25–28)
ICAII
9. Corporate Officer Attestation & Legal Compliance Review
Phase 3 (Nov 2–10 / Days 28–35)
ICRCA
10. Contracts (Kristina) Submits Certified Public Law Package to VA PBM & Coordinates FSS Concurrence / PPA
Phase 3 (By Nov 15/16 & Nov 20/22)
IIAIC
11. 3-Year VA OIG Statutory Audit Binder Archival (All 3 GPR Workbooks + Receipts)
Phase 3 (Post-Submission)
CACII

7. 📎 Manage Uploaded Project Files (Upload, Download, or Remove Documents)

The official 2026–2027 VA Annual DML is indexed below. (Quarterly client workpapers are purged upon request per Vantive data confidentiality policy). Upload any additional Riparian data extracts or drafts anytime, or click Remove on any card to delete a document.

Drag & drop ANY file here (Excel .xlsx/.xls, .csv, Word .docx, .pdf, PowerPoint, .zip, or Images) or click to browse
Supports multi-megabyte workbooks via automatic chunked cloud storage • CSV/text headers are inspected automatically by Chase
Uploaded Project Files (4):
PDF
2026-2027FCP_Final-Annual-DML.pdf
PDF728 KB
XLSX
Vantive Q32026 NFAMP Submission File (1).xlsx
XLSX181 KB
XLSX
NFAMP - Vantive Q32026 Cert Sheet.xlsx
XLSX16.1 KB
XLSX
NFAMP - Q32026 Vantive Variance Explanations.xlsx
XLSX27.4 KB

8. 💬 Chat with Chase, Attach Spreadsheets/Docs & Share Screenshots

Want a Riparian data field, SOP step, or FCP formula tweaked? Attach any file (.xlsx, .csv, .docx, .pdf), paste a screenshot (Ctrl+V), or type below — Chase inspects your files and updates your SOP right away.

Open Full Project Thread
Kristina ↔ Chase Live Request Chat & File Upload4 Messages

Reply to Chase, attach Excel/CSV/Word/PDF files, or paste a screenshot (Ctrl+V) right here

Kristina Anderson
Oct 22, 12:12 PM

Are you able to pull data regarding NFAMP reporting from government websites along with Public Law to create an overall SOP that includes my GPR team and the data they receive from Riparian

Kristina Anderson
Oct 22, 3:14 PM

Did you pull deadlines from DML althought the dates change from year to year. Here is the current annual document link https://department.va.gov/procurement-acquisition-and-logistics/wp-content/uploads/sites/56/2026/10/2026-2027FCP_Final-Annual-DML.pdf

Chase • Dedicated AI Engineer✓ Completed & Live
Oct 22, 3:33 PM

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!

Chase • Dedicated AI Engineer✓ Completed & Live
Oct 22, 3:33 PM

✅ 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!

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