HomeMy WebLinkAboutCAG2020-382 - Amendment - Omnicare of Seattle - Inmate Healthcare Services - 12/25/2020ApprovalOriginator:Department:
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rev. 20210513
FOR CITY OF KENT OFFICIAL USE ONLY
(Optional)
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Omnicane
a?GllSHeolthcompany
The City of Kent Corrections Facility
1230 Central Ave South
Kent, WA,98032
Dear Valued Customer:
As your pharmacy provider, Omnicare strives to provide you with outstanding services and value
through our unmatched industry experience and expertise. To that end, Omnicare is pleased to offer you
the COVID-I9 vaccination distribution services set forth in this letter amendment to your current and
existing pharmacy services agreement or agreements between Omnicare pharmacies and your facilities
(collectively, the "Current Services Agreement").
Subject to the availability of supply to Omnicare under the CDC COVID-19 Vaccination Program
provider Agreement between CDC and CVS Pharmacy, Inc. (the "CDC Agreement"), Omnicare may
provide COVID-1g vaccines obtained through the CDC Agreement for you to administer to your residents
and staff. Omnicare's ability to supply COVID-19 vaccines is also subject to continuing FDA Emergency
Use Author izationor subsequent approval for use, and compliance by you and your staff with the ordering,
storage, administration, and reporting policies and procedures set forth in Exhibit A to this letter
amendment. Omnicare shall have the right to audit your compliance with the policies and procedures in
Exhibit A, and you, your staff and the facilities shall cooperate in full with Omnicare's audits, including by
providing any and all information Omnicare determines is necessary to perform the audit.
Omnicare will charge your facilities $60.00 per COVID-19 vaccine vial distributed by Omnicare
to your facilities (the .,Distribution Fee"). The Distribution Fee is intended to cover services provided by
Omnicare (described in Exhibit A) that would otherwise be reimbursed by payments from third party
insurers or the Health Resources and Services Administration ("HRSA") and shall constitute a facility
payable item and shall not be charged to any patient, staff member, or other payer, whether directly or
indirectly through, for example, increased fees for existing services solely to cover the cost of the
Distribution Fee.. To the extent any of your facilities elect to submit for reimbursement through applicable
third-party payers or HRSA for administration of the vaccine, the facilities shall not reflect the Distribution
Fee in cost reporting to the Centers for Medicare and Medicaid Services ("CMS") or any other applicable
agency.
Omnicare will bill your facilities consistent with the billing and collections terms in the Current
Services Agreement. Neither Omnicare's pharmacies nor your facilities may bill any patient or private
responsible party for any cost associated with the COVID-I9 vaccines distributed by Omnicare to you.
This prohibition does not affect your facilities' ability to bill third-party insurers or the federal HRSA
prog.urn for the uninsured and accept payment from those insurers or HRSA provided the facilities accept
that payment as payment in full and do not assess or attempt to collect any cost sharing obligation' co-
payment, or non-covered payment from patients or responsible parties.
Omnicare will submit an invoice to your facilities for Distribution Fees associated with this letter
amendment in a manner consistent with the terms and conditions in the Current Services Agreement.
Omnicare shall apply any applicable discounts to the Distribution Fees to the extent otherwise applicable
as set forth in the Current Services Agreement. If any charges are not paid by your facilities when due,
Omnicare may assert any remedies for non-payment in a manner set forth in the Current Services
Agreement.
Omnicare's COVID-I9 vaccine services in this letter amendment shall continue until: (a)
terminated by either party on 30 days' written notice to the other party; (b) termination or expiration of the
CDC Agreement; or (c) the termination or expiration of the Current Services Agreement' In addition,
Omnicaie may immediately terminate, suspend and/or cease the provision of any COVID-I9 vaccine
services in this letter amendment if it determines any of the facilities or their staff have failed to comply
with the policies and procedures in Exhibit A.
The terms of this letter amendment are non-negotiable and shall be deemed incorporated into the
terms of the Current Services Agreement and made a part thereof. The terms of this letter amendment and
services described herein shall be governed by the terms of the Current Services Agreement except as
otherwise specified in this letter amendment. If there is a conflict between the Current Services Agreement
and this letter amendment, the terms of this letter amendment will govern.
If you have any questions or would like to discuss further, please feel free to reach out to your
Omnicare Account Executive
Sincerely
Paul J. Brodnicki, II
Senior Legal Counsel
please review the terms of this letter amendment carefully and if you accept the terms of services
herein, please sign and return a copy of the signed letter amendment to
CovidVaccineContracting@CV SHealth.com.
Customer S ignature (Required) :
Name (Please Print) (Required):
Title (Please Print) (Required): Aas r s'r*.^rr Cttte;'F KFP
Date of Signature (Required):
EXHIBIT A
Om nicare Pharmacv's Resnonsibilities
Each Omnicare pharmacy shall:
Report vaccine recipient required information ("vaccine Administration Data,,) to relevant state, local and territorial
ru?f;ji.T,l.,t
authorities' This reporting shall ie managed and maintained in a manne..onririlnt with the cDC
comply with all cDC requirements for vaccine management and cold-chain through preparation of covlD-19vaccine for delivery to facility.
il:irilrlji*used, spoiled, expired or wasted covlD-19 vaccine as required by relevant jurisdiction and cDC
comply with all federal instructions and timelines for disposing covlD-19 vaccine, including unused dosesreturned by facility.
ft"*S3Jrul:'f|#ors and'/or adverse events reported by facility in a manner consistent with the requiremenrs of
Provide facility with sufficient covlD- l9 vaccination record cards.Provide facility with relevant information sheets, handling oo.ur"ntr, and other publicly available trainingmaterials to aid in administration of COVID_19 vaccine.Provide facility with all relevant omnicare covlD- l9 vaccine-related poricies, procedures, and work instructions.
your Facilitv's Resnonsibilities
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Each ofyour facilities shall
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order a vial of covlD-lg.vaccine only when it-reasonably believes itl'as sufficient anticipated recipients (patients
eH::T:?r?Ji" " complete vial of covtD-le vaccine,'u, drrrrib"d in current s;id*;;;* manufa*urers,
Prepare to administer covlD-19 vaccine within a time frame outlined in current guidance from manufacturers,cDC' and/or FDA for post-thaw vaccine viability. rn urr .u.ntr, uti iu".in" must be administered within certaintime frames from receipt of vial as outlined in omnicare dilfi;iicies, procedures, or work instructions.Facility acknowledges that certain covlD-19 vaccines ui. ,uoj""ito cold-chain storage requirements and may spoilif not administered within identified time frames.postthaw. Facility shall not administer any vaccine after therecommended post-thaw time frame. comply wiitr att other vaccine management requirements, includingmonitoring for vaccine-expiration dates and oilr".cnc guia""."i"g".oing handling (available atlTt//y**,cdc. gov/v-accines/hcp/admin/storage_hanOf i"ng.frtm f
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Administer the covlD-19 vaccine consistent *itr, at..qiir",nJntr, recommendations and other guidance of cDCand cDC's Advisory commiftee on Immunization p.actii"r. i".'i6;r vaccine services must be administered in
;:ltltil"t with cDC's Guidance for Immunization Services fiG the covrD-ts pun;.;;. for safe delivery of
Administer regardless of recipient's ability to pay or insurance coverage status and not seek reimbursementfor covlD-l9 vaccine or other materials p-io"a.uy prr"ir""v
"utained through the cDC Agreement.Notwithstanding this provision, facility may seek reimbursement rrJm a program or plan that covers covlD- l 9vaccine administration fees for vaccine recipients. Facility shall not charge vaccine recipients in any manner foradministration of the vlccine, inctuding batance billingl.opuy
"olL"tion, or any other charge.Prior to administration, obtain informed clnsent. from ...ipi."ioi *rrni9r11, representative (if applicable) andprovide an approved EUA fact sheet or vaccine information **r""i?"vlS") to each recipient or representative, as
f,iJ|iill; Upon consent by recipient or recipient's representative, i""iriry rnay provide ui .t"rt.oni. copy of either
Administer covlD-19 vaccine in a manner toTfliSlwith all requirements set forth by the FDA or the vaccine
ffi:l"t ,,",J';fft,:1T,?,0.:1ffi:'f,ffi:", the EUA that covers tt. Covn-re vaccine, *J"u other appricabre
Maintain appropriate safety protocols to ensure rec^ipient safety, including having available resources to managepotential anaphylactic reaction to administration of ihe covtn-ts vu""in*, specifically including sufficient
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available supply of epinephrine autoinjector devices (or other epinephrine product), Hl antihistamine (e.g.,
diphenhydramine, cetirizine), blood pressure monitor, and timing device to assess pulse'
i . piovide each vaccine recipient with a completed COVID-I9 vaccination record card.
g. Record Vaccine Administration Data in facility's system of records within 24 hours and maintain the Vaccine
Administration Data for at least three (3) years, or longer if required by state, local, or territorial law.
g. provide pharmacy with required Vaccine Administration Data in a form provided by Pharmacy or otherwise agreed
immediately following administration of all doses and no later than by close of business on the day of receipt of
COVID-19 vaccine.
10. Report any administration errors or clinically significant adverse events from administration of COVID-19 vaccine
in ihe form outlined https://vaers.hhs.gov/reportevent.html. Facility shall report in a manner consistent with the
CDC Agreement regarding adverse event reporting (including (1) administration errors; (2) severe COVID-19
illness; (3; serious udu.rtJ"u.nt, including death; (4) life-threatening adverse event, hospitalization or prolongation
of hospitalization, persistent or significant incapacity or substantial disruption of ability to conduct normal life
functions; (5) a congenital anomaly/birth defect; or (6) an important medical event not otherwise covered by which
may be considered Jerious when, based upon appropriate medical judgment, the adverse event may jeopardize the
patient or require intervention to prevent another listed adverse event outcome). Facility shall provide pharmacy
with a copy of the report. Nothing in this section relieves facility of any independent reporting obligations it might
have to any federal, state, or local healthcare authority.
I 1. Report to iharmacy any unused doses in the form or manner provided by Pharmacy and retum vials of unused doses
to pharmacy for disposal.
12. Comply wiitr att Omnicare COVID-19 vaccine-related policies, procedures, and work instructions.