HomeMy WebLinkAboutContract 35281C;iTY ���RETi�RIf�� �
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� DSHS Tracking Number:
Department of
Siate Health Services � � �
Contract to Purchase Antivirals at the Subsidized Federal Rate
By arrangement with the Centers for Disease Control and Prevention (CDC), the
Department of State Health Services (DSHS) has been given the opportunity to purchase
quantities of the antiviral medications Tamiflu� and Relenza� ("antivirals") specified
below, at below-market prices.
DSHS is allowed to extend this availability to local governmental entities and state
agencies ("Eligible Applicants") on the terms and conditions below. This participation
must be evidenced and effectuated by the execution of this binding contract with DSHS.
Eligible Applicants and DSHS are the parties to this contract.
• Purchase must be made by the Eligible Applicant only. Separate purchases by
different branches of the same local government will not be allowed. The prices
given below are firm, non-negotiable prices. ,
• The Antivirals may be used only for the purposes allowed.by the CDC..At,this
time the CDC has limited the use of the antivirals purchased through this contract
to treatment of pandemic flu only. Antivirals cannot be released for usage until a
pandemic influenza-specific public health emergency is declared by federal
and/or state officials. Management, storage, and distribution are the sole
responsibility of the Eligible Applicant.
• This contract must be signed and returned to DSHS no later than December 15,
2006 for the subsidized purchase price at 75% of the contract price for Tamiflu�
($14.43 per course) and Relenza� ($16.26 per treatment course). The actual order
will be placed after payment is received.
• Eligible Applicant may place orders by sending the payment in full to the
attention of the Community Preparedness Section of DSHS at 1100 W. 49`h St.,
Austin, TX 78756-3199.
• The delivery of the antivirals will be made directly by the manufacturer to the
Eligible Applicants at one site only. DSHS bears no responsibility for shipping
costs.
• The timing of the delivery is dependent upon the manufacturers' schedules and
capacities and is beyond the control of DSHS.
• Within two days of receipt of the antivirals from the manufacturer, Eligible
Applicant must complete the packing lisf that comes with the order and send the
packing list, by mail or fax, (preferably fax 512-458-7489) to the Phannacy
Branch, DSHS so that it can be compared against the original order.
• Should the order received be missing any product the local entity. must
immediately contact the Pharmacy Branch at 512-458-7500 and ask to speak with
the Pharmacy Branch manager or his designee to provide the details.
• In the event cumulative orders made by DSHS and eligible applicants exceeds
2,320,701courses (the Texas limit for subsidized purchase), DSHS shall fill orders
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on a first come, first served basis. Those who place an order by payment on the
earliest date will have priority over those who submit the payment at a later date.
DSHS may at its option, 1) submit multiple purchase orders upon receipt of
payment for the antivirals from selected Eligible Applicants, or; 2) submit a single
order in December 2007 after payment has been received from all Eligible
Applicants.
Payments for which DSHS cannot supply the product ordered shall be refunded
by DSHS as quickly as practical.
Please indicate, by filling in the blanks the amount of antivirals you will purchase. Please
note that a course of Tamiflu� consists of 10 capsules, 75mg each, per bottle.
A course of Relenza� consists of 20 powder blister packages per unit. The antivirals
may be stored at room temperature away from sunlight and moisture and have a shelf life
of approximately five (5) years.
For orders placed by December 15, 2006.
3, 000 Courses of Tamiflu� subsidized for $14.43 per course: $ 43 , 290
500 Courses of Relenza� subsidized for $16.29 per course: $ 8� 145
� TOTAL $ 51, 435
Month/vear when pavment will be sent to DSHS to place order• 1/07 (month/year)
(In no event will funds be accepted a$er November 1, 2007)
Please provide the name and physical address of authorized pharmacy, physician,
or his or her delegated agent that can accept delivery.
Name of Contracting Party: city of Fort Worth
Name of Authorized provider: Elvin E. Adams , M. D. (F2519 )
Address (must be a physical location for shipping):
2920 West Bolt St.
City/State/Zip Code: Fort Worth, TX 76110
Contact phone number: 817 ��392�-6173 (purchase)
817-922-3 92 e ivery
Execution of this document creates a binding contract and obligation to pay DSHS the
TOTAL shown above. As DSHS has guaranteed the purchase of the antivirals to CDC
based on the execution of this contract, Eligible Applicant is also guaranteeing to DSHS
that it will submit the order it has specified with payment in full on or before November
1, 2007. DSHS will order and pay for the antivirals on the terms specified above.
Each party represents to the other that the person signing this contract has.the authority to legally
obligate and bind the entity.
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
CONTRACTOR NAME:
City of Fort Worth
//� _
// ��� A
/�
�
By: _
(Signature of person authorized to sign contracts)
Joe Paniagua, Assistant City Manager
(Name and Title)
Date: 12 / 14 / 2006
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DSHS NAME:
DEPARTMENT OF STATE HEALTH
SERVICES
By:
(Signature of person authorized to sign contracts)
Bob Burnette, D'uector
Client Services Contracring Unit
(Name and Title)
Date:
Contract No:
���iu�r� i , I� I - U072__
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Guidelines for Antiviral Storage, Allocation, and Distribution
Local Antiviral vledication Purchases for Pandemic Flu
These guidelines are meant to assist governmental entities with storage, allocation, and
distribution issues regarding antivirals purchased for local use in response to a pandemic
under the subsidized federal Department of Health and Human Services (HHS) contracts,
through an executed contract with the Texas Department of State Health Services
(DSHS). Within federal Department of Health and Human Service requirements these
medications may not be used except in a declared pandemic and may not be rotated with
other stocks of antivirals. Local entities have control over how and for whom these
antivirals will be used.
These guidelines do not apply to antivirals that are part of the Strategic National
Stockpile or to state purchases, which may use different storage and distribution
mechanisms. They also do not apply to any medications that are purchased independently
from the manufacturers or other distributors. A longer, more comprehensive draft of
Pandemic Influenza Plan Operating Guidelines regarding usage is currently under review
and will soon be made available to you.
Antiviral Storage:
• Identify storage space for the antivirals ordered.
o Space should be secure at all times.
o Space should meet temperature guidelines for the medications (see
attachment A) and should have a backup power plan to maintain
temperature in case of an interruption.
o Space should be large enough for the quantity ordered (attachment A)
o Space must be available for at least 5 years, the entire shelf life of the
product, with a plan for immediately finding an alternative should that
space become unsuitable or unavailable.
o Space must be ready for storage by the time the order arrives.
o The shipping address may be different from that of the storage site, so the
contractor should be prepazed to move the antivirals quickly into the
appropriate storage space.
Receive order.
o One month prior to delivery time specified in the executed contract, DSHS
verifies payment and works with contractor if not complete.
o When payment has been verified, DSHS confirms the shipping address
and contact person and completes the ordering process.
o The drug company drop-ships the antiviral to the contractor at their
designated address. Only one shipping address allowed per order.
o Upon receipt, the contractor verifies the order, faxes a copy of the packing
list/receiving report to the DSHS and Pharmacy Branch at 512-458-7489.
The contractor should request the Pharmacy Branch to assist with any
necessary adjustments if there are discrepancies. Ph. 512/458-7500 Ext.
2676
Guidelines for Antiviral Storage, Allocation and Distribution
February 2007
Antiviral Allocation and Distribution:
Develop a plan for antiviral usage and allocation in the event of a pandemic. Among
other elements, the plan should address:
• For whom the local antivirals are intended.
• Employees and others who already have private insurance/medical home and who
can obtain antivirals in that way rather using the stockpile medications.
� Use of the local cache of antivirals wlien other antivirals (SNS, state purchases)
may be available; which stock is used first and for whom.
• Who decides when use of local antivirals is triggered.
• How the antivirals are distributed locally. Include a backup provision to
implement if those transportation/distribution resources become unavailable.
• How extra security will be provided for storage and for distribution if needed
during the pandemic.
• How the plan will be exercised.
Review and adjust plan as needed periodically, but at least annually.
For questions or additional information about concepts or requirements related to
distribution, storage, and allocation of your antivirals, please contact Robert Nash at
Robert.nash�dshs.state.tx.us , 512/458-7111, extension 2493; or Susan Penfield, MD, at
susan.penfield(c�7,dshs.state.tx.us or 512/458-7455.
Guidelines for Antiviral Storage, Allocation and Distribution 2
February 2007
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City of Fort Worth, Texas
Mayor and Council Communication
� _ —
COUNCIL ACTION: Approved on 12/12/2006 - Ordinance No. 17303-12-2006
DATE: Tuesday, December 12, 2006
LOG NAME: 02RX CACHE REFERENCE NO.: *�`C-21871
SUBJECT:
Authorization to Execute a Contract with the Texas Department of State Health Services to
Purchase Anti-Viral Medication for First Responders to be Used in the Event of a Pandemic Flu
(Purchase Deadline December 15, 2006) and Adoption of Appropriation Ordinance
RECOMMENDATION:
It is recommended that the City Council:
1. Approve appropriation of Metropolitan Medical Response System (MMRS) and Urban Area Security
Initiative (UASI) funds in the amount of $51,435 (3,000 courses of Tamiflu @$14.43 per course and 500
courses of Relenza @$16.29 per course); and
2. Authorize the City Manager to execute a contract with the Texas Department of State Health Services
(DSHS) for the purchase of 3,000 courses of Tamiflu (Oseltamivir phosphate) and 500 courses of Relenza
(Zanamivir) to be used to treat first responders and other key City of Fort Worth personnel such as health
care workers in the event of Pandemic Influenza.
DISCUSSION:
The Centers for Disease Control and Prevention (CDC) is encouraging state and local governments to
stockpile additional antiviral medications for treatment of a pandemic should it break out within their
jurisdictions. At this time, there is no eminent threat of a pandemic influenza breaking out in the City of Fort
Worth or Tarrant County. The CDC is providing states and local governments an opportunity to the
antivirals using the federal contract which includes a 75 percent federal subsidy. The stockpile will raise our
preparedness level to ensure continuity of essential services should the threat of a pandemic exist.
Precedents have been set by the Austin-Travis district Health Department as well as the Dallas County
Commissioners Court authorizing the purchase of antivirals to treat first responders in the event of an
outbreak to assure that essential services would continue.
The number of courses cited in this recommendation is based on precedent by regional and state
municipalities and discussions with the Fort Worth Emergency Management Office and the Fort Worth
Homeland Security Planning Team. The recommendation of 3,500 total courses provides coverage for all
Police and Fire personnel and allows for additional courses for other City of Fort Worth personnel such as
health care workers.
Although Tamiflu is primarily indicated in the event of Pandemic Influenza, guidance by the CDC
recommends the purchase of a smaller inventory of Relenza to ensure medications are available if
administration of Tamiflu is contra-indicated. While the number of courses in this recommendation is
specifically intended to ensure the services of first responders and public health workers, it is recognized
that additional medications will be made available for the broader community in the event of a Pandemic
Logname: 02RX CACHE Page 1 of 2
from local inventories and state/federal assets, including the Strategic National Stockpile (SNS) and the
Vendor Managed Inventory (VMI).
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that upon approval of the above recommendations, and adoption of the
attached appropriation ordinance, funds will be available in the current operating budget, as appropriated, of
special trust Fund.
TO Fund/AccountlCenters FROM Fund/Account/Centers
FE72 541320 00253600100 $51,435.00 FE72 541320 002536001000 $51,435.00
Submitted for City Manager's Office bv: Joe Paniagua (6191)
Originating Department Head: Dan Reimer (8903)
Additional Information Contact: Juan Ortiz (6173)
Logname: 02RX CACHE Page 2 of 2