Retail Pharmacy Management System

The vendor is required to provide a retail pharmacy management system (PMS) that include workstations, printers, and scanners to support all dispensing, inventory, and point-of-sale (POS) pharmacy management functions.
• Point of sale (POS) registers and cash drawers to support patient payment and purchases with remote dispense abilities.
• Enterprise server required to integrate both the outpatient pharmacy and the specialty pharmacy.
• Central fill pharmacy system fully integrated with all pharmacy locations to handle at least 2,000 scripts filled in an eight-hour shift with sorting based on pharmacy location for patient pickup.
• Remote access server to support easy access of PMS.
• Production, nightly backup, and test environment servers to support all pharmacy management functionality.
• Must provide vial robotics.
• Interactive voice response (IVR) software to support incoming patient telephone prescription refill orders and refill status.
• Software to support meds to beds services with mobile POS for processing transactions, including credit card processing; the mobile devices connect to the pharmacy system via a cellular network and are able to collect and save electronic signatures confirming patient receipt of prescriptions and process credit card transactions.
• Mobile sale module equipment and iPhone device.
• Language translation module to provide accurate and consistent translation and printing of prescription label, prescription paperwork, and auxiliary warning documentation from English into Spanish
• Integrated/interfaced pouch packaging/blister card packaging/robot: must include parata atp/TCGRx series.
• Must be able to interface with existing sp100 and sp200 robots
• Must be able to supply vial dispensing robots.
• Verification system for patient’s insurance eligibility; medicare and private insurances –
• Has system to track partial fill follow ups so when medication arrives at pharmacy the system will fill balance of prescription.
• Prescription filling and verification system with bar codes and scanning
• Encryption of all pharmacy data.
• Business continuity and disaster recovery architecture and implementation with bi-annual testing or as required for specialty pharmacy accreditation.
- Service requirements:
• Must provide 24/7 support 365 days per year
• Must provide access to a 3rd party switch services accepting e voucher payments
• Must provide integrated/interfaced third-party reconciliation capabilities
• Using omnisys, or similar, must allow for medicare part b billing electronically with secondary automatic pass-through
• Must have integrated system for prior authorizations with CoverMyMeds or similar
• Must be able to load payment card industry (PCI) compliant credit card information from remote, web-based locations, outside of the pharmacy and point-of-sale stations.
• Must have the capabilities to build multiple virtual inventory centers within each pharmacy location such as 340b, wholesale, retail, wholesale acquisition cost (WAC)
• Must have integrated 340b xr eligibility validation for claims without using an outside third-party administrator (TPA)
• Must be able to integrate/interface with scrip talk or similar speak able prescription labels
• Must have the ability to text patients regarding, refills, pickup, shipping with tracking information
• Must integrate with overnight shipping services with documentation with tracking numbers
• Must have the ability to create patient charge accounts with monthly billing statements and track payments
• Will call patient management for each pharmacy.
• Must include ongoing support and services that will require a multi-year agreement subject to approval by the state attorney general and the state office of the state comptroller.
- Networking requirements:
• Network hardware (i.e. network switches and network firewalls) to interconnect all pharmacy locations.
• Complete network management for all installed network hardware.
• Complete end-to-end security management software.
• Regulatory requirements: vendors must provide information on how their software tool complies with the following requirements:
• NIST SP 800-53: security and privacy controls for federal information systems.
• NIST cybersecurity framework (CSF): provides a comprehensive framework for management cybersecurity risks.
• Compliance with HIPAA is essential.
• PCI DSS: required for systems handling payment card information.
• SSDF (secure software development framework) from NIST.
• DevSecOps to integrate security throughout the software lifecycle.
• Aes-256 for data encryption.
• TLS 1.3 for secure communications.
• Certificates like ISO, SOC, or hit rust demonstrate compliance with recognized standards.
- Integration/interface requirements:
• Parata systems/atp/TCGRx adherence packaging solution data interface
• EMR interface to send and receive electronic medical record (EMR) messages that update data in both • Pharmacy management system and upstate’s epic EMR system
• Epic communication with ADT feeds and 2-way ERX prescription data to bypass sure scripts
• Integration/interface with scrip talk Rx labels
• Must accept medicare part b reconciliation – accept all medicare 835 files.
• Must accept all CVS/Caremark and express scripts 835 files.
• Must be able to supply daily financial reconciliation reports.
• Integrated POS must accept daily sales feeds from PMS.
• Must have financial reporting system based on date ranges for sales, payments, write off and patient copay cost.
• Must be able to provide a health system inpatient manufacture drug rebate program for eligible drug dispensing; the rebate must be paid monthly to the health system.
- Inventory requirements:
• Scanning of inventory replenish, direct replenishment.
• 340b blacklist meds if needed.
• 340b management package to support 340b prescription processing and inventory.
• Wholesaler EDI feeds, cardinal, McKesson, Amerisource
• Must have an automated system to offer generic drug selection from a drug wholesaler based on best cost.
- General/miscellaneous requirements:
• Ability to create patient group types for reporting and sorting workflow.
• Color codes Rx’s for type of service: meds-to-beds, patient pick up, mail.
• Document management to store and retrieve all script and patient level documents.
• We must have the ability to build non-electronic billing accounts with monthly statements to payor.
• Must have the ability to add users and adjust security.
• Automated updates; must provide automated updates of all software, including third party software, drug information, and other tables required to operate the system.
- Contract Period/Term: 5 years