Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Issuance of Purchase Orders to Priority Healthcare dba Curascript Specialty Distribution
RECOMMENDATION:
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Adopt a resolution authorizing the County Purchasing Agent to issue purchase orders to Priority Healthcare, dba Curascript Specialty Distribution to provide intrauterine and implantable prescription devices for the term of April 1, 2020 through March 31, 2023, in an amount not to exceed $1,500,000.
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BACKGROUND:
As part of San Mateo County’s commitment to women’s health, San Mateo Medical Center (SMMC) offers a variety of intrauterine and implantable prescription devices that provide birth control for its patients.
DISCUSSION:
SMMC pharmacy has been purchasing intrauterine and implantable prescription devices for many years through vendor agreements with Priority Healthcare dba Curascript Specialty Distribution (Curascript). This vendor agreement now requires the Board’s approval for SMMC to continue to purchase these devices because the annual spend has reached the County’s $100,000 threshold. SMMC is also requesting the Board to waive the Request for Bid process because Curascript’s Nexplanon, a prescription inserted on the inner side of a woman’s upper arm, provides safe effective contraception for up to three years and is a sole source device not sold by any other vendor. This agreement is coming to the Board late due to prolonged negotiations.
The resolution has been reviewed and approved by County Counsel as to form.
It is anticipated that the insertion of these implantable prescription devices will prevent conception for up to 3 years more than 99% of the time.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Estimated |
FY 2020-21 Projected |
|
Percentage of time that these implantable prescription devices will prevent conception for up to three years |
> 99% |
> 99% |
FISCAL IMPACT:
The term of the agreement is April 1, 2020 through March 31, 2023. The amount of the agreement is not to exceed $1,500,000 for the 3-year term. Funds in the amount of $125,000 are included in the SMMC FY 2019-20 Adopted Budget. Funds in the amount of $500,000 are included in the SMMC FY 2020-21 Recommended Budget. Similar arrangements will be made for future years.
Expenses at SMMC are covered by fees for services or third-party payors whenever possible. The portion of expenses for services provided to the medically indigent or to those covered by programs that do not meet the full costs of care is covered by the County’s General Fund contribution to SMMC and is within the existing annual appropriation.