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Peace Corps Medical Logistics RFI

This request is for market research and informational purposes only. Background The Peace Corps traces its roots and mission to 1960, when then Senator John F. Kennedy challenged students at the University of Michigan to serve their country in the cause of peace by living and working in developing countries. From that inspiration grew an agency of the federal government devoted to world peace and friendship. Since that time, nearly 200,000 Peace Corps Volunteers have served in 139 host countries to work on issues ranging from AIDS education to information technology and environmental preservation. The Peace Corps' mission has three simple goals: 1. Helping the people of interested countries in meeting their need for trained men and women. 2. Helping promote a better understanding of Americans on the part of the peoples served. 3. Helping promote a better understanding of other peoples on the part of Americans. Today's Peace Corps is more vital than ever, working in emerging and essential areas such as information technology and business development, and committing more than 1,000 new Volunteers as a part of the President's Emergency Plan for AIDS Relief. Peace Corps Volunteers continue to help countless individuals who want to build a better life for themselves, their children, and their communities. In order to meet its mission, the Peace Corps desires to establish a Third Party Logistics (3PL) logistical support contract to provide global pharmaceutical and medical supply support services to approximately 77 Peace Corps Posts worldwide. The contractor would ideally provide end-to-end support from order placement by the Post to receipt and acceptance by Post, as provided by a blanket agreement with the Agency. Requirement This RFI describes the Peace Corps basic requirement and requests input on how the pharmaceutical/ medical supply industry can provide improved support to our Posts and ultimately Peace Corps Volunteers. The Peace Corps solicits comments which address: the feasibility of such a contract, the extent to which industry can meet the Government's requirements, the suggested contract type and line item structure, the acquisition approach, strategies for implementation, potential challenges, program management, pricing strategies, potential costs, process maps, etc. If applicable, we request that you include any examples you may have to illustrate capacity to support civilian industry or non-governmental organizations overseas in a similar scope as this requirement. This RFI is being issued in accordance with Federal Acquisition Regulation (FAR) 15.201(e). The Government does not intend to award a contract on the basis of this RFI. Responses to this RFI are not offers and cannot be accepted by the Government to form a binding contract. No entitlement to payment of direct or indirect costs or charges by the Government will arise as a result of submission of responses to this RFI and the Government's use of such information. If any information is proprietary please mark it as such but request as much information as possible to aid in the drafting of our requirement in a resulting RFP to be issued publicly. Respondents are encouraged to be as specific as possible in providing suggestions for innovative approaches and solutions. Feedback of a general or non-specific nature is less useful and will have

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limited utility in refining the acquisition strategy and the content of any future Request for Proposal (RFP). Interested parties may respond to this RFI in accordance with the instructions provided elsewhere in this package. The current scope is that we procure roughly $3 million in pharmaceuticals and medical equipment that need to be shipped to approximately 71 countries (See Attachment A), all with their own customs requirements, some very onerous. The Peace Corps desires a Third Party Logistics vendor capable of providing pre-assembled, customized push packages which contain at minimum all required medical and pharmaceutical supplies (See Attachment B) shipped to all posts on a quarterly or otherwise proposed basis. Peace Corps requires industry input in the development of effective, streamlined method to assist our overseas posts in ordering and acquiring shipments of push packages as well as managing inventory electronically. We have provided a draft drug formulary but require industry to provide any item we require or an interchangeable product acceptable to the medical professionals at Peace Corps Posts. The supply of generic drugs is encouraged but generic drugs must be identical to the brand name drug in dosage, safety, strength, quality, intended use, etc. Generic drugs are acceptable as long as they are FDAapproved and have been manufactured under the same rigid standards as the innovator drug. Further, all brands have to be registered with the authorities in the country of destination. Services we are seeking include, but are not limited to: Best overall price for products and services, and factors drive the cost Providing quality assurance, quality control, and regular performance including product quality, turnaround times Developing customized push packages by Post given Volunteer health and in-country conditions; Inventory management of products accessible online to Posts; Information, statistics, and feedback to both the Contracting Officer or Contracting Officer's Technical Representative (COTR), and to Posts; Areas that your company covers and how Over the counter products Controlled substances Packaging and shipment preparation to include cold-chain and HAZMAT products to Posts, as well as controlled substances to appropriate registered destinations; Equipment Preparing the paperwork and obtaining any applicable overseas national Health Ministry approvals; working around any specific country restrictions; Preparing all shipping and customs paperwork, obtaining Customs approvals, and processing the goods through customs to the final consignee; Capability for Peace Corps Posts to order pharmaceuticals and other medical products online (considering low-bandwidth situations) Systems that would allow Peace Corps to track shipments from point of origin to Post receipt; Provision of an electronic system to track medical supplies inventory at Post compatible with Peace Corps internal systems; Replacing any medication with an expiration date of six months or less as requested by the Posts; Allowing for reverse distribution for expired pharmaceuticals;

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Managing the proper handling of recalled pharmaceuticals; Establishing and maintaining a 24-hour/7 day per week customer order support service; Providing international Freight Forwarding services; Ability to develop customized push packages for each Post, based on local conditions and Volunteer health profiles Flexibility and depth for support of contingencies and special project initiatives.

Please send your information by email to our medical logistics procurement team. Please use all of the following email addresses: lbilder@peacecorps.gov, rcombs@peacecorps.gov, and jhuang@peacecorps.gov. In order to move this project ahead in a timely manner, please provide you suggestions, company information, and other input not later than December 12, 2011. We would also appreciate you sending a short email by November 23, 2011 indicating that you are interested in helping us and will be making a submission. Based on input received we may ask additional questions. Your assistance in this vital project to potentially improve the health of our Volunteers is greatly appreciated.

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Peace Corps Medical Logistics RFI Attachment A Peace Corps Posts List

Country List 1. Albania 2. Armenia 3. Azerbaijan 4. Belize 5. Benin 6. Bolivia 7. Botswana 8. Bulgaria 9. Burkina Faso 10. Cambodia 11. Cameroon 12. Cape Verde 13. China 14. Colombia 15. Costa Rica 16. Dominican Republic 17. Eastern Caribbean 18. Ecuador 19. El Salvador 20. Ethiopia 21. Fiji 22. FSM And Palau 23. Georgia 24. Ghana 25. Guatemala 26. Guinea 27. Guyana 28. Honduras 29. Indonesia 30. Jamaica 31. Jordan 32. Kazakhstan 33. Kenya 34. Kyrgyz Republic 35. Lesotho 36. Liberia 37. Macedonia 38. Madagascar 39. Malawi 40. Mali 41. Mauritania 42. Mexico 43. Moldova 44. Mongolia 45. Morocco 46. Mozambique 47. Namibia 48. Nicaragua 49. Niger 50. Panama 51. Paraguay 52. Peru 53. Philippines 54. Romania 55. Rwanda 56. Samoa 57. Senegal 58. Sierra Leone 59. South Africa 60. Suriname 61. Swaziland 62. Tanzania 63. Thailand 64. The Gambia 65. Togo 66. Tonga 67. Turkmenistan 68. Uganda 69. Ukraine 70. Vanuatu 71. Zambia

Attachment A | Page 1 of 1

Peace Corps Medical Logistics RFI Attachment B DRAFT Drug Formulary

KEY
AM Antimicrobial AM/P Antiparasitic AM/F Antifungal CS - Controlled Substance ER - Emergency HAZ - Hazardous Material

CNS- Central Nervous System

PLEASE NOTE EXPIRATION DATES ON ALL MEDICATIONS


Minocycline HCL, 100 mg (Minocyclin) Zidovudine 300mg/Lamivudine 150mg (Combivir) Valacyclovir HCL 500 mg tabs (Valtrex) Cephalexin Caps, 250 mg, (Keflex) Cefazoline Sodium Inj, 1 gm, (Ancef) Ceftriaxone Sodium Inj, 250 mg, (Rocephin) Ciprofloxacin HCL Tabs, 500 mg Ofloxacin tabs, 200 mg (Floxin) Levofloxacin tabs, 500 mg (Levaquin) Azithromycin Caps, 250 mg, (Zithromax) Erythromycin Stearate Tabs, 250 mg Clindamycin Inj., 300 mg/ 2 ml (Cleocin) Amoxi Pst Clav Tabs, 500 mg, (Augmentin) Amoxicillin Caps, 250 mg Penicillin VK tabs , 250 mg Pen G Benza & Procaine 1,200,000 units (Bicillin) Sulfameth/Tremth, 800/160 mg, (Bactrim/DS) Nitrofurantoin tabs, 50 mg (Nitrofan) Ketoconazole 200 mg caps Fluconazole 150mg tabs (Diflucan) Butoconazole nitrate 2%, vaginal cream (Gynazole-1) Praziquantel Tab, 600 mg (Biltricide) Mebendazole, 100 mg, (Vermox) Thiabendazole, 500 mg Tabs (Mintezol) Tinidazol, 500 mg, (Fasigyn) Metronidazole, 250 mg, (Flagyl) Paromomycin Sulphate, 250 mg, (Paromomycin) Metronidazole 0.75%, vaginal cream (Metrogel) Metronidazole Inj, 100ml, 5 mg/ml, (Flagyl) Doxyclycline Caps 100 mg Atovaquone/Proguanil 250/100mg (Malarone) Chloroquin Phosphate Tabs, 250 mg (Aralen) AM - TETRACYCLN AM - ANTIVIRAL AM - ANTIVIRAL AM - CEPHAL AM - CEPHAL - INJ AM - CEPHAL - INJ AM - FLUOROQ AM - FLUOROQ AM - FLUOROQ AM - MAC AM - MAC AM - MAC - INJ AM - PEN AM - PEN AM - PEN AM - PEN - INJ AM - SULFA AM - URINARY AM/F - ANTIFUNGAL AM/F- ANTIFUNGAL AM/F-ANTIFUNGAL AM/P - ANTIHELM AM/P - ANTIHELM AM/P - ANTIHELM AM/P - ANTIHELM AM/P -AMEBICIDE AM/P -AMEBICIDE AM/P- AMEBICIDE AM/P -AMEBICIDE - INJ AM/P-MALARIAL AM/P-MALARIAL AM/P- MALARIAL

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Peace Corps Medical Logistics RFI Attachment B DRAFT Drug Formulary


Mefloquine Hydrochl. Tabs, 250 mg, (Lariam) Primaquin Phosphate, 15 mg base, (Primaquine) Quinine Sulfate Caps, 325 mg Artemether 20 mg/lumefantrine 120 mg (Coartem) Quinine Dihydrochloride, Inj., (20mg salt/16.7 base) Acetaminophen Tabs, 325 mg (Tylenol) Aspirin Tabs, 325 mg Ibuprofen Tabs, 200 mg, (Motrin, Advil) Acetaminophen Supp., 650 mg Naproxen sodium, 220 mg tabs(Aleve) Lisinopril 10 mg tab Metoprolol tartrate 50 mg tab (Lopressor) Valsartan 80 mg tab Amlodipine 5mg/atorvastatin 10mg tab (Caduet) Loratadine Tabs, 10 mg (Claritin) Diphenhyd. HCL Caps, 25 mg, (Benadryl) Fexofenadrine 60 mg, 180 mg (Allegra) Pseudoephedrine HCL 120 mg/Fexofenadrin 60 mg (Allegra-D 12 hour) Cetirizine HCL 10 mg (Zyrtec) Montelukast Sodium 10 mg (Singulair) Fluticasone/Salmeterol 250/50 MCG (Advair Diskus) Fluticasone propionate nasal spray (Flonase) Ethinyl estradiol 20 mcg/1 mg norethindrone acetate (Microgestin 1/20) Norgestrel 0.3 mg/30 mcg ethinyl estradiol (Lo-Ovral) Norgestimate/ethinyl estradiol; 0.18 mg/35mcg; 0.215 mg/35mcg; 0.25 mg/35 mcg (Orthotricyclen) Drospirenone 3 mg/ Ethinyl estradiol 20 mcg (Yaz) Drospirenone 3 mg/Ethinyl estradiol 30 mcg (Yasmin) Levonorgestrel 0.75 mg (Plan B) Condoms Atorvastatin Calcium 20 mg (Lipitor) Simvastatin 20 mg (Zocor) Ezetimibe 10 mg/Simvastatin 10 mg (Vytorin) Propanolol HCL 20 mg, 60 mg (Inderol) Escitalopram Oxalate 10 mg (Lexapro) Sertraline HCL 50 mg tab (Zoloft) AM/P- MALARIAL AM/P- MALARIAL AM/P- MALARIAL AM/P-MALARIAL AM/P- MALARIAL - INJ ANALGESIC ANALGESIC ANALGESIC ANALGESIC ANALGESIC ANTI-HYPERTENSIVE ANTI-HYPERTENSIVE ANTI-HYPERTENSIVE ANTI-HYPERTENSIVE ALLERGY - ANTIHISTAMINE ALLERGY - ANTIHISTAMINE ALLERGY - ANTIHISTAMINE ALLERGY- ANTIHISTAMINE ALLERGY- ANTIHISTAMINE ALLERGY- ANTIHISTAMINE ALLERGY- ANTIHISTAMINE ALLERGY - ANTIHISTAMINE CONTRACEPTION CONTRACEPTION CONTRACEPTION CONTRACEPTION CONTRACEPTION CONTRACEPTION CONTRACEPTION CARDIOVASCULAR CARDIOVASCULAR CARDIOVASCULAR CARDIOVASCULAR CNS ANTI-DEPRESSANT CNS ANTI- DEPRESSANT

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Peace Corps Medical Logistics RFI Attachment B DRAFT Drug Formulary


Bupropion HCL 150 mg tab (Wellbutrin XL) Venlafaxine HCL 75 mg tab (Effexor XR) Paroxetine 20 mg tab (Paxil) Citalopram 20 mg tab (Celexa) Detroamphetamine /Amphetamine 10 mg tab (Adderall) Methylphenidate HCL 36 mg (Concerta) Zolpidem tartrate 10 mg (Ambien) Eszopiclone 2mg (Lunesta) Tylenol w/ Codiene Tabs Meperidine 50 mg tab (Demerol) Morphine Sulphate Inj, 10 mg/ml Diazepam Tabs, 5 mg, (Valium) Diazepam Inj. 2 mg (Valium) Haloperidol 5 mg tabs (Haldol) Haloperidol Inj, 5 mg/ml (Haldol) Sensodyne toothpaste Salicylic Acid, 40% ( plaster paper) wart tx Calamine, Diphen. HCL Lotion, 180 ml Calamine-Diphen. Cream, 1-1/2 oz, (Caladryl) Podofliox 0.5% (Condylox) genital wart tx Lotion, Selenium Sulfide., 2.5%, (Selsun) Shampoo, Selenium Sulf., 4 oz, (Selsun) Clotrimazole Cream Top, .1%, 15gm, (Lotrimin) Acyclovir Ointment, 5%, 15 gm, (Zovirax) Mupirocin 2% (Bactroban Oint) Neomycin, Polymy & Baci Oint, (Neosporin) Sulfadiazine Silver Crm, 1%, 20 gm, (Silvadene) Lindane Shampoo (Kwell) 60 ml Lotion, Selenium Sulf, 2.5% Hydrocort Cream 1% Triamcinolone Acetone Cream, 0.5 (Kenalog) Pimecrolimus cream 1% (Elidel) Epinephrine, (EpiPen), 1:1000, 0.3 mg Ephinephrine, 1:1000, .Vial Diphenhydramine HCL 50 mg/ml Inj (Benadryl) Phenytoin 250 mg/5 ml amp (Dilantin) Digoxin Tabs, .125 mg CNS ANTI- DEPRESSANT CNS ANTI- DEPRESSANT CNS- ANTI- DEPRESSANT CNS- ANTI- DEPRESSANT CS -CNS CS- CNS CNS CNS CS - ANALGESIC CS- ANALGESIC CS - ANALGESIC - INJ CS - ANTIANXIETY CS - ANTIANXIETY - INJ CS - ANTIPSYCHOTIC CS - ANTIPSYCHOTIC - INJ DENTAL DERM DERM DERM DERM DERM - ANTIFUNGAL DERM - ANTIFUNGAL DERM - ANTIFUNGAL DERM - ANTIVIRAL DERM - ANTIMICROBIAL DERM - ANTIMICROBIAL DERM - ANTIMICROBIAL DERM - ANTIPARASITIC DERM - ANTIPARASITIC DERM - CORTISONE DERM - CORTISONE DERM MISC. ER - ADRENERGIC ER - ADRENERGIC - INJ ER - ANTIHISTAMINE ER - ANTICONVULSANT - INJ ER - CARDIOVASCULAR

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Peace Corps Medical Logistics RFI Attachment B DRAFT Drug Formulary


Labatelol Tabs, 100 mg, 200 mg, (Normodyne) Nitroglyc. Tabs, Subling, .3 mg, (Nitrostat) Glucagon, Inj, 5mg, 10 mg Sodium Nitroprusside, Inj., 50 mg, (Nipride) Bretylium Tos. Inj., 50 mg/ml Digoxin .25mg/ml, 2 ml amp Dopamine HCL Inj, 80 mg/ml, 5 ml Methyprednisone succinate 125 mg Inj. (Solu-Medrol) Furosamide Tabs, 40 mg, (Lasix) Furosamide, Inj., 10mg/1ml dose/vial, (Lasix) Potas Chlor Tabs, 600 mg, (8 mgEq) Charcoal, Act Pwd, 12.5 gm Ammonia Inhalant 10/pkg. (HAZ) Bismuth subsalicylate tabs (Pepto-Bismol) Bisacodyl Supp, 10 mg, (Dulcolax) Calcium Carb. Tabs, 420 mg Gatorade or Oral Rehydration Hydrocort Acetate Cream, 2.5%, 1oz, (Anusol) Psyllium Hydro Muc, 30 mg/pg, (Metamucil) Omeprazole Tabs, 20 mg (Prilosec) Ranitidine Tabs,150 mg, (Zantac) Sodium Phosphate Enema, 4-1/2oz, (Fleet) Docusate Sodium, 100 mg, (Colace) Promethazine HCL Suppos, 25 mg, (Phenergan) Promethazine HCL Tabs, 25 mg, (Phenergan) Phenazopyr HCL Tabs, 100 mg, (Pyridium) Medroxyprog. Acet. Tabs, 5 mg, (Provera) Levothyrox. sodium, 50-100 mcg., (Synthroid) Sod Chlor for Inj, 20 ml Sterile Water for Injection, 5 ml Lidocaine, HCL, 1%, 10mg/ml, 20 ml Lidocaine, HCL, Inj, 2%, 20mg/ml, 20 ml Lidocaine, HCL/Epi, Inj, 1%, 10mg/ml, 20 ml Lidocaine, HCL/Epi, Inj, 2%, 20ml Prednisone Tabs, 5 mg, 10 mg Hydrochlorothiaz tabs, 50 mg, (HCTZ) Triamterene 50 mg tab ER - CARDIOVASCULAR ER - CARDIOVASCULAR ER - CARDIOVASCULAR ER - CARDIOVASCULAR - INJ ER - CARDIOVASCULAR - INJ ER - CARDIOVASCULAR - INJ ER - CARDIOVASCULAR - INJ ER - CORTICOSTEROID - INJ ER - DIURETIC ER - DIURETIC - INJ ER - ELECTROLYTE ER - MED ER - MED GI GI GI GI GI GI GI GI GI GI GI - ANTIHISTI / ANTIEMTIC GI - ANTIHISTI / ANTIEMTIC GU - MED GYN - HORMONE MED - HORMONE MED MED MED MED MED MED MED - CORTICOSTEROID MED - DIURETIC MED - DIURETIC

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Peace Corps Medical Logistics RFI Attachment B DRAFT Drug Formulary


Sumatriptan 25 mg (Imitrex) Risedronate 35 mg tab (Actonel) Alendronate 70 mg tab (Fosamax) Erythromycin Ophthamic Oint. Eye Solution, Dacriose Naphazoline HCL, Sol. Polyvin. Alc. Ophtham. Sol, 15 ml, 1% (Artif Tears) Polymyx, Neomyc, HCL Otic. Sol., (Cortisporin) Carbamide peroxide 6.5% (Debrox) Isoniazid Tabs, 300 mg (INH) Rifampin 600 mg Tabs (Rifadin) Albuterol Inhal., 17gm, (Proventil) (HAZ) Albuterol Sol., 0.5%, 5 mg/ml (nebulizer) PPD (Mantoux) 5U/Dose, 10 Doses Gamma Immune Globulin (GAMA) Japanese Encephalitis, 5 doses Hepatitis A Hepatitis B Influenza Virus (Tamiflu) Pneumococcal Rabies, 1 ml vial, (Imovax Rabies) Rabies Immune Globulin, 10 ml, multi-dose Typhoid (ViCPS) Typhoid, Oral, 4 caps/dose Meningococcal A/C/Y/W-135, (Menomun) 1 dose Tick-borne Encephalitis, 1 amp, .5ml Yellow Fever Meningococcal Vitamin B1 (Thiamine) Vitamin B6 Vitamin E Calcium Carb. Tabs, 650 mg Multivitamin & Mineral Tabs Ferrous Sulfate Tabs, 324 mg, (Iron) Folic Acid Tabs, 1 mg Ascorbic Acid Tabs, 500 mg, (Vitamin C) MIGRAINE MUSCULOSKELETAL MUSCULOSKELETAL OPTIC OPTIC OPTIC OPTIC OTIC OTIC-Ceruminolytic RESP - ANTI/TB RESP - ANTI/TB RESP - ASTHMA RESP - ASTHMA VACCINES - All Regions VACCINES - All Regions VACCINES VACCINES VACCINES VACCINES VACCINES VACCINES VACCINES VACCINES VACCINES VACCINES VACCINES VACCINES VACCINES VIT/MIN VIT/MIN VIT/MIN VIT / MIN VIT / MIN VIT / MIN VIT / MIN VIT / MIN

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