OPCMR



EXERCISE OF RENEWAL OPTION



GOVERNMENT OF



THE UNITED STATES VIRGIN ISLANDS



LF



DEPARTMENT OF PROPERTY & PROCUREMENT



P048DHST22



CONTRACT NO.: PO87DHST20

DATED: December 28, 2019



EXERCISE OF RENEWAL OPTION



Contractor



Description of Scope of Work/Services



ScriptGuideRx, Inc.

15400 E Jefferson Avenue



Grosse Point, MI 48230



Pharmacy Benefit Management Services

to include but not limited to: The

Contractor will meet the medication needs

of clients who meet the Department of

Human Services (DHS) _ eligibility

requirements in an effective and efficient

manner. The Contractor will provide

Pharmacy Benefit Management (PBM)

services, including claims adjudication,

coordination of benefits and point-of-sale

processing services to eligible clients who

are uninsured through the DHS

Pharmaceutical Assistant Program (PAP)

maintain a comprehensive distribution

network of pharmacies; and provide

reporting that meets client level data

requirements of CMS. Eligibility

determination services for all of the persons

applying to VI PAP will be performed by the

USVIDHS PAP staff. Contractor must have

or be able to develop a mechanism to

electronically receive and provide eligibility

information that matches the data

requirements of Health Resources and

Services Administration (HRSA). The

contractor will assist with formulary

creation, maintenance and revision, every

two years pursuant to HRSA requirements,

and rebate management services. The

contractor will also be expected to facilitate

quarterly formulary advisory committee

meetings to provide guidance on medication

trends, and formulary updates.

Additionally, Contractor will serve as a

OPCMR



fiduciary agent for the PAP Program

operated by the Department of Human

Services.



Pursuant to the renewal option provision of Contract No. P087DHST20, and subject to the appropriation

and allotment of necessary funds, notice is hereby given that the Government of the U.S. Virgin Islands,

Department of Human Services exercises its option to renew and does hereby renew the aforementioned

contract for the period January 1, 2022 to December 31, 2022 at the stipulated cost therein.



All the terms, covenants, and conditions of the contract affected shall continue in full force and effect.



Please acknowledge receipt and acceptance hereby signing and returning the original to:

The Department of Property and Procurement

8201 Sub Base, 3" Floor

St. Thomas, VI 00802



ACKNOWLEDGMENT & ACCEPTANCE: GOVERNMENT OF THE VIRGIN ISLANDS

Ime Ekpenyong, Chief Operating Officer Kimberley Céusey-Gofhez, Comrissioner

ScriptGuideRx, Inc. Department of Human Services



pate: /2/30/2/ DATE: 12.30.2021

Athy Dd. Colca — 4/27/2022



xpnthony D/* Thomas, Commissioner DATE

Department of Property & Procurement



PO48DHST22