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2016-325-E Health - The NC Public Health Foundation for smoking cessation counseling
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2016-325-E Health - The NC Public Health Foundation for smoking cessation counseling
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Last modified
8/9/2016 12:07:43 PM
Creation date
6/29/2016 7:37:49 AM
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Template:
BOCC
Date
6/28/2016
Meeting Type
Work Session
Document Type
Contract
Agenda Item
Manager signed
Amount
$5,000.00
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R 2016-325-E Health - The North Carolina Public Health Foundation for smoking cessation counseling
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2016
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DocuSign Envelope ID:91 F43AFA-8CB4-4861-887A-F304C7A6614B <br /> Exhibit A <br /> • Eight weeks of nicotine replacement therapy (NRT), based on participation in counseling sessions: <br /> four weeks sent to the Orange County participant home address via UPS upon completion of the <br /> first telephone counseling call (45 min.) and an additional 4 weeks sent via UPS if the Orange <br /> County Health Department participant completes second counseling call. <br /> OR <br /> • Four weeks of NRT sent to Orange County participant home address via UPS upon <br /> completion of the first telephone counseling call. <br /> • An information packet which includes a quit tobacco use guide will be mailed to all participants <br /> completing the screener call. Those who complete the first counseling call and are approved for NRT <br /> will also receive simplified instructions along with the NRT kit. <br /> QuitlineNC Reports <br /> The Orange County Health Department has requested the following reports: <br /> • Monthly aggregate report on services provided, corresponding costs paid with funds from <br /> Orange County Health Department, and remaining balance of funds. Report includes # of <br /> Orange County participants served, by month and year to date, as well as demographics <br /> information, services offered, and amount and type of NRT sent to participants. <br /> Costs for Services, Protocol/Database Changes,Verification,and utco a Evaluation <br /> Alere Wellbeing, Inc. ("Alere") is the prime vendor to QuitlineNC. Alere, while contracted with the TPCB, <br /> will provide QuitlineNC services, including up to 8 weeks of Nicotine Replacement Therapy, at State specific <br /> unit cost rates. This is a cost-sharing agreement, whereby selected services will be paid by the Orange <br /> County Health Department, while other services will be provided by the TPCB at no cost to the Orange <br /> County Health Department, as shown below: <br /> Pricing structure <br /> Nicotine Replacement Unit Costs 4 weeks 8 weeks <br /> Patches $48.00 per shipment $48.00 $96.00 <br /> Gum $30.00 per box $90.00 $150.00 <br /> Lozenges $38.00 per box $152.00 $190.00 <br /> Combination Therapy - 4 $108 per first 4 weeks $108.00 $156.00 <br /> wks patches and two boxes $48 per second 4 weeks <br /> of gum <br /> Combination Therapy - 4 $124 per first 4 weeks $124.00 $172.00 <br /> wks patches and two boxes $48 per second 4 weeks <br /> of lozenges <br /> In addition, an Administrative fee equal to 5% of the total contract price will be charged for the cost of <br /> administrative services including the monthly cost and aggregate service reports. <br /> 2 <br />
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