Office of Procurement, Acquisition and Logistics (OPAL)

Modification Request Forms

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Pharmaceutical Schedule  |  Commodity Schedules  |  Services Schedule  |  Useful Resources

Summary

• Only a properly completed request for modification (RFM) will be accepted.  Any modification package received that is determined not to be current, accurate and complete will be returned.  Your firm is encouraged to correct any identified deficiencies and resubmit the modification package.
   
  • Current version of modification form
  • Signed by an authorized signatory
  • All verifications are acknowledged
  • Required information to support the request is included
  • Retain a copy of the RFM for your records
• If the date of your submitted modification form is concurrent with the date of the request for modification package we will accept and process the request.
• Unless otherwise noted or agreed upon, all solicitation clauses and awarded terms and conditions apply to any resulting contract modification.
• With the exception of Voluntary Price Reduction submissions under the VA FSS Pharmaceutical Schedule, all contract modifications must be emailed to fss.help@va.gov with the subject line RFM — Contract Number — Schedule ID — Mod Type.  As this email address is the central portal for the FSS Service, modification requests that do not include this reference may be misdirected and thereby the review and process of your request may be delayed.
   
  • Email to fss.help@va.gov
  • Subject:  RFM — Contract Number — Schedule ID — Mod Type
• Unless otherwise directed, we do NOT accept hard copies of RFMs, CDs, or thumb drives. Additionally, we are unable to accept zip files which may require you to submit your RFM package in multiple e-mails if the total size of the e-mail exceeds 10MB. It is essential that you identify the number of emails you are sending in the subject line to ensure that we receive your entire RFM package.
• With the exception of Voluntary Price Reduction submissions under the VA FSS Pharmaceutical Schedule, the effective date of most awarded modifications will occur on either the 1^st or 15^th of the month.  The effective date of the modification will be assigned by the approving Contract Officer.  Approval of the RFM is evidenced by vendor receipt of a signed SF-30 document and the contractor’s publication of a supplement to its FSS paper price list.
• Please review the required information needed for each type of change and submit all required information pertaining to that specific change in your package.  If all required material is not received, your Contracting Officer may return your package with no additional action.

VA FSS Pharmaceutical Schedule

Use these forms for contracts awarded under the 65 I B. NEW! 08/2019 – The streamlined processing of 65 I B voluntary price reductions has now been extended to all SINs under the schedule. Please visit our Streamlined Processing for 65 I B Voluntary Price Reductions web page for more information.

• Product Addition Request Package (03/2024)
• Product Life Cycle Change Request Package (09/2021)
• Product Deletion Request Package (04/2020)
• Price Increase Request Package (04/2020)
• Price Decrease (PRC) Request Package (04/2020)
• Administrative Change Request Package (04/2020)
• NDC Change Request Package (09/2021)
• Novation and Name Change Request Package (04/2020)
• Establishing Dual Pricing Request Package (04/2020)
• Tracking Customer Change Request Package (09/2021)

VA FSS Commodities Schedules

Use these forms for contracts awarded under the 65 II A, 65 II C, 65 II F, 65 V A, and 65 VII Schedule programs.

• Product Addition Request Package (01/2021)
• Product Deletion Request Package (10/2020)
• Price Increase Request Package (04/2020)
• Price Decrease Request Package (04/2020)
• Administrative Change Request Package (04/2020)
• Novation and Name Change Request Package (04/2020)
• Tracking Customer Change Request Package (04/2020)

VA FSS Services Schedules

Use these forms for contracts awarded under the 621 I, 621 II, and 66III Schedule programs.

• 621 I Product Additions Request Package (04/2020)
• 621 II and 66 III Product Deletion Request Package (11/2020)
• 621 I Price Adjustment Request Package (04/2020)
• 621 II Product Additions Request Package (04/2020)
• 621 II Price Decrease Request Package (04/2020)
• 621 II Price Increase Request Package (04/2020)
• 66 III Product Addition Request Package (04/2020)
• Services Administrative Changes Request Package (04/2020)
• Services Novation and Name Change Request Package (04/2020)

Other Forms

• Mass Modification Forms

Related Links

• Request for Modification (RFM) Process
• Mass Modifications
• Managing a VA Schedule Contract
• Compliance Requirements

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