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AMENDMENT NO: 5
AGREEMENT NO: C-86-20-024-3-05
AMENDMENT TO INTERGOVERNMENTAL AGREEEMENT
BETWEEN MARICOPA COUNTY
BY AND THROUGH ITS
DEPARTMENT OF PUBLIC HEALTH
AND ARIZONA STATE BOARD OF PHARMACY
I.
The above named IGA contract is hereby amended as specified below:
a.
The agreement has been extended through August 31, 2023.
b.
The total amount for the budget period of September 1, 2022 through August 31, 2023
is $110,393.
c.
Attachment A is replaced with a revised budget and budget narrative.
II.
All other terms and conditions of the original contract and its amendments shall remain
in full force and effect.
IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF
FOR AND ON BEHALF OF
MARICOPA COUNTY:
ARIZONA BOARD OF PHARMACY:
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Date
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ATTEST:
ATTEST:
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Signature Date Signature
Date
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Title
Name
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APPROVED AS TO FORM:
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Signature Date
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Title
AMENDMENT NO: 5
AGREEMENT NO: C-86-20-024-3-05
ATTACHMENT A – ITEMIZED BUDGET & NARRATIVE
For Arizona State Board of Pharmacy
For the Period September 1, 2022 to August 31, 2023
AZ Board of Pharmacy Year 3 Continuation Itemized Budget
A. Salaries/Wages & Fringe
$ 89,448
B. Consultant Costs
C. Equipment
D. Supplies
$ 3,400
E. Travel
$ 7,100
F. Other Categories
G. Contractual
$ 1,500
H. Total Direct Charges (sum of A-H)
$ 101,448
I. Total Indirect Charges
$ 8,945
J. TOTALS (sum of H and I)
$ 110,393
Budget Justification
The total budget requested to support implementation of the Arizona Board of Pharmacy’s
Prescription Monitoring Program is $110,393. All non-applicable cells in the budget summary
remain blank. Additional details of the budget can be found below.
Salaries/Wages & Fringe: The Arizona State Board of Pharmacy (ASBP) requests salaries for
one 1-FTE Epidemiologist and associated fringe benefits that include; Medical, Retirement, FICA,
Medicare and Employee-related expenses. The epidemiology position will collect, tabulate, and
interpret required data and provide the necessary detailed reports. The total line item (6-a)
requested of federal grant funds for personnel salaries & fringe is $89,448.
Consultant Costs: The ASBP is not currently seeking consultant costs.
Equipment: The ASBP is not currently seeking equipment costs.
Supplies: Software licensing costs are estimated at $900 and a 2,500 annual SAS maintenance
fee. This includes an annual license for Tableau software to perform statistical analysis and create
visualizations to document program activities, measure progress, and create statistical and data
visualization reports and presentations.
Travel: Annual travel is estimated at $7,100. This covers the cost of sending one team member
to the annual National Association of State Controlled Substances Authorities (NASCSA)
Conference in Salt Lake City, Utah (3,600) and Rx and Illicit Drug Summit in Atlanta, GA (3,500).
This includes the cost of airfare, airport transportation, lodging, conference registration, and a per
diem ($51 per day for four full days and $38.25 for a partial travel day), baggage fees ($60). Travel
also covers the cost of sending one team member to present localized PDMP data to Maricopa
AMENDMENT NO: 5
AGREEMENT NO: C-86-20-024-3-05
County partners and agencies and to guide how the data may be interpreted by local community
organizations ($500).
Other Categories: No funds are requested for other categories.
Contractual: The software vendor will continue to provide a data package to provide county-level
aggregate data for “Dangerous Combinations.” These data provide needed information to
Maricopa County stakeholders related to overdose trends and prescription drugs. The annual
maintenance cost for the data package is $1,500.
Indirect: Indirect charges are based on the federal de minimis rate of 10% on the Total Direct
Labor (personnel + fringe benefits, totaling $89,448, generating $8,945 in indirect charges.