Pharmacy Claims Processing and Manufacturer Drug Rebate Administration Pharmacy Benefits Administrator Services (PBA) for the Michigan Department…
Active State & local contract Michigan Awarded
- Contract number
- MA260000000472
- Awardee
- Prime Therapeutics State Government Solutions LLC
- Contracting organization
- Department Technology, Management and Budget
Contract facts
- Cumulative value
- $36,826,061
- End date
- Points of contact
-
- Marissa Gove govem1@michigan.gov (517) 449-8952
- Trish Bouck boucht@michigan.gov (517) 214-1868
Contract details come from michigan.gov. Updated .
About this contract
The Pharmacy Benefits Administrator (PBA) Services indefinite delivery vehicle provides comprehensive pharmacy claims processing and manufacturer drug rebate administration for the Michigan Department of Health and Human Services. The contract encompasses claims management services for approximately 2.6 million beneficiaries across multiple state programs, including Medicaid, the Healthy Michigan Plan, Children's Special Health Care Services, Maternity Outpatient Medical Services, the Flint Waiver program, and MIChild. Services include processing fee-for-service claims, interfacing with capitated managed care plans, administering manufacturer drug rebates, maintaining a 24/7 point-of-sale system with 99.9% uptime availability, and generating quarterly rebate reports and state drug utilization data files for CMS submission.
Prime Therapeutics State Government Solutions LLC serves as the prime contractor for this vehicle under the Michigan Department of Technology, Management and Budget. The contract is effective from July 3, 2026, through September 30, 2029, with options for up to four additional one-year renewal periods at the State's discretion. The estimated aggregate contract value is $36,826,061.00 across the base performance period. This hybrid contract type includes performance-based service-level agreements with monthly and quarterly performance credits ranging from $7,500 to $25,000 for failures to meet specified availability, accuracy, and timeliness requirements.
Files
| File | Type | Posted |
|---|---|---|
| 260000000472.pdf |
Quick answers
Who holds contract MA260000000472?
Contract MA260000000472 was awarded to Prime Therapeutics State Government Solutions LLC by Department Technology, Management and Budget in Michigan on July 3, 2026.
How much is contract MA260000000472 worth?
Its cumulative value is $36,826,061.
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