Employee Benefits Pharmacy Management

The Arizona Department of Administration Master Agreement CTR051357 is a comprehensive Pharmacy Benefits Management (PBM) contract with MedImpact Healthcare Systems Inc. The IDV enables government agencies to access a wide range of pharmacy-related services, including retail and specialty prescription management, mail-order pharmacy services, claims processing, drug utilization review, prior authorization, and clinical program administration. The contract supports both commercial and Employer Group Waiver Plan (EGWP) pharmacy benefit models, offering flexible formulary options such as Custom, Standard, and Managed Formulary configurations across multiple prescription drug channels including retail 30-day, retail 90-day, mail order, and specialty pharmacy services.

The master agreement was originally awarded on August 28, 2020, and has been extended through December 31, 2025, with MedImpact Healthcare Systems Inc. serving as the prime contractor. The contract covers the state of Arizona and provides a comprehensive suite of pharmacy benefit management services with detailed pricing structures, administrative fees, and rebate guarantees. The contract includes an administrative fee of $0.85 per claim, implementation credits, and annual audit credits, with the ability to support multiple government agencies and their specific pharmacy benefit needs. Multiple amendments have expanded the contract's scope, including the addition of a Medication Prescription Payment Plan (M3P) Program effective January 1, 2025, with a pricing structure of $0.81 per member per month.