26-0321-P_-_Price_Summary.xlsx

XLSX spreadsheet 35 KB Posted

Attached to
26-0408-RFP Pharmacy Benefit Manager Services
Solicitation number
26-0408-REQ
Issued by
Pinellas County, Florida

About this file

This is a Price Summary document for RFP 26-0321-P issued by the Pinellas County Board of County Commissioners for Pharmacy Benefit Manager Services. The RFP seeks proposals to provide pharmacy benefit management services for 3,200 eligible county employees, with the contract to become effective January 1, 2027. The price schedule covers a five-year contract period with annual pricing required for each contract year.

The price summary requests bidders to provide administrative fees on a per net paid claim (PNPC) basis for retail, mail, retail 90-day, and specialty claims across all five contract years. The unit of measure is PEPM (per employee per month) based on the 3,200 eligible employees. Bidders are expected to submit $0.00 administrative fees for traditional offers, with the total five-year administrative fee lump sum to be calculated based on submitted pricing. The document indicates that pricing should be entered in the highlighted areas, with extended annual totals and a comprehensive five-year total required for evaluation purposes.

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Other files

File Type Posted
26-0408-RFP_Pharmacy_Benefit_Manager_Services_(Addendum_#2_Revision).pdf PDF
26-0408-RFP_Pharmacy_Benefit_Manager_Services_(Addendum_#2_Revision).pdf PDF
Attachment_F_-_26-0321-P_PBM_RFP_Vendor_Qualification.xlsx XLSX spreadsheet
Addedndum_No._1_Revision_Attachment_C_-_26-0321-P_PBM_RFP_Questionaire.xlsx XLSX spreadsheet
Attachment_G_-_26-0321-P_PBM_RFP_Related_Experience_and_References.xlsx XLSX spreadsheet
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Addedndum_No._1_Revision_Attachment_C_-_26-0321-P_PBM_RFP_Questionaire.xlsx XLSX spreadsheet
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Attachment_C_-_26-0408-RFP_PBM_RFP_Questionaire.xlsx XLSX spreadsheet
Attachment_D_-_26-0321-P_PBM_Formulary_Disruption_Request.xlsx XLSX spreadsheet
Attachment_D_-_26-0321-P_PBM_Formulary_Disruption_Request.xlsx XLSX spreadsheet
Attachment_E_-_Business_Associate_Agreement.docx DOCX document
Attachment_D_-_26-0321-P_PBM_Formulary_Disruption_Request.xlsx XLSX spreadsheet
Attachment_E_-_Business_Associate_Agreement.docx DOCX document
Attachment_E_-_Business_Associate_Agreement.docx DOCX document
26-0408-RFP_Pharmacy_Benefit_Manager_Services.pdf PDF
26-0408-RFP_Pharmacy_Benefit_Manager_Services.pdf PDF
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Human_Trafficking_Affidavit_11.20.25.pdf PDF
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Attachment_D_-_26-0321-P_PBM_Formulary_Disruption_Request.xlsx XLSX spreadsheet
26-0321-P_-_Price_Summary.xlsx XLSX spreadsheet
26-0321-P_-_Price_Summary.xlsx XLSX spreadsheet
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26-0321-P_-_Price_Summary.xlsx XLSX spreadsheet
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Text version

Price Schedule

RFP TITLE: Pharmacy Benefit Manager ServicesPlease fill in the areas highlighted.
RFP NUMBER: 26-0321-P
Price Summary
DescriptionUOM# of EmployeesUnit PriceExtended Annual Total
Contract Year 1 - Administrative Fee, if any, per final net paid retail, mail, retail 90, and specialty claim on a per net paid claim (PNPC) basis (expected to be $0.00 for Traditional offers)PEPM3200$ - 0$ - 0
Contract Year 2 - Administrative Fee, if any, per final net paid retail, mail, retail 90, and specialty claim on a per net paid claim (PNPC) basis (expected to be $0.00 for Traditional offers)PEPM3200$ - 0$ - 0
Contract Year 3 - Administrative Fee, if any, per final net paid retail, mail, retail 90, and specialty claim on a per net paid claim (PNPC) basis (expected to be $0.00 for Traditional offers)PEPM3200$ - 0$ - 0
Contract Year 4 - Administrative Fee, if any, per final net paid retail, mail, retail 90, and specialty claim on a per net paid claim (PNPC) basis (expected to be $0.00 for Traditional offers)PEPM3200$ - 0$ - 0
Contract Year 5 - Administrative Fee, if any, per final net paid retail, mail, retail 90, and specialty claim on a per net paid claim (PNPC) basis (expected to be $0.00 for Traditional offers)PEPM3200$ - 0$ - 0
SUMMARY TABLE
DESCRIPTIONTOTAL
Pharmacy Benefit Manager Services - Administrative Service Fees$ - 0
5-YEAR ADMINISTRATIVE FEE LUMP SUM TOTAL:$ - 0

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