26-0321-P_-_Price_Summary.xlsx

This is a Price Summary worksheet for RFP 26-0321-P issued by the Pinellas County Board of County Commissioners to procure Pharmacy Benefit Manager (PBM) Services for approximately 3,200 eligible county employees. The RFP seeks a qualified PBM firm to provide comprehensive pharmacy benefit management services including claims processing, mail order and specialty pharmacy dispensing, clinical management programs, member services, and retail network management. The contract spans five years with two optional one-year renewal periods, with services commencing January 1, 2027. The question submission deadline is March 19, 2026 at 10:00 a.m., and proposals must be submitted electronically through the OpenGov procurement platform by March 31, 2026 at 3:00 p.m. Qualified proposers must be licensed as a PBM in all 50 states, manage at least one million Rx lives, and have a minimum of eight years of experience as a full-service PBM or health plan carrier.

Pricing must be submitted as a five-year lump sum total on a per employee per month (PEPM) basis for administrative service fees across retail, mail order, retail 90-day, and specialty pharmacy claims for all five contract years, with annual pricing adjustments permitted after the initial twelve months not to exceed the Consumer Price Index or 3%, whichever is less. The incumbent vendor is Express Scripts Inc. (ESI). All pricing guarantees, including discounts and dispensing fees, must be reconciled and paid within 90 days annually, with rebates reconciled within 180 days, and vendors assume dollar-for-dollar risk on any shortfalls. The RFP does not specify set-aside designations; however, all proposing firms must complete notarized affidavits addressing compliance with human trafficking laws, foreign country of concern ownership restrictions, and common carrier attestations. The County reserves the right to terminate the agreement with 90 days' notice without cause and to reject any or all proposals.