3-RFP 2026-03 Appendix A.pdf

This is a Pre-Proposal Required Form (Appendix A) from the South Carolina Office of Central Procurement for RFP No. 2026-03, issued January 22, 2026, on behalf of Suffolk County, New York. The procurement solicits Pharmacy Benefit Management (PBM) services for the Employer Group Waiver Prescription Drug Plan (EGWP) with Wrap to the Self-Insured Employee Medical Health Plan (EMHP) of Suffolk County. The Intent to Propose Form is a mandatory pre-proposal requirement that all potential proposers must complete and return to receive census and plan financial information necessary for bid preparation. Prospective vendors must indicate their intent to bid on the PBM services or decline to bid with stated reasons. The Intent to Propose Forms must be received by 3:30 PM Eastern Time on February 2, 2026, via Bonfire. Vendors completing this form will subsequently receive the detailed plan and financial data required to develop comprehensive proposals.

The form requires vendor submission of agency name, authorized signature, printed name, telephone number, email address, and submission date. This document serves as a gating mechanism to verify serious bidder interest and enable the contracting agency to provide sensitive plan information only to qualified, committed vendors. The commodity codes assigned are 958-56 and 949-77, indicating pharmaceutical benefit management services. No pricing information, contract term details, or award timeline are specified in this appendix, as it functions solely as a preliminary qualification and intent verification document prior to the formal RFP response phase.