5-RFP 2026-04 Appendix A-1.pdf

This is an Appendix to a Request for Proposal (RFP) issued by the South Carolina Office of Central Procurement on behalf of Suffolk County for Pharmacy Benefit Management (PBM) Services. The RFP, numbered 2026-04 and issued January 22, 2026, seeks a full-service, principal Prescription Benefit Manager to administer the Commercial Pharmacy Benefit Plan for the Self-Funded Employee Medical Health Plan (EMHP) of Suffolk County, covering actives and non-Medicare retirees. The procurement is classified under commodity codes 958-56 and 949-77. Qualified proposers will receive a secured Excel data file containing three years of monthly paid claims experience, enrollee census data broken down by active status, Medicare eligibility, gender, relationship, zip code, and year of birth, and network access information. The data file will be distributed by the Plan's Actuarial and Benefits Consultant, currently Segal, only after the County determines that a proposer meets qualification requirements as a full-service principal PBM through the Intent to Form submission process via Bonfire.

The document does not specify pricing terms, response deadlines, or contract term details within this appendix section. No set-asides, incumbent information, or specific funding amounts are detailed in the provided excerpt. The RFP emphasizes a transparent pricing model and requires proposers to demonstrate full-service PBM capabilities prior to receiving proprietary plan data for their proposals.