Amd Five RFP 2025-0200-0177 02-101-25 PBM Services.pdf

PDF 233 KB Posted

Attached to
Notice of Cancellation RFP 2025-0200-0177 / 02-101-25 Pharmacy Benefit Manager Services
Solicitation number
2025-0200-0177 / 02-101-25
Issued by
Alaska

About this file

This is Amendment Five to Request for Proposal 2025-0200-0177 / 02-101-25 issued by the State of Alaska, Department of Administration, Division of Retirement and Benefits, for Pharmacy Benefit Manager (PBM) Services. Amendment Five, dated December 10, 2025, provides clarification on questions and answers submitted by potential offerors regarding proposal submission requirements. The RFP solicits proposals for comprehensive PBM services for three distinct AlaskaCare health plans covering approximately 86,900 members with annual prescription volumes exceeding 1.6 million claims and total drug costs around $992 million. The contract term is set from January 1, 2027, through December 31, 2029, with eight potential one-year renewal options and a six-month implementation period. The last day for question submittal was November 10, 2025, with proposals due December 15, 2025, at 11:00 AM Alaska Time.

Amendment Five addresses critical submission requirements, including confirmation that only Submittal Form L must be included in the Cost Proposal, while Submittal Forms M Parts 1 and 2 must be included in the Technical Proposal. The amendment clarifies anonymity requirements for offerors, mandating that program and product names be anonymized in all required submittal forms, including Forms B-E, G, and K, and that responses to the Scope of Work Section 3 must also maintain anonymity. Offerors are responsible for ensuring compliance with anonymity requirements and must use their best judgment where specific guidance is not provided. The estimated budget for this project ranges from $65 million to $85 million, with proposals exceeding $100 million considered non-responsive. The state requires 100% pass-through of rebates for all three plans. The current PBM contractor is Optum Rx, with the existing contract in place since January 1, 2019. All amendments must be signed and returned with proposals, and failure to do so may result in rejection.

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Other files

File Type Posted
Amd Six RFP 2025-0200-0177 02-101-25 PBM Services.pdf PDF
Notice of Cancellation RFP#2025-0200-0177-02-101-25 Pharmacy Benefit Manager (PBM) Services.pdf PDF
Amd Three RFP 2025-0200-0177 02-101-25 PBM Services.pdf PDF
Amd Four RFP 2025-0200-0177 02-101-25 PBM Services.pdf PDF
Amd Three Att 10 - Submittal Form L - Cost Proposal Version 2.xlsx XLSX spreadsheet
Amd Two RFP 2025-0200-0177 02-101-25 PBM Services.pdf PDF
Amd One RFP 2025-0200-0177 02-101-25 PBM Services.pdf PDF
Att 1 - Submittal Form A Offeror Information and Certifications.docx DOCX document
Att 4 - Submittal Form G (Part 1 of 2) - Contractual Reqs.xlsx XLSX spreadsheet
Att 3 - Submittal Form F Mandatory Requirements.xlsx XLSX spreadsheet
Att 12 - Submittal Form M (Part 2 of 2) - Financial Requirements Narrative Response Form.docx DOCX document
Att 17 - HIPPA Business Associate Agreement.docx DOCX document
Att 16 - Intent to Propose Form (ITP).xlsx XLSX spreadsheet
Att 11 - Submittal Form M (Part 1 of 2) - Financial Requirements.xlsx XLSX spreadsheet
Att 10 - Submittal Form L - Cost Proposal.xlsx XLSX spreadsheet
Att 9 - Submittal Form K Subcontractors.xlsx XLSX spreadsheet
Att 14 - Client Reference Form.docx DOCX document
Att 6 - Submittal Form H GeoAccess Analysis.xlsx XLSX spreadsheet
Att 5 - Submittal Form G (Part 2 of 2) - Contractual Reqs Narrative Response Form.docx DOCX document
Att 2 - Submittal Forms B-E.docx DOCX document
RFP 2025-0200-0177 02-101-25 PBM Services.pdf PDF
Att 8 - Submittal Form J Formulary Disruption Analysis.xlsx XLSX spreadsheet
Att 7 - Submittal Form I Network Disruption Analysis.xlsx XLSX spreadsheet
Att 13 - Standard Agreement Form & Appx A-D.pdf PDF
Att 15 - Non-Disclosure Agreement (NDA).docx DOCX document
Show all 25

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Text version

STATE OF ALASKA

Department of Administration Division of Retirement and Benefits

Pharmacy Benefit Manager Services

RFP 2025-0200-0177 / 02-101-25

Amendment Five December 10, 2025

This amendment is being issued to provide questions and answers.

Important Note to Offerors: You must sign and return this page of the amendment document with your proposal.

Failure to do so may result in the rejection of your proposal. Only the RFP terms and conditions referenced in this amendment are being changed. All other terms and conditions of the RFP remain the same.

Lisa Trombi Contracting Officer COMPANY SUBMITTING PROPOSAL Email: doa.oppm.procurement@alaska.gov

AUTHORIZED SIGNATURE

DATE

Questions submitted by potential offerors and answers from the state:

Question 1:

Re: Section 1.08 Return Instructions, should Offerors submit only Submittal Form L as a part of the “Cost Proposal” submission, or does this also include Submittal Form M Part 1 and Part 2?

Answer:

Yes. Only Submittal Form L must be included in the Cost Proposal. Submittal Form M, Part 1 and Part 2, must be included in the Technical Proposal.

Question 2:

A) Re: Section 4.02 Special Formatting Requirements, are Offerors expected to include program/product names or should we anonymize them? For example, programs we would include on the Clinical Programs tabs in Submittal Form G or items we want to respond with for Submittal Forms B-E.

B) Since Submittal Form K is included on the list of required forms to be anonymous, how should Offeror’s complete column C of that form if we cannot list their name?

C) Also, although it is not included on the list of submittal forms required to be anonymous, are Offeror’s responses to the Scope of Work Section 3 required to be anonymous given the edit from Amendment One, question 17 to provide a response document for that section of the RFP?

Answer:

A) Offerors must anonymize program names where necessary. Offerors are responsible for ensuring that all submitted materials comply with the anonymity requirements outlined in the RFP. Offerors must use their best judgment to meet these requirements. No additional guidance will be provided beyond the requirements stated in the solicitation.

B) Column C of Submittal Form K is designated for listing subcontractor names. Offerors are responsible for ensuring that all submitted materials comply with the anonymity requirements outlined in the RFP.

Offerors must use their best judgment to meet these requirements. No additional guidance will be provided beyond the requirements stated in the solicitation.

C) Yes. Offerors must address the full scope of work in their Submittal Forms, which must be kept anonymous.

End of Amendment

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