Att 16 - Intent to Propose Form (ITP).xlsx

This document is an Intent to Propose (ITP) Form for the State of Alaska's Request for Proposal (RFP 2025-0200-0177 / 02-101-25) for Pharmacy Benefit Manager Services. The solicitation requires potential offerors to complete and submit this form by October 29, 2025, at 2:00 PM Alaska Time, which is a prerequisite for accessing client eligibility and claims data records. Bidders must demonstrate at least three years of experience providing prescription drug benefit plan services to a minimum of five plan sponsors, each with 5,000 covered lives, with at least one plan being from the state or public sector.

The form requires bidders to confirm their intent to propose and provides a template for documenting their relevant experience, including client names, contract dates, covered lives, and sector information. Potential vendors must submit the completed ITP Form and a Non-Disclosure Agreement via email to doa.oppm.procurement@alaska.gov. The form serves as an initial screening mechanism to ensure bidders meet the mandatory prior experience requirements outlined in Section 1.04 of the RFP and to establish their eligibility to receive sensitive client data necessary for developing a comprehensive proposal.