Attachment A Cost Form.xlsx

This is a cost proposal form for RFP 790-27 related to Pharmacy Benefit Claims Monitoring services for the Commonwealth of Kentucky, administered through the Personnel Cabinet. The form requires vendors to submit a single cost proposal element: a percentage of savings that the vendor will charge for services rendered. The specific product or service involves monitoring pharmacy benefit claims and identifying cost savings, though the detailed scope of work is not included in this attachment.

The pricing structure is performance-based, with compensation tied directly to savings identified and verified by the Personnel Cabinet according to definitions provided elsewhere in the RFP. Vendors must complete the cost form by filling in both a written number and numerical percentage value representing their proposed markup on savings. No additional pricing details, supporting documentation, or alternative cost structures are permitted on this form, indicating a streamlined evaluation process focused solely on the vendor's proposed savings-sharing percentage.