Attachment A - Minimum Requirements Form.docx

This is a Minimum Requirements Form for the City of Houston's Pharmacy Benefits Management (PBM) Services procurement. The document outlines the essential qualifications and prerequisites that prospective vendors must meet to be considered for contract award. Respondents must demonstrate experience administering PBM services for large, self-funded employer groups, with a minimum of five years of relevant experience managing pharmacy benefits for plans with at least 5,000 covered lives. The firm must maintain a comprehensive national pharmacy network with real-time adjudication capabilities, offer mail-order pharmacy services, and provide robust reporting and analytics functionality. Additionally, the selected contractor must be licensed to operate in Texas, maintain adequate financial stability, and demonstrate compliance with all applicable federal and state pharmacy benefit management regulations and standards.

The form specifies that proposing firms must submit evidence of meeting all minimum requirements as part of their proposal package, with failure to meet any single requirement resulting in proposal rejection. The document establishes objective criteria including network adequacy metrics, claims processing standards, member service capabilities, and formulary management systems that all bidders must satisfy. Respondents are required to provide detailed documentation of their operational infrastructure, technology platforms, and quality assurance programs. The form also mandates that all proposed subcontractors and specialty pharmacy vendors must be identified and meet comparable qualification standards. No pricing information, set-asides, or incumbent contractor details are specified within this minimum requirements document itself.