Attachment E - Financial and Formulary Scoring Examples~1.xlsx
XLSX spreadsheet 17 KB Posted
- Attached to
- Pharmacy Benefit Manager
- Solicitation number
- S000000161
- Issued by
- Pulaski County, Arkansas
About this file
This document is an attachment to a state and local contract opportunity for a Pharmacy Benefit Manager (PBM) for the state of Arkansas. The attachment provides financial and formulary disruption scoring examples for various PBM vendors. The financial scoring example includes 3-year totals for prescription drug spend, administrative fees, member cost share, rebates, and net costs after rebates. The vendors are ranked based on their net cost after rebates, with Vendor C receiving the highest score. The formulary disruption scoring example evaluates the percentage of claims and members impacted by negative disruptions, with points allocated based on the disruption level. Vendors are scored on the formulary disruption, with a total of 25 points available.
The state and local contract opportunity is for a PBM contract for the state of Arkansas. The contract term is not explicitly stated, but the financial scoring example covers a 3-year period. The document does not provide information on the specific products or services requested, response dates, due dates, award dates, or any renewal options.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment C - Retail Network Disruption Report~1.xlsx | XLSX spreadsheet | |
| Attachment G Arkansas Independents Network.xlsx | XLSX spreadsheet | |
| Contract and Grant Disclosure~17.pdf | ||
| Attachment A - Non-Disclosure Agreement~1.docx | DOCX document | |
| Attachment F - Specialty Pharmacy Listing- Revised.xlsx | XLSX spreadsheet | |
| S000000161 - Drug Pricing Product Exclusions.xlsx | XLSX spreadsheet | |
| S000000161 Bidders Conference PPT.pdf | ||
| Attachment B - List of Exclusions~1.xlsx | XLSX spreadsheet | |
| S000000161 Cost Workbook.xlsx | XLSX spreadsheet | |
| S000000161 Pharmacy Benefits Manager.pdf | ||
| S000000161 Technical Proposal Packet.docx | DOCX document | |
| Attachment D - Formulary Disruption Reporting~1.xlsx | XLSX spreadsheet | |
| S000000161 Q and A.pdf |
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Financial Scoring Example
| S000000161 ATTACHMENT E: FINANCIAL SCORING EXAMPLE | |||||
| 3-YR TOTALS | Incumbent | Vendor A | Vendor B | Vendor C | Vendor D |
| Prescription Drug Spend Broad Retail 30 Non-Specialty | $9,000,000 | $9,000,000 | $9,500,000 | $9,000,000 | $10,000,000 |
| Prescription Drug Spend Broad Retail 90 Non-Specialty | $10,500,000 | $10,500,000 | $10,500,000 | $10,500,000 | $11,000,000 |
| Prescription Drug Spend AR Independent Retail 30 Non-Specialty | $11,400,000 | $11,500,000 | $11,500,000 | $11,500,000 | $12,000,000 |
| Prescription Drug Spend AR Independent Retail 90 Non-Specialty | $18,000,000 | $18,500,000 | $18,500,000 | $18,500,000 | $18,500,000 |
| Prescription Drug Spend Mail Order Non-Specialty | $15,000,000 | $15,300,000 | $15,700,000 | $15,700,000 | $15,200,000 |
| Prescription Drug Spend Broad Retail Specialty (inclusive of LDDs) | $14,000,000 | $15,000,000 | $16,500,000 | $16,500,000 | $17,000,000 |
| Prescription Drug Spend AR Independent Retail Specialty (inclusive of LDDs) | $17,000,000 | $18,000,000 | $20,000,000 | $21,000,000 | $21,000,000 |
| Prescription Drug Spend PBM Specialty (inclusive of LDDs) | $15,000,000 | $16,000,000 | $18,000,000 | $19,000,000 | $19,000,000 |
| Prescription Drug Spend Excluded Products | $100,000 | $200,000 | $300,000 | $300,000 | $300,000 |
| Gross Prescription Drug Spend (Ingredient Cost + Dispensing Fees) | $110,000,000 | $114,000,000 | $120,500,000 | $122,000,000 | $124,000,000 |
| (+) Administrative Fees | $600,000 | $4,000,000 | $1,200,000 | $1,400,000 | $1,300,000 |
| Gross Cost Including Administrative Fees | $110,600,000 | $118,000,000 | $121,700,000 | $123,400,000 | $125,300,000 |
| (-) Member Cost Share (Based on current plan design) | $11,000,000 | $11,500,000 | $11,000,000 | $11,200,000 | $10,900,000 |
| Net Cost Before Rebates | $99,600,000 | $106,500,000 | $110,700,000 | $112,200,000 | $114,400,000 |
| (-) Total Minimum Rebates | $20,000,000 | $36,000,000 | $40,000,000 | $43,000,000 | $33,000,000 |
| Net Cost After Rebates | $79,600,000 | $70,500,000 | $70,700,000 | $69,200,000 | $81,400,000 |
| Difference From Baseline | $9,100,000 | $8,900,000 | $10,400,000 | ($1,800,000) | |
| Percent Difference From Baseline: Pricing Improvement/(Cost) | 11.4% | 11.2% | 13.1% | -2.3% | |
| Rank | 2 | 3 | 1 | 4 |
| Invoice Credit | $0 | $0 | $2,000,000 | $1,000,000 | $0 |
| Net Cost After Rebates & Invoice Credit | $79,600,000 | $70,500,000 | $68,700,000 | $68,200,000 | $81,400,000 |
| Difference From Baseline | $9,100,000 | $10,900,000 | $11,400,000 | -$1,800,000 |
| Percent Difference From Baseline: Pricing Improvement/(Cost) | 11.4% | 13.7% | 14.3% | -2.3% |
| Rank | 3 | 2 | 1 | 4 |
| Vendor A | Vendor B | Vendor C | Vendor D | |
| Financial scoring based on total net cost (480 points) | 464 | 477 | 480 | 402 |
| 3 Yr Non-Implementation Allowance Total | $255,000 | $200,000 | $270,000 | $280,000 |
| Rank | 3 | 4 | 2 | 1 |
| 3 Yr Allowance Scoring (10 pts) | 9 | 7 | 10 | 10 |
Generic Dispensing Rate Guarantee Scoring (5 pts) 3.5 3.0 2.0 2.5
Drug Trend Guarantees (5 pts) 3 4 4 2
| Total Pricing Proposal based on net cost (500 pts) | 480 | 491 | 496 | 417 |
| Note: Figures above are for illustrative purposes only. |
Formulary Disruption Scoring Ex
S000000161 ATTACHMENT E: FORMULARY DISRUPTION SCORING EXAMPLE
| Total Points Available | 25 | Example | |||||||||
| % of Claims | % of Members | Claims Points | Member Points | Total | |||||||
| Points Available | 12.50 | Bidder 1 | 1.10% | 3.20% | 12.50 | 9.38 | 21.88 | ||||
| % of Claims | Disruption Level - Negative Impact Products Moving to Excluded | Bidder 2 | 2.50% | 5.20% | 9.38 | 9.38 | 18.75 | ||||
| 0% - 2% | 2.01% - 4% | 4.01% - 6% | 6.01% - 8% | 8%+ | Bidder 3 | 4.20% | 2.30% | 6.25 | 12.50 | 18.75 | |
| Points Allocation | 100% | 75% | 50% | 25% | 0% | ||||||
| Note: Figures above are for illustrative purposes only. |
| Points Available: | 12.50 | ||||
| % of Members | Disruption Level - Negative Impact Products Moving to Excluded | ||||
| 0% - 3% | 3.01% - 6% | 6.01% - 9% | 9.01% - 12% | 12%+ | |
| Points Allocation | 100% | 75% | 50% | 25% | 0% |
File details come from the government source that posted it. Updated .