Attachment_G_-_26-0321-P_PBM_RFP_Related_Experience_and_References.xlsx

XLSX spreadsheet 10 KB Posted

Attached to
26-0408-RFP Pharmacy Benefit Manager Services
Solicitation number
26-0408-REQ
Issued by
Pinellas County, Florida

About this file

This file is a Related Experience and References worksheet template issued by Pinellas County Board of County Commissioners in Florida for RFP 26-0408 seeking Pharmacy Benefit Manager (PBM) Services. The County is procuring comprehensive PBM services for approximately 3,200 eligible county employees through a competitive Request for Proposal process. The RFP requires qualified proposers to submit detailed vendor qualifications and three references from similar-sized accounts with a minimum of five years of comparable experience. The question submission deadline is March 19, 2026 at 10:00 a.m., with proposals due electronically through the OpenGov procurement platform by March 31, 2026 at 3:00 p.m. The contract term spans five years with two optional one-year renewal periods, with services commencing January 1, 2027. Proposal responses must not exceed 75 pages and include completed Excel worksheets for plan design and financial requirements along with a signed Business Associate Agreement.

Qualified proposers must be licensed as a PBM in all 50 states, manage at least one million Rx lives, and maintain a minimum of eight years of experience as a full-service PBM or health plan carrier with 3-5 government or public sector clients in Florida or neighboring states. Vendors must submit pricing as a five-year lump sum total for PBM administrative services on a per employee per month (PEPM) basis with detailed pricing across all claim types and contract years. Annual pricing adjustments after the initial twelve months are permitted, not to exceed the Consumer Price Index or 3%, whichever is less, with all pricing guarantees reconciled and paid within 90 days annually and rebates within 180 days. The incumbent vendor is Express Scripts Inc. (ESI). All proposing firms must complete notarized affidavits addressing compliance with human trafficking laws, foreign country of concern ownership restrictions, and common carrier attestations. The RFP does not include set-aside designations, and the County reserves the right to terminate the agreement with 90 days' notice without cause and to reject any or all proposals.

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Other files

File Type Posted
26-0408-RFP_Pharmacy_Benefit_Manager_Services_(Addendum_#2_Revision).pdf PDF
26-0408-RFP_Pharmacy_Benefit_Manager_Services_(Addendum_#2_Revision).pdf PDF
Addedndum_No._1_Revision_Attachment_C_-_26-0321-P_PBM_RFP_Questionaire.xlsx XLSX spreadsheet
Attachment_F_-_26-0321-P_PBM_RFP_Vendor_Qualification.xlsx XLSX spreadsheet
Attachment_F_-_26-0321-P_PBM_RFP_Vendor_Qualification.xlsx XLSX spreadsheet
Addedndum_No._1_Revision_Attachment_C_-_26-0321-P_PBM_RFP_Questionaire.xlsx XLSX spreadsheet
Attachment_G_-_26-0321-P_PBM_RFP_Related_Experience_and_References.xlsx XLSX spreadsheet
Attachment_C_-_26-0408-RFP_PBM_RFP_Questionaire.xlsx XLSX spreadsheet
Attachment_D_-_26-0321-P_PBM_Formulary_Disruption_Request.xlsx XLSX spreadsheet
Attachment_D_-_26-0321-P_PBM_Formulary_Disruption_Request.xlsx XLSX spreadsheet
Attachment_E_-_Business_Associate_Agreement.docx DOCX document
Attachment_D_-_26-0321-P_PBM_Formulary_Disruption_Request.xlsx XLSX spreadsheet
Attachment_E_-_Business_Associate_Agreement.docx DOCX document
Attachment_E_-_Business_Associate_Agreement.docx DOCX document
26-0408-RFP_Pharmacy_Benefit_Manager_Services.pdf PDF
26-0408-RFP_Pharmacy_Benefit_Manager_Services.pdf PDF
Common_Carrier_Attestation_02.05.2025.pdf PDF
Human_Trafficking_Affidavit_11.20.25.pdf PDF
Common_Carrier_Attestation_02.05.2025.pdf PDF
Foreign_Countries_of_Concern_Affidavit_12.11.2025.pdf PDF
Common_Carrier_Attestation_02.05.2025.pdf PDF
Foreign_Countries_of_Concern_Affidavit_12.11.2025.pdf PDF
Common_Carrier_Attestation_02.05.2025.pdf PDF
Foreign_Countries_of_Concern_Affidavit_12.11.2025.pdf PDF
Human_Trafficking_Affidavit_11.20.25.pdf PDF
Foreign_Countries_of_Concern_Affidavit_12.11.2025.pdf PDF
Human_Trafficking_Affidavit_11.20.25.pdf PDF
Human_Trafficking_Affidavit_11.20.25.pdf PDF
26-0321-P_-_Price_Summary.xlsx XLSX spreadsheet
Attachment_D_-_26-0321-P_PBM_Formulary_Disruption_Request.xlsx XLSX spreadsheet
26-0321-P_-_Price_Summary.xlsx XLSX spreadsheet
26-0321-P_-_Price_Summary.xlsx XLSX spreadsheet
Attachment_C_-_26-0321-P_PBM_RFP_Questionaire.xlsx XLSX spreadsheet
Attachment_E_-_Business_Associate_Agreement.docx DOCX document
26-0321-P_-_Price_Summary.xlsx XLSX spreadsheet
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Text version

Attachment B

Related Experience and References
ReferenceReference TypeClient NameCompanyClient SizeTitleEmailPhone
1Employer Client that left your organization for reason other than merger or sale

2 Longstanding Employer Client of your organization

3 Employer Client that implemented with you on or after 1.1.2024

4 Relevant public sector client experience if not already provided

File details come from the government source that posted it. Updated .