Attachment U_Pharmacy Claims Data.xlsx

XLSX spreadsheet 130 MB Posted

Attached to
RFP for Medical & Pharmacy Benefits
Solicitation number
S-44300-00014758
Issued by
Marion County, Oregon

About this file

This file is a pharmacy claims data spreadsheet (Attachment U) supporting Oregon's Public Employees' Benefit Board (PEBB) Request for Proposal for Medical and Pharmacy Benefits. The spreadsheet contains historical pharmacy claims data that vendors must analyze to develop competitive pharmacy benefit proposals and pricing strategies. The RFP solicits comprehensive medical and pharmacy benefits services for PEBB members, with proposals due November 14, 2025, submitted electronically through Proposal Technologies Network, Inc.'s online platform accessible via www.proposaltech.com. All official RFP documents, including this data attachment, are posted on OregonBuys. The procurement encompasses extensive documentation requirements including census data, medical and pharmacy claims analysis, provider network information, and clinical program details to enable thorough vendor evaluation and comparison.

The pharmacy claims data attachment serves as a critical analytical tool for vendors to understand PEBB's current utilization patterns, cost profiles, and pharmacy benefit management needs. Vendors are expected to use this historical claims information to develop flexible benefit plan designs, demonstrate network access capabilities, and propose competitive pricing strategies. The RFP includes provisions for Certification of Business Inclusion and Diversity (COBID) through Attachment E, indicating potential preferences or set-asides for disadvantaged business enterprises. The comprehensive data package and sophisticated procurement structure suggest a significant, multi-year contract opportunity valued in the millions of dollars, targeting established healthcare benefits administrators with demonstrated experience managing large-scale public employee benefit programs.

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Other files

File Type Posted
AttachB_Definitions.pdf PDF
AttachE_COBID.pdf PDF
PEBB Medical_Rx_MainRFP_clean.pdf PDF
AttachA_Questionnaire.pdf PDF
Total Revenue Disclosure Statement_Blank.xlsx XLSX spreadsheet
Attachment V - Detailed Weight Component Info.pdf PDF
AttachI_SampleGrpBenCon_MedRx.pdf PDF
AttachI_SampleGrpBenefitsCon_Rx_v4.pdf PDF
AttachK_Point Solutions Guidelines.pdf PDF
AttachG_FinalSubForm_v2.pdf PDF
Attachment M_Medical Claims Data_clean.xlsx XLSX spreadsheet
AttachI_SampleGrpBenCon_MedOnly.pdf PDF
Attachment N_Provider Disruption Data_clean.xlsx XLSX spreadsheet
AddendumFive_clean.pdf PDF
AttachC_PlanDesigns.pdf PDF
Attachment L_Census Data_clean.xlsx XLSX spreadsheet
AttachF_RespInquiry.pdf PDF
AddendumSix_Final.pdf PDF
AttachI_SampleGrpBenCon_MedOnly_v3.pdf PDF
Oregon PEBB 2025 Medical and Pharmacy RFP_20251111.pdf PDF
Oregon PEBB 2025 Medical and Pharmacy RFP_20251016PT.pdf PDF
Attachment A_10032025.pdf PDF
Attachment N_Provider Disruption Data updated.xlsx XLSX spreadsheet
Amendment 001 - RFI PAD MOUNT XFMR 2025.pdf PDF
Attachment Q_Pharmacy Clinical Programs.xlsx XLSX spreadsheet
Attachment S_Pharmacy Data Tables.xlsx XLSX spreadsheet
AddendumTwo.pdf PDF
AttachB_Definitions_v2.pdf PDF
Oregon PEBB 2025 Medical and Pharmacy RFP_20251015.pdf PDF
AddendumFour~1.pdf PDF
Attachment T_Pharmacy Pricing Terms_10132025.xlsx XLSX spreadsheet
AttachI_SampleGrpBenCon_MedRx_v3.pdf PDF
AttachI_SampleGrpBenCon_MedRx_v2.pdf PDF
AttachG_FinalSubForm.pdf PDF
Attachment R_Pharmacy GeoAccess Analysis Template.xlsx XLSX spreadsheet
AddendumThree_20251015_clean.pdf PDF
Attachment P_Pharmacy Plan Design Summary.xlsx XLSX spreadsheet
AttachI_SampleGrpBenCon_MedOnly_v2.pdf PDF
MainRfp_UpdatedByAddenda1-2_20250917.pdf PDF
MainRfp_UpdatedByAddenda1-3_20251015~1.pdf PDF
AddendumOne~1.pdf PDF
Attachment T_Pharmacy Pricing Terms.xlsx XLSX spreadsheet
Attachment O_Provider Discount Data_clean.xlsx XLSX spreadsheet
MainRfp_UpdatedByAddenda1-6_Final.pdf PDF
Attachment S_Pharmacy Data Tables_10132025.xlsx XLSX spreadsheet
AttachI_SampleGrpBenefitsCon_Rx_v3.pdf PDF
Attachment J_Data Warehouse File Layout_clean.xlsx XLSX spreadsheet
GeoAccess Standards for Out of State Providers.xlsx XLSX spreadsheet
AttachI_SampleGrpBenefitsCon_Rx.pdf PDF
Attachment W_Pharmacy Claims Data Layout.xlsx XLSX spreadsheet
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