Exhibit C Pricing Sheet.xlsx

This is an Exhibit C Pricing Sheet for a solicitation issued by the Texas Health and Human Services Commission (HHSC) seeking competitive bids to establish contract(s) for Medicare Part D claims switching services. The solicitation, identified as HHSTX-HHS0017787, was posted on August 3, 2026, with bids due by August 17, 2026. The procurement includes two line items: Medicare Claim Switch Services for SSLCs (Single State Long-term Care Pharmacies) and Medicare Claim Switch Services for Shosps (Specialty Hospitals and Outpatient Pharmacies). Both items are quoted as a single lot with a price bid required for each. The contract term runs from September 1, 2026, through August 31, 2028 (initial term of two years), with three optional renewal periods: one year each for September 1, 2028–August 31, 2029; September 1, 2029–August 31, 2030; and September 1, 2030–August 31, 2031.

Pricing for each term period must be submitted on the completed Exhibit C Pricing Sheet, which is a mandatory submission requirement. Bids must be submitted in U.S. dollars only, with no alternative currencies accepted. Respondents are required to submit supporting documentation including the completed and signed Exhibit A (HHS Solicitation Affirmations), Exhibit D (Bidder Reference Form), and any applicable Addendum Acknowledgement Forms. The submission contact is Delia Arellano at HHS Purchasing, with detailed submission instructions provided in Appendix A. Failure to submit the Exhibit C Pricing Sheet will result in disqualification of the bid response.