Final_CRFQ_0511_BMS2700000001_1_WV_CRFQ_FORM.PDF

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Attached to
PILOT PHARMACY COST CONTAINMENT PROGRAM
Solicitation number
CRFQ 0511 BMS2700000001 1
Issued by
Kanawha County, West Virginia

About this file

This is a Centralized Request for Quote (CRFQ) form issued by the West Virginia Department of Administration Purchasing Division on behalf of the West Virginia Department of Human Services, Bureau for Medical Services, for the establishment of a Pilot Pharmacy Cost Containment Program serving both the West Virginia Medicaid and West Virginia Children's Health Insurance Program. The solicitation, numbered CRFQ 0511 BMS2700000001, was issued on July 13, 2026, with a question deadline of July 20, 2026, and solicitation closing date of July 29, 2026, at 1:30 PM. The program involves two primary cost components: Per Member, Per Month (PMPM) operational costs for a nine-month period and implementation costs for the base year covering three months. Interested vendors must submit all questions in writing to Crystal G. Hustead, the designated buyer, at crystal.g.hustead@wv.gov prior to the question deadline. Bids should be directed to the Department of Administration Purchasing Division at 2019 Washington Street East, Charleston, West Virginia 25305.

The solicitation establishes a Central Master Agreement structure for the pilot program, with invoicing and shipping directed to the Health and Human Resources Bureau for Medical Services at 350 Capitol Street, Room 251, Charleston, West Virginia. Specific pricing is to be provided by vendors on a per-member, per-month basis for operational costs and as a lump sum for implementation costs. All offers remain subject to the terms and conditions contained in the complete solicitation documentation, and vendors must provide their Federal Employer Identification Number (FEIN) along with authorized signatures upon submission.

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Text version

Date Printed: Jul 13, 2026 Page: 1 FORM ID: WV-PRC-CRFQ-002 2020/05

Department of Administration Purchasing Division 2019 Washington Street East Post Office Box 50130 Charleston, WV 25305-0130

State of West Virginia Centralized Request for Quote

Medical

Proc Folder: 1999101 Reason for Modification:

Doc Description: PILOT PHARMACY COST CONTAINMENT PROGRAM

Proc Type: Central Master Agreement

Date Issued Solicitation Closes Solicitation No Version

2026-07-13 2026-07-29 13:30 CRFQ 0511 BMS2700000001 1

BID RECEIVING LOCATION

BID CLERK

DEPARTMENT OF ADMINISTRATION

PURCHASING DIVISION

2019 WASHINGTON ST E

CHARLESTON WV 25305

US

VENDOR

Vendor Customer Code:

Vendor Name :

Address :

Street :

City :

State : Country : Zip :

Principal Contact :

Vendor Contact Phone: Extension:

FOR INFORMATION CONTACT THE BUYER

Crystal G Hustead

(304) 558-2402 crystal.g.hustead@wv.gov

Vendor Signature X FEIN# DATE

All offers subject to all terms and conditions contained in this solicitation

Date Printed: Jul 13, 2026 Page: 2 FORM ID: WV-PRC-CRFQ-002 2020/05

ADDITIONAL INFORMATION

THE STATE OF WEST VIRGINIA PURCHASING DIVISION FOR THE AGENCY, WEST VIRGINIA DEPARTMENT OF HUMAN SERVICES, BUREAU FOR MEDICAL SERVICES, WHICH INCLUDES BOTH THE WEST VIRGINIA MEDICAID AND WEST VIRGINIA CHILDREN'S HEALTH INSURANCE PROGRAM, IS SOLICITING BIDS TO ESTABLISH A CONTRACT FOR PILOT

PHARMACY CONTAINMENT PROGRAM PER THE ATTACHED DOCUMENTS.

***QUESTIONS REGARDING THE SOLICITATION MUST BE SUBMITTED IN WRITING TO CRYSTAL.G.HUSTEAD@WV.GOV PRIOR TO THE QUESTION PERIOD DEADLINE CONTAINED IN THE INSTRUCTIONS TO VENDORS SUBMITTING BIDS***

INVOICE TO SHIP TO

HEALTH AND HUMAN

RESOURCES

HEALTH AND HUMAN

RESOURCES

BUREAU FOR MEDICAL

SERVICES

BUREAU FOR MEDICAL

SERVICES

350 CAPITOL ST, RM 251 350 CAPITOL ST, RM 251

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 1 Per Member, Per Month (PMPM) Ops Cost (9

Months)

Comm Code Manufacturer Specification Model #

85131701

Extended Description:

Per Member, Per Month (PMPM) Ops Cost (9 Months)

INVOICE TO SHIP TO

HEALTH AND HUMAN

RESOURCES

HEALTH AND HUMAN

RESOURCES

BUREAU FOR MEDICAL

SERVICES

BUREAU FOR MEDICAL

SERVICES

350 CAPITOL ST, RM 251 350 CAPITOL ST, RM 251

CHARLESTON WV CHARLESTON WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 2 Implementation Cost - Base Year 1 (3 Months)

Comm Code Manufacturer Specification Model #

85131701

Extended Description:

Implementation Cost - Base Year 1 (3 Months)

SCHEDULE OF EVENTS

Date Printed: Jul 13, 2026 Page: 3 FORM ID: WV-PRC-CRFQ-002 2020/05

Line Event Event Date

1 VENDOR QUESTION DEADLINE 2026-07-20

Document Phase Document Description Page

BMS2700000001 Final PILOT PHARMACY COST

CONTAINMENT PROGRAM

1
2
1

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