FY25_Pharmacy_RFP_Fee_Schedule_12-24-2024.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- 25-0258-RFP Pharmacy Benefit Services
- Solicitation number
- 25-0258-REQ
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
The file is a Fiscal Year 2025 Pharmacy Request for Proposal (RFP) Fee Schedule spreadsheet, structured to capture comprehensive pharmacy services pricing details across multiple claim types and contract years. The document outlines a five-year contract framework for administrative fees, network rates, brand and generic discounts, dispensing fees, and rebate structures across different pharmacy claim categories including 30-day retail claims, 84+ days supply mail order claims, specialty claims, and 340B claims. The pricing model is designed to provide transparent cost comparison mechanisms for RFP scoring purposes.
The fee schedule presents a granular pricing approach with year-by-year variations in administrative fees (per paid claim), network discount rates for both brand and generic medications (expressed as a percentage off Average Wholesale Price), dispensing fee guarantees, and minimum rebate structures. Notably, the document includes specific provisions for 340B claims with and without drug replenishment, which are marked as not included in scoring. The multi-year pricing model allows for potential rate adjustments across five contract years, providing flexibility for both the contracting agency and the pharmacy service provider while establishing clear pricing expectations and performance metrics.
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Text version
Sheet1
| Light yellow to be used in cost comparison for RFP scoring. | |||||
| 30 Day Retail Claims | 84 + Days Supply | Mail Order | Specialty Claims | 340B Claims | |
| Administrative Fees - per paid claim ($ per claim) | |||||
| Year 1 | $ | $ | $ | $ | $ |
| Year 2 | $ | $ | $ | $ | $ |
| Year 3 | $ | $ | $ | $ | $ |
| Year 4 | $ | $ | $ | $ | $ |
| Year 5 | $ | $ | $ | $ | $ |
| Administrative Fees –340B Claim with Drug Replenishment |
*not included in scoring ($ per claim)
| Year 1 | $ | $ | $ | $ | $ |
| Year 2 | $ | $ | $ | $ | $ |
| Year 3 | $ | $ | $ | $ | $ |
| Year 4 | $ | $ | $ | $ | $ |
| Year 5 | $ | $ | $ | $ | $ |
| Administrative Fees – 340B Claim without Drug Replenishment |
*not included in scoring ($ per claim)
| Year 1 | $ | $ | $ | $ | $ |
| Year 2 | $ | $ | $ | $ | $ |
| Year 3 | $ | $ | $ | $ | $ |
| Year 4 | $ | $ | $ | $ | $ |
| Year 5 | $ | $ | $ | $ | $ |
| Network Rates | |||||
| Brand Discount Rates (AWP minus %) | |||||
| Year 1 | % | % | % | % | % |
| Year 2 | % | % | % | % | % |
| Year 3 | % | % | % | % | % |
| Year 4 | % | % | % | % | % |
| Year 5 | % | % | % | % | % |
| Brand Discount Guarantee (AWP minus %) | |||||
| Year 1 | % | % | % | % | % |
| Year 2 | % | % | % | % | % |
| Year 3 | % | % | % | % | % |
| Year 4 | % | % | % | % | % |
| Year 5 | % | % | % | % | % |
| Brand Dispensing Fee Guarantee ($ per claim) | |||||
| Year 1 | $ | $ | $ | $ | $ |
| Year 2 | $ | $ | $ | $ | $ |
| Year 3 | $ | $ | $ | $ | $ |
| Year 4 | $ | $ | $ | $ | $ |
| Year 5 | $ | $ | $ | $ | $ |
| Generic Discount Rates (AWP minus %) | |||||
| Year 1 | % | % | % | % | % |
| Year 2 | % | % | % | % | % |
| Year 3 | % | % | % | % | % |
| Year 4 | % | % | % | % | % |
| Year 5 | % | % | % | % | % |
| Generic Discount Guarantee (AWP minus %) | |||||
| Year 1 | % | % | % | % | % |
| Year 2 | % | % | % | % | % |
| Year 3 | % | % | % | % | % |
| Year 4 | % | % | % | % | % |
| Year 5 | % | % | % | % | % |
| Generic Dispensing Fee Guarantee ($ per claim) | |||||
| Year 1 | $ | $ | $ | $ | $ |
| Year 2 | $ | $ | $ | $ | $ |
| Year 3 | $ | $ | $ | $ | $ |
| Year 4 | $ | $ | $ | $ | $ |
| Year 5 | $ | $ | $ | $ | $ |
| Rebates- Minimum Guaranteed $ per Brand Claim ($ per claim) | |||||
| Year 1 | $ | $ | $ | $ | $ |
| Year 2 | $ | $ | $ | $ | $ |
| Year 3 | $ | $ | $ | $ | $ |
| Year 4 | $ | $ | $ | $ | $ |
| Year 5 | $ | $ | $ | $ | $ |
| Rebates- Minimum Guaranteed % of Manufacturer paid Rebates (% per claim) | |||||
| Year 1 | % | % | % | % | % |
| Year 2 | % | % | % | % | % |
| Year 3 | % | % | % | % | % |
| Year 4 | % | % | % | % | % |
| Year 5 | % | % | % | % | % |
File details come from the government source that posted it. Updated .