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 document is an Excel-based Fee Schedule RFP for Pharmacy Benefit Services issued by Pinellas County, Florida, targeting pharmaceutical services for the Pinellas County Health Program (PCHP) and Healthcare for the Homeless Program (HCH). The five-year contract seeks a pharmacy benefit manager to provide comprehensive pharmaceutical services, including network management, prescription monitoring, eligibility tracking, and regulatory compliance. The solicitation covers various claim types such as 30-day retail claims, mail order, specialty claims, and 340B claims, with pricing and fee structures to be proposed across five contract years.
The fee schedule template requires proposers to specify detailed pricing metrics including administrative fees per claim, network rates, brand and generic discount rates, dispensing fees, and rebate structures. The pricing model incorporates multiple dimensions such as percentage discounts from Average Wholesale Price (AWP), per-claim administrative fees, and minimum guaranteed rebates for brand and generic pharmaceuticals. Proposers must provide consistent pricing across five contract years, with separate pricing considerations for standard claims and 340B claims, indicating a complex and comprehensive evaluation framework for pharmacy benefit services.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 25-0258-RFP_Pharmacy_Benefit_Services_(Addendum_#1_Revision).pdf | ||
| HIPAA_Business_Associate_Agreement.pdf | ||
| PCHP-HCH_Covered_Services_Update_09012024.pdf | ||
| FY25_Pharmacy_RFP_Fee_Schedule_12-24-2024.xlsx | XLSX spreadsheet | |
| Non-Competitive_Oversight_Committee_Justification_Form.docx | DOCX document |
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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 .