HCPS_Attachment_C_Rx_Minimum_Requirements_1.xlsx

This is a minimum qualifications checklist for a pharmacy benefit management (PBM) services Request for Proposal (RFP) issued by Hillsborough County Public Schools (HCPS) in Tampa, Florida. HCPS is soliciting proposals for prescription drug program services to cover approximately 19,121 currently enrolled participants out of 24,328 eligible employees, with service implementation effective January 1, 2027. Respondents may propose under one of four structures: self-funded Administrative Services Only (ASO) with pharmacy benefits carved in or out, or self-funded Third-Party Administrator (TPA) options with pharmacy benefits carved in or out. Proposals are due December 12, 2025, submitted through VendorLink, with technical questions accepted through November 20, 2025.

Respondents must demonstrate seven minimum qualifications to be considered for award, including at least five years of pharmacy benefit management experience in Florida, current registration with the Florida Office of Insurance Regulation and Florida Department of State to conduct business, a minimum of 500,000 commercial covered lives across their PBM book of business, at least three government or public entity employer groups with a minimum of 20,000 covered lives each, pharmacy network accessibility of 95 percent or more based on two retail pharmacies within ten miles of participants, and satisfactory insurance ratings from A.M. Best (A- or higher), Standard & Poor's or Fitch (BBB or higher), or Moody's (Baa2 or higher). Proposers must complete a compliance checklist using the provided columns to confirm their ability to meet each requirement or provide written explanations for any non-compliance.