rfp-487-26-scoring.pdf

This is an RFP scoring summary document from the State of New Hampshire Department of Administrative Services, Division of Procurement Support Services, evaluating proposals for Pharmacy Benefit Management (PBM) services under Request for Proposal 487-26. The solicitation seeks comprehensive prescription drug administration services for the State's Employee and Retiree Health Benefits Plan covering approximately 26,145 covered lives, including active employees, dependents, retirees, and a special group from other organizations across New Hampshire and surrounding regions. The proposal closing date was April 22, 2026, at 2:00 PM Eastern Time, with electronic submissions required through the ProposalTech platform. The contract encompasses three years of service (CY2027, CY2028, and CY2029) and includes comprehensive formulary management, retail network management, clinical programs, member services, and federal regulatory compliance requirements including the No Surprises Act and Final Transparency Rule.

Four vendors submitted proposals and were evaluated using a two-stage scoring methodology: technical questionnaire scoring (25 points maximum) and financial scoring (75 points maximum), for a combined total of 100 points. The scoring results show Express Scripts received a total score of 95.3 (22.3 technical, 73.0 financial), Optum Rx scored 88.5 (19.3 technical, 69.2 financial), CVS Caremark scored 88.2 (21.5 technical, 66.7 financial), and Navitus scored 73.4 (15.9 technical, 57.5 financial). Financial proposals required detailed pricing including pass-through retail pricing methodology, minimum rebate guarantees as a percentage of Average Wholesale Price for brand drugs, maximum dispensing fee guarantees per script, and PMPM cost guarantees with annual maximum caps. No set-aside designations, incumbent vendors, or current contractors were identified in the available documentation. The contract required execution on the State's standard P-37 contract form with associated Business Associate Agreements and data security requirements.