T2679 Exhibit B - Built In Prescription Drug Plan 08.06.26.pdf

PDF 222 KB Posted Aug 6, 2026

Attached to: T2679 - Employee Benefits: Pharmacy Benefits Management
Solicitation number: 27DPP01337
Issued by: New Jersey

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Written by GovTribe AI · Aug 7, 2026

This document is Exhibit B of a Pharmacy Benefits Management contract (T2679) for the State of New Jersey's Employee Benefits program. The exhibit presents a built-in prescription drug plan with detailed coverage structures across multiple plan options. The document outlines various deductible levels, copayment amounts, and coinsurance percentages for different categories of prescription drugs, including generic, preferred brand, and non-preferred medications. Coverage tiers are established for individual and family plans, with specific out-of-pocket maximums ranging from $1,050 to $2,100 depending on the plan selected. The prescription drug plan includes provisions for both retail and mail-order pharmacy options, with varying cost-sharing arrangements to incentivize the use of generic medications and preferred formulary drugs.

The pricing structure demonstrates tiered cost-sharing designed to manage pharmacy benefit expenses while maintaining access to necessary medications. Plans include deductible amounts, copayment schedules that vary by drug tier and delivery method, and coinsurance requirements of 20 to 50 percent for certain medications. The document references multiple plan designs with options for employee choice, suggesting flexibility in benefit offerings to accommodate different employee preferences and healthcare needs. The exhibit appears to be part of a comprehensive benefits package that integrates prescription drug coverage with other health plan offerings, establishing clear parameters for member out-of-pocket costs and plan liability across various prescription drug categories and utilization scenarios.

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Other files

File	Type	Posted
T2679 Optional Pre-Quote Conference Powerpoint 08.06.26~2.pptx	PPTX presentation	Aug 6, 2026
T2679 Attachment 3 - State Third Party Information Security Questionnaire 08.06.26~2.pdf	PDF	Aug 6, 2026
T2679 Attachment 5 - MOVIEit Account User and Password Setup Details 08.06.26.pdf	PDF	Aug 6, 2026
T2679 Exhibit A - Stand Alone Prescription Drug Plan 08.06.26.pdf	PDF	Aug 6, 2026
T2679 Attachment 1 - State of New Jersey Standard Terms and Conditions 08.06.26.pdf	PDF	Aug 6, 2026
T2679 Attachment 2 - Standard Procurement Forms Packet 08.06.26.pdf	PDF	Aug 6, 2026
T2679 Bid Solicitation 08.06.26~3.docx	DOCX document	Aug 6, 2026
T2679 Exhibit C - Retiree Drug Plan 08.06.26.pdf	PDF	Aug 6, 2026
T2679 Attachment 4 - Confidentiality Non-Disclosure Agreement 08.06.26.docx	DOCX document	Aug 6, 2026

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T2679 27DPP01337 Employee Benefits: Pharmacy Benefits Management

File details come from the government source that posted it. Updated Aug 7, 2026.