CDC world trade center (WTC) health program pharmacy benefits manager

The Centers for Disease Control and Prevention (CDC) intends to award a sole source contract for Pharmacy Benefits Manager (PBM) Services to Evernorth Federal Services, Inc. for the World Trade Center (WTC) Health Program. The contract requires highly specialized PBM services with unique adjudication processes, real-time benefit verification, and automated safeguards to ensure coverage only for medically necessary WTC-related condition treatments. The CDC has determined that Evernorth Federal Services' proprietary system customizations make them the only suitable contractor, citing potential severe disruptions in member care and significant compliance risks if another vendor were selected. All responsible sources may submit a capability statement, proposal, or quotation, which will be considered by the agency. Interested parties must submit their response via email to hmb0@cdc.gov by March 31, 2025, at 3:00pm EST, with the government retaining sole discretion on whether to proceed competitively.

The pre-solicitation notice does not indicate a specific set-aside designation, and no award value is explicitly stated in the documentation. The contract will utilize a mixed pricing structure, including fixed price and time & materials line items. The procurement is categorized under NAICS code 524292 for Pharmacy Benefit Management and will leverage the PSC code Q517 for Pharmacy Services. The contract is being pursued under FAR 6.302-1 authority, which allows for sole source procurement when only one source can meet the government's needs. The procurement is specific to the CDC's WTC Health Program and will leverage Evernorth Federal Services' proprietary system architecture that ensures regulatory compliance and operational efficiency for this specialized healthcare benefits management requirement.