Medicare Part D Coverage Gap Discount Program (CGDP)
Awarded Limited / Sole Source Justification Posted
- Solicitation number
- 261614
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Set-aside
- No set-aside
Opportunity facts
- Contract number
- 47QSMA20D08PV-75FCMC26F0125 Federal contract award
- Awardee
- Palmetto Gba, LLC
- NAICS code
- 541512 Computer Systems Design Services
- Place of performance
- Baltimore, Maryland, United States
- Points of contact
Notice details come from SAM.gov. Updated .
About this opportunity
The Centers for Medicare and Medicaid Services has awarded a limited-sources follow-on order to Palmetto GBA under the GSA Multiple Award Schedule for continued operation of the Medicare Part D Coverage Gap Discount Program and related Medicare Drug Manufacturer Invoicing Activities, with a two-year period of performance.
CMS invoked the logical follow-on exception under GSAM 538.7104-3(b)(iii), justified on grounds of economy and efficiency. The extension bridges two concurrent modernization initiatives: integration of the Global Benchmark for Efficient Drug Pricing program into the Manufacturer Payment Portal and migration of MPP infrastructure to the CMS Amazon Web Services Cloud Enclave. The original GSA MAS order (GS-35F-0462V/75FCMC21F0076) was competitively awarded for August 8, 2021, through August 7, 2026; the current contract period runs August 8, 2025, through August 7, 2026. CMS explicitly plans a full and open recompete in Fall 2027 following completion of these modernization activities.
Services include payment processing operations for pharmaceutical manufacturers and Part D plans through the Manufacturer Payment Portal, a secure web-based platform supporting invoice payment processing, report generation, and dispute submission with ACH financial transactions. Additional services encompass public-facing website support and a dedicated help desk providing user onboarding, technical support, and dispute resolution. The contract is structured as firm-fixed-price. Place of performance is Columbia, South Carolina. Funding sources are Part D Redesign Implementation and Program Operations accounts.
Notice text
This contract defines the requirements for a Third Party Administrator (TPA), acting on behalf of the Centers for Medicare and Medicaid Services (CMS), for pharmaceutical manufacturer invoicing activities. Medicare programs that require pharmaceutical manufacturer invoicing include: the Coverage Gap Discount Program (CGDP), the Manufacturer Discount Program (MDP), the Inflationary Rebate program, and the Discarded Drug Refund Program. We refer to these programs collectively as “Medicare Drug Manufacturer Invoicing Activities” or “MDMIA.”. The TPA functions required under this contract include development, testing, implementation, operation, maintenance, and customer service necessary to meet the needs of CMS, pharmaceutical manufacturers, Part D sponsors, and contracted CMS personnel involved with the operation and administration of the MDMIA, in accordance with the provisions of the legislation listed below.
Awarded contract 47QSMA20D08PV to unknown vendor for unknown amount on 2026-08-07.
Files
| File | Type | Posted |
|---|---|---|
| Justification Approval - Federal Supply Schedule_Redacted.pdf |
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