Part D Formulary and Benefits Review
Awarded Limited / Sole Source Justification Posted
- Solicitation number
- CMSFormulary2025
- Agency
- Centers for Medicare and Medicaid Services Department of Health and Human Services
- Set-aside
- No set-aside
Opportunity facts
- Contract number
- 75FCMC20C0027 Federal contract award
- NAICS code
- Not on record
- PSC
- R499 Support- Professional: Other
- Place of performance
- Ellicott City, Maryland, United States
- Points of contact
-
- Mark Smolenski mark.smolenski@cms.hhs.gov (410) 786-0175
Notice details come from SAM.gov. Updated .
About this opportunity
The Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) has issued a Limited/Sole Source Justification Notice for a Part D Formulary and Benefits Review contract. The contract, awarded to Rainmakers Strategic Solutions under the Small Business Administration's 8(a) program, involves reviewing prior authorizations and step therapy criteria submitted by plan sponsors to ensure compliance with Medicare Prescription Drug Benefit Manual standards. The contract modification (75FCMC20C0027) is a three-month extension with an estimated value of $200,000, extending the performance period from September 30th to December 31st to align with the formulary review schedule. Funding will be sourced from Program Ops and Medicare/Medicaid Financial Alignment, maintaining the original Firm Fixed Price structure. The extension provides additional time for market research for the subsequent contract, which is set to begin on January 1, 2026. Key personnel involved include Mark Smolenski as Contracting Officer, Jenna McLean as Contracting Officer's Representative (COR), and Brian Martin as COR Supervisor, who have verified the justification's accuracy and completeness.
Notice text
The purpose of this contract is to review prior authorizations and step therapy criteria that are submitted by plan sponsors to CMS via the Health Plan Management System to ensure they meet the standards outlined in Chapter 6 of the Medicare Prescription Drug Benefit Manual.
Awarded contract 75FCMC20C0027 to unknown vendor for unknown amount on 2025-05-14.
Attachments
| File | Type | Posted |
|---|---|---|
| JA - 3 month extension.pdf |
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