Q517--Pharmavy Benefit Management

The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 is seeking to procure Pharmacy Benefit Management services for Community-Based Outpatient Clinics (CBOCs) located across the Gulf Coast region. The contractor will be required to provide first-fill pharmacy services, establish agreements with at least four pharmacies within 15 miles of each CBOC location, fill prescriptions within one hour using the VA's formulary, and provide up to a 10-day supply of medication while maintaining HIPAA compliance and patient confidentiality. The solicitation will be evaluated using a Lowest Price Technically Acceptable (LPTA) methodology, emphasizing cost-effectiveness while meeting technical requirements. Questions regarding the solicitation were due by 12:00 PM CT on October 1, 2025, with all quotes due by 12:00 PM CT on October 8, 2025. The contract structure includes a base period from October 13, 2025, to September 30, 2026, with four additional one-year option periods extending through September 30, 2030.

This opportunity does not utilize any set-aside designation and identifies Palisades Heritage as the incumbent contractor for this requirement. The estimated total contract value is $45.5 million over the full performance period, with an estimated 6,000 prescriptions per year during the base period and an additional 2,000 prescriptions per year for emergency pharmacy services during natural disasters. The contract will serve CBOCs in multiple locations including Biloxi, Mississippi; Mobile, Alabama; and Pensacola, Eglin, and Panama City, Florida. Performance will span five years if all option periods are exercised, covering the geographic area within Veterans Integrated Service Network 16's Gulf Coast region. The solicitation falls under NAICS code 524292 for Pharmacy Benefit Management services and includes detailed wage determination requirements for multiple counties across Florida, Mississippi, and Alabama.