WTCHP Pharmacy Benefits Manager Services

Closed Pre-Solicitation Posted

Solicitation number
CDC-75D301-Notice-of-Intent-01
Agency
Responses due
Set-aside
No set-aside

Opportunity facts

NAICS code
524292 Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
PSC
Q517 Pharmacy Services
Points of contact

Notice details come from SAM.gov. Updated .

About this opportunity

The Centers for Disease Control and Prevention Office of Acquisition Services intends to award a sole-source contract to Evernorth Federal Services for Pharmacy Benefits Management services supporting the World Trade Center Health Program, with a response deadline of July 14, 2026. The WTCHP is a statutory health care benefit program established under the James Zadroga 9/11 Health and Compensation Act of 2010 that provides medical monitoring, screening, and treatment for responders to the 9/11 attacks in New York City, the Pentagon, and Shanksville, Pennsylvania, and survivors in the New York City disaster area. The program is administered by the National Institute for Occupational Safety and Health, a component of the CDC within the Department of Health and Human Services.

The Pharmacy Benefits Manager will operationalize the program's limited pharmacy benefit by coordinating covered pharmacy services and managing medication access for members with certified WTC-related health conditions. Members can fill prescriptions at no cost when prescribed by a Program provider and when the medication appears on the WTC Health Program's formulary. The anticipated period of performance is a one-year base period beginning September 20, 2026 and ending September 19, 2027, followed by two one-year option periods: September 20, 2027 through September 19, 2028, and September 20, 2028 through September 19, 2029. Option periods would be exercised pursuant to FAR 52.217-9.

Notice text

The Centers for Disease Control and Prevention (CDC) Office of Acquisition Services intends to award a sole source contract to Evernorth Federal Services for Pharmacy Benefits Management services on behalf of the World Trade Center Health Program (WTCHP).

The WTCHP is a limited health care benefit program that provides medical monitoring, screening, and treatment for Program members. Members are responders to the 9/11 terrorist attacks in New York City, the Pentagon, and Shanksville, Pennsylvania and survivors in the New York City disaster area. The WTCHP is a statutory program established under Title I of the James Zadroga 9/11 Health and Compensation Act of 2010, as amended. The WTCHP is administered by the National Institute for Occupational Safety and Health, part of the CDC, a component of the Department of Health and Human Services.

As part of the WTCHP, the Program provides prescription coverage for members with certified WTC-related health conditions. Members with certified WTC-related health conditions can fill prescriptions used to treat these conditions at no cost as long as they are prescribed by a Program provider. All covered prescriptions must be on the WTC Health Program’s formulary. The Program has a requirement to obtain Pharmacy Benefits Management services to administer and manage the pharmacy benefits provided to eligible members. The Pharmacy Benefits Manager shall operationalize the Program’s limited pharmacy benefit by coordinating covered pharmacy services and supporting appropriate medication access based on each member’s certified condition(s) and membership category.

The anticipated period of performance for this contract is a one-year base period and two, one-year option periods as follows:

Base Period: September 20, 2026 – September 19, 2027

Option Period 1:       September 20, 2027 – September 19, 2028

Option Period 2:       September 20, 2028 – September 19, 2029

Option periods would be exercised pursuant to FAR 52.217-9, Option to Extend the Term of the Contract, if it is determined to be in the Government’s best interest.

As indicated above, this contract action is for services for which the Government intends to solicit and negotiate with only one source under the authority of Revolutionary FAR Overhaul 6.103-1, Only one responsible source and no other supplies or services will satisfy agency requirements.

Interested parties may identify their interest and submit documentation of their capability to respond to this requirement. This notice of intent is not a request for competitive quotations/proposals; however, all responses received within the issuance period of this notice will be considered by the Government. A determination by the Government not to competitively solicit for the proposed contract action based upon responses to this notice is solely within the discretion of the Government. Information received will normally be considered solely for the purpose of determining whether to conduct a competitive procurement.

Responses should be emailed to the Contracting Officer, Serina Allingham, xog9@cdc.gov, by 9:00 a.m. on July 14, 2026.

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