Agency Wide Switch Service for processing prescriptions for payment

Past Recompete Updated

Agency
Solicitation expected
Estimated value
$7,000,000 to $13,000,000
Set-aside
No set-aside

Forecast facts

Incumbent contract
Anticipated award
NAICS code
513210 Software Publishers
Points of contact

Forecast details come from HHS's procurement forecast. Agencies' dates and values are estimates.

About this forecast

The Indian Health Service is recompeting Pharmacy Claims Switching and Pharmacy Benefit Eligibility Verification Services to support real-time electronic submission and adjudication of pharmacy claims, eligibility verification, and benefit coordination across IHS facilities. The estimated solicitation release date and award date are both July 1, 2026. Prospective contractors must be capable of delivering software publishing services under NAICS 513210 with no socioeconomic set-aside.

The estimated award value ranges from $7 million to $13 million. Place of performance includes multiple IHS healthcare facilities throughout North Dakota and South Dakota in the Great Plains area. Darryl Smith, Administrative Contracting Officer, and Kailee Fretland are the primary points of contact at the Indian Health Service.

The incumbent awardee is Change Healthcare Operations, LLC, which holds delivery order GS35F0176X-75H70626F80008 under the IHS Multiple Award Schedule contract vehicle. Change Healthcare's current delivery order was awarded April 10, 2026, with a ceiling value of $396,366.25 and an ultimate completion date of January 12, 2031. The existing award provides pharmacy claims switching services on a firm fixed-price basis for IHS healthcare facilities in the Great Plains region.

Forecast text

The IHS requires Pharmacy Claims Switching and Pharmacy Benefit Eligibility Verification Services to support the real-time electronic submission and adjudication of pharmacy claims, eligibility verification, and benefit coordination.

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