Change Order Notice - Prescription Benefit Manager

The State of Illinois, through CMS Benefits, is issuing a change order notice for prescription benefit manager services in accordance with 720 ILCS 5/33E-9. This procurement addresses a significant market shift resulting from Health Alliance's exit from the market, which has increased the covered population by 39%. The change order reflects adjustments to the existing prescription benefit manager contract, including an annual increase in administrative fees and an estimated increase in rebate revenue to the State corresponding to the expanded population. The primary objectives are to ensure continued prescription benefit management services for the additional population and to establish appropriate fee structures that account for the scale increase. The submission deadline for this change order is December 16, 2025, with the opportunity having been posted on December 1, 2025. Interested parties should review the specific contract terms and conditions outlined in the full solicitation document to understand all deliverables, service level requirements, and technical specifications applicable to this expanded scope.

The notice does not explicitly identify set-aside designations or restrictions limiting bidder participation, though respondents should verify whether disadvantaged business enterprise (DBE) or minority/women-owned business enterprise (M/WBE) preferences apply under Illinois regulations. CMS Benefits or its designee appears to be the incumbent administrator of the prescription benefit manager contract, though the specific identity of the current PBM vendor is not detailed in this change order notice. No explicit award values or budget ranges are provided in the posting; however, the change order contemplates both increased administrative fees and rebate revenues reflective of the 39% population increase. Interested vendors should contact CMS Benefits directly for detailed financial projections, contract terms, and technical requirements necessary to prepare a comprehensive response.