MoDOT and MSHP Medical Plan and Pharmacy Consulting

The Missouri Department of Transportation, on behalf of the Missouri Highways and Transportation Commission and the Missouri State Highway Patrol, is soliciting proposals for pharmacy consulting services to the Medical and Life Insurance Plan, with proposals due July 20, 2026 at 2:00 p.m. Central Time through MissouriBUYS powered by MOVERS.

The scope encompasses comprehensive pharmacy benefit consulting, including vendor management, plan design assistance, claims analysis, drug formulary management, and clinical program oversight. The plan is self-insured for pharmacy benefits and currently contracts with CarelonRx as the Pharmacy Benefits Manager. Baseline enrollment includes approximately 5,100 MoDOT employees and dependents with historical projections showing active subscribers ranging from 6,261 to 6,692 monthly (year-to-date 2025: 79,165 active; 19,060 non-Medicare retired). Prescription drug costs in calendar year 2025 totaled $30.3 million.

The contract period runs January 1, 2027 through December 31, 2029, with two optional one-year renewal periods. Pricing must be submitted as firm fixed price on a blended per-subscriber-per-month basis for all professional services, plus an hourly rate for special projects requiring Board approval.

Evaluation is weighted as follows: Experience, Expertise and Reliability (30 points); Qualifications and Expertise of Key Personnel (30 points); Proposed Method of Performance (20 points); and Proposed Fee (20 points). Offerors must carry general liability insurance of at least $600,000 per occurrence and $4 million aggregate, business automobile liability of $600,000 combined single limit, and Missouri workers' compensation coverage with $1 million employer's liability.

No pre-bid conference or site visit is scheduled. Proposals open June 19, 2026 at 9:00 a.m. Central Time. Lori Tackett (Lori.Tackett@modot.mo.gov) is the buyer of record.