Pharmacy Benefit Management Services - Duplicate 1

Northside Independent School District (NISD) in San Antonio, Texas is issuing a sealed bid request for Medical Third Party Administrator (TPA) and Pharmacy Benefit Management (PBM) Services through RFP 2026-076. This procurement replaces the expiring RFP 2023-024 for fully-insured and self-funded managed health and consumer-driven health plans, which expires December 31, 2026, and all vendors must respond to this new RFP or risk losing future business opportunities with the District. The services being procured include comprehensive medical claims administration, pharmacy benefits management, and related administrative functions, with all proposals required to include shipping and handling costs to the NISD location in San Antonio. The District has provided detailed documentation including historical premium, claims, and enrollment data; a comprehensive benefits guide with updated notices; a data request non-disclosure agreement; and detailed workbooks and Excel templates for proposal submission. Prospective bidders must comply with all submission requirements outlined in the RFP addendum and supporting documents, and the sealed bid submission deadline is May 6, 2026. The evaluation criteria, specific performance metrics, and service level requirements are detailed in the primary RFP document (4-RFP 2026-076 Medical TPA Pharmacy Benefit Management Services.pdf) and should be reviewed in conjunction with RFP Addendum 01 for any modifications or clarifications to the original specifications.

The RFP documents do not explicitly specify set-aside designations, disadvantaged enterprise requirements, or restrictions limiting participation to particular organization types based on the materials provided. No incumbent vendors or current contractors are identified in the summary information, though the replacement of RFP 2023-024 suggests an existing contracted relationship that will terminate. The District has supplied historical data and technical workbooks to facilitate accurate proposal development and cost modeling, including enrollment figures and claims history necessary for vendors to understand the scope and complexity of the covered population. Bidders are required to execute a data request non-disclosure agreement prior to accessing detailed claims and enrollment information, protecting the confidentiality of sensitive employee health data. The specific contract award value or budget range is not disclosed in the summary materials and would require review of the complete RFP document for financial parameters and estimated claims costs that inform the District's budget expectations for these services.