Pharmacy Benefit Management Services
Closed State & local contract opportunity Posted
- Solicitation number
- S-X24129-00004932
- State
- Oregon
- Responses due
Opportunity facts
- Jurisdiction
- NIGP codes
- UNSPSC codes
- 41151749 Alfalfa allergenic extract
- 71161611 Technical consultant services for claim management
- 78142101 Claim management
- 64121504 Commercial multiple peril policy
- 64122202 Group dental insurance policy
- 84131520 Insurance broking fees and commission
- 51171985 Vestronidase alfa
- 51172338 Naloxegol
- 84131602 Health or hospitalization insurance
- 64122100 Health insurance contracts
Show all 36
- 64122200 Dental insurance contracts
- 64121502 Boiler and machinery policy
- 64121507 Fraternal benefit society insurance policy
- 64121508 Homeowners insurance policy
- 64121509 Inland marine insurance policy
- 64121511 Ocean marine insurance policy
- 64121512 Surety policy
- 84131518 Bicycle insurance
- 41181890 Alder allergenic extract
- 41181888 Rabbit epithelium allergenic extract
- 51171728 Fecal microbiota transplant preparation
- 71161612 Technical consultant services for asset integrity information and data control
- 64120000 Insurable interest contracts
- 64122007 Modified guaranteed annuity policy
- 64122006 Fixed annuity policy
- 64121514 Warranty policy
- 64121505 Farm owners multiple peril policy
- 84131513 Erection all risks insurance
- 84131905 Employment practice liability insurance services
- 41181889 Horse epithelium allergenic extract
- 84131613 Claims payment processing or administration
- 84131900 Insurance services for casualty lines
- 64122102 Group health insurance policy
- 64122201 Individual dental insurance policy
- 64122101 Individual health insurance policy
- 81162310 Procurement process as a service
- Point of contact
-
- Wende Ward wende@armsrx.com (513) 313-7756
Opportunity details come from oregonbuys.gov. Updated .
About this opportunity
CIS (Cities Insurance Services), a public entity providing insurance and risk management services to Oregon cities, counties, and other public entities, is seeking a Pharmacy Benefit Management (PBM) services provider through a competitive Request for Proposal (RFP) process. The procurement aims to secure an experienced PBM to administer comprehensive services including electronic and paper claims processing, pharmacy network contracting, rebate administration, clinical support, and eligibility administration. Key deliverables include transparent pricing models, pass-through pricing options, specialty pharmacy services, and performance guarantees. Evaluation criteria will likely assess proposers' capabilities in pricing transparency, rebate administration, clinical support, and overall service quality. The RFP timeline indicates a proposal due date of December 16, 2022, with a preferred PBM notification expected by March 1, 2023, and a contract term beginning January 1, 2024. Mandatory requirements include providing both traditional and pass-through pricing models, identifying proprietary information, and demonstrating extensive PBM service capabilities.
No specific set-aside designations or restrictions on respondent types were explicitly mentioned in the documents. The current procurement does not appear to have a dedicated focus on disadvantaged business enterprises. No incumbent vendor was directly identified, though the RFP suggests CIS currently uses a PBM's standard formulary with specific exclusions. The procurement involves a self-funded client seeking PBM services, indicating potential complexity in integration requirements. While specific budget ranges were not disclosed, the RFP suggests the contract will involve managing pharmacy claims for CIS members, implying a potentially significant financial scope. The procurement process requires detailed pricing submissions, including traditional and pass-through models, which indicates the financial complexity of the potential contract. Proposers must demonstrate capability to handle pharmacy claims processing, network management, rebate administration, and provide comprehensive clinical support services.
Opportunity text
ARMSRx Pharmacy Benefit Consultants, on behalf of CIS, is requesting proposals from qualified providers to provide Pharmacy Benefit Management services as a self-funded client on behalf of their members. CIS requires an experienced Pharmacy Benefit Manager to administer a range of PBM services as described in the Company Background and Overview sections of this RFP.
Files
| File | Type | Posted |
|---|---|---|
| CIS PBM RFP 11.11.2022 Final for Release.pdf | ||
| CIS PBM RFP QA Addendum.pdf | ||
| S-58100-00004933 SSF Modernization RFI - Attachment A.docx | DOCX document |
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