Pharmacy Benefit Management Services
Closed State & local contract opportunity Posted
- Solicitation number
- S-X24129-00011523
- 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
- 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
Show all 36
- 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
- 51171985 Vestronidase alfa
- 51172338 Naloxegol
- 84131602 Health or hospitalization insurance
- 64122100 Health insurance contracts
- 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
- 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
- Points of contact
-
- Wende Ward wende@armrx.com (513) 313-7756
- Angi Byard angi@armrx.com (513) 502-5372
Opportunity details come from oregonbuys.gov. Updated .
About this opportunity
The Cities Insurance Association of Oregon (CIS) has issued a Request for Proposal (RFP) for Pharmacy Benefit Management (PBM) services, targeting qualified providers to administer comprehensive pharmacy benefits for their self-funded client membership. The procurement seeks an experienced PBM to handle electronic and paper claims processing, pharmacy network contracting, rebate management, clinical support, and member services across Clackamas County and potentially other Oregon jurisdictions. Mandatory requirements include detailed pricing guarantees, specialty pharmacy arrangements, and performance guarantees, with CIS evaluating both traditional and pass-through pricing models. The RFP was released on September 11, 2024, with proposals due by October 2, 2024, and an anticipated contract effective date of April 1, 2025. Evaluation criteria will focus on comprehensive implementation plans, pricing structures, rebate provisions, and the vendor's ability to support regulatory reporting requirements. Currently, CIS offers Regence BlueCross BlueShield of Oregon health plans with pharmacy benefits managed by Express Scripts, indicating a potential incumbent transition opportunity.
While no specific set-aside designations or enterprise restrictions were explicitly mentioned in the documentation, respondents will be required to provide detailed pricing information, including specialty drug pricing and 2025 rebate estimates. The current pharmacy benefits are managed by Express Scripts, suggesting potential integration challenges for new vendors. CIS currently operates with Regence BlueCross BlueShield of Oregon health plans, which implies a complex existing technological and administrative infrastructure that any new PBM will need to seamlessly integrate. Though specific budget ranges were not disclosed, the comprehensive nature of the RFP and the requirement for extensive PBM services suggest a significant contract value. The procurement appears open to qualified PBM providers who can demonstrate comprehensive service capabilities, competitive pricing models, and robust implementation strategies for managing pharmacy benefits across the insurance association's membership.
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 Final 2024-09-11.docx | DOCX document | |
| 00011524 Attachment C.docx | DOCX document |
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