Pharmacy Benefits Management Services

The County of Orange Health Care Agency is soliciting proposals for Pharmacy Benefits Management Services through Request for Proposal (RFP) No. 042-1616186-LM. The primary objective is to provide medication distribution services to Orange County residents of all ages who meet medical necessity criteria and lack financial resources. Proposers must demonstrate capabilities in managing pharmacy services for multiple target populations, including children, youth, adults with mental illness, and substance use disorder clients. The solicitation was released on February 5, 2024, with proposals due on February 26, 2024, and an anticipated contract term beginning July 1, 2024. Evaluation criteria will assess provider experience, services, performance objectives, staffing, and budget, with a total possible score of 100 points. Proposers must submit comprehensive documentation including organizational details, board composition, related service experience, certifications, and financial statements. The County reserves the right to award single or multiple contracts and may negotiate terms with selected proposers.

The RFP does not explicitly indicate specific set-aside designations or restrictions on respondent types. The contract will be a hybrid of actual cost and fee-for-service, primarily funded through Net-County Cost funds, with monthly reimbursements made in arrears for actual service costs up to a not-to-exceed contract amount. The proposed contract term spans three years, from July 1, 2024, through June 30, 2027, with potential for renewal based on available funding, contractor performance, and county policies. While specific budget ranges are not definitively stated, the attached budget forms suggest comprehensive financial planning across multiple program categories including direct administration, program administration, and various service types. Contractors will be required to implement robust administrative, technical, and physical safeguards to protect sensitive information and maintain continuous security of computerized data systems containing personal and health information. Proposers must also complete a Campaign Contribution Disclosure Form, ensuring transparency in the procurement process by disclosing any contributions to County Board of Supervisors members or County Agency Officers.