Pilot pharmacy cost containment program

The West Virginia Department of Administration Purchasing Division, procuring on behalf of the West Virginia Department of Human Services Bureau for Medical Services, is requesting quotations for a Pilot Pharmacy Cost Containment Program serving West Virginia Medicaid and the West Virginia Children's Health Insurance Program under CRFQ 0511 BMS2700000001, with quotations due July 29, 2026 at 1:30 p.m.

The scope encompasses pharmacy cost containment services designed to reduce medication expenses and demonstrate cost savings and improved efficiency in pharmacy benefit management. The program is structured as a pilot to assess effectiveness and potential expansion.

Pricing must be submitted on a per-member, per-month (PMPM) basis for operational costs covering a nine-month period and as a lump-sum implementation cost for the base year covering three months. The contract will operate under a Central Master Agreement structure. The state's pharmaceutical budget allocations fund the program, with contract term structured to allow assessment of results and cost savings achieved during the pilot period.

Proposals should be directed to the Department of Administration Purchasing Division at 2019 Washington Street East, Charleston, West Virginia 25305. Invoicing and shipping are directed to the Health and Human Resources Bureau for Medical Services at 350 Capitol Street, Room 251, Charleston, West Virginia. Vendors must submit all written questions to Crystal G. Hustead at crystal.g.hustead@wv.gov by July 20, 2026. All responses must include the vendor's Federal Employer Identification Number and authorized signatures. Detailed submission protocols, documentation requirements, and evaluation criteria are contained in the complete solicitation documentation and instructions to vendors.