Prescription Drug Plan Pharmacy Benefit Management (PBM)

The School Board of Marion County, Florida, is seeking proposals for a comprehensive Pharmacy Benefit Management (PBM) services contract through RFP #4117RC. The district aims to optimize prescription drug benefits, reduce costs, and improve health outcomes for members through a new PBM provider. Proposing vendors must demonstrate extensive qualifications, including a minimum of 10 years in business, PBM licensing in all 50 states, and experience managing at least 5 million covered prescription lives. Proposals must be submitted electronically through VendorLink by 2:00 PM on March 12, 2025, with a proposed contract term from January 1, 2026, through December 31, 2028, and potential renewal options for up to three additional one-year periods. The evaluation process will score proposals across multiple criteria, including cost (35 points), ability to meet district needs (25 points), member impact considerations (10 points), long-term cost (10 points), service capabilities (10 points), vendor reputation (5 points), and service quality (5 points), with a total possible score of 100 points and potential additional points for oral presentations.

The procurement does not explicitly mention specific set-aside designations or restrictions for disadvantaged enterprises. Proposing vendors must complete two mandatory Excel workbooks: the Pharmacy RFP Workbook and the PBM RFP Drug Formulary Disruption Workbook, with proposals lacking these completed documents being deemed non-responsive. While specific budget ranges are not directly stated, the RFP requires 100% of rebates to be passed through to the School Board and includes detailed requirements for financial proposals covering pass-through pricing, discount guarantees, dispensing fees, and rebate structures across retail, mail, and specialty drug channels. Vendors must provide comprehensive performance guarantees with financial penalties for non-compliance, covering areas such as implementation satisfaction, account management, member services, turnaround times, and reporting accuracy. The district reserves the right to negotiate with the highest-rated proposer and may award to multiple proposers or reject any and all proposals based on their comprehensive evaluation.