RFP 26030 - Pharmacy Benefit Administration

The Unified Government of Athens-Clarke County is issuing RFP 26030 to procure comprehensive Pharmacy Benefit Management (PBM) services for its Benefits and Wellness Division within the Human Resources Department, effective January 1, 2027. The procurement seeks a qualified vendor to administer pharmacy benefits for approximately 1,500 benefit-eligible full-time employees, 800 retirees, long-term disability recipients, and COBRA participants, along with their eligible dependents—a total covered population of approximately 1,700 individuals. Core deliverables include prescription drug claims processing, negotiation of manufacturer and retailer discounts and rebates, and maintenance of an approved drug formulary; the vendor must analyze historical claims data covering January 1 through December 31, 2025 (55,699 claim records encompassing retail, mail, and paper claims). Evaluation criteria are structured in two phases: Phase 1 addresses technical qualifications including account management (20 points), general market experience (15 points), additional benefits and services (15 points), understanding of requirements (10 points), and references (10 points); Phase 2 evaluates pricing proposals (30 points). Required qualifications include a minimum of three references for similar contracts preferably from public sector clients, demonstration of organizational stability and financial strength, compliance with the Georgia Security and Immigration Compliance Act, and maintenance of specified insurance coverage including professional liability ($2,000,000), cyber liability ($5,000,000), and umbrella liability ($2,000,000). Key deadlines include April 17, 2026 at 2:00 P.M. ET for written questions, and May 6, 2026 at 4:00 P.M. ET for electronic proposal submissions through the OpenGov Procurement platform; all proposals must remain valid for a minimum of 120 days from the submission deadline. The initial contract term runs for 12 months with rates guaranteed through December 31, 2027, followed by four automatic one-year renewal options, with either party permitted to elect non-renewal upon written notice.

No set-aside designations for disadvantaged enterprises or restrictions limiting respondent eligibility are specified in the available RFP documentation. No incumbent vendor or current contractor information is disclosed in the solicitation materials. Bidders physically located in or performing services within Athens-Clarke County must obtain a current Athens-Clarke County business license. The electronic submission requirement through OpenGov Procurement necessitates vendor access to that platform with no alternative submission methods noted. The estimated project budget is $300,000, representing the anticipated total cost for the contract period. Athens-Clarke County reserves the right to terminate the contract with 30 days' notice without cause or 10 days' notice for cause, providing contract flexibility for the procuring entity.