Posted Date : August 11,2021
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-5582
Government Authority located in Tennessee; USA based organization looking for expert vendor for pharmacy benefits manager service.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide pharmacy benefits manager.
- Prescription drug benefit plan administration and related services shall be provided for eligible city employees, retirees, and dependents.
- Contractor will accept all members covered under the city’s present medical and prescription plans on the day prior to the coverage effective date. Contractor will also accept all individuals covered under COBRA at the time of the effective date.
- Contractor will agree that city holds sole and exclusive ownership, right, title and interest in and to the claims data, PHI or any form or portion thereof including de-identified PHI, summary health information, or a limited data set.
- Provide the medical plan with daily interface to comply with ACA out of pocket requirements.
- Contractor will provide city with a dedicated account management representative as well as direct access to a pharmacist.
- Contractor will provide city with a means to review claim data to include but not limited to, drug name, quantity, prescriber, prescriber phone number, pharmacy name and number, and any denial reasons.
- Contractor agrees to provide pharmacy benefit management duties that will include, but are not limited to, the following:
1. Pharmacy claims adjudication
2. Pharmacy networks
3. Pharmacy MAC list
4. Pharmaceutical rebates with detailed reports
5. Utilization on-line reporting
(2) All the questions must be submitted no later than August 23, 2021
(3) The contract period will be for three years.
[C] Eligibility:
- Onshore (US Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: August 30,2021
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
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Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-5582
Government Authority located in Tennessee; USA based organization looking for expert vendor for pharmacy benefits manager service.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide pharmacy benefits manager.
- Prescription drug benefit plan administration and related services shall be provided for eligible city employees, retirees, and dependents.
- Contractor will accept all members covered under the city’s present medical and prescription plans on the day prior to the coverage effective date. Contractor will also accept all individuals covered under COBRA at the time of the effective date.
- Contractor will agree that city holds sole and exclusive ownership, right, title and interest in and to the claims data, PHI or any form or portion thereof including de-identified PHI, summary health information, or a limited data set.
- Provide the medical plan with daily interface to comply with ACA out of pocket requirements.
- Contractor will provide city with a dedicated account management representative as well as direct access to a pharmacist.
- Contractor will provide city with a means to review claim data to include but not limited to, drug name, quantity, prescriber, prescriber phone number, pharmacy name and number, and any denial reasons.
- Contractor agrees to provide pharmacy benefit management duties that will include, but are not limited to, the following:
1. Pharmacy claims adjudication
2. Pharmacy networks
3. Pharmacy MAC list
4. Pharmaceutical rebates with detailed reports
5. Utilization on-line reporting
(2) All the questions must be submitted no later than August 23, 2021
(3) The contract period will be for three years.
[C] Eligibility:
- Onshore (US Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: August 30,2021
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$