Pharmacy Benefit Manager Services

The Vendor is required to provide pharmacy benefit management (PBM) services for their 3,200 eligible employees.
- Requirement:
•    Provides a financially competitive proposal for the identified benefits. 
•    Provides a strong rate guarantee. 
•    A minimum of five (5) years is required, with multiple years beyond that being looked upon favorably. 
•    Provide relative values for the additional years; 
•    Offers excellent customer service for county employees. 
•    Agrees to performance guarantees around service quality, accuracy, and timeliness of claims payment and implementation standards; 
•    Delivers quality account management with professional, timely, and flexible resolution of issues; 
•    Agrees to work with a contract that incorporates RFP responses and commitments as deliverables.
o    Contractor must have a PBM license to operate in all 50 us states and territories (where required by state law). 
o    Contractor must manage at least one million RX lives. 
o    Contractor must be in good standing with the county board of county commissioners. 
o    Contractor must have been in business for at least eight (8) years as a full-service PBM or health plan carrier. 
o    Contractor must be a publicly traded company or be willing to disclose most recent financial statements and SOC 2. 
o    Contractor must utilize their own claims processing system or lease a nationally recognized claims processing system. 
o    Contractor must agree to provide an annual gag-clause attestation letter, as defined by the consolidated appropriations act.
o    Contractor must do business with at least 3-5 government/public sector clients in the state and neighboring states.