The vendor is required to provide prescription benefit management services for include:
a. 12 months detailed RX claims
• Fill date
• pharmacy npi
• Drug metric quantity
• Days’ supply
• Drug name
• Drug strength
• AWP ingredient cost
• WAC unit price
• Dispensing fee
• Single/multi source indicator
• Specialty indicator
• Brand indicator
• DAW
• Mail order flag
• Full 11-digit NDC
b. Total employees/members enrolled
c. 2024 RX rebates received
d. Current service contract
- Sample cost containment strategies include, but are not limited to:
• Clinical evidence-based formulary management
• Other formulary optimization strategies
• Drug acquisition programs (reference pricing)
• Alternative funding programs (pos rebates)
• Specialty drug clinical/management programs
• International personal importation or travel programs
• Active plan doc management/overrides
• Medication therapy management (MTM) services
• Patient stewardship and consumerism tools/services
• Site of care programs
- medical case management integration.
- Contract Period/Term: 3 years
- Non-Mandatory Teleconference Pre-Submission Conference Date: April 18, 2025
- Questions/Inquires Deadline: April 24, 2025