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MB-3598 - USA (California) - Pharmacy Benefits Management Services - Deadline December 20,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3598

Government Authority located in California; USA based organization looking for expert vendor for pharmacy benefits management services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide pharmacy benefits management services for self-insured medical plans for active employees, retirees, and their eligible dependents to be effective July 1, 2020 for retirees and July 6, 2020 for active employees (based on pay period).
a) Claims Adjudication
b) Ability to Integrate PBM services with other vendors (e.g. Disease Management, Medical),
if applicable
c) Eligibility Maintenance
d) Patient and Provider Education
e) Systematic Prospective, Concurrent, and Retrospective Drug Utilization Review
f) Network Pharmacy Management
g) Formulary Management and Rebate Sharing
h) Data Reporting (standard and ad-hoc reporting)
i) Distribution of ID Cards and Pharmacy Directories
j) Mail Service Pharmacy
k) Specialty Pharmacy Program
l) Complete Availability of IT services, including Online/Real Time Availability to the County
and/or its designee(s)
m) Pricing Administration
n) Member Services
o) Ad Hoc Reporting
p) Website with Membership Portal
q) Clinical Programs including an Opioid management program that implements quantity
limits based on Morphine Milligram Equivalents, at no additional charge
(2) All questions must be submitted no later than December 4, 2019.
(3) An optional pre-proposal conference will be held on November 20, 2019.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Friday, 20 December, 2019

Pre-proposal Conference Date : Wednesday, 20 November, 2019

Question Answer Deadline : Wednesday, 4 December, 2019

Category : Medical Billing and Coding

Country : USA

State : California

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