MB-3865 - USA (Mississippi) - Pharmacy Benefit Manager Services - Deadline April 7,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3865

Government Authority located Mississippi; USA based organization looking for expert vendor for pharmacy benefit manager services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide pharmacy benefit manager services including network pharmaceutical pricing through financial arrangements with pharmacies.
- Account Service
- employ and assign a dedicated and exclusive clinical pharmacist to advise, consult, and participate in activities relative
- formularies, allowable charges, generic drug incentives, implementation of programs which control utilization and optimize health, utilization review services, and evaluation of drug use and cost data
- On-Line Access for Board Staff
- Pharmacy Network Service
- Data Transfers and File Maintenance
- Claims Processing Services- verification of eligibility, review of claims in accordance with the Plan benefits, receipt, processing, adjustment and authorization of claim payments, provision of claim forms, and provision of explanation of benefit forms for paper claims
- for all claims: participant name, participant identification number, patient name or other specific identifier, claim number, pharmacy number, pharmacy name, service date, mail/retail indicator, formulary flag, specialty indicator, ingredient cost, dispensing fee, sales tax amount, plan paid amount, copayment amount, NDC, and drug name
- Website- develop and maintain a searchable public website that is accessible to participants and providers with no access restriction or registration requirement except for those functions which allow for review of a participant’s prescription claim history, or that include other forms of personal health information
(2) A Mandatory Intent to Propose letter and Non-Disclosure Agreement due no later than March 5, 2020.
(3) All question must be submitted no later than March 5, 2020.

[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 : Tuesday, 7 April, 2020

Question Answer Deadline : Thursday, 5 March, 2020

Category : Medical Billing and Coding, Pharmaceutical, Pharmacy & Related Services

Country : USA

State : Mississippi

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