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MB-6519 - USA (Arizona) - Pharmaceutical Benefits Management for the AIDS Drug Assistance Program - Deadline June 28,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-6519

Government Authority located in Arizona; USA based organization looking for expert vendor for pharmaceutical benefits management for the AIDS drug assistance program.

[A] Budget: Looking for Proposals

[B] Scope of Service:

Vendor needs to provide pharmaceutical benefits management for the AIDS drug assistance program
- To secure a Contractor to provide Pharmacy Benefit Management (PBM) services for ADAP. The Contractor shall provide client-share co-payment support via the pharmacy point-of-sale (POS) at any in-network pharmacy
- The Contractor shall have a contingency plan to switch its in-pharmacy network from a 340B rebate based PBM model to a 340B program income model with either a 340B physical drug inventory or a 340B virtual inventory through an established pharmacy network for Assist clients
- Serve as the PBM for the Assist Program;
- Pay prescription co-pays for patients enrolled
- Have a contingency plan to switch from a 340B rebate pharmacy network to a 340B program income pharmacy network at the direction
- Manage eligibility verification for persons applying
- Provide the covered entity with reports documenting the 340B drug inventory claims and activity
- Provide an electronic POS claims adjudication and coordination of benefits system, make payments to network pharmacies, coordinate with other third-party payers and provide data management and member support services. Electronic claims processing capacity shall allow pharmacies to do online adjudication and split billing, which will mean that pharmacies or clients will not need to submit manual claims for secondary payment.

[C] Eligibility:

Onshore (USA organization Only)

[D] Work Performance:

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

Expiry Date : Tuesday, 28 June, 2022

Category : Medical Billing and Coding

Country : USA

State : Arizona

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