Pharmacy Benefit Administration for Claims Processing, Drug Rebate and Pharmacy Clinical Services (PBA Services)

Agency: State Government of Iowa
State: Iowa
Type of Government: State & Local
NAICS Category:
  • 524292 - Third Party Administration of Insurance and Pension Funds
  • 541611 - Administrative Management and General Management Consulting Services
  • 541990 - All Other Professional, Scientific, and Technical Services
Posted Date: May 20, 2024
Due Date: Dec 1, 2024
Solicitation No: RFP MED-25-013
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Description

State of Iowa Bid Opportunities

Bid Information
Bid Number

RFP MED-25-013

Solicitation

Pharmacy Benefit Administration for Claims Processing, Drug Rebate and Pharmacy Clinical Services (PBA Services)

Solicitation Type

Request for Proposals

County
Description
Description

This RFP is a re-release of RFP MED-25-009. This replacement RFP includes substantial changes from the original RFP to better align with the Agency’s goals for this procurement, as well as to correct flaws in the original RFP. Bidders should be careful to review the RFP in its entirety before submitting a Bid Proposal.
The purpose of this Request for Proposals (RFP) is to solicit proposals that will enable the Department of Health and Human Services (Agency) to select the most qualified Bidder to provide Pharmacy Benefit Administration (PBA) services for Claims Processing and Pharmacy Clinical Services. PBA services are necessary to support several critical functions, including Point-of-Sale (POS) claims adjudication, automated and manual Prior Authorization (PA), Provider and Member communications, Drug Rebate, Utilization Management (UM), Clinical support, and Reporting and Analytics for the fee-for-service (FFS) population of Iowa Medicaid, as well as managed care program oversight.
Agency Information
Number

401

Name

Department of Health and Human Services

Address 1

1305 E Walnut ST

Address 2

City/State/Zip

Des Moines, IA 50319
Contact Information
Contact Name

Stephanie Clark

Contact Title

Executive Officer


Contact Phone Number

(515) 256-4646

Contact Phone Extension

Contact Other Number

Contact Fax Number
Valid Dates
From

5/19/2024 5:30:00 PM

Until

12/1/2024 5:30:00 PM
Documents/Attachments
Links
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* Disclaimer: This website provides information about bids, requests for proposals (RFPs), or requests for qualifications (RFQs) for convenience only and does not serve as an official public notice. Individuals who wish to respond to or inquire about bids, RFPs, or RFQs should contact the relevant government department directly.