Pharmacy Benefit Management Services

As requested by the Human Resources Division (hereinafter, the “Division or Department”), the Collier County Board of County Commissioners Procurement Services Division (hereinafter, “County”) has issued this Request for Proposals (hereinafter, “RFP”) with the intent of obtaining proposals from interested and qualified Vendors in accordance with the terms, conditions and specifications stated herein, in the Solicitation and/or attachments. The Vendors, at a minimum, must achieve the requirements of the Specifications, Scope of Services, or Scope of Work stated herein. All references to “Proposer” are also referred to as “Consultant,” “Firm,” “Offeror,” “Contractor,” and “Vendor.”

Historically, County departments have spent approximately $8.7M; however, this may not be indicative of future buying patterns.

Collier County, Florida, is located on southwest Florida’s Paradise Coast. The County includes the communities of Naples, Marco Island, Everglades City, and Immokalee, and is one of the largest counties east of the Mississippi River, encompassing more than 2,000 square miles.

The County is seeking proposals from Pharmacy Benefit Managers (PBMs), to administer the existing pharmacy program. The program will cover the Collier County Manager’s Agency and associated local government agencies, located in Naples, Florida. This program covers and may be utilized by employees of the County Manager’s Agency of Collier County and associated local government agencies, which currently include the Clerk of the Circuit Courts, Property Appraiser, Supervisor of Elections, and Tax Collector. A majority of Collier County Government employees are enrolled in the health plan, inclusive of pharmacy coverage, with approximately 2,400 enrolled employees of 4,800 covered members. Approximately 19% of employees live in surrounding counties and travel to Collier for work.

The County's group health plan is a wellness-driven, behavior-based program in which employees qualify for different benefit levels based on evidence-based wellness criteria. The plan is designed to support long-term health, ensuring employees are in optimal condition as they approach retirement. The highest benefit tier, known as the Premium Plan, consistently sees approximately 90% participation from employees, spouses, and qualified dependents each year. Its current structure includes a $50 individual deductible ($150 per family), followed by 20% co-insurance on retail prescriptions for both generic and brand-name medications, with an out-of-pocket maximum of $500 per individual ($1,500 per family).

The County is an active participant in the Collier County Health Care Consortium (CCHCC), a collaborative group of larger community employers focused on addressing shared health care challenges. In addition to the County, other current members include Collier County Public Schools, Collier County Sheriff, and Naples Community Hospital. The Consortium works toward solutions that benefit employers, employees, and taxpayers alike. While we occasionally conduct joint procurement efforts, we ensure built-in flexibility, allowing each employer the autonomy to pursue alternative options if needed. Any contract executed for the services requested herein will include a clause permitting other governmental and tax-funded agencies to leverage the contract through a cooperative purchasing (piggybacking) provision.

The Vendor must provide all services listed in this Scope of Services. The County does not guarantee a specific quantity of work.