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

Location: Iowa
Posted: May 20, 2024
Due: Dec 1, 2024
Agency: State Government of Iowa
Type of Government: State & Local
Category:
  • D - Automatic Data Processing and Telecommunication Services
  • Q - Medical Services
  • R - Professional, Administrative and Management Support Services
Solicitation No: RFP MED-25-013
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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

5/17/2024 5:01:49 PM
Links
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* Disclaimer: Information regarding bids, requests for proposals (RFPs), or requests for qualifications (RFQs) is provided on this website only for convenience and does not constitute official public notice. Persons wishing to respond to or inquire about bids, RFPs, or RFQs should contact the appropriate government department.