Estimated value: $120,000,000.
The Texas Department of State Health Services (DSHS) requests proposals from qualified entities to act as a Pharmacy Benefits Manager (PBM). The PBM will manage certain prescription drug benefits, premium payments, and copayments as a secondary payor to health insurers, including Medicare Part D drug plans through managed care organizations, self-insured companies, retail pharmacies, and government programs.
The Contractor shall serve as the Pharmacy Benefits Manager to provide cost-sharing assistance to eligible participants of the THMP insurance assistance programs. Services include coordinating payment of deductibles, co-payments, coinsurance, and insurance premiums; providing claims level data; maintaining a statewide pharmacy network; operating a help desk; and complying with all applicable federal and state regulations.
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Most Texas work asks for the two below, and the solicitation documents are where it’s stated. One prequalification covers both — on this bid and the next.
A surety’s written statement that it expects to bond you up to a stated amount, subject to final underwriting. It’s what an agency asks to see before they take your bid seriously.
Source: Texas SmartBuy (ESBD) (solicitation HHS0017240), retrieved via the Texas Comptroller Electronic State Business Daily. View the official posting, and always confirm requirements and deadlines with the issuing agency.