Montana DPHHS-RFP-2025-0596AB

Medicaid Pharmacy Preferred Drug List

The Montana Department of Administration, acting as the government buyer, issued a solicitation for the Medicaid Pharmacy Preferred Drug List. The contract is intended to manage the Medicaid Pharmacy Preferred Drug List program, including multi-state pooling supplemental drug rebate agreements, preferred drug list management, formulary committee support, and comprehensive reporting requirements. The apparent successful offeror is Prime Therapeutics State Government Solutions, LLC, with MedImpact Healthcare Systems, Inc. as the unsuccessful offeror. Prime Therapeutics will provide services including management of multi-state pooling supplemental drug rebate agreements, negotiation of supplemental drug rebates, preferred drug list administration, formulary committee support, and extensive reporting such as monthly NDC files, quarterly rebate activity summaries, market share reports, and CMS 64-9R reports. Prime Therapeutics demonstrated extensive experience with Medicaid contracts in 23 states and D.C., including managing multi-state pools and negotiating rebates. They provide detailed security and confidentiality measures, reporting tools, and maintain compliance with federal requirements. The contract includes unique requirements such as maintaining decision-making autonomy for the state, providing flexible agenda management for PDL meetings, and ensuring accessibility and compliance with ADA and CMS standards. The contract cost proposed by Prime Therapeutics is approximately $1,597,373.10. The place of performance is Montana, with the buyer's contact located in Helena, MT. No specific product part numbers or quantities are mentioned as the contract is service-based. The contract emphasizes collaboration, transparency, and detailed reporting to support Medicaid pharmacy program management in Montana.

Description

The State of Montana, State Procurement Services Division, on behalf of Health and Human Services, Health Resources Division, is issuing this Request for Proposal (RFP) to provide assistance and expertise in performing work related to a Preferred Drug List (PDL) and Supplemental Drug Rebate Program.

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