State Procurement Services Division, State of Montana HCBD-RFP-2026-0229TBH

Pharmacy Benefit Manager

The Montana Department of Administration, Director's Office, is the government buyer for this award. The contract is for Pharmacy Benefit Manager services under solicitation number HCBD-RFP-2026-0229TBH. The awarded services include claims administration, benefit plan design and administration, audit and claims oversight, fraud prevention, member support, clinical operations, formulary management, network development, specialty pharmacy, and Employer Group Waiver Plan (EGWP) services. Navitus Health Solutions is the recipient, with notable competitors including MedImpact Healthcare Systems, Inc., Blue Cross Blue Shield Montana, and LucyRx Health Solutions, Inc. The contract emphasizes compliance with Montana state laws and CMS requirements, detailed reporting, and customer service. The place of performance is Helena, Montana. The period of performance is implied to start around July 1, 2026, with a close response date of January 21, 2026.

Description

Pharmacy Benefit Management Services for Commercial and EGWP.

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