Indiana Department of Administration #000700000086592

Indiana is seeking proposals for comprehensive Pharmacy Benefit Management (PBM) services to support State Employee Health Plans and the Indiana All-Payer Prescription Purchasing Program (IAPPP): - Government Buyer: - Indiana Department of Administration, on behalf of the Indiana State Personnel Department (Procurement Division) - Scope of Services: - Comprehensive PBM services for approximately 55,411 subscribers and 117,852 covered members - Services include: - Claims adjudication and administration - Pharmacy network management - Clinical programs (including mail order and specialty pharmacy) - Formulary and utilization management - Discounts and rebates negotiation - Fraud detection and dispute resolution - Customer service and account management - Integration with the medical third-party administrator (TPA) - Compliance with state and federal regulations (including NIST 800-53) - Reporting and regular security assessments - Vendors must propose hosting solutions, with a strong preference for cloud-based services within a state-owned cloud tenant (Microsoft Azure or AWS) - Data residency within the state-owned tenant is required - Detailed exit strategy for contract termination is mandatory - Notable Requirements: - Robust security controls and compliance with evolving state security standards (e.g., StateRAMP) - Transition and exit planning upon contract expiration or termination - No specific OEMs or vendors are named in the solicitation - Contract Term: - Initial term of 1 or 3 years, with up to three 1-year renewal options - Place of Performance and Contracting Offices: - Indiana Government Center South, Conference Center, Indianapolis - Indiana Department of Administration Procurement Division, 402 W. Washington St., Room W468, Indianapolis, IN 46204 - Indiana State Personnel Department, 402 W. Washington St., Rm W161, Indianapolis, IN 46204

This solicitation is for Pharmacy Benefit Management (PBM) services to support the State Employee Health Plans and other participants in the Indiana All-Payer Prescription Purchasing Program (IAPPP). The contract covers approximately 55,411 subscribers and 117,852 covered members. The State seeks comprehensive PBM services including discounts and rebates, network management, clinical and formulary management, utilization management, claims administration, fraud detection, regulatory compliance, integration with medical third-party administrators, dispute resolution, and customer service.