Columbus City Schools Columbuscityschools #066

Columbus City Schools Solicitation for Pharmacy Benefit Management and Medical Administration Services

Columbus City Schools is seeking proposals for comprehensive pharmacy benefit management (PBM) and medical administration services to support its employee health plans. - Government Buyer: - Columbus City Schools (CCS), located in Columbus, Ohio - Office: Medical and Pharmacy Administration - Services Requested: - Pharmacy Benefit Management (PBM) services - Claims adjudication and processing - Formulary management (including exclusions-based formulary) - Retail and specialty pharmacy network management (Kroger excluded from network) - Clinical programs (utilization management, step therapy, quantity limits, prior authorization) - Copay assistance programs - Compliance with district wellness initiatives - Reporting, audit rights, and customer service - Implementation support - Medical administration services - Claims processing for medical plans (EPO, PPO) - Wellness program management - Weekly claim funding preferred - No stop loss coverage required - Detailed claims data delivery - Notable Requirements: - Transparent, client-specific pricing with full pass-through of network discounts and fees - Guaranteed minimum discounts and manufacturer payments - Closed specialty pharmacy networks - Ability to administer integrated medical and Rx deductibles for HDHP plans - Performance guarantees and compliance with federal regulations - Proposals must address network and formulary disruption, pricing with/without discount card programs, and complete disruption workbooks and questionnaires - OEMs and Vendors: - No specific OEMs or PBM vendors named; open to all qualified PBM providers - Period of Performance: - Initial contract term of 36 months, with option to renew for an additional two years - Financial proposals must be valid for three years, plus six months if plan start is delayed - Place of Performance: - Columbus City Schools, Columbus, Ohio

Description

Columbus City Schools is soliciting proposals for pharmacy benefit management services. The RFP includes detailed questionnaires and data files related to current pharmacy plans, networks, and formulary designs. Vendors are expected to provide comprehensive proposals addressing service capabilities, pricing, network disruptions, and formulary impacts. The solicitation emphasizes compliance with existing wellness initiatives and requires electronic submission of proposals by January 12, 2024.

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