City of Sebastian MyVendorLink #26-0135

Pharmacy Benefit Manager Services Contract Awarded to Express Scripts, Inc. by Sarasota County School Board

This opportunity involves the Sarasota County School Board's procurement and award of Pharmacy Benefit Manager (PBM) Services for its employee health plan. - Government Buyer: - Sarasota County School Board - Sarasota County Schools, Risk Management Department - Materials Management Purchasing Department - OEMs and Vendors: - Express Scripts, Inc. (Awardee and incumbent PBM) - Other proposers: CaremarkPCS Health, L.L.C., LucyRx Health Solutions, Inc., Meritain Health, Florida Blue - Products/Services Requested: - Pharmacy Benefit Manager Services for approximately 8,200 plan members - Includes claims processing, formulary management, specialty drug management, clinical management, member services, retail and mail order pharmacy operations, specialty pharmacy, rebate management, and performance guarantees - No specific product part numbers; focus is on comprehensive PBM services - Service line item for 5,340 eligible employees (from one attachment) - Unique or Notable Requirements: - Minimum vendor qualifications: manage at least 1 million Rx lives, at least eight years of operational history, licensed in all 50 states - Minimum 3-year rate guarantee, strong customer service, performance guarantees, compliance with Florida laws (including SB 1550) - Exclusion of GLP-1s for weight loss except for sleep apnea diagnosis - Preference for open access to data and lowest net cost - Pricing must be standalone for pharmacy services; incentives for multi-line coverage alignment - Broad retail and specialty pharmacy networks required - Contract Value and Term: - Annual contract value not to exceed $34,293,832 - Three-year base contract with options to renew for two additional one-year periods - Implementation services required in fall prior to effective date - Funding Source: - District's Risk Management Department budget

Description

The Sarasota County School Board issued a Request for Proposal (RFP) for Pharmacy Benefit Manager Services to serve approximately 8,200 plan members, effective January 1, 2027. The contract term requested is three years with options to renew for two additional one-year periods. The scope includes providing pharmacy benefit management services with a focus on lowest net cost, data transparency, and superior member experience. The procurement process included a question period ending February 2, 2026, and proposals were due by February 17, 2026. The award was made to Express Scripts, Inc. for an amount not to exceed $34,293,832 annually.

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