Massachusetts COMMBUYS #BD-26-1246-TMOO1-TM001-133464

Pharmacy Benefit Consulting Services for Non-Medicare Prescription Drug Program – Town of Billerica, MA

This opportunity is for pharmacy benefit consulting services for the Town of Billerica, Massachusetts, focused on its non-Medicare prescription drug program. - Government Buyer: - Town of Billerica, Massachusetts - Administered through the Town Manager's Office and benefits consultant The Hilb Group - Scope of Services: - Conduct a competitive Pharmacy Benefit Manager (PBM) RFP for a new contract - Provide ongoing consulting for approximately 995 subscribers and 2,188 members - Services include: - PBM procurement and contract negotiation - Financial analysis of PBM proposals - Claims and rebate auditing and reconciliation - Ongoing contract performance monitoring - Clinical and strategic recommendations for cost management - Evaluation of carve-in vs. carve-out options - Market monitoring and reporting - Unique Requirements: - Specialized pharmacy expertise and independent financial oversight - Long-term consulting relationship covering both initial procurement and ongoing program management - Emphasis on actionable cost-management strategies and transparent auditing - No specific OEMs or vendors are named in the solicitation; the focus is on consulting services rather than product procurement.

Description

The Town of Billerica, Massachusetts is seeking proposals from qualified firms to provide pharmacy benefit consulting services for its non-Medicare prescription drug program. The procurement aims to conduct a competitive Pharmacy Benefit Manager (PBM) request for proposals and market evaluation for a contract effective July 1, 2027. The Town is interested in a longer-term consulting relationship that includes ongoing pharmacy oversight, claims and rebate auditing, contract-performance monitoring, and clinical and strategic recommendations. The RFP is administered by The Hilb Group, the Town's benefits consultant, and proposals will be evaluated based on comparative criteria including price.

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