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

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

**Posted:** September 15, 2026
**Respond By:** October 14, 2026
**Identifier:** BD-26-1246-TMOO1-TM001-133464
**NAICS:** 524292

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.

[View original listing](https://www.commbuys.com/bso/external/bidDetail.sda?docId=BD-26-1246-TMOO1-TM001-133464&external=true&parentUrl=close)