County of Alameda #902795

Alameda County behavioral health pharmacy benefit management and medication services

Alameda County is seeking a pharmacy benefit manager to support behavioral health patients and administer prescription-related programs. - Buyer: County of Alameda, General Services Agency (GSA)–Procurement, for the Alameda County Behavioral Health Department (ACBHD; also referenced as BHCS). - Requested service: Pharmacy benefit management for uninsured and HealthPAC Behavioral Health Care Specialty Service patients, plus specified Medi-Cal and Medicare Part D claims. The contractor will also administer County Patient Assistance Programs (PAP) and the federal 340B drug purchasing program. - Service requirements: Broad pharmacy access; electronic claims adjudication and eligibility/formulary administration; billing, reconciliation, coordination of benefits and rebate pass-through; EHR interfaces; reporting, transparency, audit support, training, account and customer support, implementation, performance oversight, and HIPAA compliance. No fee is allowed for rejected or reversed claims. - Pricing and volume: The pricing schedule estimates 1,600 paid claims per year and caps the adjudication fee at $17 per paid claim in each contract year. The 28 medications below are sample pricing items only; they do not guarantee utilization or a minimum or maximum drug volume. Medication discounts and related pharmacy fees are also requested. - OEMs and vendors: No pharmacy benefit manager, drug manufacturer, reseller, or other vendor is named. Medication brand names in the sample schedule are not identified with manufacturers. - Sample medication schedule: The listed quantities are the estimated sample quantities in the release summary; units per prescription and brand/generic status are noted for clarity. No part numbers are provided.

Description

The County of Alameda is seeking Pharmacy Benefit Management (PBM) services for the Alameda County Behavioral Health Department. The contractor will administer prescription coverage for uninsured and HealthPAC patients, as well as specified Medi-Cal and Medicare Part D medication claims, and administer the department’s use of Patient Assistance Programs and the Federal 340B drug purchasing program. The contract term is three years, with an option to renew for two additional years. Proposals are due November 4, 2026, by 2:00 p.m.

View original listing