Indiana Department of Administration #004000000088058

Third-Party Pharmacy Administration for Indiana HIV Medical Services and PrEP MAP

Indiana is seeking a third-party administrator to manage pharmacy benefits for two statewide HIV-related assistance programs. - Government buyer: Indiana Department of Administration, Procurement Division, procuring on behalf of the Indiana Department of Health. - Services requested: Third-party administration and pharmacy-benefit management for the HIV Medical Services Program and PrEP Medication Assistance Program (PrEP MAP). - Includes enrollment management, pharmacy network and mail-order access, claims adjudication and split billing, coordination with other payers, formulary management, benefit cards, customer support, reporting, and pharmacy reimbursement. - Estimated program volumes: HIV Medical Services has approximately 3,900 clients and 10,000 pharmacy claims monthly; PrEP MAP has approximately 600 clients and 2,500 claims monthly. - OEMs and named vendors: No OEMs, commercial vendors, product part numbers, or physical products are specified. - Notable requirement: A 3% participation goal applies to Indiana Veteran Owned Small Businesses; firms must be state-certified to receive participation credit.

Description

The Indiana Department of Health is seeking a third-party administrator for its HIV/STD/VH Programs. The scope includes implementation of services, claims processing, data management and reporting, enrollment assistance, and pharmacy network management. The source also states that an Indiana Veteran Owned Small Business subcontracting goal of 3% has been established.

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