# Texas DIR/ESBD #HHS0017240

Texas DSHS seeks a Pharmacy Benefits Manager for HIV medication assistance programs

**Posted:** October 21, 2026
**Respond By:** November 19, 2026
**Identifier:** HHS0017240
**NAICS:** 524292

Texas DSHS is seeking a Pharmacy Benefits Manager to administer prescription benefits for its HIV medication assistance programs.
- **Government buyer:** Texas Department of State Health Services (DSHS), through the Texas HIV Medication Program (THMP); procurement administered by Health and Human Services Commission Procurement and Contracting Services (HHSC PCS). Texas Health and Human Services is also identified in the materials.
- **Services requested:** One PBM to manage prescription benefits, premium payments, and copayments for SPAP, TIAP, and TIAP-PLUS, acting as a secondary payor alongside insurers, Medicare Part D plans, self-insured companies, pharmacies, and government programs.
- **Estimated workloads and pricing units:** 101,460 medication claims per year (equivalent to 8,455 per month), priced per claim; 334 premium-payment participants per month, priced per member per month. The pricing model also includes fixed-fee transition and turnover work and an optional blended hourly rate for supplemental services.
- **Notable requirements:** Real-time point-of-sale claim adjudication; pharmacy network management; claims-level data, reporting, cost-containment controls, training, and administrative coordination; English- and Spanish-speaking help-desk staff; coordination with CMS and SPAP; and transition, disaster-recovery, and turnover planning. A SaaS portal provider must obtain TX-RAMP Level 2 certification before award.
- **OEMs and vendors:** No commercial OEMs, vendors, or specific products are named; this is a services procurement.
- **Estimated value:** The notice estimates $120 million. The attachments cite historical compensation of approximately $15 million per state fiscal year for similar contracts.

### Description

The Texas Department of State Health Services requests proposals from qualified entities to provide pharmacy benefits management services for the Texas HIV Medications Program, including SPAP, TIAP, and TIAP-PLUS. The selected Pharmacy Benefits Manager will manage certain prescription drug benefits, premium payments, and copayments as a secondary payor to health insurers, managed care organizations, self-insured companies, retail pharmacies, and government programs. The solicitation lists an estimated value of $120,000,000 and a response deadline of November 19, 2026, at 10:30 AM.

[View original listing](https://www.txsmartbuy.gov/esbd/HHS0017240)