Pharmacy Benefit Management Service

A government authority located in Colorado is seeking a vendor to provide comprehensive pharmacy benefit management services. The agency needs to solve complex challenges related to clinical program management, network administration, and financial optimization of its pharmacy benefits. The primary factors driving this procurement include pricing, pharmacy network access, formulary management, contractual compliance, account management services, reporting capabilities, financial stability, performance guarantees, flexibility, references, clinical programs, and customer service. The scope of work covers clinical program management, including formulary development, clinical review committee governance, high-cost drug management, drug pipeline monitoring, and evidence-based clinical policy updates. Network and pharmacy management requirements encompass retail pharmacy network contracting, mail order services, specialty pharmacy network distribution, coordination with the agency's in-house pharmacy, and network disruption management. Additionally, the selected provider must handle pricing and rebate financial management with one hundred percent pass-through rebates to the city, real-time claims processing, plan design strategy support, account management, and implementation transition support. Eligible bidders must be onshore organizations based solely in the United States. The performance of the work will take place both onsite and offsite. Bidders must submit any questions regarding this opportunity no later than June 12, 2026. A pre-bid meeting is scheduled for June 9, 2026, and final responses can be submitted digitally via email or online. The agency has not disclosed a specific budget and is looking for proposals to determine the financial structure.