Pharmacy Benefit Manager Services for Nevada State Medicaid Program

The government authority located in Carson, Nevada, seeks a vendor to provide comprehensive offsite pharmacy benefit manager services for the state Medicaid program across Fee for Service and Managed Care Organization populations. The selected vendor must handle claims adjudication, formulary and preferred drug list management, pharmacy network oversight, drug rebate administration, and clinical utilization management to promote cost-effective prescribing. Eligibility is restricted to onshore USA organizations. The vendor and its subcontractors must meet strict insurance requirements, including $5,000,000 in Commercial General Liability coverage, professional liability, and a $5,000,000 fidelity bond or crime insurance policy naming the State of Nevada as an additional insured or loss payee. Vendors must furnish acceptable certificates of insurance before work commences.