State of Iowa Bid Opportunities
Bid Information
RFP MED-25-009
Pharmacy Benefit Administration for Claims Processing, Drug Rebate and Pharmacy Clinical Services (PBA Services)
Request for Proposals
Description
The purpose of this Request for Proposals (RFP) is to solicit proposals that will enable the Department of Health and Human Services (Agency) to select the most qualified Bidder to provide Pharmacy Benefit Administration (PBA) services for Claims Processing and Pharmacy Clinical Services. PBA services are necessary to support several critical functions, including Point-of-Sale (POS) claims adjudication, automated and manual Prior Authorization (PA), Provider and Member communications, Drug Rebate, Utilization Management (UM), Clinical support, and Reporting and Analytics for the fee-for-service (FFS) population of Iowa Medicaid, as well as managed care program oversight.
Agency Information
401
Department of Health and Human Services
1305 E Walnut ST
Des Moines, IA 50319
Contact Information
Valid Dates
4/26/2024 5:35:00 PM
6/12/2024 5:30:00 PM
Documents/Attachments
Links
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