PHAR-0362 - USA (Austin, Texas) - Pharmacy Benefits Management Services - Deadline February 17,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: PHAR-0362

Government Authority located in Austin, Texas; USA based organization looking for expert vendor for pharmacy benefits management services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide pharmacy benefits management services to prescriptions issued to individuals who receive services from Integral Care and for whom Integral Care has agreed to pay for certain medications to the government authority located in Austin, TX.
- Direct link adjudication of prescription processing between Integral Care and the entity providing Pharmacy Services,
- Integral Care shall be the payor of last resort; all available co-payments, private insurance, Medicaid, Medicare and other third-party payors will be accessed first for adjudication,
- Retroactively bill Medicaid within thirty days after notification to Successful Proposer of Integral Care’s determination of a Consumer’s Medicaid eligibility,
- Prescriptions issued by Integral Care-approved prescribers and filled within the constraints of Integral Care’s closed formulary system, as may be revised from time to time at Integral Care’s sole discretion,
- The formulary currently includes Clozapine, and Successful Proposer must provide pharmacy dispensing services at all times during the Contract period that meet all applicable risk evaluation and mitigation monitoring and other legal requirements related to Clozapine use,
- Generic drugs must be used unless unavailable commercially or the Consumer requests a brand-name drug; the Consumer is solely responsible for any cost differential above the applicable generic drug cost if a brand-name drug is requested,
- Each entity providing the Pharmacy Services must be an approved Medicaid/Medicare vendor.
(2) All the questions must be submitted no later than February 3, 2020

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Monday, 17 February, 2020

Question Answer Deadline : Monday, 3 February, 2020

Category : Pharmaceutical, Pharmacy & Related Services, Medical Billing and Coding

Country : USA

State : Texas

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