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PHAR-0527 - USA (Cheyenne, Wyoming) - Pharmacy Benefit Manager Services - Deadline October 16,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: PHAR-0527

Government Authority located in Cheyenne, Wyoming; USA based organization looking for expert vendor for pharmacy benefit manager services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide pharmacy benefit manager services to the government authority located in Cheyenne, WY.
- Provide dedicated clinical account management on a fee per claim basis
- Provide pharmacy claim services to include all of the following:
• Claims processing and adjudication on a fee per claim basis
• Paying pharmacies for co-pay and deductible costs and passing those costs, without markup or fees, to the agency for reimbursement
• Plan performance review and audit participating pharmacies at a minimum of once per year, or more, as it deems necessary or as reasonably requested by the agency
• Clinical management services such as formulary management, monitoring medication prior authorization requests, therapeutic duplication edits, and retrospective and concurrent drug utilization review.
(2) All questions must be submitted no later than October 2, 2020.

[C] Eligibility:

Onshore (USA Organizations Only)

[D] Work Performance:

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

Expiry Date : Friday, 16 October, 2020

Question Answer Deadline : Friday, 2 October, 2020

Category : Pharmaceutical, Pharmacy & Related Services

Country : USA

State : Wyoming

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