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Indiana FSSA Medicaid Policy & Plan·Indiana

Pharmacy Benefit Administrator

Closes 1/8/2027$5M – $15MRequest for Proposal
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Description

The State’s Family and Social Services Administration (FSSA) Medicaid Policy & Plan is seeking a qualified Pharmacy Benefit Administrator (PBA) to manage the fee‑for‑service Medicaid pharmacy benefit. The selected vendor will be responsible for administering claims, applying state‑defined policies, ensuring compliance with program requirements, and managing reimbursement methodologies. This contract will support the delivery of pharmacy services to Medicaid beneficiaries across the state. • Core responsibility: administer Medicaid pharmacy benefit and process claims. • Must adhere to state‑defined policies, program requirements, and reimbursement rules. • Expected to provide high‑quality, cost‑effective pharmacy benefit management. • Requires experience with Medicaid or similar public‑sector pharmacy programs. • Submission deadline: January 8 2027 (3:00 PM EST).

Attached files

Contact

Eli Sturgeon

[email protected]

Key dates

Opened
10/15/2026
Closes
1/8/2027

Last updated

Details

Type
Request for Proposal
Industry
Healthcare and Medical Services
NAICS
524210
Solicitation №
005030000088864

Budget estimate

$5,000,000 – $15,000,000

Based on typical state Medicaid pharmacy benefit contracts, annual spend can range from a few million to tens of millions of dollars, depending on the size of the Medicaid population and the scope of services (claims processing, formulary management, reporting, etc.). Assuming a mid‑size state Medicaid program, a reasonable estimate for the total contract value is between $5 million and $15 million per year. Factors influencing the final amount include the number of beneficiaries, claim volume, negotiated reimbursement rates, and any performance‑based incentives.

AI estimate from the solicitation

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