Request for Proposals for Pharmacy Benefit Management for the City of Asheville

The City of Asheville is soliciting a single pharmacy benefit management (PBM) partner to administer its municipal pharmacy benefit program for approximately 2,453 covered lives (employees, retirees, and dependents). The contractor will be responsible for claims processing, clinical program design, member services, integration with existing partners (Cigna, Marathon Health), and ongoing reporting. The contract is a three‑year base term with two optional one‑year renewals, and the PBM must support the city’s “Asheville Project™” (TAP) which provides $0 copay drugs for designated conditions. The RFP emphasizes cost‑containment, rebate management, and a mandatory annual broker fee of $60,000 payable to Willis Towers Watson. • End‑to‑end PBM services including network access, claims adjudication, utilization review, and clinical disease‑state management. • Integration requirements with Cigna (medical plan) for weekly eligibility data and with Marathon Health for the TAP program. • Mandatory reporting, member portal/mobile app, and a $0‑copay drug list for TAP participants, updated at least quarterly. • Evaluation heavily weighted toward financial pricing (55 % of score) and a 3‑year term plus two optional 1‑year extensions.