Description
The Nevada Health Authority is seeking informational responses from qualified vendors to inform the state's upcoming procurement for a Single Pharmacy Benefit Manager (sPBM). The goal is to consolidate pharmacy benefit administration across both Fee-for-Service and Managed Care Organization (MCO) delivery models. The state is looking for a partner with expertise in managing high-volume public health programs and sophisticated public sector employer plans. The RFI seeks information on a vendor's capability to deliver pharmacy benefit management with regulatory rigor and flexibility.
• The state serves approximately 800,000 recipients and has launched a Single Preferred Drug List (sPDL) on January 1, 2026.
• The RFI seeks information on a vendor's ability to administer commercial-style benefit designs, tailored formulary management, and high-touch member engagement platforms.
• The state is evaluating the technical and clinical capabilities required to manage a diverse range of state-sponsored populations.
• Respondents should provide concise, technical descriptions of capabilities and scalability of vendor products that meet the state's goals for a centralized PBM contract.