26-0408-RFP Pharmacy Benefit Manager Services

The Pinellas County Board of County Commissioners is seeking proposals from firms to provide Pharmacy Benefit Management Services for their 3,200 eligible employees. The County intends to award the agreement as soon as possible to allow for the Pharmacy Benefit Services to be available for all eligible employees effective January 1, 2027. The selected firm will be responsible for providing pharmacy benefit management services, including claims processing, formulary management, and member services. The firm will also be required to provide a detailed implementation plan, performance guarantees, and a pricing proposal. • The selected firm must have experience in providing pharmacy benefit management services to similar-sized organizations. • The firm must demonstrate a strong understanding of the County's objectives for lowest-net-cost management, transparency, and improved member outcomes. • The firm must provide a detailed analysis of expected formulary disruption and offer mitigation strategies to minimize member impact during the transition period. • The firm must maintain a comprehensive nationwide pharmacy network that includes independent pharmacies to ensure broad and convenient member access. • The firm must demonstrate high-quality specialty pharmacy services, including clinical expertise, care coordination, adherence support, and reliable distribution for specialty medications.