Medicaid Pharmacy Preferred Drug List

The State of Montana, Department of Public Health and Human Services (DPHHS), issued a Request for Proposal (RFP) for a contractor to provide assistance and expertise in performing work related to a Preferred Drug List (PDL) and Supplemental Drug Rebate Program. The contractor will be responsible for providing a PDL, negotiating supplemental drug rebates, and providing reporting and analytics to support the program. The contract was awarded to Prime Therapeutics State Government Solutions, LLC, with a proposed cost of $1,381,077.00. The contract is for a period of three years, but the exact start and end dates are not specified. Some key features of this contract include: * The contractor will provide a PDL that meets federal requirements and allows the PA unit to guide utilization. * The contractor will negotiate supplemental drug rebates with pharmaceutical manufacturers. * The contractor will provide reporting and analytics to support the program, including a quarterly market share report and an annual cost savings report. * The contractor will work with the state to develop a template for a meeting summary and will collaborate with the state on the best path forward for presenting changes to the PDL. This contract is significant because it will help the state of Montana to manage its pharmacy costs and ensure that Medicaid recipients have access to necessary medications. The contractor's experience and expertise in providing PDL and supplemental drug rebate programs will be crucial in supporting the state's goals.