The Definitive Blog

2013-07-03 – Pharmacy Benefits Management (PBM) Services for Group Health Plan

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RFP Category: Pharmacy
RFP Sponsor: State of Louisiana

Posted Date: 2013-05-29
Due Date: 2013-07-03

Contact Name: Patty Rahl
Contact Title: Contract Reviewer 3
Contact E-mail: patty.rahl@la.gov

Description: The State of Louisiana through Office of Group Benefits (hereinafter called “OGB” or the “Program”) is authorized by statute to provide health and accident benefits and life insurance to state employees, retirees and their dependents.

The State of Louisiana OGB invites proposals from any qualified Pharmacy Benefits Management ( “PBM”) organization and any other company that meet all of the requirements outlined in this Notice of Intent to Contract (NIC) to provide:

Pharmacy Benefits Management (PBM) services for its self-insured group health plans, including retail network management and auditing, account management, billing management, rebate management and client reporting; and

For OGB’s eligible retirees, a Centers for Medicare and Medicaid Services (CMS) approved prescription drug plan (PDP) in accordance with CMS regulations implementing the Medicare Prescription Drug Benefit (“Part D”) established by Section 101 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, which regulations allow for a CMS-approved Employer GroupWaiver Plan (EGWP) PDP, to be administered consistent with applicable requirements.

July 25, 2013