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Clinical Drug Review & Program Administration

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State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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This subcontract opportunity with the New York State Department of Health involves providing clinical oversight and administration for the Medicaid Fee-for-Service Pharmacy Benefit Management program. The selected provider will be responsible for operating the Clinical Drug Review Program and the Preferred Drug Program by evaluating the safety, efficacy, and cost-effectiveness of medications to determine their formulary placement. The role requires specialized expertise in pharmacoeconomics, clinical pharmacy, and Medicaid regulatory compliance to ensure all operations meet state standards. Key deliverables include the management and submission of Clinical Drug Review and Preferred Drug Program reports. Interested parties must respond by December 8, 2026.

General Info

Clinical oversight and administration for NYS Medicaid Pharmacy Benefit Management by December 8, 2026.

Documents

This scope was carved out of 2139865.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

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Request for Proposals: C043525 Pharmacy Benefit Management Services

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Organization & Contact Information

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AgencyNew York → NYS Department of Health
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs clinical oversight and administration of the Medicaid FFS Pharmacy Benefit Management program for prime contractors on NYS Department of Health projects. Operates the Clinical Drug Review Program and the Preferred Drug Program (PDP) by reviewing drug efficacy, safety, and cost-effectiveness to determine formulary placement. Requires expertise in clinical pharmacy, pharmacoeconomics, and Medicaid regulatory compliance. Delivers managed PDP and Clinical Drug Review reports.

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