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Clinical Pharmacy Review and Prior Authorization (PA)

Active

State & Local

Response Deadline11/17/2026, 07:00:59 PM UTC

Contract Overview

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

AI Contract Overview

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This subcontract for Clinical Pharmacy Review and Prior Authorization supports prime contractors on New Jersey Department of the Treasury PBM projects. The scope of work involves performing clinical appropriateness reviews of medical documentation, executing Prior Authorization programs, and conducting Drug Utilization Reviews and Step Therapy. These tasks require the use of medical databases and clinical decision support software to deliver final approval or denial decisions and comprehensive quarterly activity reports. The project is managed through the New Jersey Division of Purchase and Property under NAICS code 621330. Due to the specialized nature of the clinical evaluations, all personnel performing these services must be licensed Pharmacists holding a PharmD. The solicitation was posted on August 6, 2026, with a response deadline set for November 17, 2026.

General Info

PharmD licensed pharmacists provide clinical pharmacy reviews and prior authorizations for New Jersey.

Agency

New Jersey → Division of Purchase and Property

NAICS

621330 - Offices of Mental Health Practitioners (except Physicians)

Place of Performance

Not specified

Set-Aside

NONE

Documents

This scope was carved out of 27DPP01337.

The full solicitation package (16 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

T2679 - Employee Benefits: Pharmacy Benefits Management

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Timeline

PostedAug 6

subcontract

Response DeadlineNov 17

Submission deadline

Response Deadline

11/17/2026, 07:00:59 PM UTCin 14 days

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Organization & Contact Information

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AgencyNew Jersey → Division of Purchase and Property

ContactsNo contacts available

OfficeN/A

Organization / AgencyNew Jersey → Division of Purchase and Property

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs clinical appropriateness reviews of medical documentation for prime contractors on New Jersey Department of the Treasury PBM projects. Evaluates case files against clinical criteria, executes Prior Authorization programs, and performs Drug Utilization Reviews (DURs) and Step Therapy. Uses clinical decision support software and medical databases. Requires licensed Pharmacists (PharmD). Delivers approval/denial decisions and quarterly activity reports.

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