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Medicaid Pharmacy Benefit Crosswalk Developer

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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 is for a Medicaid Pharmacy Benefit Crosswalk Developer to support prime contractors on Nevada Health Authority Medicaid projects. The selected provider will be responsible for the technical mapping and synthesis of medical and pharmacy benefit crosswalks, utilizing ETL tools and Medicaid pharmacy claims data schemas to support the management of a single preferred drug list. All work must be performed in strict compliance with HIPAA data privacy standards to ensure the security of sensitive health information. The project is managed by Nevada Medicaid and requires the delivery of integrated data crosswalks and synthesized datasets. Interested parties should note that the response deadline is October 29, 2026, and the place of performance is located at the Nevada Health Authority in Carson City. The contract falls under NAICS code 541511, focusing on custom computer programming services.

General Info

Medicaid Pharmacy Benefit Crosswalk Developer for Nevada Health Authority, deadline October 29, 2026.

Place of Performance

Ship to: NVHA Administration 4070 Silver Sage Dr Director's Office Nevada Health Authority State of Nevada Carson City, NV, 89701, USA

Set-Aside

NONE

Documents

This scope was carved out of 41NHA-S4034.

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

View the prime solicitation

Pharmaceutical Data and Retrospective Pricing Analysis SaaS

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Organization & Contact Information

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Agency414 - Nevada Medicaid
ContactsNo contacts available
OfficeN/A
Organization / Agency414 - Nevada Medicaid
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs technical mapping and synthesis of medical and pharmacy benefit crosswalks for prime contractors on Nevada Health Authority Medicaid projects. Maps drug data to support single preferred drug list (PDL) management using ETL tools and Medicaid pharmacy claims data schemas. Complies with HIPAA data privacy standards. Delivers integrated data crosswalks and synthesized datasets.

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Same NAICS industry code

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Same awarding agency

NAICS: 518210
SLED
Pharmaceutical Data and Retrospective Pricing Analysis SaaS
Solicitation # 41NHA-S4034
The Nevada Health Authority, specifically the Medicaid Prescription Drug Rebate program, has issued Request for Information 41NHA-S4034 to identify a Software as a Service provider capable of delivering a pharmaceutical data and retrospective pricing analysis platform. The agency seeks a solution that synthesizes general pharmaceutical data, retrospective pricing, clinical pipeline data, and Medicaid-specific medical and pharmacy benefit crosswalks into a single interface. This platform is intended to provide visibility into the life cycle of drugs and biologics to support proactive fiscal forecasting, therapeutic management strategies, and the management of a single preferred drug list. A key technical requirement is the provision of a complete medical drug-code validation solution for HCPCS and CPT codes to ensure accuracy in coding, billing, and reimbursement. This action is strictly a request for information and is not a solicitation for bids or proposals; therefore, no contract award will result directly from this process. Interested vendors are asked to provide technical information and projected costs, ensuring that cost data is submitted in a separate attachment from technical details. All responses must be submitted by 2:00 pm PT on October 29, 2026. The primary point of contact for this inquiry is Heather Moon. All information submitted in response to this RFI will be treated as confidential business information by the Nevada State Purchasing Division.
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