Pharmacy Benefit Management (PBM) Administrator

This subcontract for a Pharmacy Benefit Management Administrator involves the administration of prescription drug benefits for prime contractors supporting Tempe Union High School District health benefit projects. The selected provider will be responsible for managing network pharmacy access and formulary lists, while ensuring a 100 percent pass-through of rebates. The scope of work includes the administration of claims for various specialized products, such as GLP-1s, Biosimilars, PCSK9, and HIV PrEP, as well as Home Infusion, LTC, and 340b claims. To qualify, the administrator must maintain URAC and VIPPS accreditation and utilize Medi-Span AHFS coding. Key deliverables include the execution of managed pharmacy programs and the provision of detailed rebate reports. This opportunity is categorized under NAICS code 541611, with a response deadline set for November 19, 2026.