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This Government Contract opportunity from Virginia was posted on August 19, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Pharmacy Benefit Management (PBM) Integration Services

Closed
State & Local

Contract Overview

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This subcontract for Pharmacy Benefit Management Integration Services supports medical plan projects for the City of Charlottesville by coordinating data and clinical integration between medical plans and PBMs. The primary objective is to synchronize member deductibles and out-of-pocket accumulators through the exchange of eligibility and claim data, utilizing EDI 834/837 files and PBM integration APIs in strict accordance with HIPAA standards. The scope of work includes the delivery of integrated pharmacy and medical reporting to ensure accurate member accumulator synchronization. This opportunity falls under NAICS code 541511 and is managed by the Human Resources agency in Virginia, with a response deadline of September 21, 2026.

General Info

PBM integration services for Charlottesville medical plans, focusing on data and accumulator synchronization.

Place of Performance

VA, USA

Set-Aside

NONE

Documents

This scope was carved out of RFP 27-24.

The full solicitation package (26 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

MEDICAL PLAN ADMINISTRATION

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Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyVirginia → Human Resources
ContactsNo contacts available
OfficeN/A
Organization / AgencyVirginia → Human Resources
Office AddressN/A
ContactsNo contact information available

Full Description

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Coordinates data and clinical integration between medical plans and PBMs for prime contractors on City of Charlottesville medical plan projects. Exchanges eligibility and claim data using EDI 834/837 files and PBM integration APIs to synchronize deductibles and out-of-pocket accumulators per HIPAA standards. Delivers integrated pharmacy/medical reporting and synchronized member accumulators.

Earlier notices in this NAICS code

Posted before this notice, open and closed

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Miguel
Hillary
Keith Deutsch
Christine

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