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Pharmacy Benefit Management (PBM) Operations

Active

State & Local

Response Deadline08/25/2026, 05:30:00 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 Pharmacy Benefit Management Operations with the state of West Virginia focuses on the administration of pharmacy benefits for a Medicaid population. The scope of work includes critical operational functions such as claims processing, formulary management, prior authorization, and rebate negotiation, all managed under a guaranteed Per Member Per Month cost savings model. The project is based in Charleston and falls under NAICS code 621420. Interested parties must submit their responses by August 25, 2026, at 5:30 PM. Further details and submission processes are available through the West Virginia Oasis procurement portal.

General Info

West Virginia Medicaid pharmacy benefit management subcontract; responses due August 25, 2026.

Agency

West VirginiaView Agency

NAICS

621420 - Outpatient Mental Health and Substance Abuse CentersView NAICS

Place of Performance

Charleston, WV, USA

Set-Aside

NONE

Documents

This scope was carved out of CRFP-0511-BMS2700000001-2.

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

View the prime solicitation

CRFP-0511-BMS2700000001-2 | MEDICAID MANAGED CARE RATE SETTING/PROGRAM ADMIN

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Timeline

PostedAug 14

subcontract

Response DeadlineAug 25

Submission deadline

Response Deadline

08/25/2026, 05:30:00 PM UTCin 9 days

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Organization & Contact Information

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AgencyWest Virginia

ContactsNo contacts available

OfficeN/A

Organization / Agency

West Virginia

View Agency Profile

Office AddressN/A

ContactsNo contact information available

Full Description

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Administration of pharmacy benefits including claims processing, formulary management, prior authorization, and rebate negotiation under a guaranteed Per Member Per Month (PMPM) cost savings model for a Medicaid population.

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