Pharmacy Benefit Management (PBM) Services

The contract encompasses comprehensive pharmacy benefit management services for clients served under the Ryan White program, focusing on the administration of pharmacy claims, formulary management, prior authorization processes, and claim adjudication. The provider is expected to ensure seamless integration with provider networks and deliver detailed reporting mechanisms to support program compliance, clinical outcomes, and cost efficiency. Services must be tailored to meet the unique needs of individuals receiving HIV-related care and support through federal funding channels, with an emphasis on accessibility, accuracy, and timeliness in pharmaceutical care delivery. The contract is classified as a subcontract under NAICS code 561422 and was posted on April 28, 2026, with a response deadline of May 29, 2026. It is administered by the Mississippi Office of Communicable Disease, with performance expected within the state. No set-aside designation is specified, and while no point of contact or physical address is provided, the full details and submission platform are accessible via the given online portal. The scope requires a robust infrastructure to handle high-volume electronic transactions, real-time adjudication, formulary adherence, and continuous data reporting to meet federal and state health program requirements.