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Pharmacy Benefit Management Services

Active

State & Local

Response Deadline11/18/2026, 07:00:00 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 Services at Virginia Commonwealth University involves managing prescription drug benefits for prime contractors on student health insurance projects. The scope of work includes processing claims for contraceptives, insulins, and glucose or ketone test strips, as well as managing exclusive distribution drugs and biosimilars. Technical requirements include the use of PBM claims software and Medispan AHFS Code 940000, with the ability to process DAW codes 0-9. The selected provider must maintain pharmacy dispensing protocol certification and ensure full ACA compliance. Key deliverables for the contract include processed claims, comprehensive drug formularies, and detailed trend reports. Interested parties should note the response deadline of November 18, 2026, for this opportunity categorized under NAICS code 541990.

General Info

Pharmacy benefit management subcontract for VCU involving claims processing and ACA compliance.

Agency

Virginia Commonwealth University

NAICS

541990 - All Other Professional, Scientific, and Technical Services

Place of Performance

See RFP, VA, USA

Set-Aside

NONE

Documents

This scope was carved out of 215269588BA.

The full solicitation package (8 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

215269588BA - Student Health Plan

AI Contract Breakdown

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Timeline

PostedOct 17

subcontract

Response DeadlineNov 18

Submission deadline

Response Deadline

11/18/2026, 07:00:00 PM UTCin 14 days

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Organization & Contact Information

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AgencyVirginia Commonwealth University

ContactsNo contacts available

OfficeN/A

Organization / AgencyVirginia Commonwealth University

Office AddressN/A

ContactsNo contact information available

Full Description

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Manages prescription drug benefits for prime contractors on VCU student health insurance projects. Processes claims for insulins, glucose/ketone test strips, and contraceptives; manages biosimilars and exclusive distribution drugs; and processes DAW codes 0-9. Utilizes Medispan AHFS Code 940000 and PBM claims software. Requires ACA compliance and pharmacy dispensing protocol certification. Delivers processed claims, drug formularies, and trend reports.

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