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Pharmacy Benefits Investigation and Adherence Monitoring

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State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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This subcontract for Pharmacy Benefits Investigation and Adherence Monitoring supports prime contractors serving the Missouri Veterans Commission. The selected provider is responsible for managing the prior authorization process with insurance companies, tracking medication usage, and utilizing pharmacy management software to issue refill reminders. All operations must strictly adhere to HIPAA regulations as well as Missouri and Federal pharmacy billing laws. The primary deliverables include completed prior authorizations, detailed adherence reports, and verified billing data. This opportunity is categorized under NAICS code 621999 and is managed by the Missouri Division of Purchasing. The response deadline for this requirement is September 17, 2026.

General Info

Pharmacy benefits investigation and adherence monitoring subcontract for Missouri Veterans Commission, due September 2026.

Agency

Missouri → PROC OA DIVISION OF PURCHASING PROCUREMENTSView Agency

NAICS

621999 - All Other Miscellaneous Ambulatory Health Care ServicesView NAICS

Place of Performance

MO, USA

Set-Aside

NONE

Documents

This scope was carved out of STATE 0000000551SL.

The full solicitation package (3 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Pharmacy Services – Specialty Medications QVL

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Timeline

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Organization & Contact Information

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AgencyMissouri → PROC OA DIVISION OF PURCHASING PROCUREMENTS
ContactsNo contacts available
OfficeN/A
Organization / Agency
Missouri → PROC OA DIVISION OF PURCHASING PROCUREMENTS
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Office AddressN/A
ContactsNo contact information available

Full Description

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Performs benefits investigation and adherence monitoring for prime contractors serving the Missouri Veterans Commission. Manages the Prior Authorization (PA) process with insurance providers, tracks medication usage, and sends refill reminders using pharmacy management software. Complies with HIPAA and Missouri/Federal pharmacy billing laws. Delivers completed prior authorizations, adherence reports, and verified billing data.

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