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This Solicitation opportunity from Texas was posted on August 7, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Pharmacy Benefits Management Services for the City of Houston’s Self-Funded Medical Plans

Closed
RFP-2026-0020State & Local

Contract Overview

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

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NAICS: 524292
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NAICS: 524292
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NAICS: 524292
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in 22 days
NAICS: 524292
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DAS TELEHEALTH ADMINISTRATION
Solicitation # SRC0000042016
The State of Ohio, through the Department of Administrative Services, is soliciting proposals for a contractor to administer telehealth benefits for state employees and their dependents. The selected contractor will manage the delivery of telehealth services across three plan options: Ohio Med PPO, Ohio Med Select, and Ohio Med HDHP. The scope of work includes providing a provider network, proactive account management, and comprehensive claims management with accurate coding and timely submission to medical third-party administrators. Key operational requirements include maintaining 99.9% availability for the mobile app and web portal, achieving at least a 60% member satisfaction rating per visit, and implementing a written satisfaction improvement plan by the second contract year. The contractor must also ensure ADA compliance, maintain closed-loop referral tracking, and adhere to strict HIPAA and HITECH privacy standards. The contract will be awarded based on the highest total score, combining technical, cost, and presentation evaluations. Financial terms are structured as Administrative Services Only fees charged per enrolled employee per month, with payment terms set at Net 30. The contractor must be prepared for open enrollment activities by May 1, 2027. Proposals must be submitted via the OhioBuys Supplier Portal in two distinct volumes: a technical proposal and a cost proposal. Mandatory documentation includes a wide array of certification forms, a Business Associate Agreement, and evidence of security controls such as HITRUST or CMMC certification. Performance is monitored through a formal inspection and acceptance process where deliverables must be approved by an Agency Representative.
Administrative Services

POSTED

9 days ago

DEADLINE

in 19 days

AI Contract Overview

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The City of Houston is soliciting proposals under RFP-2026-0020 for a third-party Pharmacy Benefits Management (PBM) provider to administer prescription drug benefits for its self-funded medical plans, serving approximately 23,000 employees and retirees. The contract is intended to begin on January 1, 2028, with an initial five-year term and two optional one-year renewals, for a maximum duration of seven years. The selected contractor will be responsible for the design, implementation, and management of benefits across Consumer-Driven Health, Limited Network, and Open Access plans, ensuring high-quality, cost-effective coverage. Key requirements include maintaining licenses in all states where plan members reside, adhering to a transparent passthrough pricing model for retail networks, and providing robust data reporting to the City's consultants. Evaluation of proposals is based on a 105-point system, heavily weighted toward technical competence (70 points), with specific focus on formulary and pharmacy network disruption analysis, alongside cost proposals (30 points) and local preference points (5 points) for Hire Houston First designated businesses. The contract includes strict performance guarantees, with penalties for system errors, ID card delays, and failure to meet member satisfaction rates. Additionally, the City mandates a 17% WSBE participation goal and requires adherence to the HITS Cloud Governance Policy and the City Security Compliance Standard. Proposers must submit a comprehensive 11-tab proposal by September 17, 2026, including a non-disclosure agreement, conflict of interest disclosures, and a detailed financial questionnaire.

General Info

Houston seeks a PBM provider for employee prescription benefits starting January 1, 2028.

Documents

17

Attachment C - Prescription Drug Plan and Benefit Design Information

DOCX, High priority: read this firstsow
High

Attachment H - Technical Questionnaire

XLSX, High priority: read this firsttechnical-questionnaire
High

Attachment I - Formulary and Network Disruption Analysis

XLSX, High priority: read this firstsow
High

Attachment J - Financial Questionnaire and Cost Proposal

XLSX, High priority: read this firstcost-proposal
High

Attachment K - Exceptions and Deviations to Terms and Conditions

DOCX, High priority: read this firstexceptions-and-deviations
High

City of Houston Ownership Information Form

DOCX, High priority: read this firstownership-information-form
High

City of Houston RFP-2025-0020 Minimum Requirements Form

DOCX, High priority: read this firstminimum-requirements-form
High

Exhibit II - WSBE Participation Plan and Subcontracting Agreement Forms

DOCX, High priority: read this firstwsbe-forms
High

Exhibit I - Offer and Submittal References

DOCX, High priority: read this firstoffer-submittal
High

RFP-2026-0020 Pharmacy Benefits Management Services for City of Houston

PDF, High priority: read this firstrfp
High

Sample Contract for Pharmacy Benefits Management Services - City of Houston

DOCX, High priority: read this firstcontract-document
High

Attachment B - Non-Disclosure Agreement for City of Houston PBM RFP

DOCX, Low prioritynda
Low

Attachment F - Pharmacy Claims File

XLSX, Low priorityother
Low

City of Houston HITS Cloud Governance Policy

PDF, Low prioritypolicy
Low

Exhibit II - Hire Houston First Declaration

DOCX, Low priority1 page · other
Low

Exhibit IV - Anti-Collusion Statement for RFP

DOCX, Low priorityother
Low

Exhibit V - Conflict of Interest Questionnaire

PDF, Low priorityconflict-of-interest-questionnaire
Low

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Timeline

PhaseClosed
Posted

Solicitation

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyTexas → City of Houston
Contacts1 person available
OfficeTX, USA
Organization / AgencyTexas → City of Houston
Office AddressTX, USA

Full Description

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The City of Houston seeks proposals from qualified firms to provide third-party Pharmacy Benefits Management (PBM) services. The selected contractor will administer PBM services in support of the City’s self-funded medical benefit plans, ensuring cost-effective, high-quality prescription drug benefits for employees and their dependents. The contract term will be for five (5) year initial term with two (2) one-year options to renew annually, for a maximum seven-year (7) contract.

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