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Pharmacy Claims Processing

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Federal

Contract Overview

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This contract involves the adjudication, approval, or denial of prescription claims submitted by retail and mail-order pharmacies. It includes responsibilities such as managing prior authorizations and conducting reviews for non-formulary medications. The scope of work centers on pharmacy claims processing to ensure compliance and accuracy in handling prescription drug benefits. Administered by the Department of Homeland Security under the Detention Compliance and Removals office, the contract is designated as a subcontract opportunity with an NAICS code of 524292. The work is to be performed in Washington, with a response deadline set for July 7, 2026. This contract aims to maintain efficient and compliant pharmacy claims management within the specified government agency.

General Info

Pharmacy claims adjudication, prior authorizations, non-formulary reviews, managed for DHS in Washington.

Agency

Department Of Homeland Security → Detention Compliance And Removals

NAICS

524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds View NAICS

Place of Performance

Washington, DC, USA

Set-Aside

NONE

Documents

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No documents available

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Timeline

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Organization & Contact Information

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AgencyDepartment Of Homeland Security → Detention Compliance And Removals
ContactsNo contacts available
OfficeN/A
Organization / Agency
Department Of Homeland Security → Detention Compliance And Removals
Office AddressN/A
ContactsNo contact information available

Full Description

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Adjudicate, approve, or deny prescription claims from retail and mail-order pharmacies, including managing prior authorizations and non-formulary reviews.

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