Pharmacy Cost Containment Program Implementation & Operations

The contract entails the end-to-end implementation of a pharmacy cost containment program alongside nine months of operational support, designed to reduce expenditures within West Virginia’s healthcare system. Key responsibilities include developing detailed cost models to forecast savings, reconciling actual savings against projections, and seamlessly integrating the program with existing state healthcare infrastructure, all managed on a per-member-per-month basis to ensure sustainable and scalable results. The initiative requires deep technical expertise in pharmacy data analytics, system interoperability, and state-level healthcare compliance to deliver measurable financial efficiencies. Execution will occur primarily in Charleston, West Virginia, with performance aligned to state-specific requirements and timelines. The contract, classified as a subcontract under NAICS code 541611 for management consulting services, was posted on July 24, 2026, with responses due by July 29, 2026. Although no set-aside designation or point of contact is specified, the procurement is open to qualified vendors capable of supporting large-scale, data-driven cost containment initiatives within a public health context. Successful bidders must demonstrate proven experience in similar programs, robust project management capabilities, and the ability to operate within the regulatory and technical frameworks of state healthcare systems.