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Pharmacy Independent Review Services

Active

State & Local

Response Deadline09/30/2026, 06:00:00 PM UTC

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 Independent Review Services supports prime contractors working on projects for the Commonwealth of Kentucky Department of Medicaid Services. The selected provider will perform independent reviews of pharmacy-related claims and prescriptions, analyzing clinical documentation to make determinations based on specific pharmacy guidelines and Medicaid policies. The role requires qualified personnel holding a PharmD license and the submission of conflict-of-interest certifications to ensure impartial decision-making. The primary objective of the contract is the delivery of finalized pharmacy review decisions. This opportunity is listed under NAICS code 621399 with a response deadline of September 30, 2026.

General Info

PharmD providers perform independent pharmacy claim reviews for Kentucky Department of Medicaid Services.

Agency

Kentucky → 275 E. Main StreetView Agency

NAICS

621399 - Offices of All Other Miscellaneous Health PractitionersView NAICS

Place of Performance

Other, KY, USA

Set-Aside

NONE

Documents

This scope was carved out of RFP-746-2700000006-2.

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

View the prime solicitation

RFP-746-2700000006-2 | External Independent Third-Party Review (C6102)

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Timeline

PostedSep 14

subcontract

Response DeadlineSep 30

Submission deadline

Response Deadline

09/30/2026, 06:00:00 PM UTCin 16 days

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Organization & Contact Information

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AgencyKentucky → 275 E. Main Street

ContactsNo contacts available

OfficeN/A

Organization / Agency

Kentucky → 275 E. Main Street

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Office AddressN/A

ContactsNo contact information available

Full Description

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Performs independent reviews of pharmacy-related claims and prescriptions for prime contractors on Commonwealth of Kentucky Department of Medicaid Services projects. Reviews pharmacy claims and clinical documentation to render determinations based on pharmacy-specific guidelines and Medicaid policies. Requires licensed Pharmacists (PharmD) and conflict-of-interest certifications. Delivers rendered pharmacy review decisions.

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