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Prescription Drug Program Integration

Active
State & Local

Contract Overview

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

AI Contract Overview

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The Prescription Drug Program Integration subcontract, issued by Fairfax County Schools in Virginia, focuses on the technical integration between Medicare Advantage plans and the SilverScript Wrap prescription drug program. The project requires the establishment of EDI data flows for pharmacy claims, the management of wrap payment logic, and the coordination of pharmacy data to support health reporting. The primary goal is to deliver fully integrated medical and pharmacy claims workflows. Qualified contractors must possess specialized expertise in Pharmacy Benefit Management integration and maintain strict HIPAA compliance. The work is to be performed in Falls Church, and the solicitation is categorized under NAICS code 541511. Interested parties must submit their responses by the deadline of November 6, 2026.

General Info

Fairfax County Schools seeks HIPAA-compliant contractors for Medicare and SilverScript pharmacy data integration.

Place of Performance

Falls Church, VA, USA

Set-Aside

NONE

Documents

This scope was carved out of 2000004432.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

RFP 2000004432 Group Medicare Advantage Plan

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Timeline

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Organization & Contact Information

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AgencyVirginia → Fairfax County Schools
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs technical integration between Medicare Advantage plans and the SilverScript Wrap prescription drug program for prime contractors on Fairfax County Public Schools projects. Establishes EDI data flows for pharmacy claims, manages wrap payment logic, and coordinates pharmacy data for health reporting. Requires PBM integration expertise and HIPAA compliance. Delivers integrated medical and pharmacy claims workflows.

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