Retail Pharmacy Network Management

The contract aims to establish and manage a nationwide retail pharmacy network dedicated to prescription fulfillment, ensuring seamless access to medications for enrolled members across all states. This includes contracting with pharmacies, negotiating reimbursement rates, and maintaining strict compliance with federal and state access standards to guarantee timely, equitable, and reliable pharmacy services. The network must support efficient claims processing, adherence to formulary guidelines, and integration with existing health benefit systems to meet quality and performance benchmarks. The subcontract is administered by the Massachusetts Group Insurance Commission under NAICS code 446110, with performance centered in Boston, though the network's scope is national. Respondents must submit proposals by August 5, 2026, and are expected to demonstrate proven experience in managing large-scale pharmacy networks, regulatory compliance, and scalable infrastructure capable of supporting high-volume prescription fulfillment. The contract requires robust data reporting, operational transparency, and the ability to rapidly onboard and deactivate participating pharmacies as needed while ensuring uninterrupted service to beneficiaries.