Pharmacy Transparency Tool

Questions are due by March 23rd, 2026.

Bid closing is April 9th, 2026.

The contract term is from January 1st, 2027, to December 31st, 2029.

Customer service must be staffed by December 1st, 2026.

Eligibility file testing protocols must be completed 60 days prior to program launch, which is by November 1st, 2026.

The transparency tool website must be tested and ready for member use by December 10th annually.

Information about the tool must be available for Open Enrollment by October annually.

Annual reports are due by February 1st of each year.

Quarterly reports are due 15 business days after the end of the quarter.

Monthly reports are due 10 business days after the end of the month.

A vendor is sought to provide a pharmacy transparency tool that equips consumers with essential information regarding medication prices, including expected out-of-pocket costs, and quality metrics such as outcomes, safety, effectiveness, timeliness, efficiency, and equity. The tool should incentivize plan members to seek higher-value care and offer innovative transparency solutions adaptable to the needs of employees.

The tool is intended to operate as a standalone solution distinct from medical transparency tools already in place for the medical plan members. The organization aims to partner with a transparency vendor that can offer flexible and innovative services, enhancing the value of its pharmacy benefits for plan members.

The contract will run for two years. Vendors are encouraged to submit questions no later than March 23, 2026.