Prescription Drugs Administration Services

Overview

Healthcare Services, Wellness & Biotech

New Hampshire, United StatesPosted about 2 months agoDeadline: April 22nd, 2026

Fit Score

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SUMMARY

The State of New Hampshire seeks a qualified pharmacy benefits manager to administer prescription drug services for its employee and retiree health benefit plan, including claims processing, eligibility management, and integrated member services.

KEY REQUIREMENTS

Must be currently licensed to provide PBM services for large group health benefit plans in New Hampshire
Must be currently licensed to offer employer-sponsored PBM services in all 50 states and U.S. territories
Must be currently providing PBM services to at least three public sector group health plans with a minimum of 25,000 lives
Must have a minimum of five years of experience providing PBM services
Must be able to demonstrate financial stability
Must be registered as a bidder authorized to conduct business in the State of New Hampshire
Must maintain data security and cyber-liability insurance in an amount not less than $10 million

BUDGET

Estimate

$5,000,000 – $15,000,000

CONTRACT DURATION

36 months

TIMELINE

RFP Released: March 20th, 2026

Deadline for Bidder Inquiries: April 2nd, 2026

Response to Bidder Inquiries: April 8th, 2026

Proposal Submission Deadline: April 22nd, 2026

Contract Effective Date: August 1st, 2026

Implementation Period: August 1st, 2026 through December 31st, 2026

PBM Services Effective Date: January 1st, 2027

QUESTION DEADLINE

April 2nd, 2026

Issuing Agency

Department Of Administrative Services, Division Of Risk And Benefits

Organization overview and procurement intelligence available on paid plans.

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DESCRIPTION

The government authority in New Hampshire is seeking a qualified vendor to provide comprehensive prescription drug administration services for its self-funded Employee and Retiree Health Benefit Plan. The selected partner will function as the pharmacy benefits manager (PBM), responsible for ensuring high-quality, cost-effective, and transparent prescription drug benefits for plan participants and their dependents.

Key responsibilities include claims adjudication, maintaining member enrollment and eligibility, integration of PBM services with other state programs such as medical and wellness initiatives, and providing education for patients and providers. Other expectations involve systematic drug utilization review, network pharmacy contracting and management, mail order and specialty pharmacy operations, clinical and cost management programs, as well as formulary management and rebate administration.

The PBM will also be tasked with robust data sharing and reporting (standard and ad hoc), distribution of ID cards, access to pharmacy directories, and delivering comprehensive member and account services including help desk, call center, website, portal, and mobile app support. The contractor must also provide online systems for the State and its designated representatives.

Source attribution

This Settle analysis is based on the issuing organization’s public RFP listing.