City of Asheville Pharmacy Benefit Management RFP 2026 - 298-FY27-HR-RFP-PHARMACY
City of AshevilleCity · Asheville, NC- Due
- Oct 22, 2026
- Deadline passed
- Posted
- Sep 28, 2026
- Contract term
- 3 years
- Primary contact
- Nathanael Sinclair
The 30-second brief
The City of Asheville is seeking proposals from qualified pharmacy benefit managers (PBM) to provide pharmacy benefit management services for the City's pharmacy benefit program. The scope of work includes pharmacy claims processing, utilization review, clinical programs, customer service, enrollment services, member materials, and vendor integration. The population includes approximately 1,243 employees, 145 retirees, and 1,065 dependents across Asheville, North Carolina. The submission deadline is October 22, 2026, at 5:00 PM EDT via Proposal Tech. An optional pre-proposal meeting is scheduled for October 5, 2026, and questions are due by October 7, 2026.
General: Minimum Requirements, Administration Capabilities, Reporting, Contractual Provisions, Audit, and Compliance (15 points), Member Experience: Customer Service, Communications, Digital Tools and Web Capabilities (10 points), Clinical capabilities: Clinical Programs, Specialty Management, and Value-Based Benefit Design and TAP Capabilities (15 points), Relevant Projects and References (5 points), Financials (administrative fees, program and variable fees, discounts and dispensing fees, rebates, credits, performance guarantees) (55 points)
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Summary
The City of Asheville is seeking proposals from qualified pharmacy benefit managers (PBM) to provide pharmacy benefit management services for the City's pharmacy benefit program.
The scope of work includes pharmacy claims processing, utilization review, clinical programs, customer service, enrollment services, member materials, and vendor integration. The population includes approximately 1,243 employees, 145 retirees, and 1,065 dependents across Asheville, North Carolina. The submission deadline is October 22, 2026, at 5:00 PM EDT via Proposal Tech. An optional pre-proposal meeting is scheduled for October 5, 2026, and questions are due by October 7, 2026.
EVALUATION CRITERIA
General: Minimum Requirements, Administration Capabilities, Reporting, Contractual Provisions, Audit, and Compliance (15 points), Member Experience: Customer Service, Communications, Digital Tools and Web Capabilities (10 points), Clinical capabilities: Clinical Programs, Specialty Management, and Value-Based Benefit Design and TAP Capabilities (15 points), Relevant Projects and References (5 points), Financials (administrative fees, program and variable fees, discounts and dispensing fees, rebates, credits, performance guarantees) (55 points)
REQUIRED ATTACHMENTS
4- References
- List all previous engagements with the City of Asheville
- Signed Addenda
- Completed signature section
- Submit to
- https://www.proposaltech.com/home/app.php/register
- Duration
- 60 months
- Scope location
- Asheville, NC
Questions about this RFP
How do I respond to this RFP from City of Asheville?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is October 22, 2026. Be sure to include all required attachments as outlined in the solicitation. Submissions should be delivered to: https://www.proposaltech.com/home/app.php/register. For questions, contact Nathanael Sinclair.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including City of Asheville in NC, encourage participation from small businesses, minority-owned, women-owned, and disadvantaged business enterprises (MBE/WBE/DBE). Check the full solicitation for any small business participation goals.
What happens after the RFP submission deadline?
After the deadline, the issuing agency reviews all submissions against the stated evaluation criteria. This typically includes a compliance check, technical evaluation, cost analysis, and may involve oral presentations with shortlisted vendors.
Can I ask questions about this solicitation before submitting?
Yes, most solicitations allow vendors to submit questions during a designated period. The primary contact is Nathanael Sinclair. Questions and answers are typically shared with all prospective bidders.
Show 5 more questions
What are the evaluation criteria for this solicitation?
This solicitation includes specific evaluation criteria that will be used to score proposals. The criteria include: "General: Minimum Requirements, Administration Capabilities, Reporting, Contractual Provisions, Audit, and Compliance (15 points), Member Experience: Customer Service, Communications, Digital Tools and..." Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from City of Asheville?
All active and historical solicitations from City of Asheville are tracked and searchable. As a city agency, City of Asheville regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.
What is the contract term for this solicitation?
The anticipated contract term is 3 years. Contract terms may include renewal options.
What documents are required to bid on this RFP?
Requirements vary by solicitation, but common documents include a technical proposal, cost/price proposal, proof of insurance, relevant certifications, past performance references, and any forms specified in the solicitation. This solicitation specifically requires the following attachments: References, List all previous engagements with the City of Asheville, Signed Addenda, Completed signature section. Review the full document from City of Asheville for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: Asheville, NC. Review the full solicitation for detailed scope requirements.