City of Asheville Pharmacy Benefit Management RFP 298-FY27-HR-RFP-PHARMACY (2026)
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 issuing RFP 298-FY27-HR-RFP-PHARMACY to identify a pharmacy benefit management (PBM) partner to support its pharmacy benefit program, member experience, clinical program needs, financial objectives, and reporting requirements in Asheville, North Carolina. The program serves approximately 1,243 employees, 145 retirees, and 1,065 dependents across health plan options including Base Plan w/HRA, Base Plus Plan, and Clinic-Based Plan, with top pharmacy spend conditions covering cancer, auto-immune disorders, diabetic therapy, gastrointestinal disorders, dermatological conditions, and cardiac disorders. The selected PBM will integrate with third-party partners such as Marathon Health (Employee Health Clinic and The Asheville Project / TAP), Cigna (Medical Plan Administrator), MYgroup (EAP), Sun Life, and Munis, while supporting digital physical therapy via Hinge Health. Proposals are due by October 22, 2026, at 5:00 PM EDT, with an optional pre-proposal meeting on October 5, 2026, and questions due by October 7, 2026. Submission must be completed electronically via Proposal Tech. Evaluation criteria emphasize Financials (55 points), General Administration (15 points), Clinical Capabilities (15 points), Member Experience (10 points), and Relevant Projects and References (5 points).
Financials (administrative fees, program and variable fees, discounts and dispensing fees, rebates, credits, performance guarantees) (55%), General: Minimum Requirements, Administration Capabilities, Reporting, Contractual Provisions, Audit, and Compliance (15%), Clinical capabilities: Clinical Programs, Specialty Management, and Value-Based Benefit Design and TAP Capabilities (15%), Member Experience: Customer Service, Communications, Digital Tools and Web Capabilities (10%), Relevant Projects and References (5%)
Hear what Asheville plans next before it's posted.
Get alerts freeFree account · 30-second setup · No credit card
Summary
The City of Asheville is issuing RFP 298-FY27-HR-RFP-PHARMACY to identify a pharmacy benefit management (PBM) partner to support its pharmacy benefit program, member experience, clinical program needs, financial objectives, and reporting requirements in Asheville, North Carolina.
The program serves approximately 1,243 employees, 145 retirees, and 1,065 dependents across health plan options including Base Plan w/HRA, Base Plus Plan, and Clinic-Based Plan, with top pharmacy spend conditions covering cancer, auto-immune disorders, diabetic therapy, gastrointestinal disorders, dermatological conditions, and cardiac disorders. The selected PBM will integrate with third-party partners such as Marathon Health (Employee Health Clinic and The Asheville Project / TAP), Cigna (Medical Plan Administrator), MYgroup (EAP), Sun Life, and Munis, while supporting digital physical therapy via Hinge Health. Proposals are due by October 22, 2026, at 5:00 PM EDT, with an optional pre-proposal meeting on October 5, 2026, and questions due by October 7, 2026. Submission must be completed electronically via Proposal Tech. Evaluation criteria emphasize Financials (55 points), General Administration (15 points), Clinical Capabilities (15 points), Member Experience (10 points), and Relevant Projects and References (5 points).
EVALUATION CRITERIA
Financials (administrative fees, program and variable fees, discounts and dispensing fees, rebates, credits, performance guarantees) (55%), General: Minimum Requirements, Administration Capabilities, Reporting, Contractual Provisions, Audit, and Compliance (15%), Clinical capabilities: Clinical Programs, Specialty Management, and Value-Based Benefit Design and TAP Capabilities (15%), Member Experience: Customer Service, Communications, Digital Tools and Web Capabilities (10%), Relevant Projects and References (5%)
REQUIRED ATTACHMENTS
5- References
- List all previous engagements with the City of Asheville
- Signed signature section
- Completed pricing via Proposal Tech
- Signed addenda (if applicable)
- Submit to
- http://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: http://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: "Financials (administrative fees, program and variable fees, discounts and dispensing fees, rebates, credits, performance guarantees) (55%), General: Minimum Requirements, Administration Capabilities,..." 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 signature section, Completed pricing via Proposal Tech, Signed addenda (if applicable). 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.