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  5. ›Pharmacy Benefits Manager (PBM)

State of Tennessee·Tennessee

Pharmacy Benefits Manager (PBM)

Closes 12/7/2026$50M – $200MRequest for Proposal
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Description

The State of Tennessee’s Department of Finance & Administration is seeking a single, full‑service Pharmacy Benefits Manager (PBM) to administer all pharmacy‑benefits functions for its Group Insurance Program. The PBM will be responsible for formulary design, network management, claims adjudication, utilization management, rebate handling, reporting, and member/provider support across every state‑sponsored health plan that includes pharmacy benefits. Only one vendor will be selected, and all proprietary information must be protected under a strict NDA before detailed specifications (Attachment 6.6) are released. • Provide end‑to‑end PBM services for every SGIP plan, including formulary, network, claims, and analytics. • Must sign a Non‑Disclosure Agreement and be registered in the State’s vendor system (10‑14 day lead‑time). • Proposals are due by December 7 2026; no other dates (pre‑bid meeting, site visit, award) are disclosed in the excerpt. • Contact is Heather Pease, Benefits and Contracting Assistant Director, for any clarifications and NDA submission.

Attached files

Contact

Heather Pease(Benefits and Contracting Assistant Director)

[email protected]

(615) 917‑4165

Key dates

Opened
9/1/2026
Closes
12/7/2026

Last updated

Details

Type
Request for Proposal
Industry
Healthcare and Medical Services
NAICS
524298
Solicitation №
31786-00191

Budget estimate

$50,000,000 – $200,000,000

The solicitation does not disclose contract value; however, statewide PBM contracts for large public employee groups typically run in the tens to low hundreds of millions of dollars annually. Considering the scope (full PBM services for all SGIP plans) and the size of Tennessee’s employee population, a reasonable estimate ranges from $50 million to $200 million over the contract term. Factors influencing the final amount include the number of covered lives, negotiated rebate structures, and the contract’s duration (often multi‑year).

AI estimate from the solicitation

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