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NYC MetroPlus Health Plan·New York

Pharmacy Benefit Management Consulting Services

Closes 11/16/2026$500k – $2MRequest for Proposal
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Description

MetroPlusHealth (a subsidiary of NYC Health + Hospitals) seeks a qualified consulting firm to serve as a strategic advisor for its pharmacy benefit and medical‑benefit drug programs. The vendor will provide market benchmarking, financial trend analysis, performance auditing, specialty‑pharmacy and provider‑administered drug management, and regulatory support across a three‑year contract (with up to two one‑year extensions). The work includes annual PBM market checks, quarterly financial reports, audit support for CMS and Article‑44, and ad‑hoc strategic recommendations. The vendor must demonstrate at least five years of PBM consulting experience, prior work with government‑sponsored health programs, and meet MWBE participation requirements.

Attached files

Contact

Kathleen Nolan

[email protected]

(212) 908-8730

Key dates

Opened
10/23/2026
Questions due
11/2/2026
Pre-bid meeting
10/29/2026
Closes
11/16/2026
Duration
3 years

Last updated

Details

Type
Request for Proposal
Industry
Consulting Services
NAICS
541618
Solicitation №
PIN#MHP-1124

Budget estimate

$500,000 – $2,000,000

No budget ceiling is disclosed. Based on typical PBM consulting rates (often $150‑$300 per hour) and the extensive deliverables over a three‑year period, a mid‑size consulting firm could command roughly $500,000 to $2,000,000 in total fees, depending on staffing levels, travel, and performance‑based incentives.

AI estimate from the solicitation

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