Service

    PBM RFP Management

    End-to-end vendor selection and contract structure development

    TeliosRx manages the full PBM RFP process for self-insured employers, unions, and benefit funds. We build evaluation frameworks tailored to your plan's actual cost drivers, manage every step of the vendor process, and deliver a normalized scorecard so you can choose the right PBM on the right terms. Most plan sponsors run RFPs every 2-3 years; the difference between a well-run RFP and a hasty one is often 10-20% on annual pharmacy spend.

    What's Included

    • Custom RFP document tailored to your plan
    • Vendor invitation and qualification screening
    • Question-and-answer management with 6-10 PBM finalists
    • Normalized financial scorecard comparing apples-to-apples
    • Reference checks with current PBM clients
    • Negotiation support through contract execution
    • Implementation oversight after PBM selection

    Our Process

    1. Pre-RFP discovery: review current contract, claims data, and plan priorities
    2. Build the RFP and shortlist of qualified PBMs
    3. Issue RFP and manage vendor responses
    4. Score and shortlist 2-3 finalists for finalist interviews
    5. Negotiate final terms and execute contract
    6. Implementation oversight and quarterly reviews

    Who This Is For

    Self-insured employers, Taft-Hartley funds, and benefit trusts at 500+ lives that are due for a PBM renewal or considering a switch. Especially valuable for plans that have not run a formal RFP in the last three years.

    Want to talk through this service for your plan?