Workers’ Compensation Cost Containment and Pharmacy Benefit Management Services
Overview
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SUMMARY
KEY REQUIREMENTS
BUDGET
EstimateCONTRACT DURATION
TIMELINE
CONTACTS
Primary procurement contact — name, title, email, and phone
Additional decision-makers and their departments
Issuing Agency
Arizona Department of Administration
DESCRIPTION
The issuing organization seeks a vendor to provide comprehensive workers’ compensation cost containment and pharmacy benefit management services. Required services include 24/7 nurse triage for injured workers and agency representatives, medical recommendations regarding the appropriate level of care, utilization review, bill review, and access to preferred provider networks.
Pharmacy benefit management responsibilities include retail network management, mail-order fulfillment, claims adjudication, auditing, account management, eligibility and implementation support, billing and rebate management, formulary management, clinical and utilization management programs, benefit modeling and analytics, and client reporting. The selected provider must also maintain a dedicated toll-free claim intake telephone number operating 24 hours a day, seven days a week, including weekends and holidays.
The vendor must offer electronic point-of-service pharmacy claims adjudication to communicate claimant eligibility and prescription approval information to the provider network.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due November 5, 2026.
- What is the budget for this RFP?
- Settle estimates the budget at $2,000,000 – $3,000,000. The issuer has not published an official figure.
- Who issued this RFP?
- It was issued by Arizona Department of Administration. The work is located in Phoenix, Arizona, United States.
- Who is a good fit for this opportunity?
- Workers’ compensation cost containment and pharmacy benefit management provider
- Experience delivering 24/7 nurse triage and claim intake services
- Established utilization review, bill review, PPO, and pharmacy network capabilities
- Secure electronic claims adjudication, eligibility, analytics, and reporting infrastructure
- Demonstrated experience supporting public-sector or large employer workers’ compensation programs
Analysis generated by Settle AI from the source RFP.
RFP Hunter shows what is open. Settle shows what is forming.
Settle pieces together buyer signals, budgets, contract activity, and the sources your team already monitors. See why an opportunity fits and what to do before the RFP posts.