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Workers' Compensation Pharmacy Benefit Network Services

Overview


Healthcare Services, Wellness & Biotech
Long Beach, California, United StatesPosted: August 27, 2026Deadline: October 7, 2026

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SUMMARY


A two-year contract is sought for a workers' compensation pharmacy benefit network serving eligible employees in California. The selected vendor will manage prescription claims, formularies, pharmacy networks, clinical oversight, generic conversion, reporting, and claims-department training.

KEY REQUIREMENTS


CONTRACT DURATION


60 months

TIMELINE


Release date: August 26th, 2026

Questions due: September 9th, 2026

Posting of Q&A: September 23rd, 2026

Proposals due: October 7th, 2026

Evaluation of proposals: October - November 2026

QUESTION DEADLINE


September 9, 2026

CONTACTS


Primary procurement contact — name, title, email, and phone

Additional decision-makers and their departments

Issuing Agency


City Of Long Beach

Organization overview and procurement intelligence available on paid plans.
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DESCRIPTION


The vendor will provide a workers' compensation pharmacy benefit network service for eligible employees, ensuring they receive all workers' compensation benefits to which they are entitled. The program should deliver innovative solutions, exceptional customer service, clinical oversight, and comprehensive management to improve outcomes for injured employees while controlling pharmacy-related expenditures.

Required capabilities include processing and adjudicating prescription drug claims, offering customized formularies, maintaining an extensive pharmacy network, and implementing an aggressive program to convert brand-name medications to generic alternatives. The vendor will also provide portal access and training for the claims department, along with extensive reporting on pharmacy utilization, costs, and program outcomes.

The contract period will be two years. All questions must be submitted no later than September 9, 2026, and proposals are due October 7, 2026.

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Frequently asked questions


When is the submission deadline?
Submissions are due October 7, 2026. Questions must be submitted by September 9, 2026.
Who issued this RFP?
It was issued by City Of Long Beach. The work is located in Long Beach, California, United States.
Who is a good fit for this opportunity?
  • Pharmacy benefit management company with workers' compensation expertise
  • Established prescription claims processing and adjudication capabilities
  • Broad pharmacy network and customized formulary management experience
  • Clinical oversight and generic drug conversion program expertise
  • Strong reporting, analytics, portal, and customer support capabilities
  • Experience supporting claims departments through training and implementation

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