Pharmacy Benefit Management Services

Through this contract, Pharmacy Benefit Management services are provided for the State Employee Health Plans and other participants in the IAPPP per IC 16-47-1. There are approximately 55,411 subscribers and a total of 117,852 covered members. The State seeks comprehensive PBM services including, but not limited to, best in class discounts and rebates, network management, clinical programs, formulary management, utilization management, claims administration, fraud detection, compliance with state and federal regulations, integration with the medical third-party administrator (TPA), dispute resolution, and customer service.