This bid is for pharmacy benefits management services supporting HIV medication insurance assistance participants statewide across Texas, including rural and urban areas.
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We write the bid, handle the paperwork, and submit it for you. No upfront fees.
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You send a priceOne number, before November 19, 2026.
We bid itXL Eagle submits the bid as the main contractor.
You do the workIf it is awarded, you do the job as our subcontractor.
Payment administration: Coordinate prescription deductibles, copayments, coinsurance, and insurance premiums as a secondary payer.
Estimated volume: 8,455 claims per month and premium payments for 334 participants per month.
Pharmacy network: Statewide coverage with at least one mail-order pharmacy option; exclude 340B stock and pharmaceutical rebates.
Systems and support: Electronic claims and enrollment access plus an English/Spanish help desk, Monday–Friday, 8 a.m.–7 p.m. Central Time.
Claims processing: NCPDP-compliant adjudication, formulary controls, and secure claims-level reporting within 48 hours of request.
Pricing: Provide all-inclusive per-claim adjudication and per-participant monthly premium payment fees for a 12-month initial term, with four optional extension years.
XL Eagle