From 110K+ entities monitored
Pre-RFP signals for
<div class='ecard'><div class='ecard-header'><div><div class='ecard-name'>Department of Health Care Finance - DHCF</div><div class='ecard-meta'>County Government · DC</div></div><div class='ecard-header-right'><span class='badge badge-active'>Active Signal</span></div></div><div class='ecard-signals'><div class='signal-item'><div class='signal-title'>Implementing generic only formula for pharmacy benefits after 2026</div><div class='signal-body-text'>The District of Columbia's Department of Health Care Finance is implementing a 'Generic only formula' for pharmacy benefits after December 31, 2026, requiring clinical reviews for branded medications. This initiative demands robust preferred drug list programs, rebate management services, and point-of-sale claims adjudication capabilities to manage the transition. No RFP has been issued; this is pre-solicitation intelligence.</div></div><div class='signal-item'><div class='signal-title'>Streamline branded drug reviews with clinical approval workflows</div><div class='signal-body-text'>DHCF's shift to generic-only coverage will significantly reduce pharmacy spending while requiring streamlined clinical review workflows to prevent service delays and member access issues. The department must establish efficient approval processes that balance cost containment with timely medication authorization—a critical operational challenge that directly impacts budget predictability and member satisfaction.</div></div></div><div class='ecard-contacts'><div class='ecard-contacts-label'>Key Contacts · 5 verified by Pursuit</div><div class='contact-list'><div class='contact-row'><div class='contact-info'><span class='contact-name'>Helena Barbour</span><span class='contact-title'>Contract Compliance Officer</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>Donald Shearer</span><span class='contact-title'>Director, Health Care Operations Administration (hcoa)</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>Melisa Byrd</span><span class='contact-title'>Senior Deputy Director/medicaid Director</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>Sheryl Johnson</span><span class='contact-title'>General Counsel, Office of the Attorney General</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>Angelique Martin</span><span class='contact-title'>Senior Deputy Director of Finance</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div></div></div><div class='ecard-footer'><a class='ecard-source-link' href='https://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/December_FY26_Medical_Care_Advisory_Committee.pdf#page=9' target='_blank'>View source · 2026-12-17</a><span class='ecard-timing'>⏱ Pre-RFP — no solicitation issued</span></div></div>
<div class='ecard'><div class='ecard-header'><div><div class='ecard-name'>Board of Public Works</div><div class='ecard-meta'>County Government · MD</div></div><div class='ecard-header-right'><span class='badge badge-hot'>High Intent</span></div></div><div class='ecard-signals'><div class='signal-item'><div class='signal-title'>Investigating national PBM for prescription drug rebate contract breaches</div><div class='signal-body-text'>The Board of Public Works is investigating a national PBM for allegedly failing to pass through prescription drug rebates to the State Employee and Retiree Health and Welfare Benefit Program, representing substantial financial exposure. Providers of rebate management services, preferred drug list programs, and claims adjudication capabilities are well-positioned to address compliance and recovery needs. No RFP has been issued; this is pre-solicitation intelligence.</div></div><div class='signal-item'><div class='signal-title'>Streamline pharmacy benefits and drug rebate management operations</div><div class='signal-body-text'>The Board of Public Works faces immediate budget recovery pressure as the investigation quantifies millions in diverted rebates that should have benefited state employees and retirees. This fiscal exposure creates urgency to implement transparent rebate tracking and claims adjudication controls that prevent future leakage and restore stakeholder trust in benefit program administration.</div></div></div><div class='ecard-contacts'><div class='ecard-contacts-label'>Key Contacts · 5 verified by Pursuit</div><div class='contact-list'><div class='contact-row'><div class='contact-info'><span class='contact-name'>Lisa Johnson</span><span class='contact-title'>Operations Manager</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>Maria Heaton</span><span class='contact-title'>Records Manager</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>Dana Dembro</span><span class='contact-title'>Director of Procurement</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>Julia Barrett</span><span class='contact-title'></span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>Rachel Cruse</span><span class='contact-title'></span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div></div></div><div class='ecard-footer'><a class='ecard-source-link' href='https://bpw.maryland.gov/MeetingDocs/2026-Mar-4-Agenda.pdf#page=40' target='_blank'>View source · 2026-03-04</a><span class='ecard-timing'>⏱ Pre-RFP — no solicitation issued</span></div></div>
<div class='ecard'><div class='ecard-header'><div><div class='ecard-name'>State Employee Benefits Committee</div><div class='ecard-meta'>County Government · DE</div></div><div class='ecard-header-right'><span class='badge badge-hot'>High Intent</span></div></div><div class='ecard-signals'><div class='signal-item'><div class='signal-title'>Delaware issued RFP for pharmacy benefit management services</div><div class='signal-body-text'>The State Employee Benefits Committee is planning to procure pharmacy benefit management services for its Commercial and EGWP plans, with contracts beginning July 1, 2026, and January 1, 2027. This initiative requires pharmacy benefits administration, preferred drug list programs, rebate management, and claims adjudication capabilities. No RFP has been issued; this is pre-solicitation intelligence.</div></div><div class='signal-item'><div class='signal-title'>State employees gain access to optimized pharmacy benefit programs</div><div class='signal-body-text'>The State Employee Benefits Committee's dual-contract structure creates budget consolidation opportunities and competitive leverage to reduce pharmacy costs across Commercial and EGWP populations. By evaluating alternative PBM vendors, Delaware can capture rebate optimization and claims processing efficiencies that directly lower plan expenditures and employee out-of-pocket costs.</div></div></div><div class='ecard-contacts'><div class='ecard-contacts-label'>Key Contacts · 4 verified by Pursuit</div><div class='contact-list'><div class='contact-row'><div class='contact-info'><span class='contact-name'>Cerron Cade</span><span class='contact-title'>Director</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>Michelle Carpenter</span><span class='contact-title'>Hris Manager</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>Brian Maxwell</span><span class='contact-title'>Director of the Office of Management and Budget</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>Kristin Short</span><span class='contact-title'>Sebc and Sebc Subcommittee Manager</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div></div></div><div class='ecard-footer'><a class='ecard-source-link' href='https://dhr.delaware.gov/benefits/sebc/documents/2025/0307-pbm-rfp-scope-of-services-draft.pdf#page=3' target='_blank'>View source · 2026-07-01</a><span class='ecard-timing'>⏱ Pre-RFP — no solicitation issued</span></div></div>