Examples of PBM reverse auction in a sentence
The state employee health plan and any self-funded public or private sector health plans that may be permitted to participate with the state in a joint PBM reverse auction purchasing pool shall retain full autonomy over determination of their respective prescription drug formularies and pharmacy benefit designs and shall not be required to adopt a common drug formulary or common prescription pharmacy benefit design.
An entity may request in writing and subject to the approval of the commissioner to participate in a joint purchasing group with the state employee and retiree group insurance program for procuring for PBM services through a PBM reverse auction or otherwise.
Any such entity or purchasing group shall agree, before participating in the PBM reverse auction, to accept the prescription drug pricing plan that is selected through the PBM reverse auction process.
Technology platform with the required capabilities for conducting a PBM reverse auction, along with the related services of a technology operator, as described in subparagraph (a).
The vendor shall not outsource any part of the PBM reverse auction or the automated, real-time, electronic, line-by-line, claim-by-claim review of invoiced PBM prescription drug claims.
The PBM reverse auction planning shall take place February to March 2021.
A successful PBM reverse auction begins with the state’s drafting of a detailed, high-value PBM contract.
The PBM reverse auction RFP process and subsequent contract development shall take place April to July 2021.
PBA" means a participant bidding agreement entered into by all participants in the PBM reverse auction prior to participation therein.
Bidder shall not outsource any part of the PBM reverse auction or the automated, real-time, electronic, line- by-line, claim-by-claim review of invoiced PBM prescription drug claims.