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HT940221C0007

Definitive Contract

Overview

Government Description
TRICARE PHARMACY SERVICES
Awarding / Funding Agency
Place of Performance
Saint Louis, MO 63121 United States
Pricing
Fixed Price
Set Aside
None
Extent Competed
Full And Open Competition
Est. Average FTE
3289
Analysis Notes
Amendment Since initial award the Potential Award value has increased 19% from $4,286,902,274 to $5,118,018,056.
Predecessor This appears to be a continuation of a prior contract HT940214D0002-HT940220F0014.
Subcontracting Plan This Definitive Contract has an Individual Subcontract Plan. The Department of Defense has an overall small business subcontracting goal of 30%
Express Scripts was awarded Definitive Contract HT940221C0007 (HT9402-21-C-0007) for Tricare Pharmacy Services worth up to $5,118,018,056 by Defense Health Agency in September 2021. The contract has a duration of 8 years 3 months and was awarded through solicitation TRICARE Pharmacy Services, 5th Generation (TPharm5) full & open with NAICS 524114 and PSC Q201 via direct negotiation acquisition procedures with 2 bids received. As of today, the Definitive Contract has a total reported backlog of $3,442,969,681 and funded backlog of $324,209,581.

DOD Announcements

Aug 2021: Express Scripts Inc., St. Louis, Missouri (HT940221C0007), was awarded a firm-fixed-price, incentive/award fee contract with a total face value of $4,300,000,000 to provide pharmacy management services for the Department of Defense TRICARE Pharmacy Benefit Program. Pharmacy benefit services are available in all 50 states; Washington, D.C.; Guam; Puerto Rico; and the Virgin Islands. The program offers services at retail network pharmacies, authorized non-network retail pharmacies or delivery through the TRICARE Mail Order Pharmacy. The contractor will perform pharmacy benefit management functions, including claims adjudication at military medical treatment facilities, clinical services for specialty pharmaceuticals, processing direct member reimbursements for claims, clinical reviews and providing beneficiary and pharmacy support services. The contract has a base period of 15 months and seven option periods of 12 months each. Fiscal 2021 operation and maintenance funds in the amount of $23,596,175 are obligated for the base period. The contract was competitively procured using full and open competition under request for proposal HT940220R0002 with two proposals received. The Defense Health Agency's Managed Care Contracting Division, Aurora, Colorado, is the contracting activity.

Status
(Open)

Last Modified 2/24/25
Period of Performance
9/23/21
Start Date
12/31/25
Current End Date
12/31/29
Potential End Date
45.0% Complete

Obligations and Backlog
$1.7B
Total Obligated
$2.0B
Current Award
$5.1B
Potential Award
33% Funded
$324.2M
Funded Backlog
$3.4B
Total Backlog

Award Hierarchy

Definitive Contract

HT940221C0007

Subcontracts

0

Activity Timeline

Interactive chart of timeline of amendments to HT940221C0007

Opportunity Lifecycle

Procurement history for HT940221C0007

Transaction History

Modifications to HT940221C0007

People

Suggested agency contacts for HT940221C0007

Competition

Number of Bidders
2
Solicitation Procedures
Negotiated Proposal/Quote
Evaluated Preference
None
Performance Based Acquisition
Yes
Commercial Item Acquisition
Commercial Item Procedures Not Used
Simplified Procedures for Commercial Items
No

Other Categorizations

Subcontracting Plan
Individual Subcontract Plan
Cost Accounting Standards
Yes
Business Size Determination
Large Business
Defense Program
None
DoD Claimant Code
Services
IT Commercial Item Category
Not Applicable
Awardee UEI
QKNTMFZFR6E9
Awardee CAGE
1WPW1
Agency Detail
Awarding Office
HT9402 DEFENSE HEALTH AGENCY
Funding Office
HT0066
Created By
patricia.legra.h94002@web9760.tma
Last Modified By
vreed@web97dh.dha
Approved By
vreed@web97dh.dha

Legislative

Legislative Mandates
Labor Standards
Performance District
MO-01
Senators
Joshua Hawley
Eric Schmitt
Representative
Cori Bush
Modified: 2/24/25