HT940221C0007
Definitive Contract
Overview
Government Description
TRICARE PHARMACY SERVICES
Awardee
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
Related Opportunity
Analysis Notes
Amendment Since initial award the Potential Award value has increased 19% from $4,286,902,274 to $5,117,997,471.
Predecessor This appears to be a continuation of a prior contract HT940214D0002-HT940220F0011.
Subcontracting Plan This Definitive Contract has an Individual Subcontract Plan. The Department of Defense has an overall small business subcontracting goal of 30%
Predecessor This appears to be a continuation of a prior contract HT940214D0002-HT940220F0011.
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 $5,117,997,471
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.
Nov 2023: Express Scripts Inc., St. Louis, Missouri, was awarded a $634,302,804 contract modification (P00019) to previously awarded contract HT940221C0007 for the Department of Defense TRICARE Pharmacy Benefit Program, which increased values of unexercised Option Periods 2-7. 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 period of performance for this option is Jan. 1, 2024, to Dec. 31, 2024. Incremental funding will be applied using operations and maintenance funds. The Defense Health Agency Managed Care Contracting Division, Aurora, Colorado, is the contracting activity.
Dec 2024: Express Scripts Inc., St. Louis, Missouri, was awarded $670,604,289 (P00059) for the third option (out of seven one-year option periods) of a previously awarded contract (HT940221C0007), 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 and the TRICARE Mail Order Pharmacy. The period of performance for this option is Jan. 1, 2025, to Dec. 31, 2025. Fiscal 2025 operations and maintenance funds will be incrementally obligated. The Defense Health Agency, Managed Care Contracting Division, Aurora, Colorado, is the contracting activity. (Awarded Dec. 16, 2024.)
Nov 2023: Express Scripts Inc., St. Louis, Missouri, was awarded a $634,302,804 contract modification (P00019) to previously awarded contract HT940221C0007 for the Department of Defense TRICARE Pharmacy Benefit Program, which increased values of unexercised Option Periods 2-7. 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 period of performance for this option is Jan. 1, 2024, to Dec. 31, 2024. Incremental funding will be applied using operations and maintenance funds. The Defense Health Agency Managed Care Contracting Division, Aurora, Colorado, is the contracting activity.
Dec 2024: Express Scripts Inc., St. Louis, Missouri, was awarded $670,604,289 (P00059) for the third option (out of seven one-year option periods) of a previously awarded contract (HT940221C0007), 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 and the TRICARE Mail Order Pharmacy. The period of performance for this option is Jan. 1, 2025, to Dec. 31, 2025. Fiscal 2025 operations and maintenance funds will be incrementally obligated. The Defense Health Agency, Managed Care Contracting Division, Aurora, Colorado, is the contracting activity. (Awarded Dec. 16, 2024.)
Status
(Open)
Last Modified 3/18/25
Period of Performance
9/23/21
Start Date
12/31/25
Current End Date
12/31/29
Potential End Date
Obligations and Backlog
$1.7B
Total Obligated
$2.0B
Current Award
$5.1B
Potential Award
$324.2M
Funded Backlog
$3.4B
Total Backlog
Award Hierarchy
Definitive Contract
HT940221C0007
Subcontracts
Activity Timeline
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
Eric Schmitt
Representative
Cori Bush
Modified: 3/18/25