Pharmacy Benefits Management (PBM) EPIC/AIHP

Pursuant to New York State Finance Law §163.10(b), the New York State Department of (DOH) is presenting the following summary of relevant circumstances and substantial reasons why a competitive procurement was not feasible.

The DOH Office of Health Insurance Programs is contracting with Magellan Medicaid Administration, Inc. to manage an expanded scope of work related to additional EPIC members who will qualify for the Medicare Savings Program (MSP).

Due to the specific circumstances of this procurement and the unique qualifications of the selected firm/entity, a competitive procurement was not feasible in this instance.

Procurement / Program Name Pharmacy Benefits Management (PBM) EPIC/AIHP
Contractor Name(s) Magellan Medicaid Administration, Inc.
Contract Period 05/01/2022 – 04/30/2027
Contract Number C037087