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CA26-0181 • 2025

Proposed Contract with Prime Therapeutics State Government Solutions, LLC to Contract No. CW97894

Proposed Contract with Prime Therapeutics State Government Solutions, LLC to Contract No. CW97894

Budget
Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor
at the request of the Mayor
Last action
2025-05-16
Official status
Deemed Approved
Effective date
Not listed

Plain English Breakdown

Checked against official source text during the last sync.

Proposed Contract with Prime Therapeutics

The bill proposes a contract modification for Prime Therapeutics State Government Solutions, LLC to continue providing pharmacy benefit manager services in the District of Columbia for an additional year.

What This Bill Does

  • Extends an existing contract between the District of Columbia and Prime Therapeutics State Government Solutions, LLC for one more year starting July 20, 2025.
  • Sets the total cost for this additional year at $6,500,502.24.
  • Confirms that funding is available within the District's budget to cover the costs of this contract extension.
  • Requires Prime Therapeutics to continue operating and managing pharmacy benefit services for eligible beneficiaries in the District.

Who It Names or Affects

  • The Mayor and Council of the District of Columbia
  • Prime Therapeutics State Government Solutions, LLC
  • Eligible District beneficiaries who use pharmacy benefits

Terms To Know

Pharmacy Benefit Manager System
A system that manages prescription drug coverage for individuals and groups.
Option Year
An additional year of a contract that can be extended if both parties agree.

Limits and Unknowns

  • The bill does not specify what happens after the third option year ends.
  • It is unclear how many more years this contract might be extended beyond the current proposal.

Bill History

  1. 2025-05-16 Council of the District of Columbia LIMS

    Retained by the Council with comments from the Committee on Health

  2. 2025-05-15 Council of the District of Columbia LIMS

    CA26-0181 Introduced by Chairman Mendelson at Office of the Secretary

Official Summary Text

Proposed Contract with Prime Therapeutics State Government Solutions, LLC to Contract No. CW97894

Current Bill Text

Read the full stored bill text
MURIELBOWSERMAYOR
May 15,2025
Honorable PhilMendelson
Chairman
Councilofthe Districtof Columbia
John A. Wilson Building
1350 PennsylvaniaAvenue, NW, Suite504
Washington,DC 20004
Dear Chairman Mendelson:
Pursuanttosection451oftheDistrictofColumbiaHomeRuleAct(D.C.OfficialCode§ 1-
204,51)andsection202oftheProcurementPracticesReformActof2010(D.C.OfficialCode§2-352.02),enclosedforconsiderationandapprovalbytheCounciloftheDistrictofColumbiaisproposedModificationNo.M0010toContractNo.CW97894withPrimeTherapeuticsStateGovernmentSolutions,LLC(Prime)toexerciseoptionyearthreeintheamountof$6,500,502.24TheperiodofperformanceisfromJuly20,2025,throughJuly19,2026.
Undertheproposedmodification,Primewillcontinuetooperate,monitor,andadministerthe
PharmacyBenefitManagerSystemandPharmacySupportServicesforeligibleDistrictbeneficiaries.
My administrationisavailabletodiscussanyquestionsyoumayhaveregardingtheproposedcontractmodification.Inordertofacilitatearesponsetoanyquestionsyoumayhave,pleasehaveyourstaffcontactMareScott,ChiefOperatingOfficer,OfficeofContractingandProcurement,at(202)724-8759,
I lookforwardtotheCouncil'sfavorableconsiderationof thiscontractmodification.
Sincerely,

MyrielBRwser
1

GOVERNMENT OF THE DISTRICT OF COLUMBIA
Office of Contracting and Procurement

Pursuant to section 202(c-3) of the Procurement Practices Reform Act of 2010, as amended, D.C.
Official Code § 2-352.02(c-3), the following contract summary is provided:

COUNCIL CONTRACT SUMMARY
(Option Year Contract)

(A) Contract Number: CW97894
Modification No. M0010

Proposed Contractor: Prime Therapeutics State Government Solutions, LLC (Prime)

Contract Amount: $6,500,502.24
(Option Period Three)

Term of Contract: July 20, 2025, through July 19, 2026

Type of Contract: Firm Fixed Price

(B) Identifying number of the underlying contract, including the identifiers assigned to the
underlying contract by the Council for the base period and any subsequent option periods:

Base Year Amount: $5,532,229.92
(July 20, 2022, through July 19, 2023)
Council Approval CA24-0648

Option Period One Amount: $5,781,180.24
(July 20, 2023, through July 19, 2024)
Council Approval CA25-0239

Option Period Two Amount: $5,954,615.04
(July 20, 2024, through July 19, 2025)
Council Approval CA25-0752

Option Period Three Amount: $6,500,502.24
(July 20, 2025, through July 19, 2026)

Option Period Four Amount: $6,695,517.24
(July 20, 2026, through July 19, 2027)
(C) A statement that the Citywide Clean Hands database indicates that the proposed contractor is
current with its District taxes. If the Citywide Clean Hands Database indicates that the
proposed contractor is not current with its District taxes, either: (1) a certification that the
contractor has worked out and is current with a payment schedule approved by the District;
or (2) a certification that the contractor will be current with its District taxes after the District
recovers any outstanding debt as provided under D.C. Official Code § 2-353.01(b):

The Citywide Clean Hands database certified that Prime is current with its District taxes.

(D) A statement that the proposed contract is within the appropriated budget authority for the
agency for the fiscal year and is consistent with the financial plan and budget adopted in
accordance with D.C. Official Code §§ 47-392.01 and 47-392.02:

The Department of Health Care Finance Agency Fiscal Officer certified that funding in the amount
of $6,500,502.24 is available to support the contract.

*
*
* GovernmentoftheDistrictofColumbia

MEE (OfficeoftheChiefFinancialOfficer 11014%Street,SW— Ee Washington,DC20024
DateofNotice:April8,2025 NoticeNumber:0014024200 =
PRIME THERAPUTICS STATE GOVERNMENT SOLUTIONS FEIN: **-***9793
2900 AMES CROSSING RD Case ID: 18541775
EAGAN MN 55121-2498
CERTIFICATE OF CLEAN HANDS
AsreportedintheCleanHandssystem,theabovereferencedindividual/entityhasnooutstandingliabilitywiththeDistrictofColumbiaOfficeofTaxandRevenueortheDepartmentofEmploymentServices.Asofthedateabove,theindividual/entityhascompliedwithDCCode§47-2862,thereforethisCertificateofCleanHandsisissued.
TITLE 47. TAXATION, LICENSING, PERMITS, ASSESSMENTS, AND FEES
CHAPTER 28 GENERAL LICENSE
SUBCHAPTER II.CLEAN HANDS BEFORE RECEIVING A LICENSE OR PERMIT
D.C. CODE § 47-2862 (2006)
§47-2862PROHIBITIONAGAINST ISSUANCE OF LICENSEOR PERMIT

AuthorizedBy Melinda Jenkins
Branch Chief,Collectionand Enforcement Administration
Tovalidatethiscertificate,pleasevisitMyTax.DC.gov.OntheMyTaxDC homepage,clickthe“Validate a Certificateof Clean Hands” hyperlink under the Clean Hands section.

11014thStreetSW,SuiteW270,Washington,DC20024/Phone:(202)724-S048/MyTax.DCgov
GOVERNMENT OFTHE DISTRICTOFCOLUMBIA
DepartmentofHealthCareFinance
wk
asOfficeoftheChietFinancialOfficer —
MEMORANDL
TO: ‘NancyHapemanChiefProcurementOfficerOfficeofContractingandProcurement
THRU: DeliciaV.MooreDeliciaV. — B&ta¥‘soow”AssociateChief FinggcialOfficerDate:20250408fhananSoppSAMGRAer Buscar
Faom: Pom Siete DarrinA Shafferpietnitstoatactsono"‘AgencyFisealOfficer
DepartmentofHealthCareFinance
DATE: April8,2025
SUBJECT: PharmacyBenefitManager(PBM)—PrimeTherapeuticsStateGovernmentSolutions,LLC
(formerlyMagellanMedicaidAdministrationInc.)

‘TheOfficeoftheChiefFinancialOfficerherebycertifiesthatthesumof$6,500,502.24isincludedintheDistriet’s
LocalBudgetandFinancialPlanforFiscalYear2025tofundthecostsassociatedwiththeDepartmentofHealth
CareFinance’s(DHCF)PBM contract-PrimeTherapeuticsStateGovernmentSolutions,LLC.Optionyear3,
beginning07/20/2025through07/19/2026inthetotalamountof$6,500,502.24.Thefundallocationisasfollows:

Vendor: Prime Therapeutics StateGovernment Solutions,LLC Contract? CW97894
FiscalYear 2025: Prime Therapeutics StateGovernment Solutions,LLC. 07/20/25 -09/30/25
Azensy|Fund|ContCentr|Progam|Account|Projet|avara| S82| atocaton[ Toul
Tare[torr|—Taner[os sano 3 | eRTeno{-angnny[tuner— [tans[T1301[SOOT[STURTSTE| esse—| Se.faro-[ioroeor[—Toas0[ooo[2001 Seg [SicaHeuser| tape —[tnoortrssorsomaoraer|asa [ss |SFIsTaalComa Taal|512931086
FiscalYear 2026:Prime TherapeuticsStateGovernment Solutions,LLC. 10/01/25-07/19/26
sub| atocato| aoaAgency)Fund| CostCenter| Program| Account|Project| Award| yy ;

HTO| 110001| 70261 100203_ [7132001 55% $2,732,524.25
HTO_|4025002 |__70261100203| 7132001| 200881| 2001984| 25.16 [45% $2,235,701.66
HTO| 1010001| __70280 100071_|7132001 25% $59,791.42
HTO_|4025002 [70280 100071[7132001| 200881| 2001984[25.25 [75% $179,374.25
FY26TotalContract Total| _$5,207391.58

4414®St.NW,Suite900South,Washington,D.C,20001(202)442-5988FAX(202)478-1373

UponapprovaloftheDistrict’sLocalBudgetandFinancialPlanbytheCouncilandtheMayorandcompletionof
thethirty-dayCongressionallayover,fundswillbesufficienttopayforfeesandcostsassociatedwiththecontract.
‘Thereisnofiscalimpactassociatedwiththecontract.
Shouldyouhaveanyquestions,pleasecontactmeat(202)442-9079.

al 4 St.NW,Suite900South,Washington,D.C.20001(202)442-5988FAX(202)478-1373,

AMENDMENT OF SOLICITATION / MODIFICATION OF CONTRACT
1. Contract Number Page of Pages
CW97894 1 2
2. Amendment/Modification Number 3. Effective Date 4. Requisition/Purchase Request No. 5. Solicitation Caption

M0010

July 20, 2025

Pharmacy Benefit Manager
System O&M
6. Issued by: Code 7. Administered by (If other than line 6)
Office of Contracting and Procurement
441 4th Street NW, Suite 330S
Washington, DC 20001

Department of HealthCare Finance
441 4th Street, NW Suite 900S
Washington, DC 20001

8. Name and Address of Contractor (No. street, city, county, state, and zip
code)

Prime Therapeutics State Government Solutions, LLC.
2900 Ames Crossing Rd.
Eagan, MN 55121

9A. Amendment of Solicitation No.

9B. Dated (See Item 11)

X
10A. Modification of Contract/Order No.

CW97894

Code

Facility

10B. Dated (See Item 13)
9/26/2022
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended. is not extended.
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:
(a) By completing Items 8 and 15 and returning __________ copies of the amendment: (b) By acknowledging receipt of this amendment on each copy of the offer
submitted; or (c) BY separate letter or fax which includes a reference to the solicitation and amendment number. FAILURE OF YOUR ACKNOWLEDGMENT TO
BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION
OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such may be made by letter or fax, provided each letter or
telegram makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
12. Accounting and Appropriation Data (If Required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACT/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14
A. This change order is issued pursuant to (Specify Authority): 27 DCMR, Chapter 36, Contract Modifications
The changes set forth in Item 14 are made in the contract/order no. in item 10A.
B. The above numbered contract/order is modified to reflect the administrative changes (such as changes in paying office, app ropriation data
etc.) set forth in item 14, pursuant to the authority of 27 DCMR, Chapter 36, Section 3601.2.
C. This supplemental agreement is entered into pursuant to authority of:

x
D. Other: Exercise of Option pursuant to authority of 27 DCMR § 2008

E. IMPORTANT: Contractor is not required is required to sign this document and return one (1) copy to the issuing office.

14. Description of Amendment/Modification (Organized by UCF Section headings, including solicitation/contract subject matter wher e feasible.)

Contract No: CW97894 is hereby modified to incorporate the following:

1. Pursuant to Section F.2 of the contract, Option to Extend the Term of the Contract, the District hereby
exercises Option Period Three for the period of performance from July 20, 2025, through July 19, 2026,
in the amount of $6,500,502.24

2. Attachment A: Option Period Three Price Schedule

All other terms and conditions remains unchanged
Except as provided herein, all terms and conditions of the document is referenced in Item 9A or 10A remain unchanged and in f ull force and effect.
15A. Name and Title of Signer (Type or print) 16A. Name of Contracting Officer

Jarad Dorsey
15B. Name of Contractor

(Signature of person authorized to sign)
15C. Date Signed 16B. District of Columbia

(Signature of Contracting Officer)
16C. Date Signed

2

ATTACHMENT A: OPTION PERIOD THREE PRICE SCHEDULE

B.3.4 Option Period Three : July 20, 2025, through July 19, 2026
CLIN Item Description Unit Quantity Unit Price Total Amount
3001 Administration and maintenance of the
District's PBMS with a POS component for
eligible District beneficiaries, and to provide
described programs and services in Section
C.5.
Month 12 $541,708.52 $6,500,502.24
OPTION YEAR OPERATIONS COST TOTAL: $6,500,502.24