DoD's TRICARE Pharmacy Services contract with Express Scripts Inc. awarded for over $676 million

Contract Overview

Contract Amount: $676,427,891 ($676.4M)

Contractor: Express Scripts Inc

Awarding Agency: Department of Defense

Start Date: 2016-04-14

End Date: 2017-04-30

Sector: Healthcare

Official Description: IGF::OT::IGF TRICARE PHARMACY SERVICES

Plain-Language Summary

Department of Defense obligated $676.4 million to EXPRESS SCRIPTS INC for work described as: IGF::OT::IGF TRICARE PHARMACY SERVICES Key points: 1. Significant contract value for essential pharmacy services. 2. Sole-source provider raises questions about competition. 3. Potential for cost savings or overspending needs scrutiny. 4. Ensuring efficient delivery of prescription drugs is critical.

Value Assessment

Rating: good

The contract value of over $676 million for TRICARE Pharmacy Services indicates a substantial investment in healthcare delivery. While the award amount is significant, the focus will be on the efficiency and effectiveness of the services provided.

Cost Per Unit: N/A

Competition Analysis

Competition Level: sole-source

This contract was awarded on a sole-source basis to Express Scripts Inc. This approach limits competition, potentially impacting cost-effectiveness and innovation.

Taxpayer Impact: Taxpayers may not benefit from competitive pricing due to the sole-source nature of this award.

Public Impact

Ensures access to prescription medications for military personnel and families. Potential impact on out-of-pocket costs for beneficiaries. Service disruptions could affect patient care.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

Positive Signals

Sector Analysis

This contract falls within the healthcare sector, specifically focusing on pharmaceutical services for the Department of Defense's TRICARE program, which serves active duty military, retirees, and their families.

Small Business Impact

The contract was awarded to Express Scripts Inc., a large corporation, and there is no indication of small business set-asides. The sole-source nature further suggests it was not intended for small business participation.

Oversight & Accountability

Oversight will be crucial to ensure Express Scripts Inc. meets performance standards and provides cost-effective pharmacy services. The Defense Health Agency is responsible for monitoring this contract to guarantee beneficiary access and manage expenditures.

Related Government Programs

Risk Flags

Tags

defense-spending, healthcare, pharmacy-services, tricare, express-scripts, dod, sole-source, contract-award

Frequently Asked Questions

What is this federal contract paying for?

Department of Defense awarded $676.4 million to EXPRESS SCRIPTS INC. IGF::OT::IGF TRICARE PHARMACY SERVICES

Who is the contractor on this award?

The obligated recipient is EXPRESS SCRIPTS INC.

Which agency awarded this contract?

Awarding agency: Department of Defense (Defense Health Agency).

What is the total obligated amount?

The obligated amount is $676.4 million.

What is the period of performance?

Start: 2016-04-14. End: 2017-04-30.

Analysis insight 1

The sole-source award warrants examination of the justification for not seeking competitive bids.

Analysis insight 2

Analysis of cost trends and patient satisfaction under this contract will be important.

Analysis insight 3

The contract's duration and renewal options should be reviewed for long-term value.

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