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Editing an RFP Proposal

Jeremy Theriault
Updated

Table of Contents

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Accessing a Proposal

  • From the Workspace tab, navigate to the Quote Queue section to see a list of all the RFPs you have recieved.
  • To begin editing your proposal for a specific RFP, click on the Edit Proposal button on the right-hand side of the Quote Queue
  • After clicking the Edit Proposal button, the Edit Proposal screen will appear. This screen contains six steps, somtimes seven steps, which are outlined on the left-hand side of the screen. All of the steps should be completed before submitting your proposal.
  • Any fields highligted in gray are for information purposes. The fields highlighed in purple are related to your proposal and should be completed by your team.
  • Each step contains a varying number of required fields that are required to save your proposal. If necessary, enter placeholder responses to activate the Save button on the last step.
  • If a required field is not completed the Save button will be highlighted red and a warning indicator will be shown next to the name of the step with the missing information.

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Step 1 - Proposal Terms

  • At the top of Step 1 you will find the Request Information section, which contains the due date for the RFP and the contact information for the request owner at the broker. 
  • Also at the top of Step 1 is the Group Information section, which contains the employee count, member count, headquarters state, and Incumbent PBM.

  • Next you will find the Request Terms section, which indicates the specific terms being requested by the broker.
  • To the right of the Request Terms section is the Quote Option Terms section, which is where you will specify the terms of your proposal. Please make sure to change the default values if your proposal does not align with what was requested.

  • Next you will find the Requested Consulting Fees section, which indicates the specific consulting fees being requested by the broker.
  • To the right of the Requested Consulting Fees section is the Quote Consulting Fees section, which is where you will confirm the consulting fees included in your proposal. 

  • Next you will find the Requested Ringmaster Technology Fees section, which indicates the specific technology fees being requested. Technology fees are payable to Ringmaster and cover the cost of our services.
  • To the right of the Requested Ringmaster Technology Fees section is the Quote Ringmaster Technology Fees section, which is where you will confirm the technology fees included in your proposal. 
  • Last you will find the Other Quoted Fees and Credits section, where you can enter any implementation credits or pharamcy management funds included in your proposal.

  • Click the Next button to move to Step 2.

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Step 2 - Discounts

  • Enter the name of the quoted network.
  • If applicable, enter the admin fee and admin fee basis. 
  • If applicable, enter the PMPM Guarantee.
  • Enter the applicable discount and dispensing fee guarantees by channel. Please note that if a discount field is left blank then claims in that channel will process with a 0% discount. It’s best to provide some level of discount for each channel. If LDDs are included in the specialty guarantees you can make the LDD guarantees the same as specialty.

  • In the Inclusion/Exclusion section indicate whether each potential exclusion is included or excluded from the discount guarantees by clicking the toggle next to each exclusion.
  • If a toggle is set to excluded a box will appear allowing you to provide a comment regarding the exclusion. Comments are not required.

  • Click the Next button to move onto Step 3.

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Step 3 - Rebates

  • Enter the quoted formulary name.
  • Specify the rebate structure based on the below options.
      • “Rebates” – Traditional rebate structure where guarantees apply at either the per brand or all claim level.
      • “Admin Fee Credit” – In lieu of rebate guarantees, an admin fee credit is being offered.
      • "Greater of Rebates or Admin Fee Credit" – Both traditional rebates and an admin fee credit are being offered, but the client will only receive the greater of the two values.
      • “Hybrid (Rebates + Admin Fee Credit)” – Both traditional rebates and an admin fee credit are being offered. The client will receive the full value of both the traditional rebates and the admin fee credit. 
  • Specify the guarantee structure based on the below options.
      • “Flat” – Rebates are paid as a set amount per brand claim or per claim. None of the actual rebates are passed through to the client.
      • “Pass-through” – The client receives a percentage of the actual rebates collected. There are no guarantees at the per brand or per claim level.
      • “Greater of 100% or Flat” – The client receives the greater of the actual rebate total or the guaranteed rebate total based on the flat per brand or per claim guarantees.
  • Enter the admin fee credit amount, if applicable.
  • Enter the number of days until rebate payment is received following the end of the quarter.
  • Enter the applicable rebate guarantee by channel. Please note that if a rebate field is left blank then claims in that channel will receive no rebate credit. If a certain channel is included in the same guarantee as another channel, then enter the same amount for both channels.

  • In the HIV Rebates section, use the toggle to indicate whether HIV claims will be included in the specialty rebate guarantee.
  • In the Inclusion/Exclusion section indicate whether each potential exclusion is included or excluded from the discount guarantees by clicking the toggle next to each exclusion.
  • If a toggle is set to excluded a box will appear allowing you to provide a comment regarding the exclusion. Comments are not required.

  • Click the Next button to move onto Step 4

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Step 4 & 5 - Definitions and Stipulations

  • In steps 4 and 5 you will be asked to answer numerous questions regarding the proposed contract. For each question, you can click the toggle next to the question to indicate whether the question is confirmed or not confirmed.
  • If a question is marked not confirmed then a comment box will appear allowing you to enter a comment.
  • If the toggles are not working, uncheck the Accept Defaults box at the top of the section.

  • Click the Next button to move to the next section.

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Step 6 - Clinical

  • In step 6 you will be asked to answer numerous clinical questions related to formulary management, utilization management, patient assistance programs, international sourcing, and copay assistance programs.
  • For questions with a toggle, you can confirm the statement by moving the toggle to the right. When moved to the right the toggle will be highlighted purple and a checkmark will appear. To non-confirm the statement move the toggle to the left. When moved to the left the toggle will be highlighted gray. 
  • For all other questions, please select one of the available options or type in your response.

  • If Step 7 exists, click the Next button to move onto Step 7. If not, click Save to finish editing your proposal.

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Step 7 - Additional Questions

  • Step 7 is where a broker can ask any additional questions not covered elsewhere in the RFP. This step will only appear if brokers have included additional questions.
  • For questions with a toggle, you can confirm the statement by moving the toggle to the right. When moved to the right the toggle will be highlighted purple and a checkmark will appear. To non-confirm the statement move the toggle ot the left. When moved to the left the toggle will be highlighted gray. 
  • For all other questions, please select one of the available options or type in your response.

  • Click Save to finish editing your proposal.

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