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NAICS 524292 · Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Top HHS pharmacy benefit management and other third party administration of insurance and pension funds contractors

In the 12 months ending Nov 5, 2026, the Department of Health and Human Services obligated $30.1M in net prime contract dollars under NAICS 524292, up 5.2% from $28.6M in the preceding 12 months. 5 prime contractors received positive obligations, and 1 of them accounted for 80% of that spend.

Prime contracts funded by the Department of Health and Human Services. Latest 12 months: Nov 6, 2025 to Nov 5, 2026. Source: USAspending.gov.

See 3 potential recompetes ↓
Net obligations, latest 12 months
$30.1M
up 5.2% vs. $28.6M
Prime contractors
5
With positive obligations
Top 8 primes’ share
100.0%
Of positive obligations
Awards with activity
14
16 in the prior 12 months

Obligations by fiscal year

Net prime contract obligations by federal fiscal year (October to September).

FY2022
$85.3M
FY2023
$40.2M
FY2024
$23.5M
FY2025
$692K
FY2026
$19.7M

Top HHS contractors for NAICS 524292

Ranked by positive obligations in the latest 12 months. Share is of all positive obligations in this market.

Top contractors, HHS NAICS 524292
#ContractorLatest 12 moPrior 12 moShareRank change
1General Dynamics Information Technology, Inc.$38.3M$27.9M94.1%—
2Novitas Solutions, Inc.$1.7M$1.6M4.1%—
3Provider Resources, LLC$664K$574K1.6%—
4Healthequity, Inc.$51K$219K0.1%—
5Express Scripts Inc$25K$111K0.1%—

What changed in the last 12 months

Contractors with the largest change in reported obligations versus the preceding 12 months.

Largest gains

Largest declines

Where the money comes from

Funding sub-agencies within the Department of Health and Human Services, latest 12 months. The funding organization can differ from the office that runs the requirement.

Funding sub-agencies
Funding sub-agencyLatest 12 moPrior 12 moChange
Centers for Disease Control and Prevention$29.2M$28.1MUp $1.1M (4.1%)
Centers for Medicare and Medicaid Services$2.3M$759KUp $1.6M (207.6%)
National Institutes of Health$25K$116KDown $90K (78.0%)
Indian Health Service$9K$28KDown $19K (67.4%)

Potential recompetes

Large awards in this market whose current period of performance ends in the next 18 months. Treat these as research leads: options, extensions, and follow-on vehicles often change the timing.

Awards ending in the next 18 months
AwardIncumbentObligatedCurrent end
75FCMC23F0110
Provider Resources, LLC
APPEALS REVIEW FOR THE PART D COVERAGE GAP DISCOUNT PROGRAM & THE MANUFACTURER DISCOUNT PROGRAM
$2.1MAug 31, 2027
75FCMC23F0081
Novitas Solutions, Inc.
THE FSSEFA WILL ASSIST CMS WITH ACCOUNTING, INVOICING (INCLUDING PRINTING AND MAILING), TRACKING OF ACCOUNTS RECEIVABLE AND ACCOUNTS PAYABLE, DOCUMENTING FUNDS COLLECTED BY CMS,…
$6.2MSep 8, 2027
75D30126C20710
General Dynamics Information Technology, Inc.
WTCHP THIRD PARTY ADMINISTRATOR
$66.2MOct 29, 2027

Common questions

Who are the top HHS contractors for NAICS 524292?

In the latest 12 months, General Dynamics Information Technology, Inc. ($38.3M), Novitas Solutions, Inc. ($1.7M), Provider Resources, LLC ($664K) received the most HHS obligations for pharmacy benefit management and other third party administration of insurance and pension funds.

How concentrated is this market?

The eight largest primes held 100.0% of positive obligations, and General Dynamics Information Technology, Inc. alone held 94.1%. 0 contractors won their first obligations in this market during the latest 12 months.

Are any large HHS NAICS 524292 contracts ending soon?

3 of the largest awards in this market reach their current end date in the next 18 months. The first is 75FCMC23F0110 (Provider Resources, LLC, $2.1M obligated), ending Aug 31, 2027. An end date is a research lead, not a confirmed recompete: options and extensions often move it.

Related markets

Figures are net obligations on prime contracts (award types A–D) from USAspending.gov, grouped by funding agency and the NAICS code on each award. Net obligations include deobligations and corrections, so they can differ from positive-obligation totals. See methodology.

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