| 36C10G25N0048 VA CLAIMS PROCESSING AND CUSTOMER SERVICE | SIGNATURE CHOICE II, LLC | Department of Veterans Affairs | VA | May 7, 2025 | $319,815,911 |
| HT940221C0005 TRICARE MEDICARE ELIGIBLE PROGRAM (TMEP) SERVICES | WISCONSIN PHYSICIANS SERVICE INSURANCE CORP. | Department of Defense | WI | Mar 3, 2026 | $283,669,564 |
| 36C79126K0132 EXPRESS REPORT: PBM APR, MAY, JUN, JULY FY26 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | Aug 26, 2026 | $159,197,318 |
| 36C79126K0129 EXPRESS REPORT: PBM JUN, JUL, AUG, SEPT FY25 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | Aug 24, 2026 | $136,950,146 |
| 70FA6022C00000006 THE PURPOSE OF THIS MODIFICATION IS TO DE-OBLIGATE EXCESS FUNDS. | TORRENT TECHNOLOGIES, INC. | Department of Homeland Security | DC | Mar 26, 2026 | $112,788,283 |
| 36C79126K0131 EXPRESS REPORT: PBM JAN, FEB, MAR FY25 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | Aug 26, 2026 | $106,297,480 |
| 36C79126K0130 EXPRESS REPORT: PBM OCT, NOV, DEC, FY25 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | Aug 26, 2026 | $106,276,908 |
| 70CDCR26C00000003 THE PURPOSE OF THIS CONTRACT IS TO PROVIDE ICE HEALTH SERVICE CORPS WITH A PHARMACY BENEFIT MANAGER TO MANAGE FORMULARY, CLAIMS PROCESSING, PHARMACY NETWORK ADMINISTRATION, AND BENEFIT PLAN DESIGN. | ARDENT GROUP, LLC | Department of Homeland Security | CO | Oct 25, 2025 | $46,188,309 |
| 36C79125K0079 EXPRESS REPORT: PBM DEC 2024 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | Jan 10, 2025 | $41,079,827 |
| 36C79124K0296 EXPRESS REPORT: PBM MAY 2024 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | Jun 27, 2024 | $38,789,735 |
| 70FA6021F00000014 THE PURPOSE OF THIS MODIFICATION IS TO DE-OBLIGATE AND CLOSEOUT. | TORRENT TECHNOLOGIES, INC. | Department of Homeland Security | MT | May 27, 2026 | $37,794,763 |
| 36C10G26K0299 EXPRESS REPORT: AUGUST FY26 Q4 | TRIWEST HEALTHCARE ALLIANCE CORP | Department of Veterans Affairs | AK | Sep 30, 2026 | $35,202,006 |
| 36C79124K0392 EXPRESS REPORT: PBM AUG 2024 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | Sep 24, 2024 | $34,913,966 |
| 36C79124K0314 PBM EXPRESS REPORT: JUNE 2024 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | Jul 11, 2024 | $34,513,103 |
| 36C79125K0178 EXPRESS REPORT: PBM MAR 2025 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | Apr 21, 2025 | $34,417,529 |
| 36C79125K0134 EXPRESS REPORT: PBM JAN 2025 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | Feb 21, 2025 | $33,990,241 |
| 36C10G26K0292 EXPRESS REPORT: JUNE FY26 Q3 | TRIWEST HEALTHCARE ALLIANCE CORP | Department of Veterans Affairs | AK | Jul 30, 2026 | $33,713,567 |
| 36C79124K0283 PBM EXPRESS REPORT: APRIL 2024 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | May 9, 2024 | $33,265,207 |
| 75R60221C00003 PRB184 C 3612. PAYMENT PROCESSING - GENERAL/TARGETED. FY26 UDO INITIATIVE | OPTUMSERVE TECHNOLOGY SERVICES, INC. | Department of Health and Human Services | MD | Jun 11, 2026 | $31,711,099 |
| 36C79125K0074 EXPRESS REPORT: PBM NOV 2024 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | Nov 1, 2024 | $30,927,272 |
| 36C79124K0393 EXPRESS REPORT: PBM SEP 2024 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | Sep 1, 2024 | $30,475,708 |
| 36C79125K0146 EXPRESS REPORT: PBM FEB 2025 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | Mar 12, 2025 | $30,455,128 |
| 36C10G26K0279 EXPRESS REPORT: MAY FY26 Q3 | TRIWEST HEALTHCARE ALLIANCE CORP | Department of Veterans Affairs | AK | Jun 17, 2026 | $29,795,053 |
| 36C79125K0253 EXPRESS REPORT: PBM MAY FY25 | OPTUMRX ADMINISTRATIVE SERVICES, LLC | Department of Veterans Affairs | CO | Jun 24, 2025 | $29,614,005 |
| 36C10G26K0301 EXPRESS REPORT: SEPTEMBER FY26 Q4 | TRIWEST HEALTHCARE ALLIANCE CORP | Department of Veterans Affairs | AK | Sep 30, 2026 | $29,119,143 |