PrimeRFP SCOUT · Industry Intelligence
Healthcare & Medical Federal Contracts
Medical category obligations (≥$100K, TTM). · Category-led market view
OMB Medical category obligations total $67.3B across 43,731 contracts — Department of Veterans Affairs ($41.7B) leads, with Department of Defense ($20.5B) via TRICARE support.
Under OMB Category: Medical, federal obligations totaled $64.6B across 43,905 contracts in the trailing 12 months (last 12 months (2025-09-15 – 2026-09-10)), with an average award of $1.5M.
This page uses a Category-led market view as the headline and a NAICS-based companion view for firm-classification analysis — see below.
$64.6B
12-Mo Obligations (Headline)
43,905
Contracts (12-Mo)
$1.5M
Avg Award Size
$12.7B
NAICS Companion (Healthcare-provider firm lens; excludes pharmacy distribution.)
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Find & Track Open Healthcare & Medical Contracts
Beyond the historical award data below, PrimeRFP SCOUT surfaces open healthcare & medical solicitations — RFPs, RFQs, sources-sought notices, and BPAs — across federal (SAM.gov) and state, local & education (SLED) sources, plus upcoming medical recompetes with named incumbents before they hit the street.
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How this market is scoped
Headline view — Market
OMB Category: Medical
OMB Category Management definition — PSC-based. The authoritative federal taxonomy for this market.
Obligated: $64.6B · 43,905 contracts
Companion view — Firm classification
NAICS 621 — Ambulatory Health Care Services firms
NAICS describes a seller's industry classification — not what was bought. Use this view for firm-set analysis, not market sizing.
Obligated: $12.7B · 9,978 contracts
Pharmacy distribution (McKesson, AmerisourceBergen) is in the Medical Category but not NAICS 621.
Data filters — reconstructible in USASpending
Every figure on this page is derived from the following filter set, applied to federal award data. Because SCOUT is a USASpending-derived extract, any number here can be reconstructed in USASpending Advanced Search using the scope label above plus these filters.
- Scope
- OMB Category: Medical
- Time window
- Trailing 12 months (2025-09-15 → 2026-09-10)
- Min award
- ≥ $100,000 per transaction
- Transaction type
- Obligations only (federal_action_obligation). IDIQ/IDV base vehicles excluded.
- Year type
- calendar
- Data source
- PrimeRFP SCOUT (USASpending-derived extract)
- Since date
- 2025-09-15
- Last refreshed
- 2026-09-10
Top Agencies in Healthcare & Medical
| Rank | Agency | Obligations |
|---|---|---|
| #1 | Department of Veterans Affairs (VA) | $39.8B |
| #2 | Department of Defense (DOD) | $19.7B |
| #3 | Department of Health and Human Services (HHS) | $2.6B |
| #4 | Department of Justice (DOJ) | $1.0B |
| #5 | Department of Homeland Security (DHS) | $682.3M |
| #6 | National Aeronautics and Space Administration (NASA) | $238.0M |
| #7 | Department of Transportation (DOT) | $111.4M |
| #8 | General Services Administration (GSA) | $105.9M |
| #9 | Department of Agriculture (USDA) | $89.8M |
| #10 | Department of Commerce (DOC) | $55.6M |
12-month aggregate · Scope: Medical category obligations (≥$100K, TTM). · PrimeRFP SCOUT
Top Healthcare & Medical Contractors
| Rank | Contractor | Awards | Total Obligation |
|---|---|---|---|
| #1 | OPTUM PUBLIC SECTOR SOLUTIONS, INC. | 30 | $21.7B |
| #2 | MCKESSON CORPORATION | 1,234 | $12.3B |
| #3 | HUMANA GOVERNMENT BUSINESS, INC. | 75 | $5.6B |
| #4 | TRIWEST HEALTHCARE ALLIANCE CORP. | 78 | $5.2B |
| #5 | AMERISOURCEBERGEN DRUG CORP | 8,865 | $3.2B |
12-month aggregate, top 5 shown · Scope: Medical category obligations (≥$100K, TTM). · PrimeRFP SCOUT
Emerging Competitors (Rank 6–10)
| Rank | Contractor | Awards | Total Obligation |
|---|---|---|---|
| #6 | MEDLINE INDUSTRIES, LP | 145 | $866.9M |
| #7 | EXPRESS SCRIPTS, INC. | 35 | $693.2M |
| #8 | ILLUMINA, INC. | 127 | $521.0M |
| #9 | THE JOHNS HOPKINS MEDICAL SERVICES CORPORATION | 9 | $495.0M |
| #10 | MARTINS POINT HEALTH CARE INC | 9 | $433.5M |
Market Intelligence — Healthcare & Medical
OMB Medical category obligations total $67.3B across 43,731 contracts — Department of Veterans Affairs ($41.7B) leads, with Department of Defense ($20.5B) via TRICARE support.
Optum Public Sector Solutions, Inc. ($23.5B), McKesson Corporation ($12.2B), and Humana Government Business, Inc. ($6.1B) dominate healthcare-category dollars.
TriWest ($5.5B) and AmerisourceBergen ($3.1B) continue to concentrate VA community care and federal pharmacy distribution.
NAICS 621 companion (~$12.2B, five-buyer) is the ambulatory-provider firm lens — use Category for medical market sizing.
Frequently Asked Questions — Healthcare & Medical
How much federal medical contracting is there?
Under OMB Medical Category, federal obligations reached $67.28B across 43,731 contracts in the trailing 12 months (2025-08-16 → 2026-08-04). VA leads at $41.7B (VA community care, disability exams, pharmacy), followed by DoD at $20.5B. The NAICS 621 companion (five-buyer ambulatory providers) totals $12.15B — materially smaller because it excludes pharmacy distribution and medical devices. Source: PrimeRFP SCOUT · obligations only · ≥$100K · calendar-year basis.
Why is the NAICS 621 number so much smaller than the Medical Category?
NAICS 621 only captures awards to firms classified as ambulatory healthcare providers (physicians, clinics, labs). The OMB Medical Category is broader — it includes pharmacy distribution (McKesson, AmerisourceBergen), managed-care organizations (Humana Government, TriWest, Optum), and medical devices / supplies. Those firms sit under different NAICS codes. Use the Category view for federal medical market sizing; use the NAICS 621 view only for healthcare-provider firm-set analysis.
Who are the largest federal medical contractors?
The top obligated awardees are Optum Public Sector ($23.5B), McKesson pharmacy distribution ($12.2B), Humana Government Business ($6.1B TRICARE), TriWest ($5.5B VA community care), and AmerisourceBergen ($3.1B). The concentration reflects VA community care contracting and federal pharmacy distribution.
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