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Board of County Commissioners <br />Meeting Minutes - Final January 23, 2018 <br />12.D.1. 18-1392 <br />Approval to Carve Out Pharmacy Benefit and Select New Pharmacy Benefit <br />Manager effective May 1, 2018 <br />Recommended Action: Staff respectfully requests the Board of County Commissioners approve the <br />recommendation to change the pharmacy benefit manager to Express Scripts <br />effective May 1, 2018 for an initial twelve month period and authorize the <br />Board Chairman to sign the administrative services agreement with RXBenefits <br />after review and approval by the County Attorney. <br />Attachments: Staff Report <br />In an effort to reduce pharmacy expenses, Human Resources Director Suzanne <br />Boyll addressed the Board with a mid -year proposal, effective May 1, 2018, to <br />select a new Pharmacy Benefit Manager (PBM). She explained that Lockton <br />Companies, the County's new benefits consultant, compared six (6) months of <br />data using the prescriptions filled by Members. It was determined that Express <br />Scripts, administered by RXBenefits, could save the County a significant <br />amount of money due to the difference in pharmacy formulary tiers compared <br />to that of Prime Therapeutics, the current PBM, administered by Florida Blue. <br />At Chairman O'Bryan's request, Ms. Boyll agreed to communicate with the <br />employees who would see a negative impact from this change, as 2.42% of the <br />prescriptions filled would negatively be affected by either an increase of the <br />Member's co -pay or by requiring the Member to transition to an alternate <br />medication. <br />A motion was made by Commissioner Flescher, seconded by Commissioner <br />Zorc, to approve staffs recommendation, as presented. The motion carried by <br />the following vote: <br />Aye: 5 - Chairman O'Bryan, Vice Chairman Solari, Commissioner Adams, Commissioner <br />Flescher, and Commissioner Zorc <br />E. Office of Management and Budget <br />12.E.1. 18-1391 Chambers Audio/Video Upgrade <br />Recommended Action: Staff recommends the Board waive the requirement for bids and authorize the <br />Purchasing Division to issue a Purchase Order to Encore Broadcast Solutions <br />(EBS) for the upgrade to the Chambers A/V system in the amount of <br />$212,423.45. Staff also recommends the Board authorize the County <br />Administrator to approve a Purchase Order to EBS for the supplemental <br />projector, screen and associated installation, once a quote for the work has been <br />obtained. <br />Indian River County Florida <br />Page 9 <br />