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The recommended PBM change to Express Scripts will include a disruption to a small percentage <br />of the prescriptions filled under the plan (2.42%), and provides a substantial savings that is <br />projected to be $703,961. This amount represents a savings of 17.62% when compared to the <br />incumbent renewal offer from Prime Therapeutics and will allow members to continue to receive <br />a competitive pharmacy benefit under the plan without changing the copayment amounts in our <br />existing pharmacy plan design. <br />During the implementation process to the new PBM, members who are impacted by the change <br />in pharmacy tier will be identified and provided information so that they understand the impact <br />to them. Educational information will be provided as well as meetings held to explain the PBM <br />change and assist employees in the transition. <br />FUNDING: <br />Funding for the pharmacy benefit is included in the health plan trust fund. The projected savings <br />of $703,961 is inclusive of administrative fees paid to RXBenefits, will help offset the rising cost <br />of the pharmacy benefit, and is expected to reduce the impact of future increases through a <br />competitive PBM contract that includes 100% return of pharmacy rebates to the trust fund, <br />improves the negotiated rates for prescriptions, provides dedicated pharmacy customer service <br />support for members, and maintains the current pharmacy copayment amounts under the plan. <br />RECOMMENDATION: <br />Staff respectfully requests the Board of County Commissioners approve the recommendation to <br />change the pharmacy benefit manager to Express Scripts effective May 1, 2018 for an initial <br />twelve month period and authorize the Board Chairman to sign the administrative services <br />agreement with RXBenefits after review and approval by the County Attorney. <br />99 <br />