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Employer. Increased Cost (will not vary based on enrollment) <br />Employee Increased Cost (based on 40% Silver/60% Gold enrollment) <br />*Employee contributions will be lower if enrollment in Premier Silver Plan is above 40% <br />RX CAP Program <br />Formulary Optimization <br />RxB Utilization Management Review <br />Manufacturer's Assistance Program for Specialty Medications <br />Gross anticipated savings/cost avoidance <br />CAP Fees <br />Total anticipated savings/cost avoidance after fees ($1.45 per claim): <br />$2,706,600 <br />$1,131,840* <br />Savings/Cost Avoidance <br />$98,944 <br />$148,930 to $208,502 <br />$231,632 <br />$479,506 <br />- $66,049 <br />$413,456 <br />Recommendation <br />Staff recommends and respectfully requests the Board of County Commissioners approve, <br />effective with the plan year beginning October 1, 2019, the County offer a Premier Silver Plan <br />and Premier Gold Plan at the premium amounts stated above to eligible employees and retirees, <br />and implement the pharmacy Clinical Advantage Program - Standard Program to manage <br />pharmacy costs. <br />190 <br />