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Indian River County, Florida * * MEMORANDUM ��ORIpA File ID: 25-0501 Type: Consent Staff Report TO: Honorable Board of County Commissioners THROUGH: John A. Titkanich, Jr., County Administrator FROM: Suzanne M. Boyll DATE: May 5, 2025 �r_ Indian River County Administration Complex 1801 27th Street Vero Beach, Florida 32960 indianriver.gov Meeting Date: 5/20/2025 SUBJECT: Updated RX Benefits Administrative Services Agreement dated October 1, 2024 and Exhibit A - Pricing Addendum Effective January 1, 2025 BACKGROUND Effective May 1, 2018, Indian River County Board of County Commissioners approved a recommendation to carve -out the pharmacy benefit under the County's group health insurance program from Florida Blue and select Express Scripts as the pharmacy benefit manager. Administrative services for the pharmacy benefit are provided by RX Benefits. Pricing and rebates are updated annually in January of each year and provided to the BOCC for approval. The initial term of our agreement with RX Benefits was May 1, 2018 through April 30, 2019. The agreement has renewed annually thereafter. In April 2022, we aligned the agreement with RX Benefits to coincide with our benefit plan year beginning October 11 of each year and ending on September 301, and subsequent 12 -month renewal periods would begin on October 11 and end on September 30' (2023 ASA addendum effective April 30, 2022). An additional cost reduction was implemented which removed the $0.40 per claim fee under the Manufacturer Copay Assistance Program Section of Table 2.1 of Exhibit A effective as of April 1, 2022. This results in an annual savings of approximately $17,600 per year. All pricing and rebate guarantees remain consistent with the in -force pricing agreements. These changes were reflected in the 2023 Administrative Service Agreement addendum approved by the BOCC on February 7, 2023. Indian River County continued the relationship with RX Benefits and extended the contract an additional year effective October 1, 2024 through September 30, 2025. RX Benefits has provided an updated Administrative Services Agreement (ASA) effective October 1, 2024 that also includes the improved pricing that went into effect January 1, 2025. The agreement has been reviewed by Lockton and there were no concerns regarding the contract updates. The agreement has also been reviewed and approved by the County Attorney's office. The new ASA focuses on adding signature list pricing addendums moving forward which would provide for pricing improvements without requiring additional signatures. Pricing updates happen annually effective January 1St for all RX Benefits clients irrespective of the plan year. Indian River County, Florida Page 1 of 2 Printed on 5/15/2025 powered by LegistarTI, 69