RECOMMENDATION(S):
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract #27-633-18 containing mutual indemnification, with PerformRx, LLC, a limited liability company, in an amount not to exceed $119,000,000, to provide pharmacy administration services for Contra Costa Health Plan (CCHP), for the period from January 1, 2021 through December 31, 2021.
FISCAL IMPACT:
This contract will result in annual contractual expenditures of up to $119,000,000 and is budgeted with 100% CCHP Enterprise Fund II revenues.
BACKGROUND:
Both the State Department of Health Services and the Federal Centers for Medicare and Medicaid Services (CMS) require a Pharmacy Benefits Manager that can develop, maintain, and manage a large pharmacy network and monitor the correct dispensing of drug benefits, co-pays under multiple group product lines adhering to the required Health Plan Formulary and Health Plan Prior authorization protocol.
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