RECOMMENDATION(S):
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #27-633-22 containing mutual indemnification, with PerformRx, LLC, a limited liability company, in an amount not to exceed $25,000,000, to provide pharmacy administration services for Contra Costa Health Plan (CCHP), for the period from January 1, 2023 through December 31, 2023.
FISCAL IMPACT:
Approval of this contract will result in annual service expenditures of up to $25,000,000 and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
Both the State Department of Health Care Services (DHCS) 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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