Agenda

Return

C.100

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	July 18, 2017

Contra

Costa

County

Subject:

Contract #27–633–15 with PerformRx, LLC

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 07/18/2017

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Patricia Tanquary, (925) 313-6004
cc:	A Floyd M Wilhelm

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: July 18, 2017
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract #27–633–15 with PerformRx, LLC, a limited liability company, in an amount not to exceed $150,000,000, to provide pharmacy administration services for the Contra Costa Health Plan, for the period from August 1, 2017 through July 31, 2019.

FISCAL IMPACT:

This Contract is funded 100% by Contra Costa Health Plan Enterprise Fund II. (No rate increase)

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.

BACKGROUND: (CONT'D)

On April 12, 2016, the Board of Supervisors approved Contract #27–633-13 (as amended by Contract Amendment Extension Agreement #27-633-14) with PerformRx, LLC, for the provision of pharmacy administration services for Contra Costa Health Plan members, including providing drug utilization review and management, prior authorization procedures, account management, member pharmacy call center, analysis and reporting services and developing partnerships with prescribers and pharmacies, for the period from May 1, 2016 through July 31, 2017.

Approval of Contract #27–633–15 will allow the Contractor to continue providing services through July 31, 2019. This contract includes mutual indemnification.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, contractor will not provide pharmacy administration services to Contra Costa Health Plan.