Agenda

Return

C. 43

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	July 30, 2019

Contra

Costa

County

Subject:

Contract #27-633-17 with PerformRX, LLC

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 07/30/2019

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:	Sharron Mackey, 925-313-6104
cc:	K Cyr 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 30, 2019
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #27-633-17 which contains 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 August 1, 2019 through December 31, 2020.

FISCAL IMPACT:

This contract is funded 100% by CCHP 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 July 18, 2017, the Board of Supervisors approved Contract #27-633-15 (as amended by Contract Amendment Agreement #27-633-16) with PerformRx, LLC, to provide pharmacy administration services for CCHP members, including 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 August 1, 2017 through July 31, 2019.

Approval of Contract #27-633-17 will allow the Contractor to continue providing services through December 31, 2020. 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.