Title
Pharmacy Benefit Management Services - RFP HR 22-001 - Amendment 1 (Ordinance S-50788)
Description
Request to authorize the City Manager, or his designee, to execute an amendment to Contract 158829 with Elixir Rx Solutions, LLC to amend contract to assigned vendor MedImpact Healthcare Systems, Inc. Further request to authorize the City Controller to disburse all funds related to this item. No additional funds are needed, request to continue using Ordinance S-49593.
Report
Summary
This contract will provide sustainable and affordable solutions to optimize the pharmacy care experience of eligible plan participants while keeping costs contained. Other services include claims adjudication, quality customer service to include Opioid Safety program, experience reporting, pass-through network rates at retail reimbursements, and competitive discounts in all areas to include Retail 30 and 90 days, Mail, Brand and Generic medications with performance guarantees in place. On or about Feb. 1, 2024, the agreement was acquired by and assigned to MedImpact Healthcare Systems, Inc., pursuant to proceedings in the U.S. Bankruptcy Court, District of New Jersey. Approval is requested to amend this contract accordingly and continue receiving Pharmacy Benefit Management Services from MedImpact Healthcare Systems, Inc.
Contract Term
The contract term remains unchanged, ending on Dec. 31, 2028.
Financial Impact
The aggregate value of the contract will not exceed $215 million and will be paid by the City's Health Care Benefits Trust Fund. No General Funds are needed. No additional funds are needed.
Concurrence/Previous Council Action
The City Council previously approved this request:
- Pharmacy Benefit Management Services, Contract 158829 on April 19, 2023.
Department
Responsible Department
This item is submitted by Assistant City Manager Lori Bays and the Human Resources Department.