HomeMy WebLinkAboutMINUTES - 04092013 - C.87RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract
#27–633–9 with Perform Rx, LLC, a limited liability company, in an amount not to exceed $42,000,000, to provide
pharmacy administration services for the Contra Costa Health Plan, for the period from May 1, 2013 through April
30, 2014.
FISCAL IMPACT:
This Contract is funded 100% by Contra Costa Health Plan Member Premiums. Actual costs will depend upon usage.
(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 Manger 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.
On June 23, 2009, the Board of Supervisors approved Contract #27–633-4 (as amended by Contract Amendment
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 04/09/2013 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Patricia Tanquary,
313-6004
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: April 9, 2013
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Tasha Scott, D Gary
C. 87
To:Board of Supervisors
From:William Walker, M.D.
Date:April 9, 2013
Contra
Costa
County
Subject:Contract #27–633–9 with Perform Rx, LLC
BACKGROUND: (CONT'D)
Agreements #26-633-5 through #27-633-8) with AmeriHealth Mercy Health Plan, dba AmeriHealth Mercy
Contractor, for 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, 2009 through April 30, 2013. Effective January 1, 2010, the Contract was assigned by
AmeriHealth Mercy Health Plan, dba AmeriHealth Mercy Contractor, to Perform Rx, LLC.
Approval of Contract #27–633–9 will allow the Contractor to continue providing services through April 30, 2014. In
accordance with the terms of the agreement, County and Contractor agree to a mutual indemnification clause to hold
each other harmless for any claims arising out of the performance of this contract.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, Health Plan members will not have access to pharmacy benefits as required by
existing State and Federal contracts.
CHILDREN'S IMPACT STATEMENT:
Not applicable.