HomeMy WebLinkAboutMINUTES - 04212015 - C.53RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract
#27–633–11 with Perform Rx, LLC, a limited liability company, in an amount not to exceed $65,000,000, to provide
pharmacy administration services for the Contra Costa Health Plan, for the period from May 1, 2015 through April
30, 2016.
FISCAL IMPACT:
This Contract is funded 100% by Contra Costa Health Plan Enterprise Fund II. 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 April 9, 2013, the
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 04/21/2015 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
ABSENT: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 21, 2015
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Chris Heck, Deputy
cc: A Floyd , C Rucker
C. 53
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:April 21, 2015
Contra
Costa
County
Subject:Contract #27–633–11 with Perform Rx, LLC
BACKGROUND: (CONT'D)
Board of Supervisors approved Contract #27–633-9 (as amended by Contract Amendment Extension Agreement
#26-633-10) with Perform Rx, LLC, 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, 2013 through April 30, 2015. Approval of Contract
#27–633–11 will allow the Contractor to continue providing services through April 30, 2016. This contract includes
mutual indemnification.