HomeMy WebLinkAboutMINUTES - 04211992 - 1.59 TO: BOARD OF SUPERVISORS Contra
Y. y
FROM: Joseph J. Tonda, Risk Manager :' Costa
County
DATE:
April 14; 1992 r°rra ca6K� `p
SUBJECT: lst Choice Health Plan - Pharmacy Contract
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION
Authorize the County Risk Manager to execute on behalf of the County and
certain Special Districts, a contract amendment with Pharmaceutical Care
Network (PCN) for the period of April 1, 1992 through October 31, 1992.
BACKGROUND
The PCN contract originally executed inadvertently excluded the
coordination of benefit (COB) provisions under the pharmacy program.
This contract amendment will:
1. Authorize PCN to reimburse eligible members under the COB benefits
provided lst Choice members; and
2. Implement the benefit co-pay of $2. 00 generic and $5. 00 brand name
prescription drugs as agreed to between the County and the Health
Care Coalition.
FISCAL IMPACT
This contract is funded by the lst Choice Health Plan Trust Fund.
Because COB was always included in the plan, there is no additional cost
except for the administrative handling fee charged by PCN. This
additional cost will be dependent upon plan utilization by members but
will maintain lower overall costs to the plan because under COB
provisions, lst Choice is the secondary plan payer.
The monthly cost by charging the co-payment for generic and brand drugs
is estimated to reduce pharmacy claims by $8,000 per month.
CONTINUED ON ATTACHMENT: YES SIGNATURE: L ,
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BR C OMMITREE IIJ
APPROVE -OTHER
SIGNATURE S:
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
XI HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
cc: personnel Department (Benefits Div. ) ATTESTED /
County Administrator PHIL BA CHELOR,CLERK OF THE BOARD OF
Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR
County Counsel
�-- BY DEPUTY -
I M382 (10/88)