11-Exhibit F Detailed RX Cost Analysis.xlsx
XLSX spreadsheet 27 KB Posted
- Attached to
- HEALTHCARE BENEFITS
- Solicitation number
- 26RFP005
- Issued by
- Maricopa County, Arizona
About this file
This document is an Exhibit F Detailed RX Cost Analysis spreadsheet for the City of Scottsdale's healthcare benefits procurement. The file appears to be part of a comprehensive proposal for prescription drug management services, covering a potential three-year contract period with fill dates initially set from 12/16/2022 to 12/15/2023. The document is structured to analyze prescription drug costs across multiple transaction categories including retail, 90-day retail, mail order, and specialty pharmacy claims for both brand and generic medications.
The spreadsheet is designed to capture detailed pricing information, including total claims volume, Average Wholesale Price (AWP) values, pricing discount guarantees, dispensing fees, and expected rebates. Currently, all financial fields are populated with zero values, suggesting this is a template or preliminary document awaiting specific pricing details. The pricing analysis includes provisions for administration fees, estimated gross and net annual drug costs, and potential implementation credits. This document is part of a broader healthcare benefits solicitation by the City of Scottsdale, which seeks proposals for comprehensive benefit programs including medical, pharmacy, dental, employee assistance program, stop-loss coverage, and flexible spending/health savings account administration.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-Attachment A - Formal Instructions to Respondents.pdf | ||
| 3-Attachment B - Formal Solicitation General Terms Conditions (1).pdf | ||
| 6-Exhibit A Summary Plan Descriptions.pdf | ||
| 7-Exhibit B Experience and Census.xlsx | XLSX spreadsheet | |
| 8-Exhibit C Medical Repricing.xlsx | XLSX spreadsheet | |
| 9-Exhibit D Network Disruption - Medical Dental.xlsx | XLSX spreadsheet | |
| 10-Exhibit E RX Disruption.xlsx | XLSX spreadsheet | |
| 4-Attachment C Sample City Services Contract.pdf | ||
| 1-26RFP005 Solicitation.pdf | ||
| 5-Attachment D Business Associate Agreement.pdf |
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Text version
B. Pricing
| City Of Scottsdale | |||||
| Detailed Prescription Drug Cost Analysis | |||||
| Proposal Type: Traditional or Pass Through | |||||
| (please specify) | PBM Name | ||||
| Year 1 | Year 2 (if applicable) | Year 3 (if applicable) | |||
| Fill Dates (12/16/2022 - 12/15/2023) | |||||
| Number of Transactions: | |||||
| Retail - Brand | |||||
| Retail - Generic | |||||
| Retail 90 - Brand | |||||
| Retail 90 - Generic | |||||
| Mail Order - Brand | |||||
| Mail Order - Generic | |||||
| Specialty - Brand | |||||
| Specialty - Generic | |||||
| Total Overall Claims | 0 | 0 | 0 | ||
| Total AWP Values (Post AWP) | |||||
| Retail - Brand | |||||
| Retail - Generic | |||||
| Retail 90 - Brand | |||||
| Retail 90 - Generic | |||||
| Mail Order - Brand | |||||
| Mail Order - Generic | |||||
| Specialty - Brand | |||||
| Specialty - Generic | |||||
| Total | $0 | $0 | $0 | ||
| Pricing Discount Guarantees (off AWP) | |||||
| Retail - Brand | |||||
| Retail - Generic | |||||
| Retail 90 - Brand | |||||
| Retail 90 - Generic | |||||
| Mail Order - Brand | |||||
| Mail Order - Generic | |||||
| Specialty (Overall) | |||||
| Dispensing Fees - Per Rx | |||||
| Retail - Brand | |||||
| Retail - Generic | |||||
| Retail 90 - Brand | |||||
| Retail 90 - Generic | |||||
| Mail Order - Brand | |||||
| Mail Order - Generic | |||||
| Specialty (Overall) | |||||
| Annual Total Drug Cost | $0 | $0 | $0 |
| Administration Fees - Per Rx | |||
| Annual Administration Fees | $0 | $0 | $0 |
Estimated Gross Annual Drug Cost $0 $0 $0
| Rebates - Per Brand Rx | PBM to specify → FORMULARY NAME | |||
| Retail | ||||
| Retail 90 | ||||
| Mail Order | ||||
| Specialty | ||||
| Expected Annual Reimbursements | $0 | $0 | $0 |
Implementation Credit (Rx only) $0 $0 $0
Estimated Net Annual Drug Cost $0 $0 $0
File details come from the government source that posted it. Updated .