Attachment_B.1_Pharmacy_Pricing_Guarantees_(1_TAB_TO_COMPLETE)_FINAL.xlsx
XLSX spreadsheet 34 KB Posted
- Solicitation number
- 25-P-115TF
- Issued by
- Volusia County, Florida
About this file
The document is a Pharmacy Pricing Guarantees attachment (Attachment B.1) for Volusia County Government's self-funded group health plan administrative services contract. The Request for Proposals (RFP) seeks comprehensive group health plan benefits for county employees, retirees, and COBRA participants, including prescription benefits, networks, and administrative services. The contract is structured for an initial five-year term from January 1, 2027, with a potential subsequent five-year renewal, contingent on mutual agreement and county council approval.
The pricing guarantee spreadsheet details pharmacy pricing across multiple categories including retail pharmacy (30-day and 90-day supplies), mail order pharmacy, and specialty medications. The document shows guaranteed discounts from Average Wholesale Price (AWP) for generic and brand-name drugs, with no additional dispensing fees. The total proposed pharmacy costs are $54,106,041 for an estimated 271,014 prescriptions, with negotiated discounts reducing the cost to $26,848,173 across the contract period, representing approximately a 51.37% discount from the original proposed totals. The pricing guarantees are consistent across the 2027-2029 contract years, providing financial predictability for Volusia County's pharmacy benefits management.
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Pricing Guarantee
| Contractor Legal Name: | |||||||||
| Carrier | 2027 | 2028 | 2028 | 2029 | |||||
| Retail Pharmacy Discounts and Fees | AWP | Scripts | % Guaranteed Discount or Unit Amount | Cost | % Guaranteed Discount or Unit Amount | Cost | % Guaranteed Discount or Unit Amount | Cost | |
| 1 - 83 Days | |||||||||
| Generic Discount/Rx from AWP | $4,496,949 | 32,217 | $4,496,949 | $4,496,949 | $4,496,949 | ||||
| Generic Drug Dispensing Fee/Rx | $0 | $0 | $0 | ||||||
| Brand % Discount from AWP | $6,461,083 | 5,824 | $6,461,083 | $6,461,083 | $6,461,083 | ||||
| Brand Drug Dispensing Fee/Rx | $0 | $0 | $0 | ||||||
| Brand Drug Rebate/ Brand Rx | $0 | $0 | $0 | ||||||
| 84 - 91 Days | |||||||||
| Generic Discount/Rx from AWP | $5,639,423 | 16,306 | $5,639,423 | $5,639,423 | $5,639,423 | ||||
| Generic Drug Dispensing Fee/Rx | $0 | $0 | $0 | ||||||
| Brand % Discount from AWP | $3,066,022 | 1,492 | $3,066,022 | $3,066,022 | $3,066,022 | ||||
| Brand Drug Dispensing Fee/Rx | $0 | $0 | $0 | ||||||
| Brand Drug Rebate/ Brand Rx | $0 | $0 | $0 |
| Mail Order Pharmacy Discounts and Fees | |||||
| 1 - 83 Days | |||||
| Generic Discount/Rx from AWP | $266,142 | 253 | $266,142 | $266,142 | $266,142 |
| Generic Drug Dispensing Fee/Rx | $0 | $0 | $0 | ||
| Brand % Discount from AWP | $4,487,244 | 496 | $4,487,244 | $4,487,244 | $4,487,244 |
| Brand Drug Dispensing Fee/Rx | $0 | $0 | $0 | ||
| Brand Drug Rebate/ Brand Rx | $0 | $0 | $0 | ||
| 84 - 91 Days | |||||
| Generic Discount/Rx from AWP | $536,913 | 1,477 | $536,913 | $536,913 | $536,913 |
| Generic Drug Dispensing Fee/Rx | $0 | $0 | $0 | ||
| Brand % Discount from AWP | $847,567 | 192 | $847,567 | $847,567 | $847,567 |
| Brand Drug Dispensing Fee/Rx | $0 | $0 | $0 | ||
| Brand Drug Rebate/ Brand Rx | $0 | $0 | $0 |
| Specialty Discounts and Fees | |||||
| Discount/Rx from AWP - Mail | $7,082,628 | 927 | $7,082,628 | $7,082,628 | $7,082,628 |
| Dispensing Fee/Rx | $0 | $0 | $0 | ||
| Drug Rebate/Rx | $0 | $0 | $0 |
| TOTALS | |||||
| Total Retail 30 Day | $10,958,032 | 38,041 | $10,958,032 | $10,958,032 | $10,958,032 |
| Total Retail 90 Day | $8,705,445 | 17,798 | $8,705,445 | $8,705,445 | $8,705,445 |
| Total Mail Order 30 Day | $4,753,386 | 749 | $4,753,386 | $4,753,386 | $4,753,386 |
| Total Mail Order 90 Day | $1,384,480 | 1,669 | $1,384,480 | $1,384,480 | $1,384,480 |
| Total Specialty | $7,082,628 | 927 | $7,082,628 | $7,082,628 | $7,082,628 |
| Totals | $32,883,971 | 59,184 | $32,883,971 | $32,883,971 | $32,883,971 |
Original Proposed Totals $54,106,041 271,014 52.28% $27,658,804 52.28% $27,658,804 52.28% $27,658,804
Difference -$5,225,167 -$5,225,167 -$5,225,167
Updated Proposed Totals $54,106,041 271,014 51.37% $26,848,173 51.37% $26,848,173 51.37% $26,848,173
&"Arial,Bold"25-P-01TF &"Arial,Bold"ATTACHMENT B.1 - PHARMACY PRICING GUARANTEES
&"Arial,Regular"Page &P of &N
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