Exhibit 57b - Cal Yr 2025 City of Miami YTD as of Apr Stats by Ther Class _ Brand - Healthcare Spend and Trend - Pharmacy - Paid.xlsx

The document is a pharmacy spend and trend analysis report for the City of Miami's employee health benefits plan for calendar year 2025, covering January through April. The report provides detailed pharmaceutical utilization and cost metrics across various therapeutic classes, including breakdowns by generic, preferred brand, and non-preferred brand medications. The analysis tracks 16,229 total prescriptions with a total ingredient cost of $4,691,417, representing a 8.7% increase from the base period. Key pharmacy metrics include an average of 2,101 employees, 4,294 members, and an ingredient cost per member per month (PMPM) of $273.12, up 12.2% from the previous period.

The report reveals significant shifts in prescription patterns, with retail scripts increasing by 10.4% and mail order scripts declining by 12.1%. Specialty medications continue to represent a substantial portion of total spend, accounting for 52% of employer-paid costs. Generic medication utilization remains high at 93.8%, and the formulary brand compliance rate improved to 90.8%. The analysis shows increases in both plan spend (32.3% increase) and employer-paid amounts (33.9% increase), with a modest 11.1% increase in member-paid contributions. This comprehensive pharmacy spend report appears to be supporting a potential upcoming employee health benefits plan procurement, potentially related to the referenced RFP No. 2130386 for Employee Health Benefits Plan in Florida.