Exhibit 68 - Cal Yr 2024 City of Miami RX Stats by Ther Class _ Brand Healthcare Spend and Trend.xlsx

This document is a comprehensive pharmacy statistical analysis spreadsheet for the City of Miami's Employee Health Benefits Plan, covering pharmacy utilization and spending for calendar years 2024 and 2023. The file provides detailed metrics across multiple therapeutic drug classes, including total prescriptions, number of claimants, days of supply, ingredient costs, employer-paid amounts, and percentage changes between base and current periods. The analysis encompasses a wide range of pharmaceutical categories such as diabetic therapies, antiarthritics, antivirals, antineoplastics, and specialty medications, tracking both generic and brand-name drug utilization.

The pharmacy benefits data reveals significant trends in healthcare spending, with total pharmacy costs increasing from $10,722,561 in the base period to $13,370,909 in the current period, representing a 24.7% increase. Key performance indicators show an average of 4,422 members, with ingredient cost per member per month rising from $203.57 to $251.99. The generic rx utilization rate improved slightly from 92.4% to 93.1%, and the average ingredient cost per script increased from $245.94 to $290.19. Specialty medications continue to represent a substantial portion of total spending, accounting for 53.1% of employer-paid pharmacy costs, with a specialty ingredient cost per member per month of $130.11.