Exhibit_B.2_-_Medicare_Part_D_Pharmacy_Pricing_Plan_(2_Tabs).xlsx

This is a Medicare Part D Pharmacy Pricing Plan exhibit submitted by a contractor for the County of Volusia's medical and pharmacy plan for Medicare eligible retirees in Florida. The contractor is required to provide a comprehensive pharmacy plan with specific design parameters, including a $0 deductible, tiered copayments ($15 for generic drugs, $35 for preferred brand drugs, $55 for non-preferred brand and specialty drugs), and mail order benefits at 2X the standard tier cost. The plan must cover 100% of Part D medications and include coverage determinations for drug categories such as barbiturates/benzodiazepines, prescription vitamins, cold and cough preparations, and erectile dysfunction medications, with contractors required to document any deviations from the specified plan design. Plans are effective January 1, 2027, and will serve as fully insured Medicare Supplement Plans and Part D Employer Group Waiver Plans (EGWP) for eligible retirees and their spouses.

The contractor must provide the County with quarterly and annual reports, premium renewal information, and anticipated rate renewals by a specified date. Contractors are required to document their average plan premium increase percentages for Florida for calendar years 2025, 2026, and 2027 (anticipated), and to identify any qualifications or caveats associated with their premiums. The County's Third Party Administrator, WEX, handles eligibility, enrollment, and billing functions. The contractor must maintain separate eligibility records and report participation by agency, as the plan covers multiple Volusia County government and participating agencies. Medicare eligible retirees age 65 and older will only be allowed to enroll in the County's Medicare plans, while those under 65 may remain on the self-funded plan option.