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

This is an Exhibit B.2 pricing template for the Medicare Part D Pharmacy Pricing Plan submitted in response to Volusia County, Florida's Request for Proposal for Medicare Supplement and Part D Pharmacy Insurance services. The document establishes the pharmacy plan design requirements for eligible Medicare retirees and their spouses, with an effective date of January 1, 2027. The comprehensive pharmacy plan specifies a $0 deductible with tiered copayments of $15 for generic medications, $35 for preferred brand drugs, $55 for non-preferred brand medications, and $55 for specialty drugs, with mail order tiers 1-4 at 2X copayment levels. The template requires contractors to identify coverage for specific drug categories including 100% Part D medications, barbiturates/benzodiazepines, prescription vitamins, cold and cough preparations, and erectile dysfunction medications, along with notation of any associated conditions or deviations from the comprehensive plan design. Contractors must also document their monthly premium pricing, commissions, and administrative fees for the 2026 plan year.

The template includes detailed pricing questions requiring contractors to address premium qualifications and caveats, quarterly and annual reporting provisions, premium renewal information and timing, historical premium increase percentages for Florida in 2025, 2026, and 2027, and clarification of plan type classifications including drug plan type, PCP requirements, network scope, and medical plan structure. The document references a drug formulary with classifications from generic through specialty tiers and indicates coverage decisions regarding Medicare Part B drugs and prescription drug exclusions, establishing the contractual framework for the pricing submission component of the broader solicitation that requires combined Medicare Supplement Plan N and Part D premiums to remain below the current $971 monthly premium rate for single coverage.