County approves piggybacked pharmacy benefit agreement estimated at $7.9 million annually

5901390 · October 7, 2025

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Summary

Polk County authorized a piggyback contract with LucyRx Health Solutions to provide pharmacy benefit management for Polk Healthcare Plan members, citing projected annual savings from Pinellas County’s larger contract terms.

The Board approved a piggyback agreement with LucyRx Health Solutions (formerly CitizensRx) to provide prescription drug program management services for eligible Polk Healthcare Plan members, with an estimated annual expenditure of $7.9 million.

Manager Beasley said Polk County previously used a piggyback arrangement after its 2017 RFP and that Pinellas County later solicited and negotiated a larger plan with LucyRx. Because Pinellas’ scale yielded more favorable pricing and rebate terms, Polk staff recommended piggybacking the Pinellas County agreement to realize an estimated $379,000 in annual savings compared with the county’s current agreement. The proposed term runs Oct. 1, 2025, through Sept. 30, 2030, and funding is available in the indigent health care fund.

Services include retail network management, mail services, formulary management and claims payment to participating pharmacies. The board moved, seconded and approved the item by voice vote; the chair declared the motion carries.