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Commission reviews consent agenda items: pharmacy benefit change, easement for generator, EMS MOU extension, vehicle purchase and equipment repairs
Summary
City staff reviewed a set of consent‑agenda items and related operations updates, including a pharmacy plan change to adopt a biosimilar for Stelara, an easement for a generator at 9003 Overlook Boulevard, a three‑year MOU extension with Williamson County Hospital District, a $7,644 over‑budget 4WD truck purchase, and an update on a damaged street sweeper.
City staff reviewed a set of consent‑agenda items and related operations updates during the meeting, summarizing proposed administrative changes and equipment purchases and providing status reports on repairs.
Pharmacy benefit: Stelara replaced by biosimilar (presentation) Staff presented an amendment to the city’s medical benefits pharmacy plan to remove the brand drug Stelara and substitute an available biosimilar. Benefits consultant Cheryl Morgan (referenced by staff) recommended the change; staff said they had found no active city prescriptions for Stelara and expected minimal disruption. Staff noted Stelara can cost between about $15,000 and $29,000 per month depending on dose, while the biosimilar cost estimate in the presentation was described as much lower.
During the discussion a commissioner asked whether the plan allows patients who do not respond to the biosimilar to remain on the brand drug; staff said they would…
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