Brown & Brown: Flagler Schools— medical and pharmacy costs rose; district exploring AdventHealth, narrow networks and pharmacy RFP

Brown & Brown presented Flagler County School Board members Oct. 28 with a year-end review of health-plan performance and pharmacy procurement options, saying early reforecasting shows the plan may run above budget and identifying pharmacy cost drivers and possible network strategies.

The consultant, Danielle Boyle of Brown & Brown, told the board the district—s plan year (Sept. 2024–Aug. 2025) had roughly $9.4 million in net medical claims and just under $4 million in pharmacy spend. Pharmacy rebates were material and appear on the district—s accounting as negative fixed costs; the broker reported large rebate payments historically for the district. High-cost claimants were concentrated but not unusually numerous: 16 members had more than $100,000 in claims during the plan year, and four of those were new in the final month of the year.

Pharmacy details: Brown & Brown identified GLP-1 class medications…