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Commission approves consent items after questions on $447,049 pharmacy invoice
Summary
The board approved consent items after commissioners pulled several matters for discussion. One pull exposed a $447,049 Express Scripts pharmacy bill for the pay period; county staff explained overlapping billing and specialty drug costs and described a three‑tier review process before the board approved the item.
Clay County commissioners approved the consent agenda on Dec. 9 after separating several items for discussion. Commissioners examined one sizable invoice — about $447,049 billed to Express Scripts for pharmacy costs — and asked staff for clarification before approving that item.
A commissioner asked why the county would have nearly half…
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