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County health plan posts $2.5M deficit; GLP-1 medications identified as major pharmacy cost driver
Summary
Human-resources staff reported a $2.5 million year-end deficit for the county health plan and said pharmacy spending rose sharply, with GLP‑1 weight‑loss drugs accounting for roughly $2.3 million (before rebates); the board implemented prior authorization and staff will return with December-31 data in March.
Human-resources director Suzanne Boyle told commissioners on Jan. 13 that Indian River County's health plan finished the plan year with a $2.5 million deficit, better than an earlier projection of about $3.24 million.
Boyle said total medical claims for the year were about $17.4 million (up from $14 million the prior year) and total pharmacy claims (after rebates) were about $7.4 million. She said the plan had 75 high-cost claimants (medical costs over $50,000) whose bills totaled about $8.6…
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