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Board approves intent to move forward with MedsRx PBM connectivity after claims repricing shows savings
Summary
After a claims replay comparing the city’s current PBM with alternatives, staff reported estimated pharmacy-benefit savings (~$233,754) and the board approved an intent-to-move-forward agreement with MedsRx to allow technical connectivity and further evaluation.
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City benefits staff presented a review of pharmacy benefit manager (PBM) options and recommended moving forward with a connectivity agreement to evaluate MedsRx (also discussed MeadowsRx/Meadows RX) after a claims replay showed potential savings.
Rick, presenting PBM repricing results, said the evaluation identified savings across three categories — non-specialty ingredient costs, specialty-drug savings and alternative sourcing — with an estimated total savings of about $233,754. The board approved an intent-to-move-forward agreement to allow vendors to connect to the city’s systems, finalize integrations and confirm projected savings.
Staff emphasized this was an intent-to-move-forward step to permit technical testing and further analysis, not a final vendor award.

