County faces sharp pharmacy‑cost increases; staff proposes limited premium hikes, plan changes

Aug 11, 2026

Staff told commissioners high pharmacy costs are driving insurance fund deficits and offered two modest premium‑increase options and other plan tweaks; no action was taken pending PBC board decisions.

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County staff warned commissioners that pharmacy costs are the primary driver of insurance spending growth and that a small number of high‑cost members account for most of the pharmacy spend. "62 percent of our pharmacy spend is about and that is driven by about 23 members of almost 900 total members on our plan," Becky said while laying out benchmarking and projected plan deficits.

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