Broken Arrow City Council
Meeting of: 11-07-2017
To: Mayor and City Council
From: Office of the City Manager
Title:
title
Approval of and authorization to execute a renewal of the Pharmacy Benefit Management Services Agreement with Navitus Health Solutions, LLC to continue to provide pharmacy benefit manager services for the employee health plan
End
Background:
The City has provided employee health benefits through self-insurance since 1989. On October 7, 2014, the Council approved an agreement with Navitus Health Solutions, LLC (Navitus) to be the pharmacy benefit manager for the City’s employee health plan. This direct contract with Navitus enables the City to negotiate the rebate and fee structures of the prescription plan and allows greater control of the plan design.
The agreement provides for year to year continuation if both parties mutually agree. The claims appeal process was updated to allow additional reviews to be made by an Independent Review Organization if necessary. All other terms of the agreement remain the same.
Navitus has been excellent to work with and provides exceptional customer service. Staff recommends approving the agreement for another renewal term.
Cost: As estimated in the Group Health and Life Fund in the FY 2018
Prepared By: Jannette McCormick, Human Resources Director
Reviewed By: Finance Department
Assistant City Manager - Administration
Legal Department
Approved By: Michael L. Spurgeon, City Manager
Attachments: Pharmacy Benefit Management Services Agreement
Recommendation:
Approve the Pharmacy Benefit Management Services Agreement with Navitus Health Solutions, LLC and authorize its execution.