RANDALL COUNTY PURCHASING DEPARTMENT
Tabulation Form
PROPOSAL:  Employee Prescription Drug Plan
DATE/TIME DUE:  Thursday, August 4, 2005; 2:00 p.m.
      SriptCare Wal-Mart BeneScript RxWest Maxor
ID Cards No Charge Combined card - $.75 No Charge No Charge No Charge
Priority 1 - MAC LIST + Dispensing Fee $2.00 $1.99 $2.50 $2.25 $2.00
Priority 2 - Generic not on MAC (AWP -) -30% -16.50% -16% -16% -25%
Generic Dispensing Fee $2.00 $2.00 $2.50 $2.25 $2.00
         
Priority 3 - Brand Name (AWP -) -15% -16.50% -14% -16% -15%
         
Brand Name Dispensing Fee $2.00 $2.00 $2.50 $2.25 $2.00
         
Priority 4 - Mail Order Service Rates/Brand 21%; No dispensing fee 21%; No dispensing fee 20%; No dispensing fee 23%; No dispensing fee 21%; No dispensing fee
Priority 4 - Mail Order Service Rates/Generic 30%; No dispensing fee 55%: No dispensing fee 50% to 75%; no dispensing fee 50%; No dispensing fee 50%; No dispensing fee
Administration Fee $.25/ claim $1.50/ claim $.25/ claim None $.25/ claim
Paper Claim     $1.50/claim $1.00/claim  
Rebate $2.25/ prescription on plan 100% Paid on drugs listed on formulary $0.50 $3.00/retail claim; $6.00/mail claim, based on drug mgmt program $1.00/prescription on plan
PRICING ANALYSIS - 10/03 thru 09/04          
Mail Order - 553(Admin Fee) $138.25 $829.50 $138.25 None $138.25
Pharmacy - 5891(Admin + Disp Fee) $13,254.75 $20,618.50 $16,200.25 $13,254.75 $13,254.75
TOTAL $13,393.00 $21,448.00 $16,338.50 $13,254.75 $13,393.00