| 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 | |||