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OptumRx / PB-1020

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OptumRx Contract Highlights

    • Savings – an average of 15 to 25% savings to Equalis Group members.
    • Member Market Check – a detailed evaluation of the projected savings and the impact of transitioning to SourceRx.
    • Flexible Contract Options – Transparent, Traditional & Average Script Price.
    • Stop Loss Insurance Policies – three available stop loss insurance policies including aggregate, aggregate + specific, and guaranteed cost.
    • Claims-Level Pricing Guarantees – applies coalition pricing on a per claim, per employer basis – not in the aggregate across all claims.
    • Consistent Pricing Regardless of Size – all participating employers receive the same prescription pricing, regardless of the number of employees.
    • Built-in Price Decreases – as the size of the coalition increases, pricing for all participating groups decreases.
    • Three-Year Pricing Guarantee – protects against future prescription drug price increases.
    • Annual Audits – individual audits to verify master agreement terms and pricing are properly applied to each participant; participants receive full refunds of any identified overcharges.
    • Annual Market Checks – an intensive process of securing pricing from competing PBM providers each year to ensure the most competitive pricing is available to SourceRx participants.

Contract#:
PB-1020

Lead Agency:
CCOG

Contract Term:
01.01.2020 – 12.31.2022


Contract Overview

Equalis Group & SourceRx One-Page Overview

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Contract Documentation

Read a full summary of the public sector procurement process guidelines followed:

SourceRx PBM Program (Procurement Process)

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