Item Description:
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Amd 9 to Agmt A154856 with Navitus Health Solutions LLC to provide pharmacy benefit management services to Hennepin Health, ext end date to 12/31/27, incr NTE by $2,550,000
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Resolution:
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BE IT RESOLVED, that Amendment 9 to Agreement A154856 with Navitus Health Solutions LLC to provide pharmacy benefit management services to Hennepin Health extending the end date through December 31, 2027, amending the Definitions section; Navitus Responsibilities section; Terms of Agreement section; DHS Regulatory Terms section; Administrative Services Fee Schedule exhibit; Prescription Pricing Schedule exhibit, Navitus Reporting Requirements exhibit and increasing the not to exceed amount by $2,550,000 for a new total not to exceed amount of $323,550,000 be approved; that the Chair of the Board be authorized to sign the Amendment on behalf of the County; and that the Controller be authorized to add funds as needed.
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Background:
Initial Term of Agreement A154856 with Navitus Health Solutions LLC to provide pharmacy benefit management services for Hennepin Health expires December 31, 2024.
Current Request:
Amendment 9 seeks approval to extend the Agreement beyond its Initial Term through December 31, 2027. The Hennepin Health Per Member Per Month (PMPM) Administrative Fee payable to Navitus Health Solutions LLC will increase from the current rate of $2.21 PMPM to $2.28 PMPM on January 1, 2025, through December 31, 2025; $2.35 PMPM on January 1, 2026, through December 31, 2026; and $2.42 PMPM from January 1, 2027, through December 31, 2027. In addition, this Amendment 9 will change drug discount guarantees and reduce drug dispensing fees, clarify the long-term care language, and Navitus Health Solutions LLC reporting requirements. This Amendment 9 will also update the language of the Agreement to comply with DHS contract changes. The agreement with Navitus Health Solutions LLC includes the pass through of medical expenses.
Disparity Reduc...
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