To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #27-633-31 with PerformRx, LLC
Recommendation: Recommendation of the County Administrator
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RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment #27-633-31 with PerformRx, LLC, a limited liability company, effective September 1, 2026, to amend Contract #27-633-24 (as amended by Contract Amendments #27-633-26, #27-633-27, #27-633-28 and #27-633-30), to increase the payment limit by $17,500,000, from $70,000,000 to an amount not to exceed $87,500,000, to provide additional pharmacy program administration services for Contra Costa Health Plan (CCHP) with no change in the term ending December 31, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional expenditures of up to $17,500,000 and will remain funded 100% by Contra Costa Health Plan (CCHP) Enterprise Fund II revenues. (No rate increase)
BACKGROUND:
Both the State Department of Health Services and the Federal Centers for Medicare and Medicaid Services (CMS) require a Pharmacy Benefits Manager that can develop, maintain, and manage a large pharmacy network and monitor the correct dispensing of drug benefits and co-pays under multiple group product lines while adhering to the required Health Plan Formulary and Health Plan Prior authorization protocol. This contractor has been providing these services and fostering a deep understanding of the CCHP organization’s mission, values, and long-term objectives since May 2006.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Health Services Personnel approved this contract to ensure no conflicts with labor relations. Contractor was selected to provide pharmacy program administration services to CCHP’s Pharmacy and Utilization units to help est...
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