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Results first · 15 DFW cities

$28 million to $38 million a year

is what these cities together could save on prescription drugs at the pricing improvement one of them reported to its own council. Estimates, built only from figures each city printed. Open a city to see every input and its source.

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  1. City of DallasPBM on record: CVS Caremark (2018 council briefing; may be out of date)$8.7 million to $13 millionfund total and peer share, FY2025-26
  2. City of Fort WorthPBM on record: Rightway Healthcare (from January 1, 2026); OptumRx before that$4.6 million to $5.3 millioncontract target, 2026
  3. City of GarlandPBM on record: Prime Therapeutics$2.8 million to $4 millionfund total and peer share, FY2026-27
  4. City of PlanoPBM on record: Liviniti$1.4 million to $2.1 millionclaims and peer share, FY2025
  5. City of IrvingPBM on record: Blue Cross and Blue Shield of Texas (medical and pharmacy administration)$1.4 million to $2 millionclaims and peer share, FY2025-26
  6. City of ArlingtonPBM on record: Prime Therapeutics$1.3 million to $1.9 millionclaims and peer share, FY2025
  7. City of DentonPBM on record: OptumRx, through United HealthCare Services$1.5 million to $1.7 millionown pharmacy line, FY2025-26
  8. City of FriscoPBM not yet known$1 million to $1.5 millionclaims and peer share, FY2025
  9. City of Grand PrairiePBM on record: Prime Therapeutics$969,000 to $1.4 millionclaims and peer share, FY2025
  10. City of MesquitePBM on record: Prime (incumbent named in 2025 RFP)$974,000 to $1.1 millionown pharmacy line, FY2026-27
  11. City of LewisvillePBM not yet known$692,000 to $1 millionclaims and peer share, FY2024-25
  12. City of McKinneyPBM on record: CaremarkPCS Health (CVS Caremark)$877,000 to $994,000own pharmacy line, FY2025-26
  13. City of RichardsonPBM not yet known$644,000 to $946,000claims and peer share, FY2025-26
  14. City of AllenPBM not yet known$559,000 to $821,000claims and peer share, FY2025
  15. City of CarrolltonPBM not yet known$520,000 to $764,000claims and peer share, FY2026-27

Wider bars mean more of the estimate rests on borrowed assumptions. A city that prints its own pharmacy line gets a narrow band.

41
public records
9
council-scored
46
entities tracked
0
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41 of 41 contracts

Scores describe published findings, not legal compliance. Unclear or redacted clauses are excluded from the scoring denominator; an unscored record is not a zero.

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The reference is the open source PBM contract published by Mark Cuban and collaborators, version 3.5. BetterBuy Rx did not write it and is not affiliated with or endorsed by its authors. Read the original model contract.

PBM Commons · by BetterBuy RxEvidence is public. Interpretation is open to review.

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