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PBM Commons

Every public PBM contract, scored in the open

Government pharmacy benefit manager contracts are public record, so we collect them from official postings and Public Information Act requests, publish them in full, and score each one clause by clause against the open source model PBM contract published by Mark Cuban and collaborators, version 3.5. Free to read, free to reuse, no account needed.

18

Contracts in the library

Public record documents on the site, each downloadable with a link to the government posting. 7 scored by the council so far.

28

Entities tracked

Texas public bodies in the library, 18 in the first request wave.

0

Requests outstanding

Public information requests still open, out of 0 logged.

The library

Public record contracts

Phase one catalogues every Texas public body PBM contract we can find already posted in the open, with the original file to download and read. Phase two puts each one in front of the council for a clause by clause score.

Scored by the council 7

  • Travis CountyTX-PBM-0010

    Commissioners Court backup for the award of RFP 1311-003-CW, pharmacy benefit management services, to Envision Pharmaceutical Services

    PBM vendor: Envision Pharmaceutical Services, LLC

    County · Contract attached to a public agenda item · 2014 to 2017 · 18 pages

    24Red flag

    18 pages. 0 fully blacked out, 0 partially redacted.

    Pricing exhibits present.

    Read the findingsPDF

  • City of San AntonioTX-PBM-0009

    Professional Services Contract with CaremarkPCS Health for pharmacy benefit management services

    PBM vendor: CaremarkPCS Health, L.L.C. (CVS Health)

    City · Full executed contract · 2017 to 2021 · 37 pages

    17Red flag

    Gag clause flagged

    37 pages. 0 fully blacked out, 0 partially redacted.

    Pricing exhibits omitted from the posting.

    Read the findingsPDF

  • Grayson CountyTX-PBM-0008

    Pharmacy Benefit Management Services Agreement with Integrated Prescription Management

    PBM vendor: Integrated Prescription Management, Inc.

    County · Full executed contract · From 2022 · 17 pages

    9Red flag

    Gag clause flagged

    17 pages. 0 fully blacked out, 0 partially redacted.

    Pricing exhibits present.

    Read the findingsPDF

  • Harris CountyTX-PBM-0007

    First amendment to the Aetna Life Insurance Company agreement for medical and pharmacy benefit administration

    PBM vendor: Aetna Life Insurance Company (CVS Health)

    County · Amendment · 2026 · 87 pages

    15Red flag

    Gag clause flagged

    87 pages. 0 fully blacked out, 0 partially redacted.

    Pricing exhibits present.

    Read the findingsPDF

  • City of DentonTX-PBM-0006

    Contract 8577, United HealthCare Services: medical third party administration and pharmacy benefit management

    PBM vendor: United HealthCare Services, Inc. (OptumRx)

    City · Full executed contract · 2025 to 2027 · 92 pages

    19Red flag

    Gag clause flagged

    92 pages. 0 fully blacked out, 0 partially redacted.

    Pricing exhibits present.

    Read the findingsPDF

  • Employees Retirement System of TexasTX-PBM-0002

    Contractual Agreement, Pharmacy Benefits Management Services (HealthSelect of Texas)

    PBM vendor: Express Scripts, Inc.

    State plan · Full executed contract · 2022 to 2029 · 65 pages

    44Concern

    Gag clause flagged

    65 pages. 0 fully blacked out, 0 partially redacted.

    Pricing exhibits omitted from the posting.

    Read the findingsPDF

  • The Texas A&M University SystemTX-PBM-0001

    Pharmacy Benefit Management Administrative Services Agreement

    PBM vendor: Express Scripts, Inc.

    University system · Full executed contract · 2021 to 2024 · 140 pages

    20Red flag

    Gag clause flagged

    140 pages. 53 fully blacked out, 0 partially redacted.

    Pricing exhibits redacted.

    Read the findingsPDF

Catalogued, council review next 11

Already public and downloadable. Some are full executed agreements, some are what the body chose to post: a council resolution, an award memo or a summary. The document kind is stated on each card and no score is shown until the council has read it.

  • City of Corpus ChristiTX-PBM-0018

    Resolution, file 18-0558: pharmacy benefit management services with CaremarkPCS Health

    PBM vendor: CaremarkPCS Health, L.L.C.

    City · Award memo only · 3 pages

    Council review not yet scheduled

    Pricing exhibits omitted from the posting.

    View the contractPDF

  • City of McKinneyTX-PBM-0017

    Resolution, file 25-3125: group health and welfare benefits, pharmacy benefit management with CaremarkPCS Health

    PBM vendor: CaremarkPCS Health, L.L.C.

    City · Award memo only · 1 pages

    Council review not yet scheduled

    Pricing exhibits omitted from the posting.

    View the contractPDF

  • City of IrvingTX-PBM-0016

    Council agenda, September 12, 2024: amendment to the administrative services agreement with Blue Cross and Blue Shield of Texas

    PBM vendor: Blue Cross and Blue Shield of Texas

    City · Award memo only · 7 pages

    Council review not yet scheduled

    Pricing exhibits omitted from the posting.

    View the contractPDF

  • City of HoustonTX-PBM-0015

    Request for Council Action: administrative services agreement with Cigna Health and Life Insurance Company for pharmacy benefit management services

    PBM vendor: Cigna Health and Life Insurance Company

    City · Award memo only · 2019 to 2024 · 4 pages

    Council review not yet scheduled

    Pricing exhibits omitted from the posting.

    View the contractPDF

  • City of DallasTX-PBM-0014

    Resolution, file 25-1596A: contract for pharmacy benefit management services with Blue Cross and Blue Shield of Texas

    PBM vendor: Blue Cross and Blue Shield of Texas (Health Care Service Corporation)

    City · Award memo only · 1 pages

    Council review not yet scheduled

    Pricing exhibits omitted from the posting.

    View the contractPDF

  • City of Fort WorthTX-PBM-0013

    Mayor and Council Communications 22-0551 and 25-0358: OptumRx pharmacy benefits administration

    PBM vendor: OptumRx

    City · Award memo only · 2022 to 2025 · 2 pages

    Council review not yet scheduled

    Pricing exhibits omitted from the posting.

    View the contractPDF

  • City of Fort WorthTX-PBM-0012

    Mayor and Council Communication 25-0845: agreement with Rightway Healthcare for administration of the city's pharmacy benefits

    PBM vendor: Rightway Healthcare, Inc.

    City · Award memo only · 2026 to 2028 · 2 pages

    Council review not yet scheduled

    Pricing exhibits omitted from the posting.

    View the contractPDF

  • City of El PasoTX-PBM-0011

    Council agenda item 21.2.1, December 22, 2015: extension of Contract 2012-256R, pharmacy benefit management, Express Scripts

    PBM vendor: Express Scripts, Inc.

    City · Contract attached to a public agenda item · 2016 to 2017 · 7 pages

    Council review not yet scheduled

    Pricing exhibits omitted from the posting.

    View the contractPDF

  • Texas Health and Human Services CommissionTX-PBM-0005

    Vendor Drug Program pharmacy benefits modernization, Gainwell Technologies: signature document and amendments

    PBM vendor: Gainwell Technologies LLC

    State agency · Other public record · 2022 to 2027 · 4 pages

    Council review not yet scheduled

    Pricing exhibits omitted from the posting.

    View the contractPDF

  • The University of Texas SystemTX-PBM-0004

    UT SELECT prescription drug plan administration, Express Scripts: contract transparency report rows only

    PBM vendor: Express Scripts, Inc.

    University system · Summary only · 2019 to 2026 · 16 pages

    Council review not yet scheduled

    Pricing exhibits omitted from the posting.

    View the contractPDF

  • Teacher Retirement System of TexasTX-PBM-0003

    Express Scripts PBM contracts for TRS-ActiveCare, TRS-Care Standard and TRS-Care Medicare Rx: attestation letters only

    PBM vendor: Express Scripts, Inc.

    State plan · Attestation letter only · 2023 to 2026 · 4 pages

    Council review not yet scheduled

    Pricing exhibits omitted from the posting.

    View the contractPDF

Who we track

Entities and request status

Search by name, then open an entity to see its public information contact, its contracts, and the timeline of every request.

Showing 28 of 28 entities.

State plan

State agency

University system

School district

County

City

How it works

Request, score, track

  1. 01

    Request

    Pick a public body and generate a Texas Public Information Act letter. Copy it and send it yourself, or sign in and we send it from our records alias with you in cc.

    Generate a request

  2. 02

    Score

    Each contract is read against 22 weighted rubric items drawn from the model contract. Every finding quotes the contract and cites a page, and redacted items are excluded rather than guessed.

    See the rubric

  3. 03

    Track

    Negotiators report which model clauses a PBM accepted, edited, or rejected, so buyers can see which terms are actually winnable before they sit down.

    Open the clause tracker

Members

Community

Members publish clause findings quoted from real contracts, questions, public records request threads and their own labelled analysis. Every post shows where the Commons stands on it. Reading is public; posting needs a free account.

Open the community

Sources

Every document in the Commons is public record. Each contract page links to the government body's own posting or to the production we received under the Public Information Act, along with the date it was retrieved, so you can verify it at the source rather than taking our word for it.

The model contract we score against 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 its authors. Read the original on LinkedIn.