City of Dallas
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$8.7 million to $13 million a year
is what Dallas could save on prescription drugs at the pricing improvement a DFW city reported to its own council. This is an estimate built from the city's health fund total and a peer pharmacy share. Every input is listed below with its source.
- Pharmacy cost per member
- $112.04 per member per month
- FY2023-24, actual · citysecretary2.dallascityhall.com, page 41
How this number was built
Pharmacy spend × pharmacy share 25.0% to 32.4% × savings rate 15% to 17% = $8.7 million to $13 million
Pharmacy spend base: $58 million to $75 million. Display figures are rounded; the arithmetic runs on the printed values below.
1. The pharmacy spend base
- $232,177,512Employee Benefits Fund total expenditures, adopted budget
FY2025-26, adopted budget
Total Expenditures $232,177,512 $232,177,512 $174,041,953 $252,035,725 $19,858,213
City of Dallas Budget Accountability Report, July 2026, page 11
2. The pharmacy share, borrowed from DFW cities that print both lines
Share = pharmacy claims divided by pharmacy plus medical claims, for the same fiscal year and basis. The band runs from the lowest to the highest share observed.
- $5,849,181Prescription claims, Risk and Insurance Fund significant budget items
FY2025-26, adopted budget · peer figure from City of McKinney
Prescription Claims $5,849,181
City of McKinney annual budget FY2026, page 160 - $17,526,387Medical claims, Risk and Insurance Fund significant budget items
FY2025-26, adopted budget · peer figure from City of McKinney
Medical Claims $17,526,387
City of McKinney annual budget FY2026, page 160 - $10,053,043Self insured pharmacy claims
FY2025-26, adopted budget · peer figure from City of Denton
6706.0002 - SELF-INSURED CLAIMS - PH $ 10,053,043.00
City of Denton FY2025-26 line item operating budget, page 108 - $20,945,185Self insured medical claims
FY2025-26, adopted budget · peer figure from City of Denton
6706.0001 - SELF-INSURED CLAIMS - HE $ 20,945,185.00
City of Denton FY2025-26 line item operating budget, page 108
3. The savings rate, as a DFW city reported it
- 15%Better pricing from joining a purchasing consortium, low end
2017, estimate · peer figure from City of Fort Worth
Joining purchasing consortium – 15 – 17% better pricing
City of Fort Worth council presentation on health benefits, 2017, page 29 - 17%Better pricing from joining a purchasing consortium, high end
2017, estimate · peer figure from City of Fort Worth
Joining purchasing consortium – 15 – 17% better pricing
City of Fort Worth council presentation on health benefits, 2017, page 29
Read this before quoting the number
- The city prints only a health fund total, which includes administration, stop loss premiums and sometimes other benefits, so the pharmacy base runs high. The pharmacy share is borrowed from DFW cities that print both lines.
What would make this firmer
- A pharmacy claims line in the adopted budget or annual financial report.
- Total health claims for the current fiscal year, separate from administration and stop loss premiums.
The rate is a pricing improvement one city reported, not a promise. Rebates, plan design and utilization move the real number. The model contract this platform scores against is attributed to Mark Cuban; nothing here implies his endorsement of any city or vendor.
What DFW cities have already reported
- $400,000City of Richardson, Texas, FY2026-27Estimated annual savings from ending GLP-1 coverage for weight loss only · richardsontx.new.swagit.com
- $1.5 millionCity of McKinney, 2025Drug plan savings the city's coalition said it could deliver · mckinneytx.new.swagit.com
- $2.4 millionCity of Garland, FY2021-22Pharmacy cost reduction, third year · garlandtx.gov, page 7
- $2.4 millionCity of Garland, FY2020-21Pharmacy cost reduction, second year · garlandtx.gov, page 7
- $1.4 millionCity of Garland, FY2019-20Pharmacy cost reduction, first year of the city's pharmacy savings effort · garlandtx.gov, page 7
- $3.8 millionCity of Fort Worth, 2017Guaranteed annual pharmacy savings for three years · fortworthgov.granicus.com, page 29
- Public documents
- 2 public records
- Official website
- dallascityhall.com
Public records on file
Original public documents and published reviews. A score is shown only when one has been recorded.
- Resolution, file 25-1596A: contract for pharmacy benefit management services with Blue Cross and Blue Shield of Texas
Blue Cross and Blue Shield of Texas (Health Care Service Corporation) · Published Sep 5, 2026
Pricing exhibits omitted from the postingContract term
Council date June 11, 2025. Three year initial term with two one year renewal options. Only the one page resolution is posted; the executed contract is not.
Not Council-scored
Open record - City of Dallas: June 25, 2025 resolution authorizing a pharmacy benefit management contract with HCSC / Blue Cross Blue Shield
Health Care Service Corporation, a Mutual Legal Reserve Company dba Blue Cross Blue Shield · Published Sep 11, 2026
Pricing exhibits omitted from the postingContract term
Resolution authorizes execution of a pharmacy benefit management service contract "for a term of three years, with two one-year renewal options, in an amount not to exceed $2,221,440.00" (physical page 1). The resolution states no effective or end date, and the executed contract is not posted with the item.
Not Council-scored
Open record
Members
From the community
Findings, questions and member analysis. Not Commons council scores.
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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.