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City of Lewisville

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$692,000 to $1 million a year

is what Lewisville 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 total health claims and a peer pharmacy share. Every input is listed below with its source.

Health claims
$18,434,274
FY2024-25, actual · cityoflewisville.com, page 111
Stop loss attachment
$175,000
FY2024-25, actual · cityoflewisville.com, page 111
How this number was built

Pharmacy spend × pharmacy share 25.0% to 32.4% × savings rate 15% to 17% = $692,000 to $1 million

Pharmacy spend base: $4.6 million to $6 million. Display figures are rounded; the arithmetic runs on the printed values below.

1. The pharmacy spend base

  1. $18,434,274Healthcare claims, reinsurance premiums and administrative costs

    FY2024-25, actual

    During FY 2024-25, total expenses for claims, reinsurance premiums, and administrative costs for healthcare amounted to $18,434,274.
    City of Lewisville annual comprehensive financial report, fiscal year ended September 30, 2025, page 111

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.

  1. $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
  2. $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
  3. $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
  4. $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

  1. 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
  2. 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 total health claims but not a pharmacy line, so the pharmacy share is borrowed from DFW cities that print both. That share is labeled as a peer figure below.
  • Includes reinsurance and administration, so claims alone are lower.

What would make this firmer

  • A pharmacy claims line in the adopted budget or annual financial report.
Prepare the records request

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

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Public documents
1 public record
Official website
cityoflewisville.com

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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.

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