City of Mesquite, Texas
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$974,000 to $1.1 million a year
is what Mesquite 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 own pharmacy claims line. Every input is listed below with its source.
How this number was built
Pharmacy spend × savings rate 15% to 17% = $974,000 to $1.1 million
Pharmacy spend base: $6.5 million. Display figures are rounded; the arithmetic runs on the printed values below.
1. The pharmacy spend base
- $6,490,000Pharmaceutical expenditures, Group Medical Insurance Fund
FY2026-27, adopted budget
Pharmaceutical 6,228,567 6,490,000 6,490,000 6,490,000 -
City of Mesquite FY2026-27 proposed budget, page 20
2. 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
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
- cityofmesquite.com
Public records on file
Original public documents and published reviews. A score is shown only when one has been recorded.
- City of Mesquite: DRAFT Blue Cross and Blue Shield of Texas administrative services agreement with Prime Therapeutics pharmacy benefit management, effective January 1, 2022 (unsigned council packet draft)
Blue Cross and Blue Shield of Texas (HCSC) with Prime Therapeutics · Published Sep 30, 2026
Pricing exhibits omitted from the postingContract term
DRAFT. This is the unsigned Administrative Services Agreement template (Rev. 7.21) attached to Mesquite City Council file 21-5660, approved October 18, 2021, for Account TX169074 with an effective date of January 1, 2022. The signature blocks on page 1 are blank and the posted text is the pre-execution draft; the executed agreement may differ. Exhibit 4 (the ASO Benefit Program Application) and the PBM Fee Schedule Addendum are referenced but not included, so administrative fees and pharmacy pricing are not in this document. Exhibit 7 describes pharmacy benefit management through Prime Therapeutics. No end date is stated; the agreement continues until terminated under its own terms.
- 2025 additional-pharmacy solicitation and 2021 medical/pharmacy ASO authorization
Prime (2025 RFP incumbent); BCBSTX (2021 ASO authorization) · Published Sep 8, 2026
Pricing exhibits omitted from the postingContract term
RFP 2025-133 requested a July 1, 2025 start; no resulting award verified. RFP 2021-105 authorization dated October 18, 2021 describes January 1, 2022–December 31, 2026 and a one-year term with four optional one-year renewals; exercise of those options and final executed terms are unverified.
Not Council-scored
Open record
Members
From the community
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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.