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City, TX

Request the PBM contract from City of Fort Worth

Fill in your details, read the letter, then either copy it and send it yourself or, if you are signed in, have us email it with you in cc. Either way the request is yours.

Step one

Your details

A body may reject an anonymous request, so these fields go in the letter. We do not store them unless you ask us to send the letter for you.

Step two

Read the letter

This is exactly what goes out. It names the executed agreement, the pricing exhibits, any third party administrator agreement and the latest reconciliation report.

Subject: Public information request: pharmacy benefit management contract (City of Fort Worth)

September 5, 2026

City of Fort Worth
Attn: Public Information Officer / Records Custodian

Re: Request for public information under Texas Government Code Chapter 552

Dear Public Information Officer:

Under the Texas Public Information Act, Texas Government Code Chapter 552, I request copies of the following records relating to the prescription drug benefit of the City of Fort Worth employee health plan:

1. The current executed pharmacy benefit management (PBM) services agreement, including all exhibits, schedules, addenda, amendments, renewals and extensions;
2. All pricing exhibits and schedules, including discount and dispensing-fee guarantees, rebate and manufacturer-revenue guarantees, network reimbursement schedules, and administrative fee schedules;
3. Any third-party administrator (TPA) or consultant agreement governing the pharmacy benefit;
4. The most recent annual PBM performance, rebate, or guarantee reconciliation report delivered to City of Fort Worth.

If City of Fort Worth participates in TRS-ActiveCare or another pooled program for pharmacy benefits, please state so in writing in lieu of items 1 through 4.

I request the records in electronic form (PDF) delivered to the email address below. If any portion is withheld, please identify the specific exception claimed and, as required by Section 552.301, notify me in writing if a ruling is requested from the Office of the Attorney General. If the estimated charges exceed the amount that requires an itemized statement under Section 552.2615, please provide that itemized estimate before proceeding.

Please confirm receipt of this request. Thank you.

Sincerely,

[your name]
[your mailing address]
[your email address]

Step three

Send it

Copy letter

You send it, from your own address. We record only that a request went to City of Fort Worth today, so the public page can show a real due date.

  • No public information email is on file for this body.

Send it for me

We email the letter from our records alias with you in cc and as reply to, so replies reach you directly. You stay the requester.

This body accepts requests only by portal or mail.

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.