Lowest net cost standard and book of business comparison

No evidence quotation was recorded for this finding.

Recorded reference: No page reference recorded

Published rationale. There is no lowest net cost standard for formulary decisions and no annual comparison against Envision's whole book of business anywhere in the 18 pages. The consultant notes on page 17 discuss claim repricing done during the bid evaluation, which is a one time procurement exercise rather than an ongoing contractual standard. Nothing requires disclosure when a drug is placed above a cheaper equivalent.

“Not addressed” is this published review’s conclusion about the produced text, not proof that a provision is absent from every version or withheld document.

No evidence quotation was recorded for this finding.

Recorded reference: No page reference recorded

Published rationale. The agenda backup does not address lowest net cost standards or book of business comparisons.

“Not addressed” is this published review’s conclusion about the produced text, not proof that a provision is absent from every version or withheld document.

No evidence quotation was recorded for this finding.

Recorded reference: No page reference recorded

Published rationale. The formulary discussion on page 10 does not require decisions based on lowest net cost for Travis County. Pages 8 to 11 also contain no annual comparison with Envision's full book of business and no disclosure duty when a drug is placed above a cheaper equivalent. The executed agreement is not available to supply these standards.

“Not addressed” is this published review’s conclusion about the produced text, not proof that a provision is absent from every version or withheld document.

No evidence quotation was recorded for this finding.

Recorded reference: No page reference recorded

Published rationale. No lowest-net-cost standard, book of business comparison, or disclosure of drugs placed above a cheaper equivalent appears on pages 8 through 11 or 16 through 18. Formulary is mentioned only as Envision flexibility on pages 2 and 10. The executed agreement is not in the file.

“Not addressed” is this published review’s conclusion about the produced text, not proof that a provision is absent from every version or withheld document.

No evidence quotation was recorded for this finding.

Recorded reference: No page reference recorded

Published rationale. No page states a lowest net cost standard for formulary decisions, an annual comparison against the PBM's book of business, or disclosure when a drug is placed above a cheaper equivalent. The entire subject is absent from the backup and would live in the executed agreement.

“Not addressed” is this published review’s conclusion about the produced text, not proof that a provision is absent from every version or withheld document.