No spread pricing

which includes no spread pricing on retail, mail or specialty pharmacy

Recorded reference: Page 10

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Published rationale. The pharmacy award memorandum states that Envision agreed to a complete pass through of pharmacy discounts with no spread pricing in the retail, mail or specialty channels, and page 11 shows a separate administrative fee of $3.50 per employee per month, which is the shape the model contract published by Mark Cuban and collaborators asks for. What is absent is the operative language that would make it enforceable, including a definition of the amount paid to the pharmacy, a reconciliation duty and an audit right. Guaranteed discount rates off average wholesale price, without a stated tie to the pharmacy's actual payment, can still leave room for a difference, so this reads as a strong promise rather than a proven no spread contract.

agreed to a complete pass- through of all pharmacy discounts, which includes no spread pricing on retail, mail or specialty pharmacy.

Recorded reference: Page 10

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Published rationale. The backup memo explicitly states there is no spread pricing on retail, mail, or specialty pharmacy. While the base agreement is missing, the plan also pays a fully disclosed administrative fee, meeting the standard for transparent pricing.

Envision’s proposal includes a partnership with Costco for mail and specialty pharmacy and has agreed to a complete pass- through of all pharmacy discounts, which includes no spread pricing on retail, mail or specialty pharmacy.

Recorded reference: Page 10

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Published rationale. The packet expressly bars spread pricing in every named dispensing channel and requires complete pass-through of pharmacy discounts. Page 17 reinforces this by limiting Envision to its per employee per month fee and rejecting other money associated with County prescription drug spending. These stated terms meet the model's core no-spread protection, although the executed agreement is not supplied.

no spread pricing on retail, mail or specialty pharmacy.

Recorded reference: Page 10

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Published rationale. Page 10 states Envision agreed to a complete pass through of all pharmacy discounts, including no spread pricing on retail, mail or specialty, and page 17 says Envision will accept only the PEPM fee. Those terms move toward the model, but the same pages present AWP guarantee tables as the cost structure and warn that additional fees are included in the Contract that is not attached. Without executed adjudication language that the County pays exactly what pharmacies are paid, spread cannot be ruled out.

which includes no spread pricing on retail, mail or specialty pharmacy

Recorded reference: Page 10

Page navigation follows the recorded reference; check printed numbering against the PDF.

Published rationale. The memo states Envision agreed to a complete pass-through of all pharmacy discounts with no spread pricing in any channel, and page 11 discloses the PBM's fixed compensation as a $3.50 per employee per month administrative fee. That matches the model contract's structure of pass-through pricing plus a disclosed admin fee. Confidence is held below 0.9 because the executed agreement's definitions and any network-level exceptions are not in the file.